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Annual Report of the Department of Health 2010 - Unrwa

Annual Report of the Department of Health 2010 - Unrwa

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ESTABLISHMENT OF A DTC “DRUGS THERAPEUTIC COMMITTEE” IN SAR FIELD<br />

IMPROVING RATIONAL USE OF DRUGS IN THE SYRIAN ARAB REPUBLIC FIELD<br />

Rational drug use is an essential component <strong>of</strong> good practice in health care. As part <strong>of</strong> <strong>the</strong> reform process<br />

within <strong>the</strong> Agency, <strong>the</strong> <strong>Health</strong> programme advocated for <strong>the</strong> establishment <strong>of</strong> Drug Therapeutic Committees<br />

(DTC) in each Field. Such Committees would be charged <strong>of</strong><br />

- evaluating and selecting drugs for <strong>the</strong> formulary list,<br />

- providing advice on all aspects <strong>of</strong> drug management,<br />

- developing drug policies,<br />

- overseeing and reviewing <strong>the</strong> implementation <strong>of</strong> UNRWA policies and procedures on rational use <strong>of</strong> drugs,<br />

- promoting effective interventions for rational drug use by patients, prescribers and assistant pharmacists<br />

through education and regulatory mechanisms,<br />

- Implementing DTC recommendations.<br />

Main achievements<br />

In <strong>2010</strong>, a DTC committee was established in <strong>the</strong> Field. The essential drug list was reviewed with <strong>the</strong> participation<br />

<strong>of</strong> all medical <strong>of</strong>ficers in health centres, and a list to update <strong>the</strong> essential drugs in <strong>the</strong> formulary was<br />

proposed. Scientific tools such as <strong>the</strong> ABC and VEN<br />

Analysis were used to rationalize use <strong>of</strong> drugs in case <strong>of</strong> budget cuts.<br />

Awareness on <strong>the</strong> rational use <strong>of</strong> drugs was raised by conducting monthly workshops to discuss <strong>the</strong> best ways<br />

for diagnosis and treatment <strong>of</strong> <strong>the</strong> most frequent diseases. A newsletter on <strong>the</strong> proper use <strong>of</strong> drugs with<br />

indications, contra-indications, cautions, drug interaction, side effects and preferred dosage was produced.<br />

Finally, supervisory visits to all health centres were made and <strong>the</strong> patient’s cards were checked to ensure proper<br />

implementation <strong>of</strong> UNRWA policies and procedures on rational use <strong>of</strong> drugs.<br />

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