# E-DRUG: PTC Committees (2)

**URL:** <https://talk.edrugplus.org/t/e-drug-ptc-committees-2/2596>\
**Category:** e-drug\
**Created:** [May 11, 1998, 7:06pm UTC](https://talk.edrugplus.org/t/e-drug-ptc-committees-2/2596 "1998-05-11T19:06:01Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![richardl1951](https://avatars.discourse-cdn.com/v4/letter/r/b3f665/32.png) [@richardl1951](https://talk.edrugplus.org/u/richardl1951)\
**Post date:** [May 11, 1998, 7:06pm UTC](https://talk.edrugplus.org/t/e-drug-ptc-committees-2/2596/1 "1998-05-11T19:06:01Z")

</div>

E-drug: PTC Committees  
------------------------------------  
I have been working in Zimbabwe recently assisting the sub committee  
established by the National Drugs and Therapeutics Committee policy  
Advisory Committee on establishing PTC committees. The NDTPAC have  
established a sub committee to work on this topic. They have reviewed Terms  
of reference from Namibia, Malawi, Kenya (in MDS2) and from four hospitals  
in Australia. These are the terms of reference they agreed to field test  
for the next six months in nine hospitals:

DRAFT PROPOSAL FOR HDTC

The Zimbabwe National Drug Policy is to 'encourage health workers to  
participate in collaborative management of drugs in their institutions in  
order to promote rational drug use'. The Ministry of Health and Child  
Welfare recognises the need for hospital drug and therapeutics committees  
(HDTCs) to achieve this. In order to succeed in achieving compliance to  
guidelines the committees must employ the principle of 'ownership' i.e.  
encouraging participation, communication and consultation with the major  
stakeholders i.e. prescribers, consumers, hospital administrators and the  
tax payers. Integration of the training, educational, managerial and  
regulatory activities occurring at all levels would aid in achieving the  
aims and objectives of improving drug use in Zimbabwean hospitals. Each  
hospital may choose to have different members and may have different terms  
of reference. This is perfectly acceptable and is to be expected.

Draft Terms of reference

1 Name

2 Aim(s) of the Committee

&nbsp;&nbsp;To encourage health workers to participate in collaborative management of  
drugs in their institutions in order to promote the rational and cost  
effective use of drugs.

3 Membership

&nbsp;&nbsp;Important features of the Committee include promotion of direct  
communication with senior management, multidisciplinarity, community and  
consumer representation. Therefore it is likely to consist of members with  
the following possible representation:

&nbsp;&nbsp;�Medical staff (including representatives from each department or division)  
&nbsp;&nbsp;�Pharmacy  
&nbsp;&nbsp;�Nursing  
&nbsp;&nbsp;�Hospital Administration including medical records and accounts  
&nbsp;&nbsp;�Clinical Pharmacology  
&nbsp;&nbsp;�Laboratory  
&nbsp;&nbsp;�General Practitioners (where relevant)  
&nbsp;&nbsp;�Private Specialists (where relevant)  
&nbsp;&nbsp;�Junior Doctors (where relevant)  
&nbsp;&nbsp;�City Health Department or district health team member  
&nbsp;&nbsp;�Consumer/ community representative

&nbsp;&nbsp;The committee may occasionally invite a specialist to make a presentation  
or give advice on a specific issue. In addition, the committee may wish to  
call on members of the HDTC subcommittee of the National Drug and  
Therapeutics Policy Advisory Committee (NDTPAC) to assist them.

4 Chairperson

&nbsp;&nbsp;The Chairperson shall be determined by the hospital executive committee.  
Usually the chairperson would be the Medical Superintendent or another  
senior doctor who would be able to influence senior prescribers.

5 Secretary

&nbsp;&nbsp;The secretary shall be the chief pharmacist of the hospital

6 Operation of the Committee

&nbsp;&nbsp;The Committee shall meet monthly. In the absence of the Chairperson, the  
meeting will be chaired by another member elected for the purpose on that  
day. In the absence of the Secretary, the secretary's function shall be  
undertaken by another member elected for the purpose on the day. The  
Committee shall report through the Hospital Superintendent to the Hospital  
Executive. Minutes of the meetings should be circulated to committee  
members and copied to the HDTC subcommittee of the NDTPAC.

7 Objectives

7.1 Main Objective

&nbsp;&nbsp;To set up programs for maximising rational and cost effective drug use by  
all prescribers in the hospitals.

7.2 Specific Objectives

&nbsp;&nbsp;The committee will be responsible for defining their specific objectives  
on an annual basis. These may include:

(a) To formulate policies and guidelines pertaining to the use of drugs  
within the hospital.

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