World Health Organization : Year 1993, Dap 93.5: Drug Sector Overview Republic of Yemen

By John Chalker, Dr.

Book Id: WPLBN0000096381
Format Type: PDF eBook
File Size: 1.1 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1993, Dap 93.5: Drug Sector Overview Republic of Yemen
Author:	John Chalker, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Dr, J. C. (n.d.). World Health Organization : Year 1993, Dap 93.5. Retrieved from http://gutenberg.us/

Description
Medical Reference Publication

Excerpt
INTRODUCTION The former Yemen Arab Republic (YAR) and the People's Democratic Republic of Yemen (PDRY) united on 22nd May 1990 to form the Republic of Yemen (ROY). In both countries essential drugs programmes had been running before unity; since 1984 in the PDRY supported by WHO, and since 1987 in the YAR supported by WHO in collaboration with the Dutch Government. Thc problems of joining two different systems, along with the Gulf War, budget constraints, cumncy instability, and a provisional govcrnment awaiting elections, have led to a dcgree of paralysis in the public sector. There was no successful procurement of drugs in 1989 and 1990. This has starved the public sector of drugs for the last two years. The 1991 procurement was only panly successful. It lost 20% of its value as it was not completed until January 1992. To avoid this difficulty the 1992 procurement was being channelled through WHO. However thc foreign currency was not available, and local tender in Riyals is the most likely outcome. At the same time the private sector has increased dramatically, with many new pharmacies opening throughout the country. The regulation of the private sector is such that the volume of smuggled goods in pharmacies is high (perhaps 50 % of stock). This leads to great problems of quality assurance. It is this situation that has to be addressed by the action plan for the years 1993-96.

Table of Contents
CONTENTS 1 . INTRODUCTION ............................................... 1.1 Estimation of Size of Pharmaceutical Sector . . . . . . . . . . . . . . . . . . . . . . . . 2. NATIONAL DRUG POLICY ...................................... 2.1 Essential Drugs List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. QUALITY ASSURANCE ......................................... 3.1 Legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.2 Reghation .............................................. 3.3 Smuggled Drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4 Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.5 Good Manufacturing FTactices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.6 Qualitycontml . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . FINANCE .................................................... 4.1 Ministry of Health Budget Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1.1 Hard Currency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1.2 Decentralization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1.3 Consequence' for Procurement . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1.4 Consequence for Clearance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.2 The Finances of the Supreme Board for Drugs and Medical Appliances (SBDMA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3 Charging for Drugs in Public Health Facilities . . . . . . . . . . . . . . . . . . . . . . 4.4 Pricing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . SUPPLY ..................................................... 5.1 Quantification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.2 Procurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.3 Clearance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4 Storage and Distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.1 CMS Sana'a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.2 Other Stores in Sana'a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.3 Distribution from Sana'a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.4 Governorate Stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.5 Aden Stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.6 Distribution from Aden . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.7 A1 Mukhalla (Hadhramaut) Stores . . . . . . . . . . . . . . . . . . . . . . . . 5.4.8 Hudeidah Stores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4.9 Role of Chief Pharmacist in Each Governorate . . . . . . . . . . . . . . . 6 . RATIONAL USE OF DRUGS ..................................... 6.1 Therapeutic Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.2 Standard Treatment Schedules for Health Units and Centres . . . . . . . . . . . . 6.3 Prescribers and their Supervision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.3.1 Doctors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.3.2 Pharmacists in MOPH Pharmacy Division . . . . . . . . . . . . . . . . . . 6.3.3 Health Workers in Health Cent~es . . . . . . . . . . . . . . . . . . . . . . . . 6.3.4 Health Workers in Hcalth Units . . . . . . . . . . . . . . . . .