Browsing by Author "Sandra Wanyenze Magona"

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    Assessing Factors Associated With Stock-outs of Reproductive Health Commodities in Selected Health Facilities of Wakiso District, Uganda
    (Uganda Christian University, 2026-04-14) Sandra Wanyenze Magona
    Background: In Uganda, despite the reduced costs of reproductive health (RH) commodities and increased support from the Ministry of Health and partners such as UNFPA,stock-outs of these commodities remain a persistent challenge.There is a need to understand and document the factors associated with stock-outs and the barriers, facilitators and experiences in reproductive health commodities management. Objective: To determine factors influencing stock out levels of reproductive health commodities and explore the barriers, facilitators and experiences of healthcare workers regarding the management of reproductive health commodities in selected health facilities of Wakiso district. Methods: A mixed study was employed concurrently in this study. Both quantitative and qualitative data were collected at the same time. Quantitative data was collected from the stockcards while qualitative data was collected using a pre-tested, semi-structured interview guide. Results: Stock-out level for RH commodities was 10.1% with HCIV and HCIIIs experiencing the highest percentage. Injectables contraceptives Medroxyprogesterone acetate 104mg/0.65mL, SC and Medroxyprogesterone acetate 150mg/mL being the most affected and Levonorgestrel 30mcg tabs (Microlut) the least affected. Training in supply chain management remained significantly associated with reduced stockouts, as facilities with trained staff were less likely to face stockouts (aPR = 0.77; 95% CI: 0.599– 0.985, p = 0.038). Delays in delivery also showed a strong association, with facilities that experienced delivery delays being less likely to face stockouts (aPR=0.54;95% CI:0.433–0.668, p<0.001).In addition, support supervision was significantly associated with increased stockouts (aPR=1.54; 95% CI:1.083–2.192, p=0.016). Qualitative findings provided factors associated to the depicted stockout levels, such as limited supply chain training, limitations in support supervision, delays in supply deliveries from National Medical Stores, and inadequate budget for commodities. Quantitative findings provided barriers such as limited storage space,inadequate funds for redistribution logistics, facilitators such as functional stock monitoring systems, collaboration and support from Village Health Teams, support from development partners and non-government organizations and lastly experiences on how they coped such as redistribution, and submitting emergency orders. Conclusion: This study examined the level of stockouts, the factors linked to them, and the challenges in managing reproductive health (RH) commodities in Wakiso District. The results showed a relatively low stockout rate of 10.1%, with higher levels at HC IVs and HC IIIs, especially for injectable contraceptives and 3-year implants due to high demand. Factors such as training in supply chain management, delivery delays, and support supervision were associated with stockouts, showing the complexity of the supply system. Interviews also revealed challenges like poor record-keeping, difficulties in redistributing stock, and limited resources, as well as ways facilities cope with shortages. Overall, the study provides useful information to help improve the supply system and reduce stockouts of RH commodities in Wakiso District. Results: