title: Creating a new class of pharmaceutical services provider for underserved areas: the Tanzania accredited drug dispensing outlet experience.
abstract: OBJECTIVE
  In developing countries, the most accessible source of treatment for common conditions is often an informal drug shop, where drug sellers are untrained and operations are unmonitored.
  
  
  OBJECTIVE
  We sought to describe a public-private initiative in Tanzania that created a new class of provider in government-accredited drug outlets, which improved the quality of medicines and pharmaceutical services in previously underserved areas.
  
  
  CONCLUSIONS
  The accredited drug-dispensing outlet program combines changing behavior and expectations of community members who use, own, regulate, and work in drug shops. Success resulted from including community stakeholders from the beginning of the process.
  
  
  CONCLUSIONS
  Addressing shortages in qualified health care providers by training and accrediting private sector drug dispensers to recognize common conditions and provide quality pharmaceutical products and services is feasible in a developing country, when supported by an appropriate policy and regulatory environment. Scaling up and sustaining the program will be a challenge.
authors.affiliation: Center for Pharmaceutical Management, Management Sciences for Health, MA, USA.
authors.forename: Edmund
authors.initials: E
authors.lastname: Rutta
authors.forename: Katie
authors.initials: K
authors.lastname: Senauer
authors.forename: Keith
authors.initials: K
authors.lastname: Johnson
authors.forename: Grace
authors.initials: G
authors.lastname: Adeya
authors.forename: Romuald
authors.initials: R
authors.lastname: Mbwasi
authors.forename: Jafary
authors.initials: J
authors.lastname: Liana
authors.forename: Suleiman
authors.initials: S
authors.lastname: Kimatta
authors.forename: Margareth
authors.initials: M
authors.lastname: Sigonda
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Alphonce
mesh_terms: D000068:Accreditation; D019058:Community Networks / Q000458:organization & administration*; D003157:Community Pharmacy Services / Q000331:legislation & jurisprudence* / Q000592:standards; D003906:Developing Countries; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D008507:Medically Underserved Area; D055553:Prescription Drugs; D017149:Private Sector; D017150:Public Sector; D013636:Tanzania
chemical_list: D055553:Prescription Drugs