Producing National Drug and Therapeutic Information - The Malawi Approach to Developing Standard Treatment Guidelines
(1994; 49 pages) View the PDF document
Table of Contents
View the documentAcknowledgements
Open this folder and view contentsIntroduction
Open this folder and view contentsMSTG 1 (First edition)
Open this folder and view contentsMSTG 2 (Second edition)
Close this folderAppendices
View the documentAppendix 1 - Background publications used in preparation of the guidelines
View the documentAppendix 2 - Sample page of MSTG 1 (December 1988) first draft
View the documentAppendix 3 - Sample page of MSTG 1 (May 1989) second draft
View the documentAppendix 4 - Sample page of MSTG 1 (July 1989) third draft
View the documentAppendix 5 - Sample page of MSTG 1 (November 1990) final version
View the documentAppendix 6 - Technical notes on MSTG 1
View the documentAppendix 7 - Cover page of MSTG 1
View the documentAppendix 8 - Modification form for MSTG 1
View the documentAppendix 9 - Sample page of MSTG 2 (July 1993) final version
View the documentAppendix 10 - Technical notes on MSTG 2
View the documentAppendix 11 - Cover page of MSTG 2
View the documentAppendix 12 - Comparison table for MSTG 1 and MSTG 2
View the documentAppendix 13 - District training workshops to introduce MSTG 2 and MPC

Appendix 10 - Technical notes on MSTG 2


Total pages:

192 including four blank pages for notes. This was 88 pages longer than MSTG 1. However it could still be folded for binding with two staples in the fold.

Cover page:

Malawi Government (MG) crest, MG/Ministry of Health as in MSTG 1, title with edition number and date, and an attractive three colour illustration. A local free-lance graphic artist was hired to produce the latter, which consists of a map of Malawi overlaid by various dose-forms falling out of a capsule. This design greatly enhanced the appearance of the publication and did not add greatly to the cost of each copy. Although only two spot colours (yellow and blue) were used for the illustration, the third colour (green) was the unexpected but desirable result of a slight error in production of the printing plates for the cover, whereby one colour was overlaid on top of the other. NB. If the three primary colours are chosen, i.e. red, yellow and blue, it should be possible to produce all other colours by overlaying one or more primary colour on top of another. e.g. red + yellow = orange, red + blue = purple, yellow + blue = green, etc.).

Back page:

MEDP with adaptation of WHO/DAP logo.

Inside front page:

Summary of publication and printing information, and address for further copies.


A revised version outlining the development of the new edition was drafted for and signed by the Chief of Health Services.


A new preface summarising the main changes in the new edition was prepared by the editor.

National Drugs Committee and Acknowledgments:

These new sections were added listing, by name and post, the members of the committee and other individuals who contributed by review and/or production of new material to the MSTG 2.

Prescribing guidelines:

This new section was adapted from a similar section in the Malawi National Formulary and covered: general notes on prescribing, prescribing of placebos, prescription writing, in-patient prescriptions, guide to quantities to be supplied, controlled drug prescriptions, notes on adverse drug reactions, paediatric prescribing (notes and charts for weight/age conversion) and notes on drug interactions.

Presentation of information:

A new section detailing the arrangement of sections, indexing and cross-referencing, prescriber guidance points, routes of drug information and alternative drugs.

Also included are sections covering abbreviations, metric units, metric/imperial equivalents, a disease index and a modification form.


Page size:

A6 (105 × 149 mm). For this edition care was taken to set the margins sufficiently wide to allow for binding and subsequent trimming and that the final product was trimmed to the exact specified size.


All text except cover in Arial Truetype - Main text in 8pt, treatment guidance points in 10pt, disease headings in 12pt bold, section titles in 12pt bold capitals.

Cover page: Title in 20pt Architect bold type, MG/MOH in Arial Truetype 10pt bold capitals.

Header: MSTG 1993 (bold caps) and section number and title (bold lowercase) in 8pt (odd and even numbered pages different). Having the section number and title on the outside of the top of each page facilitates rapid location of sections.

Footer: MEDP and page no. in 8pt bold caps (odd and even numbered pages different with page number on the outside - to facilitate rapid location of a required page).

Text enhancements:

All drug names in bold type.

Disease heading in shaded boxes.

Key words and alternative treatment headers in italic type.

Round bullets for prescriber guidance points and arrow-head bullets for treatment steps.

Legal numbering system (e.g. 1, 1.1, 1.1.1, etc.) for sections and conditions within each section (the latter also arranged alphabetically).


For the inside pages - 70g white bond as for the 1st edition.

The cover was printed on 160g white semi-gloss art-board. This was not too expensive, gave adequate protection against wear and dirt, had an attractive, clean appearance and gave good contrast for the colours of the illustration.


Was by two metal staples which was simple, cheap and still adequate for the increased thickness of this edition.

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