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(2012; 304 pages)
Government of the Kingdom of Swaziland Ministry of Health, the US President’s Emergency Plan for AIDS Relief, USAID, and the Strengthening Pharmaceutical Systems (SPS) Program.
The process of developing an integrated standard treatment guidelines (STG) and essential medicines list (EML) was commenced in earnest in 2004. A draft STG was developed with technical assistance from the Italian Corporation. In addition, the Nazarene Health Institutions (NHI) developed an STG for “common illnesses of children in Swaziland,” and this booklet was distributed to all NHI facilities. Similarly, the Ministry of Health (MoH) worked on reviewing the EML in 2008–09 with technical assistance from the Strengthening Pharmaceutical Systems (SPS) program as funded by the USAID.
Key in the development of STGs was a wide consultation and evidence-based inclusion of medicines into the STG and ownership of the guidelines by all stakeholders. Technical experts in the various medical fields were consulted, and external consultants were engaged to give guidance in the process. At the same time, work on the Essential Health Care Package, and the Referral and Linkages documents was under way, and my ministry considered the STG/EML to be an important document to facilitate their implementation.
The product of all this work is the Standard Treatment Guideline and Essential Medicines List of Common Medical Conditions in the Kingdom of Swaziland. These systematically developed statements are designed to assist practitioners in making decisions about appropriate treatment for specific clinical conditions. They are meant to reflect expert consensus based on a review of current and published scientific evidence of acceptable approaches to diagnosis, management, or prevention of specific conditions.