Drug shops for stronger health systems: learning from initiatives in six LMICs

Abstract Background Private sector retail pharmacies, or drug shops, play an important role in access to essential medicines and services in low-and-middle-income countries. Recognising that they have the potential to contribute to health system strengthening efforts, many recent initiatives to enga...

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Autores principales:	Geetanjali Lamba, Zubin Cyrus Shroff, Zaheer-Ud-Din Babar, Abdul Ghaffar
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/34635064b1924177812a4ccb75a02b34
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spelling	oai:doaj.org-article:34635064b1924177812a4ccb75a02b342021-11-21T12:03:07ZDrug shops for stronger health systems: learning from initiatives in six LMICs10.1186/s40545-021-00374-z2052-3211https://doaj.org/article/34635064b1924177812a4ccb75a02b342021-11-01T00:00:00Zhttps://doi.org/10.1186/s40545-021-00374-zhttps://doaj.org/toc/2052-3211Abstract Background Private sector retail pharmacies, or drug shops, play an important role in access to essential medicines and services in low-and-middle-income countries. Recognising that they have the potential to contribute to health system strengthening efforts, many recent initiatives to engage with drug shops have been launched. These include initiatives that focus on changes in policy, regulation and training. However, the specific factors that influence their success remain poorly understood. Seven country case studies supported under the Alliance’s programme of work ‘Strengthening health systems: the role of drug shops’ help to explore this issue. Methods Country case studies from the above programme of research from Bangladesh, Indonesia, Myanmar, Nigeria, Tanzania and Zambia were used as the main sources of data for this paper. A modified version of Bigdeli et al.’s Access to Medicines framework was applied within a partially grounded approach to analyze each country case study and compare themes between countries. Results Many factors may help initiatives targeting drug shops successfully achieve their intended outcomes. At the micro level, these include community demand for drug shops and a positive relationship between drug shops and their clients. At the meso level, facilitators of initiative success include training and positive attitudes from drug shops towards the initiative. Barriers include client pressure, procurement challenges and financial and administrative costs associated with initiatives. At the macro level, collaboration between stakeholders, high-level buy in and supervision, monitoring and regulation may influence initiative success. These factors are inter-dependent and interact with each other in a dynamic way. Conclusions Using a framework approach, these country case studies demonstrate common factors that influence how drug shops can strengthen health systems. These learnings can help inform the design and implementation of successful strategies to engage drug shops towards sustainable systems change.Geetanjali LambaZubin Cyrus ShroffZaheer-Ud-Din BabarAbdul GhaffarBMCarticleTherapeutics. PharmacologyRM1-950Pharmacy and materia medicaRS1-441ENJournal of Pharmaceutical Policy and Practice, Vol 14, Iss S1, Pp 1-16 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441
spellingShingle	Therapeutics. Pharmacology RM1-950 Pharmacy and materia medica RS1-441 Geetanjali Lamba Zubin Cyrus Shroff Zaheer-Ud-Din Babar Abdul Ghaffar Drug shops for stronger health systems: learning from initiatives in six LMICs
description	Abstract Background Private sector retail pharmacies, or drug shops, play an important role in access to essential medicines and services in low-and-middle-income countries. Recognising that they have the potential to contribute to health system strengthening efforts, many recent initiatives to engage with drug shops have been launched. These include initiatives that focus on changes in policy, regulation and training. However, the specific factors that influence their success remain poorly understood. Seven country case studies supported under the Alliance’s programme of work ‘Strengthening health systems: the role of drug shops’ help to explore this issue. Methods Country case studies from the above programme of research from Bangladesh, Indonesia, Myanmar, Nigeria, Tanzania and Zambia were used as the main sources of data for this paper. A modified version of Bigdeli et al.’s Access to Medicines framework was applied within a partially grounded approach to analyze each country case study and compare themes between countries. Results Many factors may help initiatives targeting drug shops successfully achieve their intended outcomes. At the micro level, these include community demand for drug shops and a positive relationship between drug shops and their clients. At the meso level, facilitators of initiative success include training and positive attitudes from drug shops towards the initiative. Barriers include client pressure, procurement challenges and financial and administrative costs associated with initiatives. At the macro level, collaboration between stakeholders, high-level buy in and supervision, monitoring and regulation may influence initiative success. These factors are inter-dependent and interact with each other in a dynamic way. Conclusions Using a framework approach, these country case studies demonstrate common factors that influence how drug shops can strengthen health systems. These learnings can help inform the design and implementation of successful strategies to engage drug shops towards sustainable systems change.
format	article
author	Geetanjali Lamba Zubin Cyrus Shroff Zaheer-Ud-Din Babar Abdul Ghaffar
author_facet	Geetanjali Lamba Zubin Cyrus Shroff Zaheer-Ud-Din Babar Abdul Ghaffar
author_sort	Geetanjali Lamba
title	Drug shops for stronger health systems: learning from initiatives in six LMICs
title_short	Drug shops for stronger health systems: learning from initiatives in six LMICs
title_full	Drug shops for stronger health systems: learning from initiatives in six LMICs
title_fullStr	Drug shops for stronger health systems: learning from initiatives in six LMICs
title_full_unstemmed	Drug shops for stronger health systems: learning from initiatives in six LMICs
title_sort	drug shops for stronger health systems: learning from initiatives in six lmics
publisher	BMC
publishDate	2021
url	https://doaj.org/article/34635064b1924177812a4ccb75a02b34
work_keys_str_mv	AT geetanjalilamba drugshopsforstrongerhealthsystemslearningfrominitiativesinsixlmics AT zubincyrusshroff drugshopsforstrongerhealthsystemslearningfrominitiativesinsixlmics AT zaheeruddinbabar drugshopsforstrongerhealthsystemslearningfrominitiativesinsixlmics AT abdulghaffar drugshopsforstrongerhealthsystemslearningfrominitiativesinsixlmics
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Drug shops for stronger health systems: learning from initiatives in six LMICs

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