Establishment of drug chests at commune health stations in Vietnam, Bamako initiative.
In remote areas in Vietnam essential drugs are often not available.
Some of the reasons are inadequate resources and failure of distribution.
All activities at the health stations are very weak, partly because of inappropriate usage of drugs and lack of fund for buying drugs.
The object of the project was to establish sustainable provision of essential drugs for commune health stations in rural areas, to teach the health personnel the importance of essential drugs and to create incentives for the staff and a certain surplus for other health activities.
Four District Health Centers (DHC) and 10 Health Stations (HS), 2-4 in each DHC were selected.
A pharmacist was made monitor of the project The health personnel were trained in proper use of drugs, drug prescription, price setting, book keeping and management ofpharmacy.
Written guidelines were produced.
One person was responsible for the drug chest at each HS.
After recognizing the aim of the project and signing the contract by which the responsible person was bound, the initial capital was given free.
The DHC was responsible for the supervision and advice to the HS.
Reporting on presribed drugs, buying and selling price, profit and fund left took place monthly.
Monitoring of recovery of capital, turnover rate, rate of essential drugs and incentives for staff were monitored on forms and quarterly collected by the monitor on his visits.
The HS were visited half-yearly by a steering group. (...)
Mots-clés Pascal : Soin santé primaire, Médicament, Approvisionnement, Centre santé, Vietnam, Asie, Milieu rural
Mots-clés Pascal anglais : Primary health care, Drug, Supply, Health center, Vietnam, Asia, Rural environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0299308
Code Inist : 002B30A01C. Création : 16/11/1999.