(2008; 78 pages)
The aim of this study was to generate baseline data regarding the accessibility to essential drugs, the affordability and willingness of patients to pay in addition to gathering information about patients’ satisfaction regarding the RDF services in the Northern Sudan.It was carried as a cross-sectional facility based study and was conducted in the following states: Gezira, White Nile, Kassala, Blue Nile and Gadarif. These states were selected to insure that vast demographic variations in Sudan are represented. Darfur state was also included in the sample in order to represent post conflict states. Southern Sudan was not included in the study due to political, financial and logistic reasons.
Two baskets of drugs were selected to be included in the study. The first basket which included 16 key drugs (Table 1) was investigated for availability, presence expired drugs, price and duration of out of stock. A basket that included 15 supplementary drugs (Table 2) has been selected to measure availability, verify the existence of drugs due to expire or have been expired. The mean value of the key drugs available in public sector was found to be 92.6% and the mean value of the key drugs available within the surveyed health care facilities in the private sectors was found to be 90.5%.The mean value of the availability of supplementary drugs in the public sector was 84.3%, while in the private sector it was found to be 80.5%.The mean value of key drugs available in the main medical stores with RDF services was Evaluation of Revolving Drug Fund (RDF) Project in the Sudan viii 91.7%.The mean value of out of stock duration (in days) of key drugs in RDF main stores was 22.8 days. The RDF health care facilities were described as easily accessible by 64.8% of the study participants, and 70.6% of the participants have declared their satisfaction regarding the availability of prescribed drugs. In addition 71.7% of the interviewed subjects stated that they are able to buy their prescribed medications. Overall 84% of the candidates stated that they were satisfied with the services delivered to them through the RDF health care facilities. Although the performance of the RDF system seems to be satisfactory according to the results obtained, continuing of the efforts to increase the awareness about the RDF services among the public essential in addition the continuous evaluation of the quality of the services provided is recommended.