دورية أكاديمية

Universal Access to Essential Medicines: An Evaluation of Nepal's Free Health Care Scheme.

التفاصيل البيبلوغرافية
العنوان: Universal Access to Essential Medicines: An Evaluation of Nepal's Free Health Care Scheme.
المؤلفون: Adhikari SR; Patan Multiple Campus, Tribhuvan University, Lalitpur, Nepal., Pandey AR; Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal., Ghimire M; Institute for Nepal Environment and Health System Development, Kathmandu, Nepal., Thapa AK; Faculty of Humanities and Social Sciences, Pokhara University, Dhungepatan, Kaski, Nepal., Lamsal DK; Civil Service Hospital, Minbhawan, Kathmandu, Nepal.
المصدر: Journal of Nepal Health Research Council [J Nepal Health Res Counc] 2018 Mar 13; Vol. 16 (1), pp. 36-42. Date of Electronic Publication: 2018 Mar 13.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Nepal Health Research Council Country of Publication: Nepal NLM ID: 101292936 Publication Model: Electronic Cited Medium: Internet ISSN: 1999-6217 (Electronic) Linking ISSN: 17275482 NLM ISO Abbreviation: J Nepal Health Res Counc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kathmandu : Nepal Health Research Council, 2002-
مواضيع طبية MeSH: Health Services Accessibility* , Universal Health Insurance*, Drugs, Essential/*supply & distribution, Cross-Sectional Studies ; Humans ; Nepal ; Surveys and Questionnaires
مستخلص: Background: Access to medicine for the poor is recognized to be difficult task and one of the major challenges in achieving universal health coverage, particularly in low-and- middle income countries. In order to ensure the availability of essential medicines free of cost in public health facilities, Nepal has also commenced Free Health Care Services (FHCS). So, this study aims to evaluate availability, expiry, and stock-out duration of essential medicines at front line service providers in Nepal.
Methods: Cross-sectional survey was conducted 28 public health facilities, 7 district warehouses, and 14 private pharmacies in 7 districts of Nepal. The survey was conducted during the March and April 2014. Survey tools recommended by the WHO operational package for assessing, monitoring and evaluating country pharmaceutical situations was used with slight modification as per Nepal's situation.
Results: The availability of medicine was found to be 92.44% in this study. The percentage of expired medicines in district warehouse was found to be 8.40. The average stock-out duration in district warehouse was 0.324 days.
Conclusions: Although the availability of essential medicines at peripheral health facilities was found to be satisfactory with lesser proportion of expired medicines, a strong monitoring and evaluation of expired and stock medicines are desirable to maintain and improve the access to essential medicines.
المشرفين على المادة: 0 (Drugs, Essential)
تواريخ الأحداث: Date Created: 20180503 Date Completed: 20181022 Latest Revision: 20191210
رمز التحديث: 20240829
PMID: 29717287
قاعدة البيانات: MEDLINE