Uganda is currently using both a push (kit -based) and pull (order -based) system to supply essential medicines and health supplies (EMHS) to health facilities. Higher-level health facilities (Hospitals and Health Centres level (HCIV) utilize the pull system by requesting EMHS from the National Medical Stores based on their budgets. Lower level health facilities (HC II and HC III) receive a ��kit�� with standardized types and quantities of EMHS. The kit system does inevitably result in over and under stocking. The degree of over/under stocking will vary by facility due to factors such as patient load, human resource capacity, EMHS utilization and disease patterns.
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