This report presents the results of a study conducted in Armenia during 2006. The study’s objective is to assess current system for management of primary health care medicines in terms of quality of prescribing practices and costs of the PHC supply system. The research questions addressed were:

1. Are current prescribing practices for key primary care conditions consistent with prevailing treatment recommendations?

2. What are the cost implications of treatment recommendations?

3. Are medicines for primary health care available?

4. Are management costs minimized by the current supply system?

Answers to these questions would help identify opportunities for improving the system’s effectiveness and efficiency and to provide the evidence base for further discussions. The study results are intended to help frame a policy discussion on potential options for system design and to guide follow-up technical work...