Availability of Essential Drugs

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AN EVALUATION OF THE AVAILABILITY OF ESSENTIAL DRUGS IN PUBLIC HOSPITALS IN KENYA: CASE STUDY KAPSABET DISTRICT HOSPITAL

BY

JOSEPH KIPLAGAT ROTICH

A research proposal submitted in partial fulfillment for the Masters of Arts degree in project planning and management of university of Nairobi.

JANUARY, 2011

DECLARATION

This research proposal is my original work and has not been presented for a degree in any other university

Signed____________________________ date_________________________________

JOSEPH KIPLAGAT ROTICH

REG NO: L50/60100/08

This proposal has been submitted for examination with my approval as university supervisor.

Signed____________________________date______________________

____________

PROFESSOR TIMOTHY MAITHO

UNIVERSITY of NAIROBI

DEDICATION

This work is dedicated to my family and friends for their support in my coursework and research.

ACKNOWLEDGEMENT

I would like to thank my supervisor Professor Timothy Maitho for his assistance and guidance in my research. I would like to thank my lecturers for giving me quality education that will take me places. I would also like to thank Kapsabet District Hospital for assistance in collection of data.

TABLE OF CONTENTS
ii
DEDICATIONiii
ACKNOWLEDGEMENTiv
LIST OF FIGURESvi
LIST OF TABLESvii
LIST OF ABBREVIATIONSviii
ABSTRACT10
CHAPTER ONE: INTRODUCTION11
BACKGROUND11
STATEMENT OF THE PROBLEM12
ESSENTIAL DRUG POLICIES20
TRENDS AND DEVELOPMENTS IN FINANCING AND PROCUREMENT OF ESSENTIAL DRUGS.21 Managing drug supply: the selection, procurement and distribution.25 How to develop and implement a national drug policy‎26

The selection and use of essential medicines: report of the WHO Expert26 The World drug situation, Part 84‎ - Page 7826
The use of essential drugs: seventh report of the WHO Expert Committee‎ - Page 1826

LIST OF FIGURES

FIGURE I

LIST OF TABLES

TABLE I

LIST OF ABBREVIATIONS

WHOWorld Health Organization

KEMSAKenya Medical Supplies Agency

MOHMinistry Of Health

KDH Kapsabet District Hospital

EDEssential Drugs

EDLEssential Drugs List

ABSTRACT

Government has an obligation to provide healthcare for its citizens but so far it has not been able to provide this service satisfactorily .This paper seeks to assess the availability of essential drugs in DHK as a case study, to determine efficiency of supply chain in distribution of the ED and to determine whether storage facilities are adequate and proper for its intended purpose.

Study focuses on understanding reasons for stock imbalances in public hospitals. Data will be collected through interviews, document analysis and survey. Data on drug availability will be analyzed using chi-square and storage facility using checklist . The field data will be coded and analyzed using statistical package for social sciences (SPSS) program to produce frequency tables. The data will be presented in charts and graphs.

CHAPTER ONE: INTRODUCTION

BACKGROUND

One third of the world's population lack access to Essential Drugs(ED). In the most impoverished parts of Africa and of Asia, more than half the populations do not have access to ED. Many effective remedies are and have for many years been out of reach to the people in developing countries. Because of globalization and new international trade rules, the situation may even get worse in the near future, hence the need for new approaches to protect and further the basic human right to access to health care.

Availability and access to ED has been a challenge for Ministry of Health (MoH) in Kenya since independence. The problem is particularly acute at rural health facility level. Attempts to address this resulted in the introduction of the kit-system in the early 1980’s,followed by cost-sharing in 1989.With these initiatives, the drug supply to the facility has...
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