Lessons from the Kaduna sustainable drug supply intervention initiative
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Abstract
Background : The Sustainable Drug Supply System (SDSS) is a strategy for ensuring uninterrupted drug supply for sustained and affordable health care delivery in all health care institutions in some States in Nigeria. Drug distribution network in Nigeria is in a state of chaos because it consists of multitude of illegal markets, patent medicine stores, pharmacies, private and public hospitals, wholesalers/importers and pharmaceutical manufacturers operating in an uncoordinated manner.
Objectives : To examine the distribution channels of the Kaduna State SDSS; evaluate it within the framework provided in the Nigerian Drug Distribution Guidelines (NDDG) and assess the challenges militating against the scheme.
Methods : The study was a cross sectional survey of stakeholders managing the scheme and patients patronizing the health care facilities using semi – structured questionnaires. Data obtained were analysed using descriptive and inferential statistics.
Results : The result of the study indicated that the Kaduna State SDSS distribution channels are consistent with the provisions of the NDDG. Drug availability in facilities was widely reported to have improved following the SDSS intervention; however 41.2% of the respondent believed the drugs are expensive.
Conclusion : If the provisions of the Kaduna State SDSS are properly implemented and enforced, the model is capable of addressing the uncoordinated drug distribution system and curbing the supply chain vulnerability to infiltration by unauthorized and corrupt participants in the state.
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References
Federal ministry of Health (2012). National Drug Distribution Guidelines 2 ed., pp 1- 14.
Kumurya AS. (2005). Supply Chain Management of Health Commodities and Logistics: Fundamental Components of Booming Medical
Laboratory Services. European Journal of Logistics, Purchasing and Supply Chain Management 3(4): 62-72
Reich MR (1995). The politics of health sector reform in developing countries: three cases of pharmaceutical policy. Health Policy.32:47–77.
John P (2009). Supply chain management: combating counterfeits. PharmAsia (4) pp 1-5
Olatunji EO (2013). The Politics of Pharmaceutical Regulation in Nigeria: Policy Options for Third World Countries. Public Policy and Administration Research 3(8): 89-98.
Dike ON and Onah JO (2014). Evaluating Consumers' Protective Measures Against Unethical Marketing Of Medical Drugs In Nigeria.
International Journal of Business and Management Invention 3 (1): 14-21.
Quick JD, Rankin JR, Laing RO, O'Connor RW, Hogerzeil HV, Dukes MNG, Garnett A. (1997). Managing drug supply, 2nd ed. West Hartford, CT: Kumarian Press. 256–269.
Akunyili DN (2010). The War against Counterfeit Medicine, My Story. Ibadan: Safari Books 2-33
Thomas E, Katy G, Erik L, Ketan S and Drew U (2013). Building new strength in the health care supply chain. Mckinsey and Company (1) pp 3– 13
Mc Pake B, Hanson K and Mills A (1993). Community Financing of Health Care in Africa: An Evaluation of the Bamako Initiative. Social
Science and Medicine 36:1383-1395
Federal ministry of Health (2005). National Drug Policy, 1st revised ed., Federal Ministry of Health Production, Nigeria pp.4-17.
World Health Organization Essential Drugs Monitor. (1998). Double issue No. 25 & 26.
World Health Organization Essential Drugs Strategy: objectives, priorities for action, approaches. (1997). Geneva: DAP/MAC(9)/97.4.
World Bank. (1994). Better health in Africa, experience and lessons learned. (Report No.12577–AFR). Washington DC.
World Bank. (1993). Investing in Health. New York: Oxford University Press.
Mohammed S, Magaji MG, Lawal GS and Masoud MG (2007). Medicine Supply Management In Nigeria: A Case Study Of Ministry Of Health,
Kaduna State. Nigerian Journal Pharmaceutical Sciences 6 (2) pp. 116 – 120.
Aday LA and Andersen RA (2005). Framework for the Study of Access to Medical Care. Health Services Research, Center for Health Care Studies, University of Chicago, USA 2-31
Oladipo B (2012). Procurement, logistics and supply chain management. Bulois Nig. Enterprises ISBN: 978-071-607-3.
Kaduna State Ministry of Health. (2012). Kaduna state government health bulletin 3-25.
Kaduna state Ministry of Health (2013). Sustainable Drugs Supply System Operational Guidelines for Secondary Health Care facilities 2-12.