YES

NO

ST1: Is there an official national drug policy document updated in the past 10 years?

ST2: Is there drug legislation updated in the past 10 years?

ST3: Have regulations based on the drug legislation been issued?

ST4: Is there a drug regulatory authority whose mandate includes registration and inspection?

ST5: Is there a licensing system to regulate the sale of drugs (wholesalers, pharmacists, retailers)?

ST6: Are pharmacists legally entitled to substitute generic drugs for brand name products?

ST7: Are there legal provisions for penal sanctions?

ST8: Is there a checklist for carrying out inspections in different types of pharmaceutical establishments?

ST9: Are there any institutions within or outside the country where quality control is carried out?

ST10: Is the WHO Certification Scheme on the Quality of Pharmaceutical Products Moving in International Commerce used systematically?

ST11: Are there controls on drug promotion based on regulations and consistent with the WHO Ethical Criteria for Medicinal Drug Promotion?

YES

NO

ST12: Is there a national essential drugs list (EDL)/formulary using INN officially adopted and distributed countrywide?

ST13: Is there an official drug committee whose duties include updating the national essential drugs list (EDL)?

ST14: Has the national essential drugs list (EDL)/formulary been updated and distributed countrywide in the past five years?

ST15: Do drug donations comply with the national essential drugs list (EDL)?

ST16: Are there formal procedures for registering drugs?

ST17: Is there a drug registration committee?

ST18: Is drug registration renewal required at least every five years?

YES

NO

ST19: Is the public drug budget spent per year more than 20% of the ministry of health operating budget spent per year for the last three years?

ST20: Is the public drug budget spent per capita per year more than US$1.00 per year for the last three years?

ST21: Is the public drug budget spent for national hospitals less than 40% of the total public drug budget spent for the last three years?

ST22: Has the public drug budget spent per capita increased in the last three years?

ST23: Are there any financing systems in addition to the public drug budget that contribute to the provision of drugs in the public sector?

YES

NO

ST24: Are drugs usually procured in the public sector through competitive tender?

ST25: Is there a system for monitoring supplier performance?

ST26: Is most of the tendering done under international nonproprietary name (INN)?

ST27: Does the procurement unit receive foreign currency in less than 60 days (from request to release)?

ST28: Is procurement in the public sector limited to drugs on the national essential drugs list (EDL)?

ST29: Is the average lead time (from order to receipt at central level) less than eight months?

ST30: Is procurement based on a reliable quantification of drug needs?

YES

NO

ST31: Are good storage practices observed in the central procurement/distribution unit and/or major regional warehouses?

ST32: Is the information recorded on the stockcards for a basket of drugs the same as the quantity of stock in store?

ST33: Are the stocks for a basket of drugs within their expiry dates in the central procurement/distribution unit and/or major regional warehouses?

ST34: Have all incoming products been physically inspected for the last three deliveries in the central procurement/distribution unit and/or in major regional warehouses?

ST35: Are only drugs which are on the national essential drugs list (EDL) in stock in the central procurement/distribution unit and/or in major regional warehouses?

ST36: Are 80% or more of the vehicles of the central procurement/distribution unit and/or major regional warehouses in working condition?

YES

NO

ST37: Are drug prices regulated in the private sector?

ST38: Is there at least one major incentive for the private sector to sell essential drugs at low cost?

ST39: Is the total margin used by wholesalers and retailers less than 35% of the CIF price?

ST40: Is there a system for monitoring drug prices?

ST41: Are essential drugs under INN or generic name sold in private drug outlets?

YES

NO

ST42: Is there a national publication (formulary/bulletin/manual, etc.), revised within the past five years, providing objective information on drug use?

ST43: Is there a national therapeutic guide with standardized treatments?

ST44: Is the concept of essential drugs part of the curricula in the basic training of health personnel?

ST45: Is there an official continuing education system for rational use of drugs for prescribers and dispensers?

ST46: Is there a drug information unit/centre?

ST47: Does the drug information unit/centre (or another independent body) provide regular information on drugs to prescribers and dispensers?

ST48: Are there therapeutic committees in the major hospitals?

ST49: Are there public education campaigns on drug use?

ST50: Is drug education included in the primary/secondary school curricula?