Centralized electronic inventory system to improve access to essential medicines in rural areas of Tanzania: The Tanzanian Electronic Medication Inventory System (TEMIS) Open Access

Rahemtulla, Alishah (Summer 2018)

Permanent URL: https://etd.library.emory.edu/concern/etds/8w32r566k?locale=en


In developing countries, access to essential medicines is tremendously inadequate, and there is a major need to improve the availability of affordable medicines. Additionally, there is no formal procedure to track inventory, assess medication stock outs, document medication procurement sources, and abide to recalls by drug manufacturers. Therefore, there is a need for a standardized pharmacy inventory management system that can provide inventory tracking for rural clinics and health facilities, and that can provide data regarding the inventory, availability, accessibility, and affordability of core medicines. To expand access to medicines, the World Health Organization (WHO) has an expert committee that develops an Essential Medicines List (EML) which serves as a formulary guide for clinics and hospitals in developing countries. These medicines are deemed as essential for addressing the most important public health needs globally, for both communicable and noncommunicable diseases. However, the minimum criteria of basic inclusion on the EML marked as available on a country formulary, does not mean it is procured by the country, is of the right quality, or that adequate stock is maintained. The Tanzania Electronic Medication Inventory System (TEMIS) serves to provide data about medication procurement, inventory, storage, and stock outs of medicines on formulary in each health facility. This data will help determine stock outs trends, regulate medication procurement sources, and analyze medication usage so that the WHO and similar organizations can offer assistance and recommendations to improve access to medicines in even the most rural areas of Tanzania.

Table of Contents

1   Executive Summary..1

2   Decision Brief Outline..3

3   Project And Product Overview... 8

4  Justification... 8

4.1          Business Need... 8

4.2          Public Health and Business Impact... 9

5   Scope... 9

5.1           Objectives... 9

5.2          High-Level Requirements... 10

5.3          Risks... 11

5.4          Major Deliverables..11

5.5          Boundaries... 12

6  Enterprise Architecture Impact..13

6.1          Business Need and Solution..13

6.2          Business Architecture... 15

6.2.1    Business Processes... 15

6.2.2   Business Processes... 17

6.2.3   Task Flow Diagram... 19

6.2.4   Requirements... 20

6.3          Roles And Skills Needed For Project Implementation... 21

6.4          Risk Management... 21

7   Analysis of Alternatives..24

7.1           Evaluation Matrix... 28

8  Strategic Planning... 29

8.1          Project Plan for Creation of Strategic Plan... 29

8.2          Mission Statement... 32

8.3          Vision... 32

8.3.1    Vision Statement... 32

8.4          Goal and Objective Timelines..32

9  Discussion... 35

10 References

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