The Web-based Health Commodity Management Information System (Dagu2.0) Implementation and Associated Factors in Public Health Facilities Under Jimma Branch of Ethiopian Pharmaceutical Supply Service, Ethiopia

Abstract

Background: The management of the pharmaceutical supply chain with the use of information and communication technology plays significant role in improving organizational efficiency and reduce costs. It provides greater, faster, and more flexible communication in the health sector. While, web-based coordination faces many difficulties in creating nations. No framework, instructive obstacle, security and global fear of oppression.. Objective: The study was aimed at assessing the web-based health commodity management information system (Dagu2.0) implementation and associated factors in public health facilities under Jimma branch of Ethiopian pharmaceutical supply service. Method: Facility based cross-sectional descriptive study design was adopted through mixedmethod concurrent triangulation to assess both quantitative and qualitative data from June, 2022 to August, 2022GC. Thirty-three Dagu2.0 facilities (18 hospitals and 15 health centers) were included in the study. A quantitative data were collected using the census method. A total of 65 store managers and pharmacy heads were participated in the study. The data were collected through pre-tested self-adminisntered structured questionairs and analyzed using descriptive statistical analysis. A chi-square test was performed to determine the association between dependent and independent variables. Face-to-face in-depth interviews were conducted to gather qualitative data from four store managers and four pharmacy head. Participants were selected by purposive sampling according to their experience and the data were analyzed using the thematic analysis technique. Results: From a total of 65 questionnaries, 61 of them properly completed and returned making 93.84% response rate. Majority 40(65.6%) agreed that the information provided by the system is well formatted. Majority 37(60.7%) of participants agreed that system contributes to efficiency. A substantial proportion 17(27.9%) dis-agreed that technical support was provided for all system queries and requests. A significant association was observed between Dagu2.0 implementation and computer, X2 (1, N = 61) =30.450, P = 0.000, security, X2 (1, N = 61) =8.495, P = 0.004, skill and training, X2 (1,N = 61) = 7.283, P = 0.007, Incentive, X2 (1, N = 61) = 10.123, P = 0.001, and management support, X2 (1, N = 61) = 15.868, P =0.000. Loss of internet, system produced inconsistence in the flow of inventory information, it does not display more than one-year of stock status data, all items and some company names are not included in the system, lack of training and management support to the system are the most common challenges related to Dagu2.0 implementation. Conclusion: The ICT-infrastructure, personnel and administrative factors have statistically significant impact on the Dagu2.0 implementation. Although system caused inconsistency in the flow of inventory information and does not display more than one year of inventory data, they are considerable. Key informants suggested that Dagu2.0 provided training, mentoring and technical assistance.