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 |