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Table 3 Identified human resource related problems, perceived causes and suggested interventions

From: Existing capacity to manage pharmaceuticals and related commodities in East Africa: an assessment with specific reference to antiretroviral therapy

Identified problem

Perceived cause

Suggested intervention

Inefficient selection of medicines

• Lack of training on selection methods

• Training on selection

Drug shortages/Expiries

• Inappropriate quantification methods Poor inventory management practices

• Training on quantification methods

• Training on inventory management

Inappropriate prescribing

• Inadequate training

• Insufficient number of prescribers

• Training on appropriate prescribing

• Training more prescribers

• Review prescribing laws and regulations to allow more health care cadres to prescribe

Inappropriate dispensing

• Inadequate training

• Training healthcare workers on appropriate dispensing practices

Non-adherence to ART

• Inadequate counseling

• Inadequate monitoring and reporting

• Build skills on appropriate counseling techniques

• Training on monitoring and reporting

Inadequate levels of staffing

• Limited funding for training and education

• Poor remuneration and working conditions

• Mobilization of more funding for training and education

• Improve remuneration and working conditions

Geographical staffing inequity

• Preference for working in certain geographical locations such as cities

• Introduce incentives for working in non attractive areas