PFSA is implementing its five-year strategy, Pharmaceutical sector Transformation Plan (PSTP), through 2020 and aims to increase continuous availability at primary, secondary and tertiary level to 100%, to achieve customer satisfaction to greater than 95% and to reduce the wastage rate from 3.5% to less than 2%. To achieve this ambitious plan, strong collaboration and partnership with all its stakeholders will be crucial.Referring to the above facts this in-depth assessment was conducted to craft intensive intervention modalities based on the findings. Cross-sectional study design was employed by applying both quantitative and qualitative data collection methods to describe PFSA-WoHO interface. The study was conducted b/n May 2, 2018 to May 11, 2018 in 40 woredas and 13 hubs located in Amhara, Oromia, SNNPR and Tigray Regions and AA City Administration. Key informants in-depth interview was conducted for higher officials at Federal Ministry of Health (FMoH), Central PFSA, Regional Health Bureaus (RHB) and Zonal Health Departments (ZHD) for the qualitative component. Electronic data collection applied using SurveyCTO software and descriptive statistical analysis conducted using SPSS version 24. On average, each PFSA hub is supplying about 297 public health facilities (274 health centers and 23 hospitals). Almost all hospitals and nearly half of the health centers are directly supplied by the hubs. The rest half of the health centers are supplied via pass-through WoHOs. Primary source of RDF products for facilities under Woreda catchment are PFSA and private 84.2% and 31.6% respectively. Only half of the visited WoHOs have pharmaceutical supply management and pharmacy service unit/department. The hubs received reporting and request form (RRF) from all of the hospitals, 70% of health centers and about 80% of WoHOs and ZHDs. However, only 38.5% of the PFSA hubs regularly reviewed the received RRF and sent written feedback to WoHO.Challenges that currently exist around PFSA-WoHO communication and partnership are lack of joint plan and review of SCM, dragging of IPLS implementation(woreda piece), lack of supply chain ownership at WoHO leadership level, skill gap at both end, no structural linkage between Assessment Report of the PFSA-Woreda Health office Interface for Strengthening Pharmaceutical Sector vi PFSA and CHAI Ethiopia Child Survival Program PFSA and WoHO, WoHOs are not using email communication, absence of an application or software that connects the two institutions, shortage of pharmacy professional at WoHOs level, data quality issue at HFs, no clear role and responsibility on reporting of overstock, and haphazard budgeting mechanisms for RDF commodities at WoHO level. No legal authority is given for PFSA to have legal corrective action. While 95% of WoHOs have any kind of storage space, storage quality indicators were below 50% of the standard. While PFSA hub experiencing in sharing around knowledge and information with WoHO on quantification (92%) and stock out information (92%) are good; other areas linke performance monitoring (31%), reverse logistics to reduce wastage (23%) and planning (15%) are relatively poor. Only 54% of the PFSA Hubs believe that WoHOs fully collaborate with PFSA in implementing pass-through products timely to respective facilities. At the same time,, 85% of the hubs often face delay in delivering products to WoHOs. Only 50% of WoHOs believe that they are fully collaborating with PFSA in implementing pass-through products with their current capacity. Reviewing the existing roles and responsibilities of PFSA and WoHO beyond what is in IPLS, strengthening linkage between PFSA and WoHOs, standardizing RDF budgeting system at WoHO level and standardizing line of communication and partnership that is supported by policies and guidelines/SOP should be in place to realize the PFSA-WoHOs interface.

• • Health office Pharmaceutical Interface • Health Commodities Management Information System • Integrated Pharmaceutical Logistics System • hubs status • Ethiopia

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This meta data shows data of  contain data of Number of public health facilities supplied by the hub, Total Number of pharmacy professionals currently working in the visited 13 hubs by level, Training status of professionals working in the hubs by type and team, PFSA-Woreda Health office Interface for Strengthening Pharmaceutical Sector, Pharmaceuticals distributed to HFs in value (Ethiopian Birr) in last one year (2009 E.C) & Major challenges the hubs face to fully supply pharmaceuticals to facilities. The Cross-sectional study design was employed by applying both quantitative and qualitative data collection methods to describe PFSA-WoHO interface. The study conducted from May 2, 2018 to May 11, 2018 in four agrarian regions of Ethiopia, namely Amhara, Oromia, SNNP and Tigray Regions and one City Administration (Addis Ababa). The quantitative data collection was conducted at WoHOs and PFSA Hubs. As the number of PFSA hubs is small for sampling, census of all 13 hubs supplying WoHO/respective catchment facilities in the project regions were visited. A total number of woredas found in the four agrarian regions is 699.

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