主催: The Japanese Pharmacological Society, The Japanese Society of Clinical Pharmacology
会議名: WCP2018 (18th World Congress of Basic and Clinical Pharmacology)
開催地: Kyoto
開催日: 2018/07/01 - 2018/07/06
Background: This study is aimed to investigate the changing trend in the availability of key essential medicines for children in three Provinces in Sri Lanka.
Methods: This is a part of an on-going national survey. The methodology was adapted from the World Health Organization/ Health Action International medicine price methodology. Data collected from a representative sample of 15 public hospitals (PHs) (Outpatients Department Pharmacies), 15 private (PPs) and 3 state affiliated community pharmacies (SACPs) from 3 Provinces were compared with results from a similar national survey we did in 2009. Study settings were selected using a multistage clustered approach to represent different levels of PHs. Public hospitals and SACPs were the same in both years. However, some PPs had to be changed in 2017. At each medicine outlet, data on availability of 25 key essential medicines for children were collected on the survey day, and analysed using descriptive statistics.
Results: The mean percent availability in PHs, PPs and SACPs were respectively, 65.6%, 69.3% and 89.3% in 2017 compared to 48%, 81.1% and 97.3% in 2009. Eleven were commonly used anti-infectives and their mean percent availability in PHs was considerably higher in 2017 (60.6%) than 2009 (48.5%) compared to a drop in SACPs (100% to 94%) and PPs (90.3% to 77.6%). Amoxicillin suspension was available in 86.7%, 93.3% and 100% of PHs, PPs and SACPs, respectively, compared to 33%, 100% and 100% in 2009.
Similar improvement was observed in PHs for anti-asthma medicines and oral liquids of carbamazepine, paracetamol, domperidone and ibuprofen: Salbutamol metered dose inhaler and respiratory solution were available in 73% and 58.3% of PHs in 2017 compared to 6.7% and 8.3% in 2009. Availability of these medicines remained unchanged or dropped slightly in SACPs and PPs.
Availability of paracetamol tablet, oral rehydration salt and chlorphenamine syrup remained high in all 3 sectors whereas availability of iron syrup persisted very low in PHs.
Conclusion: Considerable improvement was observed in the availability of key essential medicines for children in public hospitals in 2017 compared to 2009. This is a positive achievement towards ensuring access to paediatric essential medicines.
