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QUANTIFICATION OF ESSENTIAL
DRUGS
TAHIR, ALBASHIR (BSc. Pharm.)
albashirtahir@gmail.com
+2348068440615
APRIL, 2023.
1
Quantification of selected essential drugs can be defined as the process
for determining the quantity of drugs given for a certified health
problem and is expected to prevent or cure the health problem.
This ensures that adequate supplies are available to treat the cases of
patients presenting to the health facility.
The aim of quantification is to procure the right amount of drugs the
patients need in a cost effective manner.
2
QUANTIFICATION…
Under stocking of drugs in the health facility leads to frustration
and the people will eventually abandon the health centre.
On the other hand, over stocking will not only tie down fund,
unduly, but leads to wastage arising from the expiration of drugs,
increased risk of pilferage and difficulty in providing adequate
storage spaces and facilities.
3
Quantification of selected essential drugs can be done both scientifically or by the old but conservative
means, however, the scientific method is often employed in most parts of the world today, hence the
under stated advantages;
• Prevents over stocking with its associated wastage
• Prevents under stocking with its attendant frustrations
• It provides strategies for judicious use of resources especially when they are scarce as in many
developing nations
• Encourages rational use of drugs as in appropriate demands and wasteful prescription practices are not
provided for
• Can be used as management tool to convince and justify budget for drugs.
4
Advantages of Scientific Quantification
Methods of Quantification
Various methods are used in the quantification of selected essential
drugs, but the most commonly used, includes the followings:
• Morbidity/Standard treatment method
• Consumption patterns
• Epidemiology/Population base
• Estimate
• Define daily dose
5
Morbidity/Standard Treatment Method
• This is based on adequate statistics on health services utilization
• The major focus here is the number of people treated for various
diseases over a given period of time in the facility
• The quantity of drugs to treat an illness must be known either
from standing orders or worked out
6
Steps in Quantification using morbidity
data
• Collect information on number of treatment episodes requiring drugs
• Identify major health problems seen in the facility
• Get standard treatment schedule for each drug formulation
• Calculate the quality of drug formulation required for each disease using the formula below;
𝑁𝑜_ 𝑜𝑓 𝑒𝑥𝑝𝑒𝑐𝑡𝑒𝑑 𝑝𝑎𝑡𝑖𝑒𝑛𝑡𝑠 × 𝐷𝑟𝑢𝑔𝑠 𝑐𝑜𝑛𝑠𝑢𝑚𝑒𝑑 𝑎𝑐𝑐𝑜𝑟𝑑𝑖𝑛𝑔 𝑡𝑜 𝑠𝑡𝑑 𝑡𝑟𝑒𝑎𝑡𝑚𝑒𝑛𝑡 𝑝𝑟𝑜𝑡𝑜𝑐𝑜𝑙
• Adjust quantity above upward to allow for damages, loss etc.
• Where a drug is used for more than one condition, repeat steps 1 – 5 for each condition and
then add up for the total quantity of drugs required by the facility.
7
Consumption Method
• This approach depends on the information on the quantity of drugs
previously used over time in determining future needs
• Consumption method does not require much data as in morbidity data
use as all the data needed are in the pharmacy unit
• It is, therefore, faster, easier and has been found useful where special
drugs are required in hospitals.
8
Consumption Method…
Consumption method suffers from some serious deficiencies like;
• Wastage due to expiration of drugs, pilferage, breakages are assumed to have been
consumed
• Encourages irrational drug prescription and use as the focus is the quantity of drugs
consumed and not how it was arrived at
• Does not provide for programme expansion either through planned activities or
disease out breaks.
9
Epidemiology/Population base Method
• A survey of the disease pattern and care seeking behaviour in the
area may be conducted
• From the result, the quantity of drugs required to treat each
condition for a certain period may be extrapolated.
10
Steps involved in Quantification
For a meaningful and more reliable quantification, a combination of morbidity and
consumption pattern methods are recommended as both are based on data concerning the
actual or projected use of health services;
• Data collection.
• Data harmonization.
• Identification of health problems.
• Identify common diseases and develop standard treatment schedules
• Actual quantification exercise resulting in actual quantity needed for a period of time,
dosage forms and packs.
11
THANK YOU!
