E-drug: Short ED lists for village level in China
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Dear E drug members
I am leading an Australian team of advisors on an integrated Primary Health
Care and Water Supply Project in Shigatse, central Tibet. This project is a
bilateral Australian-Chinese government project, with primary implementation
by the Australian Red Cross and the Macfarlane Burnet Centre.
One of our activities is supporting the supply of drugs in small rural township
and village health clinics. To do this we need to develop restricted lists
of essential drugs to be used at those levels. There seems to be little
information available on this sort of implementation in China.
MSF(B), in Lhasa, Tibet have had moderate success with revolving drug funds
using a 20 to 30 item list, provided to township clinics through a rural
county hospital in Lhasa Prefecture, Tibet. However their program had to
stop because the govt Co-operative Medical System was introduced in that
area and superseded the RDFs.
We plan to adapt the RDF concept to the rural area here in rural Shigatse,
in a county where the government Co-operative Medical System is not at
present operational. We are developing two lists: about 20 drugs for village
level and about 30 drugs for township level.
I would very much like to see any other restricted drug lists that have been
developed for use at village level in other parts of China.
I would also be interested to provide feedback on the list we develop and
our experiences once we start implementation this year.
Yours,
Chris Morgan
MBBS DTCH FRACP
Australian Team Leader
Tibet Primary Health Care & Water Supply Project
Water Supply Company, Shigatse, 857000
Tibet Autonomous Region, China
oztibet@chinaonline.com.cn.net
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