# Health commodities logistics management information system performance at public health facilities of Amhara region, Ethiopia

## TL;DR

This study evaluates how well health facilities in Ethiopia's Amhara region manage medicine logistics, finding progress in some areas but ongoing issues with infrastructure and resources.

## Contribution

The study provides a detailed performance assessment of LMIS in Amhara region public health facilities, highlighting specific operational challenges and opportunities for improvement.

## Key findings

- High availability of LMIS forms like IFRR and RRF was observed, but some forms and digital systems had lower rates.
- Only 42.2% of facilities had internet access, and 37.3% received periodic written feedback from higher-level health systems.
- Infrastructure issues like power and internet limitations hinder effective LMIS performance.

## Abstract

Ensuring equitable access to essential medicines is a major global health challenge, particularly in low- and middle-income countries. Effective supply chain management and Logistics Management Information Systems (LMIS) are crucial for addressing these challenges. Despite substantial efforts, significant LMIS implementation issues continue, especially in Ethiopia.

The study aimed to evaluate the performance of health commodities logistics management information systems at public health facilities in the Amhara Region, Ethiopia.

The study conducted in public health facilities of the Amhara region in Ethiopia used a quantitative methods approach. The region is supplied by four Ethiopian Pharmaceutical Supply Service hubs. A total of 102 facilities, selected through stratified random sampling, were included in the study. Data were collected through record review and and observation using data abstraction checklists to evaluate the LMIS forms availability, utilization, supply, and report timeliness.

Infrastructure challenges were noted, including inconsistent power supply and limited internet access, with only 42.2% having internet connectivity. LMIS performance varied, with high availability and utilization of forms like the IFRR and RRF but lower rates for some forms and digital systems. Reporting and feedback mechanisms were generally adequate, though only 37.3% of facilities received periodic written feedback from higher levels of the healthcare system.

The evaluation of the LMIS in Amhara Region’s public health facilities shows notable achievements in the widespread use of LMIS forms and reporting systems. However, ongoing challenges such as unreliable infrastructure, poor internet connectivity, and insufficient human resources impede effective LMIS performance. Addressing these issues, digitalization of the LMIS, strengthening feedback mechanisms, and supervisory support will enhance LMIS performance and improve health outcomes.