Rutta Edmund, Senauer Katie, Johnson Keith, Adeya Grace, Mbwasi Romuald, Liana Jafary, Kimatta Suleiman, Sigonda Margareth, Alphonce Emmanuel
Center for Pharmaceutical Management, Management Sciences for Health, MA, USA.
Prog Community Health Partnersh. 2009 Summer;3(2):145-53. doi: 10.1353/cpr.0.0063.
In developing countries, the most accessible source of treatment for common conditions is often an informal drug shop, where drug sellers are untrained and operations are unmonitored.
We sought to describe a public-private initiative in Tanzania that created a new class of provider in government-accredited drug outlets, which improved the quality of medicines and pharmaceutical services in previously underserved areas.
The accredited drug-dispensing outlet program combines changing behavior and expectations of community members who use, own, regulate, and work in drug shops. Success resulted from including community stakeholders from the beginning of the process.
Addressing shortages in qualified health care providers by training and accrediting private sector drug dispensers to recognize common conditions and provide quality pharmaceutical products and services is feasible in a developing country, when supported by an appropriate policy and regulatory environment. Scaling up and sustaining the program will be a challenge.
在发展中国家，治疗常见疾病最容易获得的治疗来源通常是一家非正规药店，那里的药品销售人员未经培训，经营也无人监管。
我们试图描述坦桑尼亚的一项公私合作倡议，该倡议在政府认可的药品销售点创造了一类新的提供者，提高了以前服务不足地区的药品和制药服务质量。
认可药品销售点计划改变了在药店使用、拥有、管理和工作的社区成员的行为和期望。从该过程一开始就纳入社区利益相关者，从而取得了成功。
在适当的政策和监管环境支持下，通过培训和认可私营部门药品分发商来识别常见疾病并提供优质药品和服务，以解决合格医疗保健提供者短缺的问题，在发展中国家是可行的。扩大和维持该计划将是一项挑战。
