Technical Support Visit

The team formed a joint technical and financial monitoring team and visited 11 M/DHDs with their GHS hospitals. Areas covered included Pharmaceutical care, logistics management and financial management relating to the revolving drug fund. Identified gaps were addressed through on the job training (OJT)

Observations made from Visit

  • Most facilities do not keep a drug analysis book / dispensing  register
  • High antibiotic use particularly in the management of diarrhoea
  • Choice of antibiotics was poor for most of the sub-district facilities
  • Very few facilities had pharmacy-specific staff (professionals) to provide pharmaceutical care
  • Some facilities had unserviceable items.
  • Poor documentation of dispensing practices and procedures.
  • Non submission of quarterly drug returns to RHD.
  • Non submission of monthly returns of the five focus medicines to the Chief Pharmacists office through the office of the DDPS
  • Most facilities do not have completed worksheets.
  • Most facilities  had inadequate storage  space; unserviceable and useable items put together
  • Fire safety equipments were mostly not in place.
  • Most personnel responsible for stores did not have formal training in logistics management and the standard operating procedure (SOP) manuals were not available
  • A few facilities did not have refrigerators.
  • Most facilities had inadequate pallets and shelves.
  • Some facilities do not adhere to the SOP of monthly stock taking and the subsequent reporting on it.
  • Procured medicines from Brong Ahafo Regional Medical Stores and partly from the open market
  • Pharmacist kept records of cash sale of medicines but did not reconcile with the accounts department.
  • Sale of medicines were not lodged in the drugs account in gross and also it took facilities more than two weeks before lodgments.
  • Sub-districts did not keep ledger for their debtors.
  • It was noted that some facilities did not keep records on their creditors and those facilities who keep the ledgers were not updated.
  •  It was noted that some facilities utilized between 1.96% and 29.04% of the drugs funds on non-drug related expenditure.

 

As a way of looking for lasting solution to some of these issues, there is the need for GHS to liaise with the NHIA to find a lasting solution to these funding problems and also collaborate with the pharmacy unit/HRD HQ to activate the district pharmacy concept.

Peer Review Results

 

Positions

Name Of Facility

Expected  Total Score

Facility Total Score

Percentage Score

1

Jema District Hospital

608.5

547

89.90%

2

Tain District Hospital, Nsawkaw

608.5

546

89.70%

3

St. Theresa’s Hospital, Nkoranza

608.5

543

89.20%

4

Kintampo Municipal Hospital

608.5

539.5

88.70%

5

St. Elizarbeth Hospital, Hwediem

608.5

532

87.43%

6

St. John of God Hospital, D. Nkwanta

608.5

530

87.10%

7

Holy Family Hospital,Techiman

608.5

526

86.40%

8

Sene District Hospital, Kwame Danso

608.5

523

85.90%

9

St. Mary’s Hospital, Drobo

608.5

512.5

84.20%

10

Dormaa East District Hospital

608.5

498

81.80%

11

Holy Family Hospital, Berekum

608.5

496

81.50%

12

Municipal Hospital, Sunyani

608.5

493

81.00%

13

Mathias Hospital, Yeji

608.5

483.5

79.50%

14

Sampa Government Hospital

608.5

460

75.60%

15

SDA Hospital, Sunyani

608.5

458

75.27%

16

Atebubu Government Hospital

608.5

448.5

73.70%

17

Bechem Government Hospital

608.5

446

73.29%

18

Goaso Government Hospital

608.5

444

72.97%

19

Methodist Hospital Wenchi

608.5

438

71.90%

20

Presbyterian Hospital, Dormaa

608.5

367

60.30%