# \[e-drug\] Drug information service

**URL:** <https://talk.edrugplus.org/t/e-drug-drug-information-service/16761>\
**Category:** e-drug\
**Created:** [May 14, 2003, 8:27pm UTC](https://talk.edrugplus.org/t/e-drug-drug-information-service/16761 "2003-05-14T20:27:31Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Fionnuala\_Mc\_Cullagh](https://avatars.discourse-cdn.com/v4/letter/f/aeb1de/32.png) [@Fionnuala\_Mc\_Cullagh](https://talk.edrugplus.org/u/Fionnuala_Mc_Cullagh)\
**Post date:** [May 14, 2003, 8:27pm UTC](https://talk.edrugplus.org/t/e-drug-drug-information-service/16761/1 "2003-05-14T20:27:31Z")

</div>

E-drug: Drug information service  
-------------------------------------------------------------------------

[As problems of access to independent drug information is coming up  
regularly, I added a couple of recent e-drug messages on the subject  
below Fionnuala's messages. In the e-drug archives there are many  
more. Really worthwhile to dig around in the archives now and then...  
HH]

I am a VSO (Voluntary Services Overseas) pharmacist from Ireland  
who is working with NWPSFH (North West Province Special Fund for  
Health) which acts as the Essential Drugs Programme for the North  
West Province of Cameroon.

One of my roles has been to introduce a Drug Information Service to  
enhance rational use of essential drugs. We have gathered some  
basic texts such as Martindale and BNF, but would appreciate advice  
on how to procure additional references, preferably at as low a cost  
as possible. Requests to drug companies have not been very  
productive. We do not have our own internet access, but I do  
download whatever I can from a local internet cafe.

I would welcome suggestions from other health care professionals on  
how to implement and gain acceptance of such a service (many  
prescribers I have approached mainly ask why a particular drug is out  
of stock).

Fionnuala Mc Cullagh  
VSO Pharmacist  
NWPSFH-Bamenda  
Cameroon  
e-mail: fionnualamccullagh@hotmail.com

---------------------  
DATE: 2/25/2003 11:20 AM

E-drug: WHO and training  
---------------------------------------------

Dear E-druggers,

WHO is an international agency that is accountable to it's member  
states and with a limited budget. Therefore, WHO has to prioritise  
what it does and the member states have to agree to what it does. As  
a consequence, it may seem that WHO works with ministries of  
health to the exclusion of other agencies such as non-governmental  
organisations or universities. Nevertheless WHO does undertake  
much work with universities and non-governmental organisations as  
well as with ministries of health. Although WHO does not generally  
write textbooks for students much of the work is of direct benefit to  
students and others who wish to improve the health of populations.

Examples are as follows and relate mainly to the field of drugs  
(although of course there are many other examples):

(1) Many documents are available on WHO's website,  
[http://www.who.int/medicines](http://www.who.int/medicines) , and perhaps many university teachers  
are not aware of how much is there.

(2) Although many textbooks already exist, in many countries there is  
a problem of access to them. WHO is working towards this through  
the Health internetwork Access to Research initiative where 2,200  
journals are provided either free or at reduced rates on-line to 112  
poor countries. Details of this may be found through the WHO  
website: [http://www.who.int](http://www.who.int)

(3) WHO does organise a number of training courses on various  
aspects of rational use of medicines, details of which are posted on  
the WHO website: [http://www.who.int/medicines](http://www.who.int/medicines)

(4) WHO has produced the Guide to Good Prescribing aimed  
specifically at medical undergraduates and does organise  
international courses on problem-based pharmacotherapy every year  
in collaboration with various partners - see the website for details.

(5) The different departments of WHO produce clinical guidelines for  
the diseases that they work on. The department of Essential Drugs  
and Medicines Policy is working towards the development of a  
web-based medicines library where the WHO model essential drug  
list, the model formulary and summaries of all the clinical guidelines  
produced by WHO will be available on the WHO medicines website  
(as detailed above) together with the supporting evidence and links to  
the full clinical guidelines. It is hoped that this will be a tremendous  
resource for member states and all health professionals when it is  
finished.

Finally, we in WHO are well aware that we could be doing more and  
are always open to suggestions about how we might do better given  
the various constraints under which we work.

