1 / 9

Improving Treatment in Private Drug Outlets: Are There Sustainable Approaches ?

Improving Treatment in Private Drug Outlets: Are There Sustainable Approaches ? Thailand’s country study “ Towards Good Pharmacy Practice in Thailand and Vietnam: a multi-intervention approach reationalise drug use through private pharmacies1997-2000” EU, IHCAR,LSHTM,HSRI. Sampling scheme.

amber
Download Presentation

Improving Treatment in Private Drug Outlets: Are There Sustainable Approaches ?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Treatment in Private Drug Outlets: Are There Sustainable Approaches ? Thailand’s country study “ Towards Good Pharmacy Practice in Thailand and Vietnam: a multi-intervention approach reationalise drug use through private pharmacies1997-2000” EU, IHCAR,LSHTM,HSRI

  2. Sampling scheme 3,339 pharmacies 40 districts in Bangkok Industrial Area(6) Suburban Area(7) Downtown Area(21) New living Area(6) random random random random Bangkapi (I) Ratburana (I) Bangkean (C) Ladkrabang (C) Pravase (C) Pranakorn (C) Patumwan (I) Nongkham (I) outeria-based selection N=5 N=5 N=7 N=7 N =13 N =13 N =14 N =14

  3. Overall design indicating data collection schemes and sequence INTERVENTION GROUP CONTROL GROUP REGULATORY ENFORCEMENT PEER-INFLUENCE EDUCATION POST-EDUCATION Survey BASELINE Survey POST-PEER Survey POST-ENFORCEMENT Survey INTERVIEW 1 INTERVIEW 2 SCM 0 SCM 1 SCM 2 SCM 3 Jun 1997 Jun 1998 Jun 1999 Jun 2000

  4. Changes :medicine ---------------------------------------------------------- Scenario Enforcement Education Peer-influence ---------------------------------------------------------- Diarrhea ++ UTI ++ Antibiotic + Steroid++ ----------------------------------------------------------

  5. Changes : question and advice --------------------------------------------------- Scenario Enforcement Education Peer-influence --------------------------------------------------- Diarrhea + + + UTI + + + Antibiotic + Steroid + + + ----------------------------------------------------------

  6. Limitations of the research • Research design • Nature of private pharmacy • Nature of the interventions • Nature of the scenarios • Number of samples

  7. Key elements of sustainability • Policy supports • Continuity • Participation • Willingness

  8. Policy recommendation and future research questions • Complexity in the nature • In-depth understanding is needed • Punishment has limits • Mixed-strategy is key sanctions profit safety

More Related