Medicines and financial audits followed by appropriate actions

Medicines and financial audits followed by appropriate actions

 

Medicines being a lucrative commodity, numerous loopholes in the supply chain exist for intransparent activities bypassing regulations. Unfortunately leakage of medicines at various junctures of the supply chain is not uncommon. Accountability of actors and concerned communities is critical as is effective supervision and auditing.

We started a medicines and financial audit process in a few districts and found that the majority of health facilities had discrepancies in medicines stocks and/or user-fee collection. Record keeping was found to be one of the key challenges at health facilities. Quantities of medicines not accounted for were converted into cash and health care workers were informed of the amount of medicines and funds not accounted for. These losses had to be refunded by health facility in charges which resulted in significant improvement of reporting, documenting and funds collected. This audit methodology coupled with sanctions taken will be replicated in other districts and institutionalized.