scholarly journals The Role and Experience of Sudan in Assisting To Develop and Implement National Drug Policies

2019 ◽  
Vol 4 (11) ◽  

The strategy of price liberalisation and privatisation had been implemented in Sudan over the last decade, and has had a positive result on government deficit. The investment law approved recently has good statements and rules on the above strategy in particular to pharmacy regulations. Under the pressure of the new privatisation policy, the government introduced radical changes in the pharmacy regulations. The 2001 Pharmacy and Poisons Act and its provisions established the Federal Pharmacy and Poison Board (FPPB). All the authorities of the implementation of Pharmacy and Poisons Act were given to this board. This article provides an overview of the impact of the pharmaceutical regulations on the quality of medicines on the Sudanese market from the perspective of the pharmacists working with drug importing companies. The information necessary to conduct the evaluation was collected from 30 pharmacists who are the owners or shareholders in medicines’ importing companies. The participants were selected randomly. 89% of respondents considered the medicines on the Sudanese market are generally of good quality. The design of the research itself may be considered inadequate with regard to selection process. However, the authors believe it provides enough evidence, and the current pharmaceutical regulations have some loopholes. The Pharmacy, Poisons, Cosmetics and Medical Devices Act-2001 and its regulation should be enforced. The overall set-up including the Act itself needs to be revised. The emerging crisis in pharmacy human resources requires significant additional effort to gather knowledge and dependable data that can inform reasonable, effective, and coordinated responses from government, industry, and professional associations. Furthermore research should be carried out to understand the scope, magnitude directions of the migratory flows, within and outside the country, as well as the characteristics and skills of the emigrated pharmacists.

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.


Author(s):  
Irwan Sugiarto

This study aims to determine the impact of business planning for the development of MSMEs. The research method uses is a qualitative method with a descriptive and explorative descriptive approach. From the results of the research conducted, the results show that proper business planning and the application of a good marketing strategy have a positive impact on the sustainability of MSME activities. In addition, the quality of production that has a competitive advantage is also one of the driving factors. For the development of MSMEs, there are several obstacles faced, especially related to capital and guidance from the local government. With the development of MSMEs, it is expected to improve people's welfare, including helping the government in reducing unemployment.


2017 ◽  
Vol 8 (2) ◽  
pp. 84
Author(s):  
Dyah Purwanti ◽  
Ghulbudin Isham Natser

<p>This study aims to find empirical evidence about the role of accounting information system (AIS) as intervening factors that affect the quality of financial reporting information of the government. This study uses a questionnaire that primary data collected from respondents, namely employees of the accounting department of the government units, especially a partner institution in the State Treasury Office (KPPN) 2 Jakarta. Data processing is performed by the method of partial least squares (PLS). The results of this study are the accounting information system has significantly the impact on the quality of government financial reporting information. While the capacity factor of human resources, control data input and application of Government Accounting Standards (SAP) have a significant direct effect on the AIS, is larger when compared to a direct influence on the quality of financial reporting information. Other factors, organizational commitment and internal control system has a significant influence either directly or indirectly on the quality of financial reporting information. The findings of the study are expected to provide input to the government the importance of improving the accounting information system, such as strengthening the capacity of human resources and accounting applications in realizing quality financial information.</p>


2018 ◽  
Author(s):  
Lusiah

The development of higher education in Indonesia is increasingly evident. It is characterized by many private colleges are spread all over Indonesia. But in recent years the government did not give permission to those who want to establish a college. One reason is the government not only menginginkankan development in terms of quantity alone, but must be accompanied by good quality of any existing college.The number of colleges that exist today is already growing its own competition. The high level of competition among private universities is happening now requires every college has the right strategy to attract the interest of new students. Each college offers the advantages of each. However, not all universities have a particular brand image compared with other universities.One of the determining factors of brand image is the satisfaction of its customers. While satisfaction itself arises as a result of service perceived by the customer.College is not only required to provide a good quality education, but they also must be able to provide good service to students as well. Good service is expected to provide satisfaction for students. Of course in the long term, the impact of satisfaction that will form a good image for the college concerned anyway.STIE IBBI Medan is one of the private high school that has a good image in the city of Medan. However, STIE IBBI still have to further improve the quality of services provided to students. It is necessary to maintain the good image that has been owned STIE IBBI today.The plan of the research will be conducted in STIE IBBI Medan. The population is all students STIE IBBI. The long term goal of this research is to STIE IBBI to increase public confidence in higher education that will take in high school applying good quality excellent service. Expected from the results of this study, STIE IBBI can also implement appropriate marketing strategies to improve the quality of service to students. In addition, the results of this research can be a good reference for prospective new students who will pursue higher education in the STIE IBBI Medan.


