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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

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
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
moh initial request for sida support
MOH initial request for Sida support

A Modern Drug Control Lab

+ Vehicles for inspection

response of sida
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)
slide5

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

quick surveys
Quick surveys
  • At different levels of the drug system in Vientiane
    • Health care seeking of households,
    • Dispensing practice of Pharmacies
    • Prescribing practices of Doctors
slide7

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
slide8
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…
slide9
The National Drug Policy was tailored to Lao needs and endorsed by the Prime Minister in March 1993