Cochrane · systematic review · CD012907

Tracking health commodity inventory and notifying stock levels via mobile devices: a mixed methods systematic review

Agarwal, S, Glenton, C, Henschke, N, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
14
No studies
4
Included studies
NR
No studies 4 · 22.2%Ungraded 0 · 0%Very low 14 · 77.8%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Primary objective: mobile stock notification with enhanced management compared to standard care

Population: healthcare workers and other health professionals involved in commodity or stock management
9 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of cotrimoxazole to treat bacterial infections)
Primary objective: mobile stock notification with enhanced management vs standard care
RR 0.96 [0.49, 1.9]171 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of artemether‐lumefantrine 2 X 6 to treat malaria caused by Plasmodium facilparum)
Primary objective: mobile stock notification with enhanced management vs standard care
RR 0.72 [0.36, 1.44]171 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of oral rehydration salts (ORS) to treat dehydration)
Primary objective: mobile stock notification with enhanced management vs standard care
RR 1.01 [0.61, 1.69]171 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of zinc 20 mg to treat diarrhoea)
Primary objective: mobile stock notification with enhanced management vs standard care
RR 0.99 [0.56, 1.78]171 participantsVery low
Downgraded: risk of bias, imprecision
Quality of data about stock management (assessed by the extent to which HSAs (intervention group participants) sent messages about the stocks on hand for all the products they managed)
Primary objective: mobile stock notification with enhanced management vs standard care
no estimate extracted393 participantsVery low
Downgraded: risk of bias, imprecision
Time between stock‐level reporting and appropriate action (measured over an 18‐month period (January 2012 to June 2013)
Primary objective: mobile stock notification with enhanced management vs standard care
no estimate extracted393 participantsVery low
Downgraded: risk of bias, imprecision
Provider acceptability and satisfaction (proportion of participants who reported using the digital intervention)
Primary objective: mobile stock notification with enhanced management vs standard care
no estimate extracted81 participantsVery low
Resource use
Primary objective: mobile stock notification with enhanced management vs standard care
no estimate extractedNRNo studies
Unintended consequences
Primary objective: mobile stock notification with enhanced management vs standard care
no estimate extractedNRNo studies

Primary objective: mobile stock notification with effective product transport compared to standard care

Population: healthcare workers and other health professionals involved in commodity and stock management
9 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of cotrimoxazole to treat bacterial infections)
Primary objective: mobile stock notification with effective product transport vs standard care
RR 1.31 [0.7, 2.44]168 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of artemether‐lumefantrine 2 X 6 to treat malaria caused by Plasmodium facilparum)
Primary objective: mobile stock notification with effective product transport vs standard care
RR 1.43 [0.81, 2.5]168 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of oral rehydration salts (ORS) to treat dehydration)
Primary objective: mobile stock notification with effective product transport vs standard care
RR 0.61 [0.3, 1.23]168 participantsVery low
Downgraded: risk of bias, imprecision
Proportion of healthcare workers who reported a stockout of drugs in the last 30 days (stockout of zinc 20 mg to treat diarrhoea)
Primary objective: mobile stock notification with effective product transport vs standard care
RR 1.1 [0.67, 1.82]168 participantsVery low
Downgraded: risk of bias, imprecision
Quality of data about stock management (assessed by the extent to which HSAs (intervention group participants) send messages about the stocks on hand for all the products they managed)
Primary objective: mobile stock notification with effective product transport vs standard care
no estimate extracted253 participantsVery low
Downgraded: risk of bias, imprecision
Time between stock‐level reporting and appropriate action (Measured over an 18‐month period: January 2012 to June 2013)
Primary objective: mobile stock notification with effective product transport vs standard care
no estimate extracted253 participantsVery low
Downgraded: risk of bias, imprecision
Provider acceptability and satisfaction (Proportion of participants who reported using the digital intervention)
Primary objective: mobile stock notification with effective product transport vs standard care
no estimate extracted78 participantsVery low
Downgraded: risk of bias, imprecision
Resource use
Primary objective: mobile stock notification with effective product transport vs standard care
no estimate extractedNRNo studies
Unintended consequences
Primary objective: mobile stock notification with effective product transport vs standard care
no estimate extractedNRNo studies