Director of the AIDS Access Foundation points out that there is still a shortage of antiretroviral drugs for HIV because the district administration has not been able to produce them in time. Revealing the truth is a problem throughout the system. Not just anti-drugs Meanwhile, hospitals have problems with drug stock, so they set up a national drug stock management center. Manage all three funds, including gold cards, social security, civil servants, propose that NHSO have a drug purchasing system. Can manage drug inventory Propose to the National Health Board for consideration
Antiretroviral drugs for HIV are still in short supply.
On October 16 Mr. Nimit Thianudom, Director of the AIDS Access Foundation, as a member of the public health sector Addresses the problem of shortages of HIV antiretroviral drugs. As a result, hospitals are unable to provide enough medicine to patients. Previously, medicine was given to patients for 3-6 months, but now some people get only 1 month or less. The big problem is that the Government Pharmaceutical Organization (GPO) is still unable to produce the full amount of antiretroviral medicines for HIV. that must be used But it is gradually produced and gradually sent into the system. It is similar to the pig’s tail clay, which is to say that there is a shortage of 100, but when production and delivery are about 60, but when the 60 is sent, the missing and the delivered are added together. It will be an accumulated problem over time. In addition, there is also a problem of stock within the hospital, which is that the hospital has been doing this for a long time in the beginning. But there may be problems with keys into the system, such as getting medicine and paying it out but not entering the information. or unable to enter data in time Therefore cannot check the exact number. How much medicine is available in the hospital? It’s like having it and then using it. Accumulate and accumulate information.
“This is a big problem. I’ve been to see it at one hospital. The hospital itself is troubled because it is difficult to check stock. Because the system is not good,” Mr. Nimit said.
Drug problems come from many parts and must be solved throughout the system.
When asked how the Government Pharmaceutical Organization would need to adjust the system, Mr. Nimit said that this problem occurred in many parts. It’s not just the Government Pharmaceutical Organization. But since the calculation of the drug formula as well The drug formula has been changed. There will be problems with side effects and some people cannot use it anymore. Must return to the original formula But the original formula plans to be discontinued again. Problems keep circulating. Unstable drug formulation changes are another systemic problem. This matter must be managed as a whole. Because it is about system management It can be seen that many problems
The reporter asked that in addition to the lack of HIV antiretroviral drugs, Is there still a problem with oseltamivir? Mr. Nimit said that influenza drugs like oseltamivir There was a problem since I didn’t expect to use this because during Covid it was used for treatment. When Covid gets better So I tried to come back and use the flu. But the amount of stock is not enough and everything is in disarray. This is another problem as well.
Chong established a national drug stockpile management center.
“There should be a national drug stockpile management center. Since purchasing drugs together Really looking at the drug stock management system, the National Health Security Office (NHSO) has the potential to host it. Because there are manpower issues, management systems, and a lot of usage issues. Because in the past, NHSO purchased the most drugs. When there is already purchasing potential, it should be taken care of. In the past, there was borrowing of medicine. When any one is missing, I borrow it. But if the recording system is not good, it is another problem. that they use drugs from other funds, so if there is a central system Having central information to manage this matter would be very good,” Mr. Nimit said.
Asked about the proposal to establish a medicine warehouse management center, namely looking at all three funds, including gold cards, social security, civil servants, would it be a combination of the three funds? Mr. Nimit said that it should be like that. What can be combined gradually If the drug systems can be combined together, wouldn’t that be beneficial in terms of mass purchasing at a cheaper price? Importantly, if you use one system, the same code, there is no need to separate funds. It will also help with better management.
The National Health Board should take this into consideration. Because medication management is a big problem
The reporter asked again if having a National Health System Development Committee chaired by the Prime Minister would help with systematic drug management in the country or not. Mr. Nimit said that in principle this matter should be considered. In principle, there must be a big mechanism to determine who is doing the work so that management is systematic. But he’s not sure. Will the establishment of such a board solve this problem as well? or want to solve a problem Regarding insufficient personnel in the Ministry of Public Health But if you do it will be a very good thing. Just think This board may not think much about management. may focus on policy But actually public health policy is okay. But we need operations. Or commands that help people do their jobs better.
2023-10-16 04:10:04
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