ZEDAP: A Retorspective 1987-1992. Essential Drugs Monitor No. 013 (1992)
(1992; 3 pages)

Hanif Nazerali, logistics advisor for the Zimbabwe Essential Drugs Action Programme (ZEDAP) and Acting Project Coordinator, describes the creation of ZEDAP, the work ZEDAP has done during its first five years, and its goals for its next five-year plan. Following its independence in 1980, Zimbabwe began to work toward the goals of the Alma Ata Declaration. Restructuring and removing inequities in the health care system led to an increase in demand for health care, leading to a drug supply shortage. This shortage prompted the creation of ZEDAP. The primary goals of ZEDAP are to ensure a regular supply of low-cost quality drugs in both public and private health care and to ensure optimal and rational drug use. Nazerali explains the steps taken by ZEDAP and the governmental “Special Cabinet Committee on Drug Pricing and Supply” to control escalating drug prices and resolve problems of drug supply in the late 1980s. A retrospective study conducted by the Ministry of Health and analyzed by ZEDAP showed widespread irrational use of resources by a central drug procurement agency that began work in 1990. As a result, ZEDAP began to work on improving the rational procurement and use of drugs. Steps taken include the production of training and reference materials for health care workers and district-level programmes with an emphasis on the needs of each community. The Action Programme was also involved in a workshop aimed at increasing the use of generics in the private sector. A survey to assess ZEDAP’s impact was conducted in 1991 and found that the availability of essential drugs had increased to 78% in 1991 and many facilities met the target of 80% availability. The survey also showed drug prescription was within the expected range. Nazerali concludes his article by describing ZEDAP’s plans for the next five years. (Abstract by Flannery Bowman, 2013)

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