From October 30 to November 1, 2018 Inter-program consultations on the organization of primary health care in the appropriate agents and agents for antimicrobials (hereinafter referred to as the WHO Inter-program Consultations) were held in Almaty (Kazakhstan), where representatives from 33 countries of the European and Asian regions participated. The Republic of Belarus was represented by the member of the Department of pharmaceutical inspection and organization of medicinal supply of the Ministry of Health of the Republic of Belarus Galina I. Pyshnik and Associate Professor of the Department of Infectious Diseases of the Belarusian State University Yuri L. Gorbich.
Within the framework of the WHO Inter-program Councils, the issues of prescription sales of antimicrobial agents were discussed and based on international experience in combating antibiotic resistance, emphasis was placed on the unconditional sale of antibiotics from pharmacies only on the basis of a doctor's prescription. According to the new statistics in the primary health care sector between 60% and 75% of all antimicrobial agents are prescribed. Participating countries provide information on the current situation regarding the prescription and sale of antimicrobial agents in pharmacies at the national level. There is a great interest in the evoked strategy of the Republic of Belarus with a phased transition to controlled access to antibiotics while maintaining a limited list of agents without a doctor’s prescription and gradually reducing this list while simultaneously conducting explanatory work among the population on the responsible use of antibiotics. Using the example of a number of countries of the Asian regions, where the problems facing the primary health care provider concerning acceptable use of antimicrobial drugs were discussed, participants proposed ways to solve these problems via research with the participation of experts and other participating countries.
The final conclusion of inter-program agreements noted the high importance of conducting educational activities in the field of antibiotics for treating primary health care at the national and professional levels and active campaigns using the mass media to form a responsible attitude to the use of antibiotics among the general population and control the sales of this groups of agents in pharmacy chain (including keeping prescription after-sale). The possibility of using a rigid system using the barcoding of each secondary packaging was also noted.
Author: Yuri L. Gorbich, Associate Professor of the Department of Infectious Diseases of the Belarusian State University;