Quality of essential medicine at public health care facilities of Nepal

The proposal has been submitted for ethical approval in Nepal Health Research Council and it is under process.

May – October, 2018

This study will be conducted in 21 districts of Nepal including three health facilities (1 public hospital, 1 Primary health centers and 1 Health post) from each selected districts.The selected districts include: Province 1: Jhapa, Panchthar, Okhaldhunga, Solukhumbu Province 2: Saptari, Mahottari Province 3: Bhaktapur, Dhading, Rasuwa, Makwanpur Province 4: Lamjung , Tanahun, Mustang Province 5: Kapilvastu, Nawalparasi, Palpa, Baglung Province 6: Rukum, Kalikot Province 7: Kailali, Baitadi

Essential medicines are commonly prescribed and widely used in majority of health facilities of Nepal. Diminished quality of these medicines do not only impede the treatment of disease but also can cause serious impact in individual’s health. The issues on substandard and counterfeit medicines are increasing globally. Time and again various news on substandard and/or counterfeit medicines have been reported in Nepal also. It has been published in Drug bulletin of Nepal 2017 that out of 916 medicines tested in National Medicine Laboratory, 7.2 % of medicines failed to comply required pharmacopoeial standard. The study on “Quality of drug and drug use pattern at different level of health care settings in Nepal” carried out in 2016 by Nepal Health Research Council has shown 5.23% of substandard medicines out of 172 brand tested including three essential medicines supplied at free of cost by Government of Nepal. In Nepal, many people report lack of effectiveness of freely supplied medicines at health facilities. There is dire need to identify whether this is just a prejudice of common people or quality of medicines is really being compromised. Thus, this study helps to assess the quality of essential medicines that are available free of cost at different health care facilities of Nepal.

To assess the quality of selected essential medicines in public health care facilities of Nepal.