The Revolving Fund Pharmacy Model: backing up the Ministry of Health supply chain in western Kenya
The Revolving Fund Pharmacy Model: backing up the Ministry of Health supply chain in western Kenya
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DOI：
10.1111/ijpp.12254
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发表时间：
2016-10-01
影响因子：
1.8
通讯作者：
Pastakia, Sonak D.
中科院分区：
文献类型：
--
作者：
Manji, Imran;Manyara, Simon M.;Pastakia, Sonak D.
低收入和中等收入国家（LMIC）面临的一个紧迫挑战是无法充分获得基本药物，特别是慢性病药物。循环基金药房（RFP）模式是一项持续向患者提供高质量药品的举措，利用药品销售产生的收入可持续地再供应药品。本文介绍了利用RFPs开发的学术模型提供获得医疗保健（AMPATH）的目的是刺激其他地方实施类似的模式，以确保可持续获得质量和负担得起的药物在类似的LMIC settings.Methods之间的服务评价三个试点RFPs开始在2011年4月和2012年1月选择政府设施。评估评估了RFP实施前后基本药物的横截面可用性、患者就诊数量和社区宣传活动的影响。
Objectives A pressing challenge in low and middle-income countries (LMIC) is inadequate access to essential medicines, especially for chronic diseases. The Revolving Fund Pharmacy (RFP) model is an initiative to provide high-quality medications consistently to patients, using revenues generated from the sale of medications to sustainably resupply medications. This article describes the utilization of RFPs developed by the Academic Model Providing Access to Healthcare (AMPATH) with the aim of stimulating the implementation of similar models elsewhere to ensure sustainable access to quality and affordable medications in similar LMIC settings.Methods The service evaluation of three pilot RFPs started between April 2011 and January 2012 in select government facilities is described. The evaluation assessed cross-sectional availability of essential medicines before and after implementation of the RFPs, number of patient encounters and the impact of community awareness activities.Findings Availability of essential medicines in the three pilot RFPs increased from 40%, 36% and