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Workshop On Drug Use Ends On
Positive Note
By Zasika Musdi
Bandar Seri
Begawan - "Normative interventions, which include the
establishment of a Drug Therapeutics Committee and dissemination of
guidelines, alone would not solve the problem. These have to be
combined with proactive and innovative interventions that focus on
and address the specific problem."
This was highlighted by Dr Hj
Affendy POKSM DSP Hj Abidin, the Ministry of Health's Director
General of Medical Services, in his address during yesterday's
closing ceremony for the "Strengthening Drug and Therapeutic
Committee to Improve Medical Use in Hospitals" workshop, held at the
Civil Service Institute in Rimba.
The Ministry of Health had long ago
established the Drug Advisory Committee, with its technical
subcommittee, the Drug and Therapeutics Committee. These committees
may have different functions, but have the same goal: to promote
rational drug use.
According to Dr Hj Affendy, there
are many challenges that these committees have to face in improving
drug use. Unbiased selection of cost-effective medicine into any of
the Ministry's Drug List also needs to be advocated and sustained.
In effect, the magnitude of any
identified problems of medicine uses needs to be properly assessed.
Furthermore, Dr Hj Affendy stated that any standard treatment
guidelines developed and distributed need to be accompanied by
training, audit and feedback.
In this way, indiscriminate
prescribing can be reduced, and he hoped that with the era of
e-health and e-prescribing, any rational medicine use can be
monitored more effectively.
The issue of adverse drug reactions
should also bead dressed on a regular basis to ensure public safety.
Doctors and pharmacists are encouraged to actively report any ADRs,
and patients should be educated about the importance of reporting
side effects of medicine that they have been prescribed.
Touching on patient empowerment, Dr
Hj Affendy said that public education regarding their medicine can
reduce irrational use and is shown to be effective; for example,
compliance with their therapy, not expecting to be prescribed
medicine for every consultation, and reductions in poly-pharmacy.
Strategies such as these, according
to Dr Hj Affendy, would be supported by the Ministry of Health, as
they improve the safety and quality use of medicine for the public.
The interest shown by the Minister and Permanent Secretary in the
workshop indicated that changes must soon be made.
Change is inevitable, Dr Hj Affendy
concluded, but it needs to improve and add value to the society as a
whole.
A number of WHO Consultants were
also present during the workshop; namely, Regional Advisor in
Pharmaceuticals Dr Budiono Santoso, representative of the Western
Pacific Regional office, Dr Sri Suryawati, as well as Dr Edelisa
Daisy Carandang and other senior officers. -- Courtesy of Borneo
Bulletin
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