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Background - PowerPoint PPT Presentation


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Background. The Lao PDR National Drug Policy (NDP) Program, implemented by the Ministry of Health supported by the Swedish International Development Agency, has rational use of drug (RUD) as one component.

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Presentation Transcript
background
Background
  • The Lao PDR National Drug Policy (NDP) Program, implemented by the Ministry of Health supported by the Swedish International Development Agency, has rational use of drug (RUD) as one component.
  • The RUD aims to improve Use of Drug especially the prescribing in hospitals through Drug and Therapeutic Committee (DTC), using indicators, regular meeting, and feedback to all prescribers.
mtp approach
MTP Approach
  • The MTP approach implemented in 2001, provided hospitals with a complementary tool for intervening specific problems.
  • The MTP focused on solving problems that had not responded well to the previous approach.
objective
Objective
  • To evaluate the effectiveness of the MTP approach in reducing irrational use of drugs for specific diseases, with targets defined by individual departments in study hospitals.
  • To solve the problems that had not responded well to the previous approach.
intervention
Intervention
  • The MTP approach involves a series of small group discussions among prescribers in individual hospital departments.
  • After training in the use of MTP, these groups: defined a problem of interest, selected targets to be achieved, applied a problem solving approach, and monitored indicators to observe response.
experiences on using mtp
Experiences on using MTP
  • General teaching hospitals
  • Provincial hospitals
slide6

Health facilityTeaching

Hospital: - Mahosoth

- Mittaphap

Provincial Hospital - Bokeo

- Oudomxay

- Vientiane - Saravane

District: -

Site of intervention

- Post Operation - Operation theatre

- OPDs- OPDs - General OPD- General ward

Priority problems identified in the facilities

Priority problem- Overuse of Abs post operative

- Overuse of Injection- Overuse of ABs surgery- Over use IV fluid Gastritis

- Waiting time for Ultrasound- Overuse of ABs in PODs

- Overuse of ABs in ARI- Low respiratory rate record in

pneumonia

- Overuse of Abs

general teaching hospitals
General Teaching Hospitals

Problem: Over Antibiotic use and Injection

Indicator: - % patients receiving antibiotics

- % patients receiving injections

Injection

Antibiotic use

provincial hospitals
Provincial Hospitals

Problem: - Overuse of AB

Indicator: - % patients receiving antibiotics

provincial hospitals1
Provincial Hospitals

Problem: Long waiting time

Indicator: minutes

provincial hospitals2
Provincial Hospitals

Problem: - Low record respiratory rate pneumonia in pediatric ward

Indicator: - % patients record RR Pneumonia

conclusion
Conclusion
  • The MTP approach was effective in solving specific problems, especially in district hospitals and departments of provincial and central hospitals.
  • MTP can be used complementary with DTC program to solve difficult problems.