1. Standard Treatments

2. Standard Treatments: Objectives
Recognize and convey to others the advantages and benefits of standard treatments in promoting drug use
Develop effective, economic, and appropriate treatment protocols for priority health problems
Prepare a plan to effectively implement standard treatments in your program
Standard Treatments

3. Session Overview 1. The Problem: Therapeutic Anarchy
2. Advantages of Standard Treatments
3. Impact of Standard Treatments
4. Development of Standard Treatments
5. Implementation of Standard Treatments
Standard Treatments

4. Standard Treatments
List the preferred drug and nondrug treatments for common health problems experienced by people in a specific health system
Standard Treatments

5. Standard Treatments May Include Essentials of Diagnosis
Health Problem =
symptom - “headache”
diagnosis - “malaria”
health service - “antenatal care”
Standard Treatments

6. Standard Treatments in the Therapeutic Process
Signs and
Symptoms
Diagnosis
(Health Problems) Rx Rx
Drug
Supply
Treatment
(Responses) Rx
Adherence (Compliance) Rx
Clinical Outcome
Rx = focus of standard treatments
Standard Treatments

7. Advantages of Standard Treatments
Patients
Consistency among prescribers
Most effective treatments prescribed
Improved drug supply
Providers
Provides expert consensus
Provider can concentrate on diagnosis
Quality of care standard
Basis for monitoring and supervision
Standard Treatments

8. Advantages of Standard Treatments
Supply Management Staff
Performance standard for drug supply
Allows pre-packs of common items
Drug demand more predictable
Health Policy Makers
Funds used more efficiently
Assess and compare quality of care
Therapeutic integration of special programs
Standard Treatments

9. Key Features 1. Simplicity 2. Credibility
3. Same standards for all levels
4. Drug supply based on standards
5. Introduced in pre-service training
6. Dynamic—regular updates
7. Durable pocket manuals
Standard Treatments

10. Developing Standard Treatment Guidelines
1. Target priority conditions
2. Base on local disease factors
3. Coordinate with special programs
4. Use fewest drugs necessary
5. Choose cost-effective treatments
6. Use essential drug list drugs only
7. Involve respected clinicians
8. Consider patient perspective
Standard Treatments

11. Approaches to Standard Treatment Guidelines
Individual
Selective
Comprehensive
Standard Treatments

12. Implementing Standard Treatments
1. Printed reference
2. Official launch
3. Initial training
4. Reinforcement training
5. Monitoring
6. Supervision
Standard Treatments

13. Conclusion
Standard treatment guidelines can have considerable impact if they are developed and used in a sensible fashion
They can also be an expensive waste of effort
With standard treatment guidelines, the process of production and use is more important than the product
Standard Treatments

14. Case Study: A Second Edition? Standard Treatments in Pagalia
Activity 1
Case Study: A Second Edition? Standard Treatments in Pagalia
Standard Treatments