EFFECT OF REGULATORY INTERVENTION ON DRUG AVAILABILITY IN NEPAL Dangi Chettri GB, Kafle KK, Karkee SB, Bhuju GB, Shrestha BM, Rajbhandari V, Humagain B Pharmaceutical Horizon of Nepal (PHON).
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EFFECT OF REGULATORY INTERVENTION ON DRUGAVAILABILITY IN NEPALDangi Chettri GB, Kafle KK, Karkee SB, Bhuju GB, Shrestha BM, Rajbhandari V, Humagain B Pharmaceutical Horizon of Nepal (PHON)
IntroductionNepal National Drug Policy-1995 was formulated to safeguard and promote the health of people by ensuring the availability of safe, effective, standard and quality drugs at affordable price, in quantities sufficient to cover every corner of the country.To ensure the availability of safe drugs, one of the policy strategies is to ban the manufacture, import, sale and distribution of ineffective, harmful, toxic as well as irrationally combined formulations.
Specific objectivesThe specific objectives were to find out. availability of analgin alone in the market after banning. availability of combination of analgin with Pitofenone hydrochloride and Fenpiverinium bromide (Baralgan) after banning
MethodologyAn analytical descriptive study. . The study was conducted in three districts of the Kathmandu Valley -Kathmandu, Lalitpur and Bhaktapur. . 29 clusters from municipality's areas of study districts were selected.. Minimum of three drug retailers were randomly selected from each cluster.. The total number of retailers studied was 113.
. A surrogate with a piece of paper containing the name of the drug visited each retailer.. The name used was analgin or novalgin, and Baralgan (a fixed dose combination of analgin with other drugs).. The baseline was collected one month before restriction on sale and distribution (i.e. five months after the notice).. Post intervention data were collected one, five and sixteen months after the notification became effective.
ResultsAvailability of products before and after the effective date of banningAnalgin(%) Baralgan(%)Baseline 96.5 97.3One month 87.6 87.6Five months 21.2 20.4Sixteen months 0.0 0.0There has been gradual decrease in the availability of drugs in the retail outlet after the notification became effective.It took many months to become the intervention effective.
Conclusion. Inspection and monitoring of customs, importers, and retailers.. Information about the ban through different media.. Effective monitoring/supervision along with information dissemination about banned product through different media should be undertaken by drug regulatory authority.A study to test this strategy should be carried out in future.