Impact of an Essential Drugs Programme on the Rational Use of Drugs: the Experience of Democratic Yemen. Essential Drugs Monitor No. 007 (1988)
(1988; 1 page)


Democratic Yemen began a comprehensive essential drugs programme in 1984 with assistance from the World Health Organization. The programme focused on establishing and implementing a national drug policy. At the time of the article, two of the six governorates in Democratic Yemen had been included in a programme that supplies monthly drug ration kits and provides training opportunities for health workers. The kits were introduced to health unit workers in a three-day district level seminar. The impact of the kits on rational use by nurses and medical assistants was evaluated in a study in March 1988. Nineteen health units in the programme area were compared with seven health units from the control area. Theoretical knowledge of rational use and its practical application were both monitored. Nurses and medical assistants in the programme area tested slightly better in both areas than did health workers in the control area. The difference between the scores for nurses in the two areas was larger than the difference between medical assistants. Additionally, nurses and medical assistants in the programme area who received extra training scored better than those who did not receive extra training. The impact of district seminars was also measured. In the project area, the percentage of injections and antibiotics given to patients was significantly lower than in the control area. Assuming the program area is representative of the situation in the programme area before the programme was started, the programme had a considerable, positive effect on rational use. (Abstract by Flannery Bowman, 2013)

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