The general objective of the study was to examine the procurement, distribution and management of medicines in Health Sub Districts (HSDs) under the decentralized health care systems with the view of identifying the gaps in these processes and how they can be reduced or eliminated, in order to improve the general quality of health care in Uganda. The specific objectives were: (1) to examine the methodology of medicines selection, quantification, ordering and financing in the HCs, (2) to establish the medicines delivery and distribution practices in the HCs, (3) to establish the medicines physical storage conditions, Procedures and Health Management Information system (HMIS), (4) to examine the human resource capacity to manage medicines in the HCs and (5) to solicit the patient's perceptions and their suggestions. The study concluded that Uganda has many problems in the management of medicines which should be addressed as urgently as possible by the stakeholders and there is needfor well laid out procedures in medicines management to increase efficiency in delivery of health care to the targeted beneficiaries.
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