Events regarding oseltamivir, used to treat influenza, have been “intermittent” in the past. This was mainly due to the flu outbreak that surged in the past few months, which led to a fourfold increase in demand for the drug.
It is something that the “Government of Pharmaceutical Organization” (GPO) has seen before. and has hastened to increase drug production capacity to full capacity 24 hours a day, but with the number of patients continuing to increase inexorably, in the end it was not possible to respond to demand in a timely manner.
As a result, in many government hospitals under the Ministry of Public Health (Ministry of Public Health) or even private hospitals, there is less and less oseltamivir remaining. Or in some places there was a “shortage” to the point where the Medical Department had to issue guidelines for its use. “Favipiravir” was added on October 2, 2023.
Later, this situation will be able to be resolved. But from what happened here This is another time when there are voices from pharmacists, drug academics, former professors, civil society, etc., which reflects that the country’s “drug system” still needs more efficient management.
such as the opinion of Dr. Siriporn Jitprasitsiri Former President of the Rural Pharmacy Club and the 2013 Outstanding Pharmacist for Society who told “The Coverage” that although in the past there was a reasonably good system for managing drug shortages, But for interruptions in the case of drugs that used to be used normally but when events occur, such as an epidemic. Lack of raw materials, etc., causing stumbling It was found that we had never seen any systematic management.
Long-term solutions have also been proposed to address the issue. That has been talked about for a long time. But it has not been moved forward as it should.
That is the setting “Shortage Management Center – Shortage of medicines and medical supplies” That will be able to predict disease situations and monitor the situation of drug resources available in the country at that time. For example, if you know that influenza is spreading You will know which medicines are involved in the treatment. And was there enough such medicine at that time? This will lead to planning for adequate drug supply.
This idea becomes even more interesting when Dr. Mingkwan Suphanpong The Director of the Provincial Administrative Organization told “The Coverage” that he strongly agreed that such a center would be established.
Along with raising examples of factors that could be further developed as a “model” such as the “NAP PLUS” program of the National Health Security Office (NHSO) that helps manage medicines for people. HIV patients all over the country, which Dr. Mingkwan said is the only system in the country that can effectively manage the drug stockpile. “The most efficient”
From this point it is interesting to see how “NAP PLUS” works. Therefore it can be confirmed by the Director of the Provincial Administrative Organization that it is the best system in the country. and will continue to build on “Center for Shortage Management-Shortage of Medicines and Medical Supplies”
When looking at the details from both the NHSO website and the research “Study and review of the system and development of proposals for the management of essential medical supplies that have access problems under the national health insurance system” of researchers from the International Health Policy Development Office (IHPP) and the Health Technology and Policy Assessment Project (HITAP), published in the Health Systems Research Institute (HSRI) data warehouse.
From the information, it can be seen that “NAP PLUS” is a system for recording information on services for people living with HIV. National AIDS Program (National Aids Program), which NHSO developed from the previous system on 1 April 2015
The highlight is that the system calculates the amount of AIDS drug disbursement. and blood lipid lowering drugs from recording results through the NHSO program only in order to reduce duplication of the drug disbursement process. Including reducing the risk of lacking antiretroviral drugs. and medicines to lower blood lipids in the service unit as well
For the disbursement of antiretroviral AIDS drugs through the “NAP PLUS” system, there are 6 steps involved: 1. Service units register to join the NAP PLUS program. 2. Service units request initial drug reserves. By logging into VMI and selecting where you want to request a backup. along with specifying the amount of use per month Maximum duration of drug reserve The medicines requested for reserve will be delivered directly to the service unit.
3. Medical data recording service unit Follow-up of HIV-infected people entering the NAP PLUS program when medication is prescribed to the patient. 4. Information on the use of antiretroviral drugs. It will be forwarded through the VMI system to the Subdistrict Administrative Organization. 5. The service unit checks and confirms drug disbursement (inventory) for the Subdistrict Administrative Organization to deliver the medicine, and 6. The Subdistrict Administrative Organization delivers the medicine to the service unit. In the case that the VMI system checks and finds that the service unit’s drug inventory is less than the order point.
However, when information about people infected with HIV and AIDS patients enter the “NAP PLUS” system at the service unit registered in the system. You will receive a number called a NAP number, which indicates your identity instead of your first and last name. to be concealed to keep the secret of the infected person and is a guarantee that the full name will not be disclosed. not called When having to contact the service unit
As for the service unit itself It will record information about infected people, such as examination and treatment, status of medication for continued treatment. Scheduled testing for side effects of HIV, for example, which will record the information on the NAP number of the infected person. Not specifying first and last name
For information about infected people from the NAP number, it tells about the health situation. Current state of HIV infection, trends in symptoms Including following up on the use of antiretroviral drugs to treat symptoms. which collects patient data throughout the country By those who are authorized to fill in information and have access to information Must be a responsible officer from the service unit. or hospital only This will be called the HIV Coordinator and of course the general public. Can’t use this program system. It is for medical personnel only.
Therefore, “NAP PLUS” can provide information on all dimensions regarding the treatment of all HIV-infected people in the country. Most importantly, the service unit can monitor and evaluate the treatment results of patients on a case-by-case basis. And use this information to effectively plan the situation of antiretroviral drugs that must be given to infected people in your area.
Nimit Thianudom The director of the AIDS Access Foundation also told “The Coverage” that “NAP PLUS” will provide all the information. Especially regarding medicines used by people infected with HIV. which will tell you How much medicine is in stock in the hospital? If lower than stock The staff then had to add medicine to the system to the full amount. This is to ensure that the hospital has medicines for use with patients.
Another highlight of “NAP PLUS” is that it allows policy makers to see the overall picture of people infected with HIV, including treatment provision. Symptom tracking Dosage for the patient Including also seeing that Which areas are not yet serviced? or there is a problem with service
in addition Dr. Somruthai Suphankul Specialist The NHSO Special Operations Unit gave an additional picture of the principles of this system to “The Coverage” that this program has important principles: Patients with this disease may not want to reveal themselves to society, so the “NAP PLUS” system will have a unique code for the patient. to conceal personal information This makes it possible to pick up medicine anywhere. NHSO will provide medicine to service units. Hospital to provide services to patients
However, when the patient comes to the hospital And the doctor checked and found that he was sick with AIDS. will enter the treatment process by giving medicine When medicine is given and the hospital enters information into the “NAP PLUS” system, the system will process the medicine from each hospital and send it to the District Health Office to add enough medicine into the system.
“For example, Hospital A needs this amount of type 1 medicine and this amount of type 2 medicine. The system will process and send this information to the District Health Office for drug delivery. As a result, the hospital will not have a shortage of medicines to distribute to patients. This is the same system that takes care of AIDS patients in all three funds,” Dr. Somruthai said.
Dr. Somruthai also said that the “NAP PLUS” system is also a system that will help service providers. or hospital Providing other health check services That is also included in the benefits, such as screening and testing for hepatitis. Consulting which is a health service other than the use of medicine for treatment
However, even though “NAP PLUS” is a good system It is most effective on infected people. and service providers But there’s still none. The “main host” responsible for the data or make use of this information in policy Especially giving orders to areas that have problems providing services to infected people. This is considered a point that must be reinforced.
However, if the goal is to set “Center for Shortage Management-Shortage of Medicines and Medical Supplies” What is important right now are the relevant agencies. Let’s talk seriously. and move forward further. without letting it disappear Then wait for a problem to occur. To talk about it again every time in this cycle and so on.
2023-11-02 06:36:55
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