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Related Experiment Videos

Essential drugs for ration kits in developing countries.

H Haak1, H V Hogerzeil

  • 1WHO Action Programme on Essential Drugs, Geneva, Switzerland.

Health Policy and Planning
|February 7, 1995
PubMed
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Drug ration kits improve essential medicine supply in developing countries. A review of 10 programs identified common drugs and cost-effective monitoring strategies, with limited financial loss from surpluses.

Area of Science:

  • Global Health
  • Pharmaceutical Management
  • Supply Chain Logistics

Background:

  • Drug ration kits have been utilized since the early 1980s to enhance essential drug availability in rural healthcare settings in developing nations.
  • The effectiveness and efficiency of these kit systems are crucial for maintaining adequate medication supplies.

Purpose of the Study:

  • To evaluate experiences with drug ration kit systems across ten developing countries.
  • To analyze drug selection, quantities, and costs within these systems.
  • To identify common drugs and cost-effective management strategies.

Main Methods:

  • A comprehensive review of published literature, annual reports, and program evaluations.
  • Data collection through field staff questionnaires and expert interviews.

Related Experiment Videos

  • Comparative analysis of drug content and cost across ten national programs.

    • Main Results:

    • Twenty-one drugs were identified as common components in at least two-thirds of all kits, offering a basis for planning and evaluation.
    • Six key drugs (Oral Rehydration Salts, chloroquine, and four antibiotics) constitute over 60% of kit costs, highlighting areas for cost-effective monitoring.
    • Commonly accumulated drugs (ORS, benzyl benzoate solution, iron tablets) were often redistributed, limiting overall financial losses.

    Conclusions:

    • Drug ration kit systems can be effectively managed with careful monitoring of key drug prices and quantities.
    • Median drug quantities from established programs provide a practical starting point for new systems lacking morbidity data.
    • Most kit systems achieve stable content within two years, demonstrating adaptability and efficient resource management.