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The Rational Drug Use Training Project first visited the Kalahari region in August of 1997. A two-day workshop was presented to the regional health director, the regional chief professional nurse (CPN) and staff from each of the seven fixed clinics in the region.
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The problem-based course covered:
Principles of rational prescribing and dispensing,
Use of therapeutic guidelines, focusing on the essential drugs list (EDL),
The collection and collation of drug use indicators, and
Principles of managing stock (medicines) by means of a stock card system.
Staff agreed to apply these principles to their daily practice, with support from the regional CPN. Stock cards were supplied and introduced at a few of the clinics. Drug use indicators would be collected and the stock cards monitored by the regional pharmacist, whose employment was imminent. It is impossible to improve drug use patterns in a consistent and sustainable manner without the leadership of regional or district management staff.
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