Essential Drugs Monitor No. 009 (1990)
(1990; 20 pages) [French] [Spanish]

The ninth issue of the Essential Drugs Monitor examines issues of integration in the essential drugs sector and what the upcoming decade will hold for nations regarding public health. As the new millennium approaches, many nations are implementing of national drug policies and modernizing. All three of the feature articles in this issue deal with the creation and implementation of national legislation. The first article recaps the discussion at the International Study Conference on Community Financing in Primary Health Care held in Freetown, Sierra Leone from 27 to 30 September 1989. The primary concerns addressed in Freetown were the Bamako Initiative and other financial issues, equity in primary health care, community participation, and the rational use of drugs. The article summarizes the discussion at the conference and includes a detailed outline of the guiding principles drafted at the conference for the implementation of Bamako-type projects. The second provides a critical look at the Filipino Generics Act of 1988. The article outlines the aims of the Generics Act and describes the Philippine’s commitment to full implementation of the Act and creation of a national drug policy. The third feature article in the Monitor summarizes two top level meetings of the Preferential Trade Area (PTA) in Nairobi, Kenya from 27 to 29 October. Discussion at the meetings focused on five main areas: procurement, tariff and non-tariff barriers, the role of donor agencies, quality and regulatory control, and production and technology transfer. The major conclusion drawn from the meetings was the need for rationalized and harmonized PTA drug policies and a self-generating and competitive PTA pharmaceutical industrial complex. This issue of the Monitor also features several articles relating to improving the rational use of medicines. Such articles include a study on the creation of low-cost packaging with understandable drug information for essential drugs and the creation of a scoring system for the selection of essential drugs. Other notable articles include a feature on a process for helping family doctors in Northern Ireland self-regulate their prescription practices, a survey of morbidity patterns and drug requirements at the primary health care level in Sri Lanka, and the continued development of a national drug policy in Tanzania. The Newsdesk section includes a feature on the development of the International Network for Rational Use of Drugs and many short articles relating to rational use and quality control. The Published Lately section includes new publications on prescription and rational use. A letter to the editor regarding consumer responses to Australia’s new national policy is also included in this edition.
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