# \[e-drug\] Decentralising pharmaceutical services (cont)

**URL:** <https://talk.edrugplus.org/t/e-drug-decentralising-pharmaceutical-services-cont/10171>\
**Category:** e-drug\
**Created:** [January 26, 2001, 3:01am UTC](https://talk.edrugplus.org/t/e-drug-decentralising-pharmaceutical-services-cont/10171 "2001-01-26T03:01:39Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![NIELSEN\_CONSULT](https://avatars.discourse-cdn.com/v4/letter/n/71e660/32.png) [@NIELSEN\_CONSULT](https://talk.edrugplus.org/u/NIELSEN_CONSULT)\
**Post date:** [January 26, 2001, 3:01am UTC](https://talk.edrugplus.org/t/e-drug-decentralising-pharmaceutical-services-cont/10171/1 "2001-01-26T03:01:39Z")

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E-drug: Decentralising pharmaceutical services (cont)  
---------------------------------------------

> South Africa is preparing to decentralize primary health care services...

Don't do like in Uganda where there was no attention to drug supply when  
the decentralisation was planned.

I have proposed to work with the local governments to hear their view and  
the "educate" them about drug supply issues. This has been accepted and is  
being implemented.

What is important is to stick to the key criteria such as capacity, price,  
quality. In SA there would probably be various models to be used  
simultaneously.

Cheers,

Ole Frank  
NIELSEN CONSULT Phone: +45 33919030  
Skindergade 23, 3. Cellular: +45 20144814  
1159 Copenhagen K Fax: +45 33919032  
Denmark  
NIELSEN CONSULT \<olefrank@nielsen-consult.dk\>  
[I think essential drugs concept training for all the drug  
distribution staff about the use of drugs according to standard  
treatment guidelines, and the need for accurate health information  
records is crucial. They should be able to assess orders and discuss  
them with the health workers making the orders. Also, regular  
supervision/support of the decentralised staff by the central staff  
is extremely important. BS]  
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