tailieunhanh - Management of Low-cost drugs and equipment

This section will describe the key steps for ensuring that drugs, medical devices and other products that are needed to deliver reproductive health services are available. | 35 Management of Low-cost Drugs and Equipment Carine Werder THE DRUG MANAGEMENT CYCLE This section will describe the key steps for ensuring that drugs medical devices and other products that are needed to deliver reproductive health services are available. The drug management cycle in general is divided into the following steps Selection Quantification Procurement Storage Distribution Consumption monitoring. Selection The choice of drugs to be available in a health facility will depend on the level of the health facility and the type of care to be provided. In many countries an essential drugs list and standard treatment guidelines have been established listing the necessary drugs for each health service level and the appropriate treatment for common diseases. Not all drugs in this textbook may be listed or available in all countries. For many conditions several treatment options may be available and a choice may need to be made between these options. In order to be able to provide the required care additional medical devices laboratory materials and equipment will be necessary. For example drugs purchased as powder for injections may not be packed already together with water for injection or other required diluent nor contain the syringes. Generic drugs A question often discussed is if originator products or brand products are more efficacious and safer than generic drugs. The answer is that there is no difference in terms of efficacy and safety between originator products and generic products if it is a generic product of good quality. The difference is that generic drugs are usually much cheaper than the originator product. Generic drugs may be developed when the patent protecting the originator product or innovator product has expired. Generic drugs contain the same active pharmaceutical ingredient in general in the same dosage as the original product. The manufacturer has to demonstrate that it is equally efficient and safe as the originator product by showing

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