Medicines in Health Systems: Advancing Access, Affordability and Appropriate Use. Chapter 5 – Annex 1: Accredited Drug Dispensing Outlets
(2014; 20 pages)


The goal of the accredited drug dispensing outlet (ADDO) program is to improve access to affordable, quality medicines and pharmaceutical services in retail drug outlets in rural or peri-urban areas where there are few or no registered pharmacies. To achieve this goal, the ADDO model takes a holistic approach that combines developing the capacity of owners, dispensers, and institutions that regulate or work in retail drug shops. For shop owners and dispensing staff, this is achieved by combining training, incentives, consumer pressure, and regulatory enforcement with efforts to affect client demand for and expectations of quality products and services.

  • Major program strategies in creating the ADDO program include:
  • Developing an accreditation scheme based on Ministry of Health-instituted standards and regulations
  • Developing business skills of ADDO owners
  • Enhancing capacity of dispensing staff through training, education, and supervision
  • Providing ADDO owners with commercial incentives (e.g., access to loans, authorization to sell some prescription medicines)
  • Using public education to improve customer awareness of product and service quality and the importance of treatment compliance
  • Improving legal access to a limited list of basic, high-quality prescription and nonprescription essential medicines
  • Focusing on regulation and inspection by improving local regulatory capacity The Tanzania ADDO model is scalable, sustainable, and transferable to other county contexts.
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