title: [Drug management at the level of the Psychiatry Department of the Fann University Hospital Center: problem and perspectives].
abstract: Health system in developing countries is facing difficulties due to lack of resources and poor management of the available ones reinforced by the economic crisis and the structural adjustment program since 1980. The situation will be worsened by the recent devaluation of the France CFA. The consequences are a permanent shortage of drugs, a decreased motivation of the health personnel with at the end the decrease of health services reliability. Teaching Hospitals, which are essential for the implementation of PHC, are facing such situation. Thus, a study was conducted at the Department of Psychiatry, Fann Hospital to analyse the process of drug management and to find out suitable solutions. The study, qualitative, showed that that the main problems encountered are: inexistence of management tools with inexploitable health information systems, insufficient budget allocated for drug purchase, selection of drug exclusively on brand name with a standard list unrenewed since 1986, weak drug delivery system, frequent stock-outs. Prescribers are unaware of available drug at the pharmacy. Patients are not informed about their diseases and the use of drugs prescribed. Therefore, adopting the EDP in Teaching Hospitals will help for better management of drug delivery.
authors.affiliation: Service de Médecine Préventive et Santé Publique, Faculté de Médecine et Pharmacie, UCAD, Dakar, Sénégal.
authors.forename: K
authors.initials: K
authors.lastname: Toure
authors.forename: A
authors.initials: A
authors.lastname: Tal Dia
authors.forename: I
authors.initials: I
authors.lastname: Diallo
authors.forename: I
authors.initials: I
authors.lastname: Wone
authors.forename: R
authors.initials: R
authors.lastname: Inoussa
authors.forename: I
authors.initials: I
authors.lastname: Wone
mesh_terms: D016527:Drug Costs; D011307:Drug Prescriptions; D006785:Hospitals, University / Q000191:economics / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000191:economics / Q000458:organization & administration*; D010818:Practice Patterns, Physicians'; D011567:Psychiatric Department, Hospital / Q000191:economics / Q000458:organization & administration*; D011619:Psychotropic Drugs / Q000600:supply & distribution*; D012675:Senegal; D000078329:Workforce
chemical_list: D011619:Psychotropic Drugs