Table 2

Measurement of medicines stockout and improvement strategies in public health-care SCs

Type of supply chainMeasurement of medicines stockoutMedicine availability improvement strategiesAuthors
PharmaceuticalsUse of national data to track and prevent medicine shortagesCollaboration between national stakeholdersBouvy and Rotaru (2021) 
Public-private partnerships in hospitalsEffective contract management in direct purchasing from selected and reputable vendorsKuwawenaruwa et al. (2021) 
Price differentials between local and international sourcingStrategies to improve pricing of medicines locallyNakambale and Bangalee (2022) 
Cold chainSensory networking and computer hardware to improve cold chain logisticsAffordable warehouse cold chain systemsSchon and Streit-Juotsa (2015), Shafiq et al. (2019) 
Measures availability, stockout and storage conditions of vaccinesIntervention of top management, training and supervision of staffFeyisa et al. (2021) 
Generic medicinesConsiders use of value stream map and ordering to from a supply chain wide perspectiveEnhance the use of resourcesDixit et al. (2019) 
Essential medicinesDynamics of SC systems and policies that affect cost and availability of paediatric cancer medicinesRegional integration of forecasting and procurementBoateng et al. (2021) 
Direct distribution of medicines through cross-docking to last mileWorking with political actors and stakeholders for the successful implementation of strategiesVledder et al. (2019) 
Determine health outcomes derived from digitizing last mile medicine deliveryDeploy hospital logistics management information systems to hospitals to save children’s livesFritz, Herrick and Gilbert (2021) 
Measures donor fund disbursement vis-à-vis medicine procurementManaging timing risk in disbursing fund for procurementGallien et al. (2017) 
Impact of COVID-19 on prices of medicine and stockoutIncreased funding from government and medicine exchange collaborative efforts between hospitalsAljadeed et al. (2021) 
Weak systems of procuring medicinesBuying from local suppliers with improved production capacity and robust contract management with the state actorsChebolu-Subramanian and Sundarraj (2021), Magadzire et al. (2017) 
Determine optimum inventory in hospitalsBuild system dynamic model for prediction, measuring and improving the SC. Maintaining safety stock and reducing supplier lead timesKumar and Kumar (2018), Bam et al. (2017) 
Sexual and reproductive medicinesBarriers to sexual and reproductive careStrategies to reduce medicine delivery delaysOoms et al. (2022) 

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