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Strengths and Weaknesses of TB Drug Management Democratic Republic of Congo, Congo Brazzaville, Uganda, Nigeria, and Ben

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Strengths and Weaknesses of TB Drug Management Democratic Republic of Congo, Congo Brazzaville, Uganda, Nigeria, and Benin. Group 1 Countries. Uganda Democratic Republic of Congo Congo Brazzaville Nigeria Benin Republic. Policy and Legal Framework: Strengths.

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Strengths and Weaknesses of TB Drug Management Democratic Republic of Congo, Congo Brazzaville, Uganda, Nigeria, and Ben

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  1. Strengths and Weaknesses of TB Drug Management Democratic Republic of Congo, Congo Brazzaville, Uganda, Nigeria, and Benin

  2. Group 1 Countries • Uganda • Democratic Republic of Congo • Congo Brazzaville • Nigeria • Benin Republic

  3. Policy and Legal Framework: Strengths • NDP is present in all countries. In Congo Brazzaville, it is developed but not implemented. • Most countries have TB drugs on the EDL (except DRC). • Special consideration for donated drugs; all require evidence of quality control (+, -).

  4. Policy and Legal Framework: Weaknesses • Weak enforcement of policies, also in the private sector • Labs for QC not adequate • DOTS not widespread (except Benin) • Government funding levels inadequate (except Benin)

  5. Selection Process • All countries have protocols (STGs), however each country’s STGs may differ • Weakness: Forms and dosages differ within country • Regimen changes have been successful • Weakness: Problems with wastage

  6. Distribution and Use • All NTP involved in quantification • Weakness: Data questionable (except Benin, CB) • Drug management information systems are sometimes weak • Movement of drugs from the central to the regional level works well • Weakness: Movement from the regional to peripheral level is a problem

  7. Distribution and Use, continued • Use of blister packs has improved compliance and reduced wastage (Nigeria, Uganda)

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