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Health System Research as a tool for NDP formulation

Health System Research as a tool for NDP formulation. Chanthakhath Paphassarang NDP project manager (1992-95). MOH perceptions during the 90’s on pharmaceutical sector. Beside positive sides of the NEM policy in 1985: Fast and uncontrolled private drug sector development

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Health System Research as a tool for NDP formulation

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  1. Health System Research as a tool for NDP formulation Chanthakhath Paphassarang NDP project manager (1992-95)

  2. MOH perceptions during the 90’s on pharmaceutical sector • Beside positive sides of the NEM policy in 1985: • Fast and uncontrolled private drug sector development • Counterfeited, bad quality and dangerous drugs freely sold in the market • But no data so far was available to testify

  3. MOH initial request for Sida support A Modern Drug Control Lab + Vehicles for inspection

  4. Response of SIDA • Several consultancies until 1992: • A quick drug survey in Luangprabang by IHCAR-MOH team • Round table discussion with key persons from MOH and International organization • Needs of a comprehensive National Drug Policy ( NDP)

  5. NDP Formulation Background papers preparation by MOH for NDP seminar in Nov 92 Quick surveys assisted by an epidemiologist from NEBT/THRI under IHCAR/SIDA support

  6. Quick surveys • At different levels of the drug system in Vientiane • Health care seeking of households, • Dispensing practice of Pharmacies • Prescribing practices of Doctors

  7. Evidence to support the NDP formulation • 60% self medication • 90% private pharmacies managed by physicians • 36% of consumers were advised by dispensers and • 15% dispensed by children in pharmacies • More than 50% of pharmacies were selling bad quality drugs • Average number of drugs/prescription: 3.12% in Central hospital

  8. With a strong commitment from the Leadership from the MOH, the assistance from SIDA and involvement from other related ministries & International organizations such as WHO, UNICEF…

  9. The National Drug Policy was tailored to Lao needs and endorsed by the Prime Minister in March 1993

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