JMIR Publications

ABSTRACT

This study aims to describe the obstetric emergency supply chain (OESC) dynamics and information flow in Amhara, Ethiopia as a crucial first step in closing stock-outs and gaps in supply availability. The research team performed semi-structured interviews with employees of the OESC at the federal-, regional-, and facility-level to gain an understanding of the system in the region, communication flow, and the current barriers and facilitators to consistent emergency supply availability. The interviews identified several locations within the OESC where barriers could be addressed to improve overall facility-level readiness. For example, barriers included gaps in communication about supply need and availability between healthcare facilities and regional supply hubs, and a lack of data transparency at the facility level. Ordering supplies through the integrated pharmaceutical logistics system was a well-established process, and a frequently noted strength. As a result of these interviews, we gained a nuanced understanding of information needs for various levels of the health system to maintain a consistent supply of obstetric emergency resources—and ultimately increase maternal survival. This study was primarily conducted to inform on future work to create customized strategies that increase supply availability in facilities and the region overall, specifically the development of electronic dashboards.