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Pharmaceutical cost recovery programmes, which have been mainly implemented in Africa, are gradually spreading to Southeast Asian countries that formerly belonged to the socialist bloc. This report describes the economic and operational realities of revolving drug funds RDFs at district hospitals and health centres in the capital of the Lao PDR by reviewing research conducted by the implementing department. The RDFs were forced to operate in conjunction with the remaining government drug endowment and the thriving private pharmacies. This scheme has provided a stable supply of essential drugs. The assurance of drug availability at the front-line health facilities has resulted in increased utilization of the facilities despite the introduction of a drug fee. Decentralized financial management was essential for cost recovery, allowing timely adjustment of selling prices as purchase prices rapidly inflated after the Asian economic crisis. The health staff observed that the people perceived drugs as everyday commodities that they should buy and take based on self-diagnosis and personal preference. Adaptation of the public health authorities to market-oriented thinking along with the establishment of pharmaceutical cost recovery occurred with few problems. However, both financial and operational management capacity at the municipal level pose a major challenge to policy clarification and scheme setting, especially in procurement, control of prescribing practices and the integration of drug dispensing with other components of quality clinical care. Abstract Pharmaceutical cost recovery programmes, which have been mainly implemented in Africa, are gradually spreading to Southeast Asian countries that formerly belonged to the socialist bloc. Publication types Research Support, Non-U. Substances Pharmaceutical Preparations.

Revolving drug funds at front-line health facilities in Vientiane, Lao PDR

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We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings. Located in Vientiane, the main objective of the Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit LOMWRU is to conduct clinical research on diseases of public health importance, to contribute directly to health improvement in Laos and similar communities with little health information across Asia. A team of 92 research and support staff in the capital and the provinces are working as part of the collaboration, including several Lao Government employees led by Dr Manivanh Vongsouvath , Head of the Mahosot Microbiology Laboratory. LOMWRU conducts clinical studies on a wide range of infectious diseases in Vientiane and also at a number of provincial hospitals and field sites in rural Laos and participates in multicentre studies across the MORU Network. LOMWRU supports the infectious disease diagnostic service of Mahosot Hospital and assists other Lao hospitals, including in the investigation of epidemics. Chansamouth V. Cookies on this website. Accept all cookies Reject all non-essential cookies Find out more. Our team. Elizabeth Ashley Professor of Tropical Medicine. Vilada Chansamouth Epidemiologist. David Dance Clinical Microbiologist. Audrey Dubot-Peres Head of Virology. Paul Newton Professor of Tropical Medicine. Koukeo Phommasone Infectious Disease Physician. Tamalee Roberts Research Microbiologist. Matthew Robinson University Research Lecturer. Manivanh Vongsouvath Director of Microbiology Laboratory. In this section. Latest news. Children with acute malnutrition and malaria: the double burden that increases risk of treatment failure 13 March New study uses isotope ratio mass spectrometry to analyse origins of falsified antimalarials 20 February Repurposed tests can detect falsified vaccines, study finds 16 February More news. Journal article Getchell M. A qualitative study with patients, clinicians and dispensers in central, eastern and western Nepal Falciparum but not vivax malaria increases the risk of hypertensive disorders of pregnancy in women followed prospectively from the first trimester Ambulatory induction phase treatment of cryptococcal meningitis in HIV integrated primary care clinics, Yangon, Myanmar Laboratory informatics capacity for effective antimicrobial resistance surveillance in resource-limited settings Assessing the impacts of short-course multidrug-resistant tuberculosis treatment in the Southeast Asia Region using a mathematical modeling approach Perinatal depression in migrant and refugee women on the Thai—Myanmar border: does social support matter? Prediction of disease severity in young children presenting with acute febrile illness in resource-limited settings: a protocol for a prospective observational study Rolling out the radical cure for vivax malaria in Asia: a qualitative study among policy makers and stakeholders Burden of soil-transmitted helminth infection in pregnant refugees and migrants on the Thailand-Myanmar border Deploying triple artemisinin-based combination therapy TACT for malaria treatment in Africa: ethical and practical considerations Predictors of disease severity in children presenting from the community with febrile illnesses: a systematic review of prognostic studies G6PD Variants and Haemolytic Sensitivity to Primaquine and Other Drugs Improving treatment and outcomes for melioidosis in children, northern Cambodia, — What is the yield of malaria reactive case detection in the Greater Mekong Sub-region? Collider bias and the apparent protective effect of G6PD deficiency on cerebral malaria Optimal dosing of dihydroartemisinin-piperaquine for seasonal malaria chemoprevention in young children Tafenoquine versus Primaquine to Prevent Relapse of Plasmodium vivax Malaria Molecular characterization and mapping of G6PD mutations in the Greater Mekong Subregion Association of mutations in P.

Vientiane buying MDMA pills