タンザニア北西部のムワンザ地域の公衆衛生施設における母親の健康のための必須医薬品の利用可能性
Charlotte Mayunga1, Evarist Msaki2, Deogratias Katabalo1
1Department of Pharmaceutics and Pharmacy Practice, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
The journal of medicine access
|September 2, 2025
まとめ
タンザニアのムワンザでは,マザーヘルスに不可欠なカルシウムグルコネートやミソプロストールなどの医薬品が 広く利用可能であるにも関わらず,頻繁に不足していました. これは 産婦人保健のサプライチェーンに 深刻な欠陥があることを示しています
科学分野:
- 公衆衛生
- 保健 システム の 強化
- 医薬品へのアクセス
背景:
- 医療へのアクセスの改善は 妊婦の健康対策の強化に不可欠です
- 低所得国や中所得国の多くは 母親と子供の健康に不可欠な医薬品の入手が困難です
研究 の 目的:
- タンザニアのムワンザの公衆衛生施設で 母親の健康に不可欠な医薬品の入手可能性を確認する.
- 薬の在庫が不足している特定の薬を特定し,無効性のパターンを分析します.
主な方法:
- 2024年4月に遡及的横断研究が行われました.
- イレメラとニヤマガナ地区の36の公衆衛生施設から13の必須の妊婦保健薬のデータを収集した.
- WHOの修正されたチェックリストを使用して,施設の倉庫の記録から入手可能性とストックアウトのデータが収集されました.
主要な成果:
- 妊産婦の健康に不可欠な医薬品の全般的な中位値は94. 4%でした.
- ストックアウトは頻繁に見られ,過去3ヶ月の平均ストックアウトは3回,94日であった.
- カルシウムグルコネート (93. 4%),ミソプロストール (32. 9%) とジェンタミシン (16. 1%) は,最も頻繁にストックアウトされた薬剤でした.
結論:
- 妊婦の健康に重要な薬は 入手可能度が高いにもかかわらず 頻繁に不足しています
- 妊産婦の健康状態に限って使用される薬は,より広範な薬用薬よりも出品する傾向が強い.
- 産婦人保健医療の質を向上させるには 産婦人保健特有の医薬品の 改善されたサプライチェーン管理と 優先順位付けが必要です
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