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Quality Of Medicines in South Africa: Perceptions Vs. Reality

Quality Of Medicines in South Africa: Perceptions Vs. Reality. A Patel 1,3 R Gauld 2 P Norris 3 T Rades 3 1 = Health Research for Action (HERA) 2 = Social and Preventive Medicine, University of Otago, New Zealand 3 = School of Pharmacy, University of Otago, New Zealand. INTRODUCTION.

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Quality Of Medicines in South Africa: Perceptions Vs. Reality

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  1. Quality Of Medicines in South Africa: Perceptions Vs. Reality A Patel 1,3 R Gauld 2 P Norris 3 T Rades 3 1 = Health Research for Action (HERA) 2 = Social and Preventive Medicine, University of Otago, New Zealand 3 = School of Pharmacy, University of Otago, New Zealand

  2. INTRODUCTION • WHO Defn: Essential Medicine available, affordable, safe, effective, quality-assured, information - outcomes. • Quality: manufacture, registration, distribution, and pharmacovigilance. • Access to affordable medicines: generic medicines policies.

  3. South Africa • NMP • Generic Medicines Policy • Pricing Regulations • Regulatory Authority: MCC

  4. AIM To compare the actual Quality of Selected Medicines to peoples’ understanding of medicine quality

  5. Design • Qualitative: Focus Groups (n=12) & key informant interviews (n=25) • Purposive sampling of providers (n=25) & consumers (n= 73) • Quantitative assessment of medicines: identity (FTIR), dissolution and uniformity of weight: BP • Medicines: hydrochlorothiazide, amoxycillin and paracetamol (n= 135) • Settings: Johannesburg, Cape Town and Durban

  6. FINDINGS

  7. QUALITY: PERCEPTIONS 1A Patel, R Gauld, P Norris, T Rades (2010) “This body does not want free medicines”: South African consumer perceptions of drug quality. Health Policy and Planning, 25 (1): 61-69.

  8. DISCUSSION • In-vitro tests – positive results • Providers – supplier origin & reputation; willingness to accept • Consumers – depend on provider for information; confuse quality of care with quality of medicines

  9. LESSONS • PHARMACOLOGICAL THEORY – QUALITY & USE – BIOMEDICAL FRAMEWORK • PEOPLE: SOCIAL & CULTURAL FRAMEWORKS • GENERIC MANUFACTURERS – PROVIDERS OF INFORMATION

  10. RECOMMENDATIONS • REGULATOR: PRO-ACTIVELY MANAGE COMPLAINTS • NMP IMPLEMENTATION: BIOMEDICAL AND THE SOCIO-CULTURAL WORLDS • GENERIC SUBSTITUTION: MANAGE DEMAND

  11. THANK YOU Poster 210.

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