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ESSENTIAL MEDICINES AT PHC -2005

M.PRABHU
CRITERIA BEHIND
*Should satisfy health care needs of population

*Should be available at all times

*In adequate dosage forms

*AFFORDABLE
WHO
*Proposed this concept

*In 1977(by WHA)

*Prepared a model list of essential medicines


(WHO MODEL LIST OF ESS.MED)
WHO MODEL LIST

* NATIONAL HEALTH NEEDS

*Efficacy,safety,established quality

*Reasonable costs

*Revised &updated every 2 yrs


COST EFFECTIVE???
*NOT the UNIT COST

*COST OF TOTAL TREATMENT


ESSENTIAL DRUG LIST
BASED ON
*Disease prevalence

*Treatment facilities

*Easy local availability

*Financial resources
• CORE MEDICINE • COMPLEMENTARY
MEDICINES

• Reserve drugs
• Basic medicines
• Ineffective basic drugs
• safe and cost effective
• Rare disorders
• available at all times
• In italics
COMPLEMENTARY
MEDICINES
COST EFFECTIVE BUT NOT AFFORDABLE

PRIMARY CRITERIA : REQUIRES MONITORING&


DIAGNOSTIC FACILITIES

SECONDARY CRITERIA: HIGHER COST

Examples:
Aminophylline,amphotericin B,Methotrexate
IN TAMIL NADU

PAST 9 YRS UNDER TNMSC

CONTINOUS DRUG SUPPLY – 24 DRUG WARE HOUSES

LIST OF 271 DRUGS &SUTURE/SURGICAL MATERIALS


AT PHC LEVEL
ANNUAL BUDGET ALLOCATION

*PLACE INDENT &PASSBOOK FOR DRUG WITHDRAWL

*REGULAR STOCK ASSESSMENT

….Eg: PHC ARISIPALAYAM -1,69,000 ANNUALLY


2.15 Rs /Patient
12 th MODEL LIST
2 SEPARATE LIST FOR CORE &COMPLEMENTARY

27 THERAPEUTIC CATEGORIES

SQUARE BOX SYMBOL

ADDITIONS & CHANGES


13 th MODEL LIST
SAME LIST FOR CORE AND COMPLEMENTE\ARY

27 THERAPEUTIC CATEGORIES

SQUARE BOX SYMBOL

ADDITIONS & CHANGES

PRIORITIES FOR FUTURE


DRUG INFORMATION SHEET
• Name of the drug
• Mechanism of action
• Indications for use
• Dosage regimen
• Duration of treatment
• Contraindication
• Adverse drug reactions
• Warning (preg,lact)
TYPES
BASED ON

*THERAPEUTIC CLASSIFICATION

*THE ANATOMICAL THERAPEUTIC CHEMICAL


CLASSIFICATION SYSTEM (ATC code)

*ALPHABETICAL CLASSIFICATION (ATC code)


DRUG LIST
INCLUDES
. DRUG NAME
. USE
. ROUTE OF ADMINISTRATION
. DOSAGE FORMS
. COMPLEMENTARY MEDICINE
REFERENCES
• www.WHO.int
• www.tnmsc.tn.nic.in.com
• THE USE OF ESSENTIAL DRUGS (9 th
report)
• SELECTION AND USE OF ESSENTIAL
MEDICINES 2003

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