2021 ◽  
Vol 14 (S1) ◽  
Author(s):  
Fosiul Alam Nizame ◽  
Dewan Muhammad Shoaib ◽  
Emily K. Rousham ◽  
Salma Akter ◽  
Mohammad Aminul Islam ◽  
...  

Abstract Background The National Drug Policy in Bangladesh prohibits the sale and distribution of antibiotics without prescription from a registered physician. Compliance with this policy is poor; prescribing antibiotics by unqualified practitioners is common and over-the-counter dispensing widespread. In Bangladesh, unqualified practitioners such as drug shop operators are a major source of healthcare for the poor and disadvantaged. This paper reports on policy awareness among drug shop operators and their customers and identifies current dispensing practices, barriers and facilitators to policy adherence. Methods We conducted a qualitative study in rural and urban Bangladesh from June 2019 to August 2020. This included co-design workshops (n = 4) and in-depth interviews (n = 24) with drug shop operators and customers/household members, key informant interviews (n = 12) with key personnel involved in aspects of the antibiotic supply chain including pharmaceutical company representatives, and model drug shop operators; and a group discussion with stakeholders representing key actors in informal market systems namely: representatives from the government, private sector, not-for-profit sector and membership organizations. Results Barriers to policy compliance among drug shop operators included limited knowledge of government drug policies, or the government-led Bangladesh Pharmacy Model Initiative (BPMI), a national guideline piloted to regulate drug sales. Drug shop operators had no clear knowledge of different antibiotic generations, how and for what diseases antibiotics work contributing to inappropriate antibiotic dispensing. Nonetheless, drug shop operators wanted the right to prescribe antibiotics based on having completed related training. Drug shop customers cited poor healthcare facilities and inadequate numbers of attending physician as a barrier to obtaining prescriptions and they described difficulties differentiating between qualified and unqualified providers. Conclusion Awareness of the National Drug Policy and the BPMI was limited among urban and rural drug shop operators. Poor antibiotic prescribing practice is additionally hampered by a shortage of qualified physicians; cultural and economic barriers to accessing qualified physicians, and poor implementation of regulations. Increasing qualified physician access and increasing training and certification of drug shop operators could improve the alignment of practices with national policy.


Agronomy ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 1408
Author(s):  
Krzysztof Kapela ◽  
Anna Sikorska ◽  
Marek Niewęgłowski ◽  
Ewa Krasnodębska ◽  
Krystyna Zarzecka ◽  
...  

The field experiment was carried out in 2015–2017 on a family farm in Toczyski Czortki, in the Mazovia voivodeship in Poland. The experiment was set up in a split–split–plot system in three replications. The area of one plot was 30 m−2. The studied factors were: I—two maize varieties: PR38N86 (medium late hybrid cultivar 280 FAO), P8400 (medium early hybrid cultivar 240 FAO); II—four doses of nitrogen fertilization: 1. control object—without the use of nitrogen (0 kg N·ha−1), 2. nitrogen dose—80 kg N·ha−1 (applied once before sowing), 3. nitrogen dose—120 kg N·ha−1 (applied once before sowing), 4. nitrogen dose—160 kg N·ha−1 (applied once before sowing); III—four types of biostimulants used: 1. control object—without using a biostimulant, 2. Asahi®SL biostimulant: I term—four-leaf phase (BBCH 14) at a dose of 0.60 dm3∙ha−1, II term—eight-leaf phase (BBCH 18) at a dose of 0.60 dm3∙ha−1, 3. Improver® biostimulant: I term—four-leaf phase (BBCH 14) at a dose of 1.00 dm3∙ha−1, II term—eight-leaf phase (BBCH 18) at a dose of 0.60 dm3∙ha−1, 4. Zeal® biostimulant: I term—six-leaf phase (BBCH 16) at a dose of 2.00 dm3∙ha−1. The aim of the study was to determine the effect of nitrogen fertilization and the use of biostimulants on the size and quality of yield of two varieties of maize grown for grain. Based on the conducted research, it was found that nitrogen doses influenced the amount of maize grain obtained. The highest yields were obtained using 120 kg N∙ha−1. Nitrogen doses significantly affected the studied maize yield components. The dose of 120 kg N∙ha−1 increased the number of grains in the cob, while the dose—160 kg N∙ha−1 exerted the best effect on obtaining the highest values of a thousand seeds. The biostimulants used in the experiment significantly affected the mass of one thousand seeds and the number of grains in the cob. In addition, Asahi®SL, Improver® and Zeal® biostimulants increased maize yield in each growing season studied.


