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Assessment of quality of essential medicines in public health care facilities of Nepal

Findings of nationwide study

Dados Bibliográficos

ID19592949
AutoresNeelam Dhakal (0000-0001-6247-3119, Nepal Health Research Council, autor correspondente), Pradip Gyanwali (0000-0001-8609-6717, Maharajgunj Medical Campus, autor correspondente), Baburam Humagain (0000-0001-5201-6264, autor correspondente), Rajendra BC (Nepal Health Research Council, autor correspondente), Nisha Jha (0000-0003-1089-6042, KIST Medical College, autor correspondente), Phoolgen Sah (autor correspondente), Amita Pradhan (0000-0003-0363-8627, Kathmandu Medical College Teaching Hospital, autor correspondente), Meghnath Dhimal (0000-0001-7176-7821, Nepal Health Research Council, autor correspondente), Anjani Kumar Jha (0000-0002-9579-7176, Nepal Health Research Council, autor correspondente)
EditoresNafis Faizi (0000-0002-4634-6790)
Ano2023
Volume3
Fascículo5
Páginase0001841
Data de publicação2023-05-25
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPLOS Global Public Health (JOURNAL)
Identificadores do periódicoISSN: 2767-3375 • E-ISSN: 2767-3375
EditoraPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001841
PMID37228001
OpenAlexW4378211567
IdiomaEN
Citações recebidas2
Referências citadas21

Essential medicines are those medicines that satisfy the primary health care needs of the citizens. Poor quality of essential medicines can have serious impact on public health. Thus, this study is aimed to assess the quality of essential medicines available in public health care facilities of Nepal. A cross sectional descriptive study was carried out in 62 health facilities across 21 districts, representing all seven provinces of Nepal and selected proportionately from all three ecological regions i.e. Terai, Hill and Mountain using lottery method. Health facilities in selected districts were chosen using random number generator. Face to face interview was taken with health facility in charge using structured questionnaire. All storage conditions information was recorded through observation checklists. Temperature and humidity were measured using a digital instrument. Similarly, 20 different generic medicines were collected for quality testing. The obtained data were entered in Epidata version 3.1, cleaned in Microsoft Excel 2007 and analyzed in SPSS version 16.0. Among 62 health facilities, only 13% of health facilities were found to follow the medicine storage guidelines, with temperature and humidity levels exceeding recommended limits. Out of 244 batches of 20 different generics of essential medicines, 37 batches were found to be substandard. These substandard medicines were- Ciprofloxacin hydrochloride eye/ear drop, Iron supplement tablets, Metformin Hydrochloric tablet, Metronidazole Tablets, Paracetamol Oral suspension, Paracetamol tablet and Povidone Iodine solution. The study recommends the urgent need for the Government of Nepal to prioritize ensuring the quality of essential medicines in the country

Environmental health · Essential medicines · Family medicine · Public health · Traditional medicine · Antibiotic Use and Resistance · Medicine · Nursing · Pharmaceutical Economics and Policy · Pharmaceutical Quality and Counterfeiting

  • Perception and Use of Primary Healthcare Services Among People With Cardiometabolic Diseases in Two Resource-Limited Areas in Nepal

    Open Access•Nicholas Peoples, Enying Gong et al.•Frontiers in Public Health•2021

  • Substandard medicines in Nepal

    Open Access•Animesh Ghimire•Frontiers in Public Health•2025

Obras citantes distintas2
Citações por ano0,4
Intervalo de citações2021 - 2025 (5)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 1
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