13

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QUANTIFICATION OF DRUGS

  • 1. QUANTIFICATION OF ESSENTIAL DRUGS TAHIR, ALBASHIR (BSc. Pharm.) albashirtahir@gmail.com +2348068440615 APRIL, 2023. 1
  • 2. Quantification of selected essential drugs can be defined as the process for determining the quantity of drugs given for a certified health problem and is expected to prevent or cure the health problem. This ensures that adequate supplies are available to treat the cases of patients presenting to the health facility. The aim of quantification is to procure the right amount of drugs the patients need in a cost effective manner. 2
  • 3. QUANTIFICATION… Under stocking of drugs in the health facility leads to frustration and the people will eventually abandon the health centre. On the other hand, over stocking will not only tie down fund, unduly, but leads to wastage arising from the expiration of drugs, increased risk of pilferage and difficulty in providing adequate storage spaces and facilities. 3
  • 4. Quantification of selected essential drugs can be done both scientifically or by the old but conservative means, however, the scientific method is often employed in most parts of the world today, hence the under stated advantages; • Prevents over stocking with its associated wastage • Prevents under stocking with its attendant frustrations • It provides strategies for judicious use of resources especially when they are scarce as in many developing nations • Encourages rational use of drugs as in appropriate demands and wasteful prescription practices are not provided for • Can be used as management tool to convince and justify budget for drugs. 4 Advantages of Scientific Quantification
  • 5. Methods of Quantification Various methods are used in the quantification of selected essential drugs, but the most commonly used, includes the followings: • Morbidity/Standard treatment method • Consumption patterns • Epidemiology/Population base • Estimate • Define daily dose 5
  • 6. Morbidity/Standard Treatment Method • This is based on adequate statistics on health services utilization • The major focus here is the number of people treated for various diseases over a given period of time in the facility • The quantity of drugs to treat an illness must be known either from standing orders or worked out 6
  • 7. Steps in Quantification using morbidity data • Collect information on number of treatment episodes requiring drugs • Identify major health problems seen in the facility • Get standard treatment schedule for each drug formulation • Calculate the quality of drug formulation required for each disease using the formula below; 𝑁𝑜_ 𝑜𝑓 𝑒𝑥𝑝𝑒𝑐𝑡𝑒𝑑 𝑝𝑎𝑡𝑖𝑒𝑛𝑡𝑠 × 𝐷𝑟𝑢𝑔𝑠 𝑐𝑜𝑛𝑠𝑢𝑚𝑒𝑑 𝑎𝑐𝑐𝑜𝑟𝑑𝑖𝑛𝑔 𝑡𝑜 𝑠𝑡𝑑 𝑡𝑟𝑒𝑎𝑡𝑚𝑒𝑛𝑡 𝑝𝑟𝑜𝑡𝑜𝑐𝑜𝑙 • Adjust quantity above upward to allow for damages, loss etc. • Where a drug is used for more than one condition, repeat steps 1 – 5 for each condition and then add up for the total quantity of drugs required by the facility. 7
  • 8. Consumption Method • This approach depends on the information on the quantity of drugs previously used over time in determining future needs • Consumption method does not require much data as in morbidity data use as all the data needed are in the pharmacy unit • It is, therefore, faster, easier and has been found useful where special drugs are required in hospitals. 8
  • 9. Consumption Method… Consumption method suffers from some serious deficiencies like; • Wastage due to expiration of drugs, pilferage, breakages are assumed to have been consumed • Encourages irrational drug prescription and use as the focus is the quantity of drugs consumed and not how it was arrived at • Does not provide for programme expansion either through planned activities or disease out breaks. 9
  • 10. Epidemiology/Population base Method • A survey of the disease pattern and care seeking behaviour in the area may be conducted • From the result, the quantity of drugs required to treat each condition for a certain period may be extrapolated. 10
  • 11. Steps involved in Quantification For a meaningful and more reliable quantification, a combination of morbidity and consumption pattern methods are recommended as both are based on data concerning the actual or projected use of health services; • Data collection. • Data harmonization. • Identification of health problems. • Identify common diseases and develop standard treatment schedules • Actual quantification exercise resulting in actual quantity needed for a period of time, dosage forms and packs. 11
  • 13. 13