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Working together to rationalize the use of Anti-TB drugs

Working together to rationalize the use of Anti-TB drugs. GROUP 5 Facilitators: Dr Andrey Zagorkiy, MSH and Dr Knut Lönnroth, WHO/HQ. Summary of Discussion. Great variation in country scenarios: One extreme: NTP monopoly, TB drugs not available in private market, no domestic market

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Working together to rationalize the use of Anti-TB drugs

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  1. Working together to rationalize the use of Anti-TB drugs GROUP 5 Facilitators: Dr Andrey Zagorkiy, MSH and Dr Knut Lönnroth, WHO/HQ

  2. Summary of Discussion • Great variation in country scenarios: • One extreme: NTP monopoly, TB drugs not available in private market, no domestic market • Other extreme: Private sector dominates 1st and 2nd line drugs, NTP controls fraction, huge domestic market that is protected by domestic laws, everything available in private markets, (with or without prescription) • Lack of data on magnitude, quality of prescription, quality of drugs, in relation to treatment outcome (and ADR) • Any effort to improve RUD requires involvement beyond NTP, wider health systems and regulatory issue • We mapped role of professional association along the steps of rational use: Quality prescription – drug quality – quality of dispensing – quality supervision, recording and reporting (including ADR)

  3. Activities for professional associations to contribute to rational use of TB drugs

  4. Conclusion • Need for country and regional specific approaches • Need of better data on current situation • Important to map and involve wide range of professional associations and other stakeholders outside NTP to improve rational use of drugs • Involve these stakeholders in development of NTP plans, including MDR national plans (for example in 27 MDR high priority countries in preparation for the MDR meeting in China)

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