n African Journal for Physical Health Education, Recreation and Dance - Factors influencing the dispensing of three months' chronic medicines to patients in public health institutions in Gauteng Province, South Africa : increasing patient access to treatment

Supplement 2
  • ISSN : 1117-4315


Patients collecting repeat medicines without having to see a doctor increase the demand for pharmaceutical services. In order to reduce patient queues and waiting times, the Gauteng Department of Health instructed public healthcare facilities to dispense three months' chronic medication to patients. The aim of this study was to investigate factors contributing to the success or failure of the dispensing of three months medicines to stable chronic patients in Gauteng Province. This cross-sectional and descriptive study involves pharmacy managers and their deputies in all the 31 hospitals in the Gauteng Province. A questionnaire was developed for pharmacists. Hospitals achieved 37.50% compliance with Circular Letter 23 of 2009 in or before 2010 when the Circular Letter was distributed. However, by November 2012, compliance with Circular Letter 23 of 2009 had dropped to only 26.78% in hospitals. The major factor which influenced the dispensing of three months' medication was identified as the stock shortage caused by non-availability of medicines at the Medical Supply Depot. The continuous availability of medicines, adequate budget, human resources, and storage facilities as well as the implementation of a computerised stock control and dispensing system are recommended.

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