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Título: Critical Analysis in the Management of Hospital Drug Formularies: Case of Health Facilities in Nairobi, Kenya
Autores: George, Gongera Enock
Fecha: 2013-02-01
Publicador: European Journal of Business and Management
Fuente:
Tipo: info:eu-repo/semantics/article
Peer-reviewed Article
info:eu-repo/semantics/publishedVersion
Tema: No aplica
Descripción: The use of formularies in drugs management is a widely accepted practice and Kenya has adopted the World Health Organization (WHO) drug formulary model to develop its own formularies or essential drug lists. This study critically analysed the management of drug formularies by both private and public health facilities in Nairobi. Specifically, the study sought to determine the type of formulary in use by various health facilities in Nairobi as well as assessing the extents to which external and internal variables influence the management of drug formularies in the said health facilities. A cross-sectional descriptive study was employed where the researcher used stratified random sampling as well as convenient sampling to draw a sample of 189 health facilities from the population. Results: There is 94% awareness of drug formularies, only 41.8% have participated in development of an Standard Treatment Guidelne or a drug formulary. 71.4% of respondents considered drug formularies very important. 73.5% of registered health facilities in Nairobi have adopted the Kenya Essential drug List (KEDL).  Out of the 73.5% above, 49.2% of the facilities have developed facility own drug formularies while 26.5% confirmed to not have used the national essential drug list at all. All ministry of health local authority facilities used the National essential drug list. Majority, 93.6% considered their formularies open while only 6.4% considered their formularies closed. Drug promotion poses the greatest influence to drug formulary non compliance while insurance was considered the least external factor in Nairobi health facilities. Under internal factors, lack of pharmacy and therapeutic committees or its equivalent topped the most challenging  internal factor  affecting the drug formulary availability and compliance. Conclusion: Drug formulary mangement in Nairobi health facilities is not fully developed and is also facing alot of challenges.Recommendations: There is need to base all facilities-own formularies on set standards while exploration of higher levels of formulary management will ensure more benefits to patients. Individual facilities must be more proactive in ensuring they operate within the national medicine policies which is possible through self regulation. Pharmacy and Therapeutic Committee in facilities to be enforced and also for health centres and dispensaries on need basis. KeyWords:Management, PromotionStrategy, Implementation Challenges.
Idioma: Inglés