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Improving supply chain for essential drugs in low income countries: a large scale cluster randomized experiment in Zambia

Improving supply chain for essential drugs in low income countries: a large scale cluster randomized experiment in Zambia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN86533387
Enrollment
457
Registered
2019-02-07
Start date
2008-12-01
Completion date
Unknown
Last updated
2021-05-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Essential drug availability at front-line primary health centers and hospitals Not Applicable

Interventions

Districts were first grouped into strata based on geography and risk factors for drug stockouts. Then districts were allocated to study arms within each of 8 strata on the basis of a computer generate

Sponsors

Development Research Group, The World Bank
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: All primary health care centers and district hospitals in participating districts

Exclusion criteria

Exclusion criteria: All facilities in participating districts are included

Design outcomes

Primary

MeasureTime frame
1. The likelihood of stockout of key tracer drugs at the time of data collection team visit (both baseline and endline) 2. The total days of stockout experienced by the facility in the final quarter of 2009 Contemporaneous stockout was assessed by the trained observation of the data collection teams. Days of stockout were determined by the data collection team review of facility drug stocking cards. Tracer drugs are listed here: AL 1x6 (strip of 6 tabs) AL 2x6 (strip of 12 tabs) AL 3x6 (strip of 18 tabs) AL 4x6 (strip of 24 tabs) Amoxicillin Suspension (bottle of 100ml) Benzyl Penicillin Inj. (5ML 10ml vials) CTX 480mg (bottle of 1000 tabs) DepoProvera (vial) Malaria RDTs (box of 25 tests) Male Condoms (box of 100/144) Metronidazole 200mg tabs (bottle of 1000) OralconF (Levonorgestre/Ethinylestradio) Quinine Injection (2ml ampoules) Quinine Tabs (bottle of 1000 tabs) SP (bottle of 1000 tabs)

Secondary

MeasureTime frame
Pharmaceutical storage conditions at primary health care centers as observed by trained data collection teams at endline. The conditions recorded derive from an original observation tool developed by the study team.

Countries

Zambia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026