Rationales and arguments behind the adoption of self-selection of nonprescription medicines in Denmark
ConclusionThe formal rationale behind the adoption of self-selection of NPMs was increased accessibility. However, bearing in mind the rationales and their supporting arguments, economic interests and previous changes within the sector, it could be argued that an underlying rationale behind adopting the policy was to liberalize the Danish pharmacy sector even further. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - July 8, 2020 Category: Pharmaceuticals Source Type: research

Integrating pharmaceutical systems strengthening in the current global health scenario: three ‘uncomfortable truths’
AbstractThe response to emergency public health challenges such as HIV, TB, and malaria has been successful in mobilising resources and scaling up treatment for communicable diseases. However, many of the remaining challenges in improving access to and appropriate use of medicines and services require pharmaceutical systems strengthening. Incorporating pharmaceutical systems strengthening into global health programmes requires recognition of a few ‘truths’. Systems strengthening is a lengthy and resource-intensive process that requires sustained engagement, which may not align with the short time frame for achi...
Source: Journal of Pharmaceutical Policy and Practice - June 25, 2020 Category: Pharmaceuticals Source Type: research

Clinical preceptor competencies for a better pharmacy education: a suggested framework for Lebanon
Conclusionall aforementioned competencies are expected to improve the acquisition of learning by pharmacy trainees in Lebanon. This framework can be used by pharmacy program directors and preceptors for developmental purposes through self- or peer-evaluation processes, identifying gaps, and helping to fill the needs for a better workforce in academic and experiential pharmacy education. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 24, 2020 Category: Pharmaceuticals Source Type: research

Pharmacists and COVID-19
AbstractIn the fight against COVID-19, frontline health workers have been vital to keeping the pandemic at bay, but recognition of individual professions ’ efforts have been inconsistent at all levels. Pharmacists around the world have continued to provide direct patient care and perform frontline duties for their communities during this pandemic, but are often relegated to the background and overlooked when frontline workers are heralded. Communit y pharmacists are the most accessible healthcare practitioners, which is further proven during the pandemic as they continued to provide direct patient care despite restri...
Source: Journal of Pharmaceutical Policy and Practice - June 19, 2020 Category: Pharmaceuticals Source Type: research

Dipeptidyl Peptidase-4 inhibitors use in type II diabetic patients in a tertiary hospital
This study aimed to identify the outcomes of DPP-4i use in one of the largest tertiary public hospital in Southeast Asia.MethodsThis is a retrospective cross sectional study conducted in 2016, where stratified sampling method was used. Patients with T2DM treated with available DPP-4i; namely Linagliptin, Saxagliptin, Sitagliptin and Vildagliptin, for at least 3 months were identified from the pharmacy record. Medical records from Physician Clinic in Hospital Kuala Lumpur (HKL) were reviewed. Data on demographic, anthropometric, antidiabetic treatment modalities, laboratory and documented outcomes were collected. Outcomes e...
Source: Journal of Pharmaceutical Policy and Practice - June 18, 2020 Category: Pharmaceuticals Source Type: research

Predictors of prolonged length of hospital stay and in-hospital mortality among adult patients admitted at the surgical ward of Jimma University medical center, Ethiopia: prospective observational study
AbstractBackgroundData regarding prolonged length of hospital stay (PLOS) and in-hospital mortality are paramount to evaluate efficiency and quality of surgical care as well as for rational resource utilization, allocation, and administration. Thus, PLOS and in-hospital mortality have been used as a surrogate indicator of satisfactory treatment outcome and efficient utilization of resources for a given health institution. However, there was a scarcity of data regarding these issues in Ethiopia. Therefore, this study aimed to assess treatment outcome, length of hospital stay, in-hospital mortality, and their determinants.Me...
Source: Journal of Pharmaceutical Policy and Practice - June 16, 2020 Category: Pharmaceuticals Source Type: research

COVID-19 and community pharmacy services in Pakistan: challenges, barriers and solution for progress
AbstractIn the wake of atrocious rise in COVID-19 cases, developed countries are leveraging a range of community pharmacy services with the goal of improving access to essential medication and healthcare services. While in the developing nations, including Pakistan, pharmacists are unable to perform COVID-19 containment roles in community, since presence of pharmacists at community pharmacy settings and delivery of pharmacy services have historically been plagued by shortcomings at various levels. In this document, we identified these shortcomings which need to be resolved on many fronts. Broadly, a number of intertwined g...
Source: Journal of Pharmaceutical Policy and Practice - June 15, 2020 Category: Pharmaceuticals Source Type: research

