Assessment of Progress in Capacity Building of HIV/AIDS Supply Chain Workforce in Nigeria

Download Article

DOI: 10.21522/TIJPH.2013.09.02.Art017

Authors : Sunday O. Aguora, Azuka C. Oparah, Edith C. Okechukwu, Jeffrey S Soni

Abstract:

This study on assessment of progress in capacity building of HIV/AIDS supply chain workforce in Nigeria included research objectives, questions, and hypothesis. A pre-tested self-completion structured questionnaire was administered to participants (422) with a response rate of 396 (93.8%). The reliability statistics showed the questionnaire is less reliable (α = 0.237). Notable progress includes donor agencies interventions contributing considerably to capacity building of government personnel and adequate capacity at the national level 396 (100.0), the institutionalization of capacity development at all levels through National Product Supply Chain Management Programme, Procurement and Supply Management Technical Working Groups, and Logistics Management Coordinating Unit 292 (73.7) and demonstrable capacity in key supply chain functions 259 (65.4). The study revealed substantial progress in capacity building of the HIV/AIDS supply chain workforce, evident with the institutionalization of capacity building and demonstrable capacity in the key supply chain functions. More so, master trainers from the government are not always part of the facilitators and involved in capacity building, needs assessment does not always precede capacity building, the inadequate pool of master trainers, fellowship training program is not recognized, and pre-service training has not been institutionalized. Chi-square statistics revealed that the extent of progress in capacity building is a significant factor of HIV/AIDS supply chain workforce capacity (p<0.05). There is a need to develop manuals, policies, and procedures to ensure sustained progress in capacity building, needs assessment precedes capacity building, more training conducted to ensure an adequate pool of master trainers in the public sector and their participation in future capacity building interventions.

References:

[1] IOM (Institute of Medicine), 2011, Preparing for the Future of HIV/ AIDS in Africa: A Shared Responsibility. Washington, DC: The National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK209740/.

[2] WHO Drug Action Program, 1998, (http://www.who.int/medicinedocs/collect/medicinedocs/pdf/s2237e/s2237e.pdf).

[3] WHO, 2007, Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action, WHO Document Production Services, Geneva, Switzerland, https://www.who.int/healthsystems/strategy/everybodys_business.pdf.

[4] Frenk, J., 2010, The Global Health System: Strengthening National Health Systems as the Next Step for Global Progress. PLoS Med, 7(1): e1000089, https://doi.org/10.1371/journal.pmed.1000089.

[5] United States Agency for International Development (USAID), 2015a, USAID’s vision for health systems strengthening. Washington, DC, USA, https://www.usaid.gov/sites/default/files/documents/1864/HSS-Vision.pdf.

[6] Adeloye, D., David, R. A., Olaogun, A. A., Auta, A., Adesokan, A., Gadanya, M., Opele, J. K., Owagbemi, O., and Iseolorunkanmi, A., 2017, Health workforce and governance: the crisis in Nigeria, Human Resources for Health, 15:32, https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-017-0205-4.

[7] WHO, 2016, Nigeria. In: Global Health Workforce Alliance. Geneva, Switzerland, https://www.who.int/workforcealliance/countries/nga/en/.

[8] Dal Poz, M. R., Gupta, N., Quain, E. and Soucat, A. L. B., 2009, Handbook on monitoring and evaluation of human resources for health. Geneva, WHO Press, https://www.who.int/hrh/resources/handbook/en/

[9] WHO, 2010, Growing threat from counterfeit medicines. Bulletin, 88(4):241-320, https://www.who.int/bulletin/volumes/88/4/10-020410/en/

[10] Hyder, A. A, Bloom, G., Leach, M., Syed, S. B., Peters, D. H. and Future Health Systems: Innovations for Equity, 2007, “Exploring health systems research and its influence on policy processes in low- income countries”. BMC Public Health, 7:309, https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-7-309.

[11] David, P. and Bennet, S., 2012, “Better Guidance Is Welcome, but without Blinders”. PLoS Med. 9 (3): e1001188, https://doi.org/10.1371/journal.pmed.1001188.