Author(s):  
Forbes Chiromo ◽  
Goodwell Muyengwa ◽  
Joseph Makuvaza

AbstractThis study investigates the extent to which tenants in a jewellery incubator in the Limpopo Province of South Africa network. Since 1994 SEDA has set up more than 31 incubation centres in furniture making, construction, chemicals, jewellery, ICT, metal fabrication, agriculture and small scale mining. This study was done through a survey conducted on tenants in the SEDA Limpopo Jewellery Incubator (SLJI). Information was obtained through a structured questionnaire. The study revealed how tenants benefit from networking around exhibitions and collective purchasing of raw material. Through the Incubator institutional mechanisms, the study explains how tenants share expertise, experiences, technology and resources. Unfortunately the tenants do not initiate the own networking programmes. They lose out on benefits associated with collective effort in other areas such as advertisements, lobbying the government for industrial stands, organising an newsletter, hiring of consultants, and organising joint training programmes. Lastly the study identified opportunities that the tenants could collectively exploit in order strengthen and sustain their businesses.


Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 80
Author(s):  
Jéssica José ◽  
Biljana Cvetkovski ◽  
Vicky Kritikos ◽  
Rachel Tan ◽  
Sinthia Bosnic-Anticevich ◽  
...  

Pharmacists have a valuable role in the management of allergic rhinitis (AR) at the community pharmacy level. This role has been reported extensively in numerous papers. However, a systematic review of the available literature and a comprehensive analysis of the outcomes has not been published. This systematic review aimed to evaluate the impact of interventions developed by pharmacists on clinical AR outcomes. A thorough search was performed in three electronic databases, including studies published between January 2000 and June 2019. After the selection process, only three articles met the inclusion criteria and were further analysed. Despite the scarcity of the available studies, in all of them was clear that the pharmacist plays a pivotal role in the management of AR, significantly improving the patients’ quality of life and symptom control. This systematic review also stresses the utmost importance to investigate and report practices and interventions developed by pharmacists using measurable outcomes.


2017 ◽  
Vol 22 (5) ◽  
pp. 624-647 ◽  
Author(s):  
Gregmar I. Galinato ◽  
Asif Islam

AbstractThe authors develop a theoretical model that elucidates the relationship between the quality of governance, the composition of government spending and pollution as a by-product of the consumption process. In particular, they determine the impact of government spending that alleviates market failure such as subsidies to the poor which reduce credit market failure and environmental regulations to correct for pollution externality. It is found that a shift in government spending towards goods that alleviate market failure has countervailing effects – consumption pollution rises due to increases in income, but consumption pollution also falls due to increasing environmental regulations. Conditional on the government adopting a democratic regime, the effect through environmental regulations outweighs the effect through income leading to lower consumption pollution. The authors estimate an empirical model and find that the results support their theoretical predictions.


2008 ◽  
Vol 136 (7) ◽  
pp. 2713-2726 ◽  
Author(s):  
G. A. Kelly ◽  
P. Bauer ◽  
A. J. Geer ◽  
P. Lopez ◽  
J-N. Thépaut

Abstract This paper presents the results from the Observing System Experiments (OSEs) with the current ECMWF data assimilation and modeling system for quantifying the impact on both analysis and forecast quality of Special Sensor Microwave Imager (SSM/I) observations sensitive to moisture and clouds as well as precipitation. SSM/I radiances have been assimilated operationally in clear-sky areas for 8 yr and in cloud- and rain-affected areas since June 2005. This paper examines experiments set up such that clear-sky and rain-affected observations were either added to a baseline with a restricted observing system configuration or withdrawn from the full system. The experiment duration was 10 weeks of which the first 14 days were excluded from the evaluation to allow the system to lose the memory of the initial conditions at day −1. It is shown that both clear-sky and rain-affected observations account for the bulk correction of moisture in the ECMWF analysis. SSM/I data adds 1 day of forecast skill over the first 48 h when evaluated in addition to a baseline-observing system. In the tropics, the rain-affected data contributes more skill to the moisture forecast than the clear-sky data at 700 hPa and above. In the Northern and Southern Hemispheres, the effect is generally weaker and slightly in favor of clear-sky observations. A similar performance can be seen with respect to the wind vector forecast skill, which reflects the connection between the analysis of moisture and dynamics.


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