Correction to: Amid COVID-19: the importance of developing an positive adverse drug reaction (ADR) and medical device incident (MDI) reporting culture for Global Health and public safety
An amendment to this paper has been published and can be accessed via the original article. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 11, 2020 Category: Pharmaceuticals Source Type: research

Evaluation of drive-through pharmacy service in Queen Elizabeth Hospital Malaysia
ConclusionCompliance in medication collection is acceptable within stipulated grace period. Despite low occurrence, identification of near-missed medication errors provides useful insights for future improvement of the service. Generally, our patients are satisfied with the service. However, we need to re-evaluate on the opening hours and location of the service. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 11, 2020 Category: Pharmaceuticals Source Type: research

The role of accountability in the performance of Jazia prime vendor system in Tanzania
ConclusionFinancial, performance and procedure accountability measures played an important role for the successful performance of Jazia PVS in Tanzania. The study highlights the need for capacity building linked to financial and supply management at lower level health facilities, including health facility governing committees, which are responsible for priority-setting and decision-making at facility level. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - June 8, 2020 Category: Pharmaceuticals Source Type: research

What influences antibiotic sales in rural Bangladesh? A drug dispensers ’ perspective
ConclusionDispensers in rural Bangladesh sell antibiotics inappropriately by ignoring existing national regulations. They operate the antibiotic sales without facing any legal barriers and primarily with a view to sustain their business, resulting in inappropriate sales of antibiotics to the rural community. The influence of the drug industry needs to be replaced with evidence-based, not commercially driven information. Awareness programs for antibiotic providers that promote understanding of antibiotics and antibiotic resistance through tailored interventions may be helpful in changing current antibiotic sales practices. ...
Source: Journal of Pharmaceutical Policy and Practice - June 3, 2020 Category: Pharmaceuticals Source Type: research

Pharmacist intervention amid the coronavirus disease 2019 (COVID-19) pandemic: from direct patient care to telemedicine
AbstractIntroductionThe coronavirus disease (COVID-19) pandemic has placed enormous pressures on the Canadian healthcare system. Patients are expected to stay home in order to contain the spread of the virus, but understandably have numerous questions and concerns about their health. With physical distancing being of utmost importance during the pandemic, much of healthcare has been forced to move online or over the telephone. Virtual healthcare, in the form of video calls, email, or telephone calls with patients, can significantly enhance access to healthcare. Many clinics have moved their appointments online, and physici...
Source: Journal of Pharmaceutical Policy and Practice - May 27, 2020 Category: Pharmaceuticals Source Type: research

The transition to universal health coverage in low and middle-income countries: new opportunities for community pharmacists
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 26, 2020 Category: Pharmaceuticals Source Type: research

Pharmacists reinventing their roles to effectively respond to COVID-19: a global report from the international pharmacists for anticoagulation care taskforce (iPACT)
AbstractSARS-CoV2 is dramatically impacting the global population. Worldwide, pharmacists are changing their roles and being increasingly recognized for their role as essential service providers. This commentary provides some examples collected from Asia, Europe, the Americas and Africa, ranging from essential services to meet human rights basic needs, extended generalist services developed to ensure continuity of care and supply of essential medicines to the development of differentiated extended responsibilities in emergency care. All examples were collected using a network of pharmacists from 27 countries, representing ...
Source: Journal of Pharmaceutical Policy and Practice - May 25, 2020 Category: Pharmaceuticals Source Type: research

Understanding the decision making process of selection of medicines in the private sector in South Africa – lessons for low-middle income countries
ConclusionsThis is one of the first studies in SA describing interviews with private sector medical scheme Formulary managers. It contributes to an increased understanding of how decisions are taken to include/exclude medicines on private sector medical scheme formularies. It provides insight into the medicine selection and review processes, including processes on monitoring and evaluation of medicines use by the private sector which serve as lessons for Low-Middle income countries moving towards UHC. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 21, 2020 Category: Pharmaceuticals Source Type: research

