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Monitoring Drug Use in Namibia’s Health Institutions: Lessons Learned and Future Strategies

This study presents findings from the Third National Survey on Drug Use in Namibia’s Public Health Institutions, focusing on the implementation of the National Drug Policy. Key issues identified include poor adherence to prescribing guidelines and the need for nationwide campaigns to improve practices. Recommendations include involving all levels of staff, utilizing routine supervision, and enhancing pre-service training. Future research should explore resource-efficient methods for improving prescribing skills and enhancing pharmacy staff roles in promoting adherence.

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Monitoring Drug Use in Namibia’s Health Institutions: Lessons Learned and Future Strategies

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  1. Third National Survey on the Use of Drugs in Namibia’s Public Health Institutions IncludingMonitoring the Implementation of the National Drug Policy Presenter: Jennie Lates, MRPharmSGB

  2. Namibia • On west coast of Southern Africa • Independence gained in 1990 • Population ~1.8 million people • Size 823,700 km2 ~ 2 people/km2 • Government (MoHSS) provides majority of health services

  3. Introduction • MoHSS identified need to monitor drug use practices • National surveys in ’97, ’99 & ‘01 • NDP launched in 1998 • 2001 survey to monitor implementation of NDP

  4. Study Design • Prospective cross-sectional survey • Indicators from INRUD & WHO • Included 44 randomly selected health facilities • Data from 30 Outpatient Rx per facility • Pharmacies visited to collect stock info

  5. Discussion • Concerns re prescribing indicators; • £polypharmacy and antibiotic use • poor adherence to STGs • Positive results; • £labelling & generic prescribing • maintained high drug availability

  6. Conclusions Despite work to implement NDP several key drug use factors have worsened since baseline. Need to conduct Nationwide campaigns to promote adherence to STGs, especially re antibiotic prescribing.

  7. Lessons Learnt • Most action driven by Pharm. Services • All levels & cadres need to be involved in IUM • Routine supervision visits should be used to promote IUM in PHC facilities • DTCs essential to IUM in Districts and Hospitals

  8. Use face to face education to £ adherence to STGs • Induction of new contract staff essential • IUM principles MUST be in pre-service training of all cadres • Nursing cadre need more training in diagnosis and prescribing skills

  9. Implications • This type of survey plays key role in identifying problem areas. • Sector wide support for IUM is vital for success. • Integral role of prescribing staff essential in development & implementation of policies

  10. To be effective action needed at all levels in health system. • Minimum standards for prescribing staff need to be established & implemented. • Importance of supply & dispensing roles in IUM must not be forgotten.

  11. Future Research • Best methods in resource limited settings to: • ensure sector wide approach to IUM • ensure high quality of prescribing skills among health workers • increase role of pharmacy staff in promoting adherence to STGs

  12. Thank You

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