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Improving Treatment in Private Drug Outlets: Are there sustainable approaches?

Improving Treatment in Private Drug Outlets: Are there sustainable approaches?. The Importance of drug sellers. Drug sellers are becoming the first line of PHC in many communities In many countries 80% or more of people when sick, go directly to drug sellers

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Improving Treatment in Private Drug Outlets: Are there sustainable approaches?

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  1. Improving Treatment in Private Drug Outlets: Are there sustainable approaches?

  2. The Importance of drug sellers • Drug sellers are becoming the first line of PHC in many communities • In many countries 80% or more of people when sick, go directly to drug sellers • They are managing diseases of major public health importance. • acute respiratory infections (ARI) • sexually transmitted diseases (STD

  3. Regulations are poorly enforced • Prescription-only drugs are freely sold without a prescription • Legal selections of drugs to sell are not adhered to.

  4. Quality of the treatment is often very poor • unqualified people work behind the counter • The pharmacist, if present, has a low level of knowledge, about the rational use of drugs

  5. Different to public sector • They are not employees, so supervision is different: mostly Inspection rather than supervision • Less access to clinical records • Focus on stock keeping and drug quality rather than drug use • The primary goal of business is profit rather than patient well-being

  6. Sustainable change • Up to now a few successful examples of changing drug sellers behaviour. So we know that change is possible: • But is it sustainable change? • We have three examples of innovative interventions in recent years:

  7. Each will present • The setting and the problem targeted • The intervention approach tested • Whether successful or not, and why • The key elements for sustainability • The key policy recommendations • Future research questions raised

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