Sterilization plan of the used metered dose inhalers (MDI) to avoid wastage amid COVID-19 pandemic drug shortage
AbstractBackgroundCoronavirus is causing a shortage of critical inhalers needed by patients with Asthma and respiratory illness. Patients with Asthma are at higher risk if they tract the novel Coronavirus. As the coronavirus continues to spread, hospitals are turning to use more salbutamol MDI. Salbutamol MDI has become the line of defence for physicians in the emergency room who are treating patients with Corona Virus Disease 2019 (COVID-19) and have respiratory distress .[Hui et al 2020 ,and Center for Drug Evaluation and Research 2020]During the COVID pandemic, there has been a drastic increase in the use of MDI inhaler...
Source: Journal of Pharmaceutical Policy and Practice - May 20, 2020 Category: Pharmaceuticals Source Type: research

Amid COVID-19: the importance of developing an positive adverse drug reaction (ADR) and medical device incident (MDI) reporting culture for Global Health and public safety
AbstractAmidCOVID-19 Crisis, reporting adverse drug reactions (ADRs) and medical device incidents (MDIs) to Health Canada or health authorities in every country is crucial for monitoring medication safety and improving public health. Health Canada, for example, through their online database, has facilitated the process of reporting side effects relating to drugs and medical devices. However, several patients and health care professionals still fail to voluntarily report adverse events. For health care providers, some barriers to reporting may include fear of negative feedback, apathy, legal concerns, and uncertainty about ...
Source: Journal of Pharmaceutical Policy and Practice - May 18, 2020 Category: Pharmaceuticals Source Type: research

Current regulatory approaches for accessing potential COVID-19 therapies
AbstractThis commentary aims to elaborate challenges in the regulatory approaches for accessing and investigating COVID-19 potential therapies either with off-label use, compassionate use, emergency use or for clinical trials. Since no therapies have been formally approved and completely effective and safe to date, the best clinical choice is acquired only after consistent and fair communication and collaboration between licensed clinicians, researchers, regulatory authorities, manufacturers and patients. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 16, 2020 Category: Pharmaceuticals Source Type: research

A step towards gender equity to strengthen the pharmaceutical workforce  during COVID-19
AbstractThere is plenty of evidence to support that women leaders are needed in the health and pharmaceutical sectors, although most of the leadership positions in global health are predominantly occupied by men. This is a major challenge to global health policy. Gender diversity and inclusion within the pharmaceutical workforce is integral to optimal patient care. Women continue to be underrepresented in senior and leadership positions within pharmacy, despite outnumbering the men in the global pharmacy workforce. This commentary highlights the need towards gender equity and discusses the several key initiatives that are ...
Source: Journal of Pharmaceutical Policy and Practice - May 15, 2020 Category: Pharmaceuticals Source Type: research

Oxytocin quality: evidence to support updated global recommendations on oxytocin for postpartum hemorrhage
ConclusionsStoring oxytocin from 2 to 8  °C throughout the supply chain is important for maintaining its quality. While short temperature excursions may not harm product quality, the cumulative heat exposure is generally not tracked and leads to degradation. National and sub-national policies must prioritize procurement of quality oxyt ocin and require its appropriate storage and management. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 15, 2020 Category: Pharmaceuticals Source Type: research

Together we unite: the role of the Commonwealth in achieving universal health coverage through pharmaceutical care amidst the COVID-19 pandemic
AbstractThe world currently faces unprecedented health challenges as COVID-19 poses a huge threat to health systems, economies and societies as we know it. The events of the current COVID-19 pandemic have further emphasised existing issues within our health systems. There is no better time than now to come together in global solidarity to tackle these evolving threats of COVID-19 pandemic. The Commonwealth is an ideally placed network to tackle these global health challenges, with its wide-reaching networks of governmental, non-governmental and civil society organisations across all continents. Although the biennial Common...
Source: Journal of Pharmaceutical Policy and Practice - May 13, 2020 Category: Pharmaceuticals Source Type: research

Job satisfaction among pharmacy professionals working in public hospitals and its associated factors, eastern Ethiopia
ConclusionIn this study, the job satisfaction levels of pharmacy professionals were found to be very low. The age category of 20 to 25, holding a bachelor degree, working for more than 40  h per week, and working in dispensing unit were found to be strong predictors of job dissatisfaction. Hence, pharmacy directors and hospital administrators should work to reduce unnecessary workload on the staffs and create good working climate. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 11, 2020 Category: Pharmaceuticals Source Type: research