[12] Bennet, S., Agyepong, I. A., Sheikh, K., Hanson, K., Ssengooba, F. and Gilson, L., 2011, “Building the Field of Health Policy and Systems Research: An Agenda for Action”. PLoS Medicine. 8 (8): e1001081.doi:10.1371/journal.pmed.1001081, https://pubmed.ncbi.nlm.nih.gov/21918641/.

[13] Campbell, J., Cometto, G., Rasanathan, K., Kelley, E., Syed, S., Zurn, P., De Bernis, L., Matthews, Z., Benton, D., Frank, O. and Nove, A., 2015, Improving the resilience and workforce of health systems for women’s, children’s, and adolescents’ health. BMJ, 351:h4148, https://pubmed.ncbi.nlm.nih.gov/26371216/.

[14] Aondoakaa, S.C. and Agbakwuru, P.C., 2012, An Assessment of land Suitability for Rice Cultivation in Dobi, Gwagwalada Area Council, FCT, Nigeria. Ethiopian Journal of Environmental Studies and Management, 5(4):559-566, https://dx.doi.org/10.4314/ejesm.v5i4.S2.

[15] Ebele, F.U., Aregbosola, B.G., Hasstrup, D.T. and Adams, E., 2014, The Effect of Climate Change on Agricultural Production among Farmers in Kwali Area Council of Federal Capital Territory of Nigeria. Advances in Social Sciences Research Journal, 1(2):13-26, https://doi.org/10.14738/assrj.12.58.

[16] Cochran, W.G., 1977, Sampling Techniques. 3rd Edition, John Wiley & Sons, New York, https://archive.org/details/Cochran1977SamplingTechniques_201703.

[17] Itiola, A. J., and Agu, K. A., 2018, Country ownership and sustainability of Nigeria’s HIV/AIDS Supply Chain System: qualitative perceptions of progress, challenges and prospects. Journal of Pharmaceutical Policy and Practice, 11:21, https://joppp.biomedcentral.com/articles/10.1186/s40545-018-0148-8.

[18] Goldberg, J. and Bryant, M., 2012, Country ownership and capacity building: the next buzzwords in health systems strengthening or a truly
new approach to development? BMC Public Health, 12:531-539, https://pubmed.ncbi.nlm.nih.gov/22818046/.

[19] Machagge, M., Matoyo, D. and Alenga, I., 2014, Supply chain management curriculum integration in pre-service training in Tanzania. Journal of Pharmaceutical Policy and Practice, 7(Suppl 1): P14, https://joppp.biomedcentral.com/articles/10.1186/2052-3211-7-S1-P14.

[20] Matovu, J. K. B., Rhoda, K. W., Susan M., Olico O., William, B. and David S., 2013, Strengthening health workforce capacity through work-based training; BMC International Health and Human Rights, 13:8, https://bmcinthealthhumrights.biomedcentral.com/articles/10.1186/1472-698X-13-8.

[21] Windisch, R., Waiswa, P., Neuhann, F., Scheibe, F. and Savigny, D., 2011, Scaling up antiretroviral therapy in Uganda: using supply chain management to appraise health systems strengthening. Globalization and Health, 7:25, https://europepmc.org/article/PMC/3161852.

[22] Adekola, A. and Adelanwa, A., 2014, Developing the SCM workforce in Nigeria through contextualized pre-service education and continued professional development. Journal of Pharmaceutical Policy and Practice, 7(Suppl 1): O22, https://joppp.biomedcentral.com/articles/10.1186/2052-3211-7-S1-O22.

[23] Mazibuko, G. N., Sagwa, E., Kagoya, H. R., Kibuule, D., Rennie, T., Mavere, T., Ghoneim, R., Mabirizi, D., Naikaku, E., Niaz, Q. and Lates, J., 2014, Incorporating pharmaceutical supply management modules in the pre-service curriculum of the BPharm program, of the University of Namibia, School of Pharmacy, Journal of Pharmaceutical Policy and Practice, 7(Suppl 1): P12, http://www.joppp.org/supplements/7/S1.