ASSESSMENT ON AUDITABLE PHARMACEUTICAL TRANSACTIONS AND SERVICES IMPLEMENTATION OUTCOME: THE CASE OF TIKUR ANBESSA SPECIALIZED HOSPITAL

Abstract

The objective of this study is to assess the outcome of APTS implementation in TASH using the five APTS result areas as a reference for measurement. Cross- sectional descriptive study was used both quantitative and qualitative methods were employed. The data for this study was obtained from primary and secondary sources. In-depth interviews were made with the pharmacy department head, accountants, finance head, Human resource head and internal auditor of the hospital. Self-administered questionnaire was distributed to 67 pharmacy staffs and 100 patients. 100 patients were also interviewed for their knowledge on dispensed medicine. Quantitative data was entered using SPSS version 20 and analyzed using descriptive statistics that is percentage and frequency. Quantitative finding showed that most of the prescribed medicines were available. Patients’ satisfaction stood at score of 66% while 88 % of the employees are dissatisfied with their job. 74.75% of the patients know how to take their medication .The medicine name and its strength with frequency were the most frequent information written on the labels, 70% and 72 % respectively. The health facility wastage rate in monetary values found to be 2.86%.Qualitative findings shows that availability of different components of pharmaceutical services was included in the hospital except for extemporaneous compounding, various components of pharmacy services were believed to be inadequately staffed both with the pharmacist and accountant. Implementing APTS tools and systems in TASH contribution availability of prescribed medicines, patient knowledge on correct dosage of medications is also increased thereby adherence and patient satisfaction on pharmacy services, reducing rate of medicines expiry even if there is still a gap in achieving the national goal. The hospital should strengthen the system while taking a corrective action in the areas most challenge is seen.