A simplified checklist for the visual inspection of finished pharmaceutical products: a way to empower frontline health workers in the fight against poor-quality medicines
ConclusionThe simplified checklist should now be implemented in real-life setting in LMICs. If proven useful in guiding health workers at the point-of-care to take rapid, transparent, patient-centred actions when facing a suspect poor-quality medicine, it could be further extended to address specific formulations. Digitalization for linkage with pharmacovigilance programs could also be considered. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - May 1, 2020 Category: Pharmaceuticals Source Type: research

Knowledge and attitudes towards antibiotic use and resistance among undergraduate healthcare students at University of Rwanda
ConclusionsThe present study reports a moderate knowledge on AMR among the healthcare students. The gaps in the current formal training of healthcare individuals have been identified as well. We highlight the necessity to enhance educational approaches to introduce the key concepts of AMR and antimicrobial stewardship to the curriculum of healthcare students. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - April 22, 2020 Category: Pharmaceuticals Source Type: research

Pharmacists at the frontline beating the COVID-19 pandemic
AbstractAs the lockdowns are being observed all over the globe and the national level pharmacy professionals are performing frontline roles, this editorial highlights the role of pharmacists in the COVID − 19 pandemic. Pharmacists globally are providing services amidst pandemic, including TRIAGE services, seeing patients and reducing the patients’ burden on health care facilities such as hospitals and GP practices. Pharmacists are also working to providing home deliveries, as well as dealing w ith the increasing number of patients coming through to pharmacies with the other ailments. Pharmacy association...
Source: Journal of Pharmaceutical Policy and Practice - April 20, 2020 Category: Pharmaceuticals Source Type: research

Price variation among different brands of anticancer medicines available in hospital pharmacies of Nepal
AbstractObjectiveTo assess the variation in price among different brands of anticancer medicines available in hospital pharmacies at Nepalese cancer hospitals.MethodsThe price of different brands of the same anticancer medicines available in the hospital pharmacies of two cancer hospitals was assessed. Prices of different dosage forms such as a single tablet, capsule and vial were calculated. The difference in the maximum and minimum price of the same drug manufactured by different pharmaceutical industries was determined, and the percentage variation in price was calculated. The prices of medicines (brands) were also comp...
Source: Journal of Pharmaceutical Policy and Practice - April 2, 2020 Category: Pharmaceuticals Source Type: research

Public reporting on pharmaceutical industry-led access programs: alignment with the WHO medicine programs evaluation checklist
ConclusionThe WHO checklist of key considerations for evaluating proposals for access to medicine programs could be a useful framework for public reporting of program information as most of checklist questions ask for data that should be available to those leading the program. Further revisions of the WHO checklist will help refine it to improve clarity and content validity. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - March 26, 2020 Category: Pharmaceuticals Source Type: research

Advertisement of antibiotics for upper respiratory infections and equity in access to treatment: a cross-sectional study in Nepal
ConclusionsUpper respiratory tract antibiotics are widely promoted at community pharmacies. The treatment cost of antibiotics is unaffordable for unskilled workers in Nepal irrespective of the type and unit cost of antibiotics. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - February 21, 2020 Category: Pharmaceuticals Source Type: research

Abstracts from the 1st JoPPP Conference on Pharmaceutical Policy and Practice
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - January 29, 2020 Category: Pharmaceuticals Source Type: research

Herbal medicines: a cross-sectional study to evaluate the prevalence and predictors of use among Jordanian adults
This study sought to investigate the prevalence and to determine factors for predicting the use of herbal medicine among Jordanian adults.MethodsA cross-sectional study was conducted involving 378 older adults who were randomly selected from two different areas of Jordan. A questionnaire was used to gather data and validation criteria for validity and reliability of the content were tested by content and face validity in a panel of experts.ResultsFrom a total of 500 invited participants, 378 completed the questionnaire. The prevalence of the use of of herbal products in this study was high at 80.2%. Herbal medicines use wa...
Source: Journal of Pharmaceutical Policy and Practice - January 21, 2020 Category: Pharmaceuticals Source Type: research

Supplementary protection certificates and their impact on access to medicines in Europe: case studies of sofosbuvir, trastuzumab and imatinib
AbstractIn recent years, there has been increasing pressure on public health systems in high-income countries due to high medicines prices, one of the underlying causes of which are the market monopolies granted to pharmaceutical undertakings. These monopolies have been facilitated by expanded forms of intellectual property protections, including the extension of the exclusivity period after the expiration of the patent term concerning medicinal products. In the European Union such an approach lies in the Supplementary Protection Certificate, a mechanism formally introduced under Regulation 1768/92/EEC (now: Regulation 469...
Source: Journal of Pharmaceutical Policy and Practice - January 14, 2020 Category: Pharmaceuticals Source Type: research

