Analysis of the Logistics System in the Management of Essential and Generic Drugs in Brazzaville

Abstract

The logistics system in the management of essential and generic medicines (MEGs) is the fundamental point to provide quality health care to the population, in order to ensure the sustainability of integrated health center (ISC) activities. The purpose of this work was to assess the performance of the ITC logistics system of Brazzaville by analyzing the different indicators. This study was a retrospective and observational study. The strategy consisted of conducting a survey among a sample of 17 CSIs in the seven districts of the city of Brazzaville. Data were collected over a three-month period following a one-on-one interview with Drug Management Officers, Document Operations, and Drug Availability Observation in CSI pharmacies. These data were recorded on a survey sheet, and an observation grid was established.The analysis of logistic system variables revealed that: drug selection was fair in 76.5% of CSI and satisfactory in 23.5%. Quantification was good in 17.6% of cases, fair in 58.8%, and unsatisfactory in 23.5%. Storage conditions were fair in 41.2% and unsatisfactory in 29.4%. Distribution is unsatisfactory in the majority of CSIs. 76.46% of CSIs have unsatisfactory management tools. Drug use is fair at 47% with low availability of drugs.The study found that  the improvement of MEG availability is related to the organization of the management circuit and the logistics system