A national survey of availability of key essential medicines for children in Sri Lanka
A national survey of availability of key essential medicines for children in Sri Lanka
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DOI：
10.4038/cmj.v56i3.3597
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发表时间：
2011-09-01
影响因子：
0.4
通讯作者：
Ranganathan, S. Sri
中科院分区：
文献类型：
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作者：
Balasubramaniam, R.;Beneragama, B. V. S. H.;Ranganathan, S. Sri
目的调查斯里兰卡儿童主要基本药物的可得性。方法采用世卫组织/卫生行动国际药品价格方法，对25种主要儿童基本药物的可获得性进行了评估。数据收集自40家公立医院（门诊部药房）、40家私立医院和8家“Rajya Osusala”（ROS）药房的代表性样本。采用多阶段聚类方法选取8个省份的医院和药店，代表不同级别的公立医院。采用描述性统计进行分析。结果公立医院一篮子调查药品的平均可得率为52%，私立医院为80%，ROS药店为88%。教学医院/综合医院的可获得性（平均可获得性为62%）高于地区医院（54%）、外围单位（49%）和中心药房（45%）。抗感染药、抗哮喘药以及卡马西平、铁、扑热息痛、多潘立酮和布洛芬等口服液制剂在公立医院的可得性低于私立和ROS药房。公立医院的供应情况与私立和ROS药房类似，只有扑热息痛片、口服补液盐、维生素C和氯苯那敏糖浆。结论公立医院儿童关键基本药物的可及性低于私立和ROS药店。这使得儿童在公立医院获得有效和安全的药品的机会比在私营部门或区域办事处更多。
Objectives To investigate the availability of key essential medicines for children in Sri Lanka.Methods This national survey assessed the availability of 25 key essential medicines for children using the WHO/Health Action International medicine price methodology. Data were collected from a representative sample of 40 public hospitals (Outpatients Department pharmacies), 40 private and 8 'Rajya Osusala' (ROS) pharmacies. The hospitals and pharmacies were selected from 8 provinces using a multistage clustered approach to represent different levels of public hospitals. Descriptive statistics were used for analysis.Results The mean per cent availability of the basket of survey medicines was 52% in pubic hospitals when compared to 80% in private, and 88% in ROS pharmacies. teaching/general hospitals had better availability (mean per cent availability 62%) than district hospitals (54%), peripheral units (49%) and central dispensaries (45%). Availability of anti-infectives, anti-asthma medicines and oral liquid preparations of carbamazepine, iron, paracetamol, domperidone and ibuprofen was found to be less in public hospitals than private and ROS pharmacies. Availability in public hospitals similar to that of private and ROS pharmacies was only for paracetamol tablet, oral rehydration salt, vitamin C and chlorphenamine syrup.Conclusions Key essential medicines for children were less available in public hospitals than in private and ROS pharmacies. This deprives children from access to effective and safe medicines more in the public hospitals than in the private sector or ROS.