The association of HIV and easy access to narcotics in Pakistan; calling drug policy makers
AbstractHIV in Pakistan is concentrated to people who inject drugs (PWID) and easy accessibility of narcotics to this population cannot be disregarded as a risk factor of growing encumbrance of AIDS in the country. All the narcotics and other medications having high potential of abuse are stratified into Schedule G of Punjab Drug Rules 2017. According to these rules, drugs in Schedule G shall be sold in pharmacy under the direct supervision of qualified pharmacist. However, Schedule G is not implemented in Punjab due to continuous resistance from pharmaceutical stakeholders including medical store owners (who are barred to...
Source: Journal of Pharmaceutical Policy and Practice - December 18, 2019 Category: Pharmaceuticals Source Type: research

Costs and effectiveness of the supervision, performance assessment and recognition (SPARS) strategy for medicines management in Uganda
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - December 3, 2019 Category: Pharmaceuticals Source Type: research

Imbalance in glycemic control between the treatment and placebo groups in cardiovascular outcome trials in type 2 diabetes
ConclusionsThe safety and efficacy of new hypoglycemic agents are potentially inflated because the participants in the placebo groups unexpectedly exhibited inferior glycemic control throughout the trial compared with the outcomes in the treatment groups. This imbalance may distort data interpretation and mask potential risks of the drugs. Re-analysis with adjustment for HbA1c concentrations would determine whether the results of these CVOTs were biased by the difference in glycemic control between the treatment and placebo groups and reveal potential effects of the test drugs independent of glycemic control. (Source: Jour...
Source: Journal of Pharmaceutical Policy and Practice - November 18, 2019 Category: Pharmaceuticals Source Type: research

Correction to: Public procurement of medicines: scoping review of the scientific literature in South America
Following publication of the original article [1], we have been notified of a few errors in the figures: (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - November 18, 2019 Category: Pharmaceuticals Source Type: research

Factors contributing to medicines wastage in public health facilities of South West Shoa Zone, Oromia Regional State, Ethiopia: a qualitative study
ConclusionMedicine wastage is an ever-increasing problem in public health facilities of South West Shoa Zone. The problem is exacerbated due to absence of mechanisms to minimize the wastage. Health facilities, therefore, should place a mechanism to exchange medicines from overstocked facilities to under stocked ones; has to improve store management capacity by employing competent professionals, equipping the store with necessary technology and introducing a monitoring and evaluating health supply chain performance system in the health facilities. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - November 11, 2019 Category: Pharmaceuticals Source Type: research

Pharmacotherapy of infertility in Ghana: retrospective study at the cape coast teaching hospital
ConclusionsPrevalence of infertility was estimated to be about 12.3%. One out of every five infertile couples achieved success with pharmacotherapy. Factors such as age, type of infertility, employment status, but not education were significantly associated with treatment success. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - November 4, 2019 Category: Pharmaceuticals Source Type: research

Abstracts from the 4th International PPRI Conference 2019: Medicines access challenge – The value of pricing and reimbursement policies
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - October 18, 2019 Category: Pharmaceuticals Source Type: research

Challenges constraining availability and affordability of insulin in Bengaluru region (Karnataka, India): evidence from a mixed-methods study
ConclusionInsulin availability in Bengaluru ’s public sector falls short of WHO’s 80% target. Insulin remains unaffordable in both private and public sectors. To improve insulin availability and affordability, government should streamline insulin procurement and supply chains at different levels, mandate biosimilar prescribing, educate ph ysicians to pursue evidence-based prescribing, and empower pharmacists with brand substitution. Patients must be encouraged to shop around for lower prices from subsidized schemes like JAS. While non-Indian companies dominate Bengaluru’s insulin market, rising market com...
Source: Journal of Pharmaceutical Policy and Practice - October 17, 2019 Category: Pharmaceuticals Source Type: research

A qualitative exploration of Bahrain and Kuwait herbal medicine registration systems: policy implementation and readiness to change
ConclusionsInsights into the HM policy development and implementation process in Bahrain, and exploration of Kuwait ’s readiness to implement resultant recommendations informed an effective implementation process for a well-designed HMs policy for Kuwait and other Arab countries. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - October 9, 2019 Category: Pharmaceuticals Source Type: research

