Stock dataset underlying the supply chain project in Tehrathum, Nepal

Paper-based recording and reporting systems for the stock status of drugs are well known to cause delays in the supply of essential drugs at the health facility level in Nepal. An innovative SMS-based reporting system that would notify health facilities and health officials of the understock of three essential drugs (Oxytocin, Misoprostol, and Chlorhexidine) was developed and piloted in 32 health facilities (15 birthing centers and 17 non-birthing centers) of Tehrathum district of Nepal. The stock status was stored in the MongoDB database. This case study describes the implementation of this project and presents the availability and stock status of three essential drugs during the program implementation period, along with the perceptions of key stakeholders regarding the intervention. The intervention improved the reporting rate to almost 100% and also reduced stock-outs of the three essential drugs during program implementation in the health facilities. Remote areas with unavailability of internet services can use the SMS-based intervention for reporting the stock status to the local level stores.

众所周知，采用纸质记录与报告系统管理药品库存状态，会导致尼泊尔基层卫生机构出现基本药品供应延误的问题。本研究为尼泊尔德哈鲁姆县（Tehrathum District）的32家卫生机构（其中15家为分娩中心，17家为非分娩中心）开发并试点了一款基于短信（SMS）的创新型报告系统，该系统可向卫生机构及卫生官员推送三种基本药品（催产素（Oxytocin）、米索前列醇（Misoprostol）、氯己定（Chlorhexidine））的库存不足预警。药品库存状态存储于MongoDB数据库中。本案例研究阐述了该项目的实施流程，展示了项目实施周期内三种基本药品的可获得性与库存状态，并梳理了关键利益相关方对该干预措施的认知与评价。该干预措施将报告率提升至接近100%，同时降低了项目实施期间基层卫生机构中三种基本药品的缺货情况。对于无法接入互联网服务的偏远地区，可采用该基于短信的干预措施，向本地库存管理点上报药品库存状态。