The lessons learned from the Implementation Development of the Provincial RDU: a pilot Study in RDU District, Sisaket Province

Abstract

This study is based on Qualitative research and aims to 1) distill the Lessons learned from the Operation of the development RDU Province of Pilots Study in RDU District, Sisaket Province, and             2)  propose guidelines for the operation of development RDU Province in Sisaket Province. The area of this study is Uthumphon Phisai District, Huai Thap Than, Mueang Chan, Pho Si Suwan The informants in this study were people who participated in the implementation, including health personnel. The sample consisted of 193 village health volunteers, community leaders, shop operators. The questionnaire was used as a questionnaire related to the implementation of rational drug use promotion in hospitals and communities. Conducted a document analysis, a field study, and a focus group discussion.

Results:1) The implementation of the promotion of Rational Drug Use in hospital Implement the operation that drives the policy into practice by the hospital's executives. and the Board of Pharmacy Therapy by the RDU Coordinator coordinating the implementation and monitoring of the indicators. through 6 key policies that focus on regulating the management of drugs and medical supplies according to the policy Promoting the use of herbal medicines in hospitals instead of antibiotics Add-on drug labeling for drugs that are at risk for drug use Preparing a handbook on the use of antibiotics in hospitals, High Alert Drug, Drug Evaluation, and communicating to multidisciplinary teams to raise awareness of rational drug use in hospitals. 2) Implementation of the promotion of rational drug use in the community Implementation of policy driving into practice by the District Health Coordinating Committee. The RDU Coordinator coordinates and monitors the indicators. By implementing the Key Activity 5 policy, proactive surveillance activities in the hospital. Find the patient's problem, Implementation of proactive surveillance in the community by working with the network to promote rational drug use in the community. such as primary care in the community, and operations of grocery store surveillance. Surveillance of risk problems in the community, Complaint Handing Procedures in the community. The development of a network of consumer organizations in the community is the development of a network for the community to participate in drug safety operations in the community.

Conclusions : It was found that from the implementation study, it was possible to establish an operating system for the promotion of the use of medicines in hospitals, community. By using the information that has been used to plan operations to develop into "Province uses rational use in Sisaket Province to provide people with drug safety and success in promoting rational use in Sisaket Province.