Eliminating medicine waste in a Finnish university hospital — a qualitative study
ConclusionMedicine supply and waste management remain a manual administrative task. Inconsistent information and unfit information systems make this task challenging, and the process relies on the medicine supply staff ’s experience and assumptions. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - October 2, 2019 Category: Pharmaceuticals Source Type: research

Public procurement of medicines: scoping review of the scientific literature in South America
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - September 18, 2019 Category: Pharmaceuticals Source Type: research

Perceptions and trends in the use of community pharmacies in Ghana
ConclusionThe findings of the study suggest that beside the fact that majority of the respondents believe that community pharmacists are responsive, friendlier and have the capacity to handle minor ailments, they are indeed using community pharmacies for the treatment of minor ailments. It will therefore be important to develop appropriate policy and regulations that enables community pharmacies to adequately participate in the delivery of primary care and thereby improve population health. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - September 18, 2019 Category: Pharmaceuticals Source Type: research

Regulatory framework in Pakistan: situation analysis of medicine quality and future recommendations
ConclusionThe case reports, investigations, and general data listed for Pakistan suggest the need of strengthening regulatory systems for premises and GMP inspections, analytical laboratories, as well as an overall capacity building in the field of unravelling and controlling substandard and falsified medicines. It is proposed that well-planned and properly funded studies need to be carried out for collecting critical statistics regarding the prevalence of substandard and falsified medicines in Pakistan. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - September 11, 2019 Category: Pharmaceuticals Source Type: research

Assessing national governance of medicine promotion: an exploratory study in Ghana to trial a structured set of indicators
ConclusionOur set of indicators identified gaps and opportunities for the governance of medicines promotion in Ghana. These indicators have the potential to highlight areas requiring improved governance and could therefore form a useful diagnostic tool for identifying key discussion points for policy strengthening within low- and middle-income countries. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - September 4, 2019 Category: Pharmaceuticals Source Type: research

Systematic review for the development of a pharmaceutical and medical products prioritization framework
ConclusionsOur review provides a thorough analysis of the relevant issues and offers key recommendations regarding considerations for developing a national prioritization framework. Findings are envisioned to be useful for different public organizations that are aiming to establish healthcare priorities. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - August 21, 2019 Category: Pharmaceuticals Source Type: research

The Brazilian private pharmaceutical market after the first ten years of the generics law
ConclusionSales of branded generics and originators decreased substantially in the three therapeutic classes analysed following the introduction of the generics policy in Brazil, but the time to market dominance of generics varied by class. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - August 14, 2019 Category: Pharmaceuticals Source Type: research

Implementing a clozapine supply service in Australian community pharmacies: barriers and facilitators
ConclusionsAlthough regulatory changes aimed to improve access to clozapine, it is unclear if they have been successful, or to what degree. Community pharmacists were positive about supplying clozapine in the community but identified a need for training and support to raise awareness of the service so that eligible clozapine consumers can be transitioned to community-based care. Further research is needed about the perceptions of clozapine consumers to determine whether the regulatory changes have resulted in positive outcomes for their independence and quality of life. (Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - August 7, 2019 Category: Pharmaceuticals Source Type: research

Need to improve availability of “access” group antibiotics and reduce the use of “watch” group antibiotics in India for optimum use of antibiotics to contain antimicrobial resistance
(Source: Journal of Pharmaceutical Policy and Practice)
Source: Journal of Pharmaceutical Policy and Practice - July 17, 2019 Category: Pharmaceuticals Source Type: research

Assessment of prescription pattern and prescription error in outpatient Department at Tertiary Care District Hospital, Central Nepal
ConclusionThe study shows low compliance with WHO prescribing indicators and high prescription errors. The prescribing practices were not confirmed to the standard recommended by WHO. Prescribing from the Essential Drug List (EDL), low rates of generic prescribing, high antibiotic prescribing and polypharmacy were a major problem. The study found major errors in prescriber and prescribed medicine details. Remarkable drug interactions were seen in prescribed medicines. The study recommended necessary practices and policy formulation and implementation by DTC and regulatory bodies to promote the rational use of medicine. (So...
Source: Journal of Pharmaceutical Policy and Practice - July 10, 2019 Category: Pharmaceuticals Source Type: research