Dr. Kathleen Holloway  
Medical Officer for Policy, Access and Rational Use,  
Department of Essential Drugs and Medicines Policy,  
World Health Organisation, 20 Avenue Appia, Gen�ve, CH-1211  
Tel: +41 22 791 2336; Fax: +41 22 791 4167  
email: hollowayk@who.int

DATE: 2/10/2003 5:38 PM

RE: [e-drug] Donating books and journals to less developed  
countries

E-drug: Donating books and journals to less developed countries  
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BMJ 2003;326:298 ( 8 February )

Donating books and journals to less developed countries The  
BMA/BMJ information fund welcomes applications from institutions  
Both the BMA and the BMJ receive many requests for free medical  
books and journals from doctors and librarians in less developed  
countries and other areas of need. Until recently we have had no  
specific funding to meet these requests, and have arranged  
donations of secondhand journals and surplus BMJ books somewhat  
haphazardly. Since 2000, however, the BMA and BMJ have set aside  
�30 000 ($47 000; 47 000) a year, from the profits of the BMJ  
Publishing Group, to help institutions to choose the right health  
information for their users (see BMA/BMJ information fund's activity  
report for 2000-2 on bmj.com).

The BMA/BMJ information fund does not give money but donates and  
sends educational materials. And because we want our donations to  
help as many people as possible we consider applications only from  
institutions rather than from individual doctors and other health  
workers. We ask applicants to tell us about their organisations: what  
they do, what other support they receive, and exactly what materials  
they need. In this way we can ensure, as far as possible, that the  
information is relevant and of high quality. The fund can provide  
books, journals, and CD Roms from the BMJ Publishing Group at  
very low cost, but it can also donate other publishers' material at  
discounted prices, bought through the BMJ Bookshop.

The fund does not have a distribution network. We arrange and pay  
for postage of consignments and always ask applicants for advice on  
the best way to send them. In this way we have provided books  
requested by medical centres and libraries in Afghanistan, Sierra  
Leone, Gambia, Somaliland, Uganda, Nigeria, Iraq, Bangladesh,  
India, and Nepal. But we realised early on that supporting existing  
distributors would be a good way to use at least part of the money.  
That's why we have worked closely with a British charity, Book Aid  
International. Book Aid has already distributed across sub-Saharan  
Africa 3500 copies of the newly revised ABC of AIDS, which the fund  
paid for as a special print run.(1) A similar scheme is now under way  
for the new BMJ book International Child Health. In addition, the fund  
has allowed Book Aid to come to the BMJ warehouse and choose a  
variety of books to send to their extensive network of needy  
organisations.

Although the information fund is primarily for organisations in poorer  
countries, we have also donated requested books to two centres in  
the United Kingdom. Both help refugee doctors prepare for the United  
Kingdom's Professional and Linguistic Assessment Board (PLAB)  
test, a cause that the fund is happy to support.

We haven't been able to say yes to everyone. We couldn't fund some  
applications, either because we were unable to gather sufficient  
information about the institutions concerned or because the projects  
they described were too far removed from our terms of reference. We  
have also turned down requests from individuals, although we have  
directed them to a scheme that matches them with BMJ readers who  
want to donate their used journals and books directly.(2)

The BMA/BMJ information fund is one of several initiatives to plug the  
information gap between rich and poor countries. The BMJ and  
studentBMJ are freely available on the web to everybody worldwide.  
And more than 100 of the world's poorest countries now have free  
web access to the electronic versions of the BMJ Publishing Group's  
23 specialist journals and its evidence based compendium Clinical  
Evidence.(3) Many other publishers offer similar web access to well  
over 1000 of the world's best biomedical journals, either directly or  
through schemes such as FreeMedicalJournals.com  
(www.freemedicaljournals.com) and the Health InterNetwork: Access  
to Research Initiative (HINARI).(4)

These schemes will be of limited usefulness, however, if the  
information they provide isn't relevant to the people who need to use  
it in their learning and practice. (5,6) The BMA/BMJ information fund  
is trying to get round this by donating exactly what people tell us they  
want. If you would like to apply to the fund on behalf of a medical  
school, library, hospital, health centre, or medical association in an  
area of great need, please email us a detailed request, using the  
application form on bmj.com.

Trish Groves, assistant editor.

BMJ, (tgroves@bmj.com)

Sallie Nicholas, head, International Department, BMA.  
John Hudson, publisher.

1. Book Aid International. Annual review 2001-2002.  
www.bookaid.org/resources/downloads/ar.pdf (accessed 6 Nov  
2002).  
2. Minerva. BMJ 2001; 322: 1498[Free Full Text].  
3. Smith R, Williamson A. BMJ journals free to the developing world.  
BMJ , 2002:324:380.  
4. Health InterNetwork. Health InterNetwork Access to Research  
Inititative. www.healthinternetwork.org (accessed 6 Nov 2002).  
5. Vass A. Medical journals can reduce global health inequality,  
conference told. BMJ 2002; 324: 444[Free Full Text].  
6. Shaywitz DA, Ausiello DA. The 15% solution for majority health  
concerns. Nature webdebates.  
www.nature.com/nature/debates/e-access/Articles/health.html  
(accessed 6 Nov 2002).  
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