Evaluation of the state drug policy implementation

Abstract

Introduction: The State drug policy (SDP) approved by the Decision of Parliament, No.l352-XV from 03.10.2002 is an essential element of the national health policy. It serves as a basis for the development of the pharmaceutical system, drugs legislation and pharmaceutical activity. The purpose of this study is to evaluate the degree of the achievements of the State drug policy for the period of 2002-2012. Materials and methods: In order to achieve the established tasks, it was performed an analysis of the medical and pharmaceutical legislation of Republic of Moldova, of the normative acts issued by the Government, as well as interviews with those responsible persons from the Ministry of Health, Medicines Agency, as well as the logical, comparative and situational analysis. Results: For the implementation of SDP, in the studied period, the Government of Republic of Moldova approved 4 schedules (GD No.276/2003; GD No.202/2004; GD No.617 /2005; GD No.103/2008) which cumulatively met 81 actions. 11 items had to be realized until 2003, 8 till 2004, 13 till 2005, 15 till 2006, 6 till 2006 and 28 all the time. The result of the analysis showed that from the total number of proposed measures 23,5% were fully completed; 28.4% partially implemented; 37.0% uncompleted; and there are 11.1% which continue to be implemented until the time of analysis. In the last three years the Government has not issued documents on implementing the SDP. However, the analysis of the State drug policy content showed that 95% of the objectives are current nowadays and need only some changes and completions. Conclusion: The research highlighted the degree of implementation of the State drug policy. The effectiveness of implementation is unsatisfactory, it equals with 34,6%.That is why, it is necessary to make some changes and additions to the State drug policy of the Republic of Moldova, to adjust it to the national health policy and to fortify its implementation.