Poor Quality Medicines in Maternal Health.

Introduction

There is a  high level of maternal mortality and morbidity rate in Nigeria. Maternal health is a big concern right now. Which results in complications because giving birth is unacceptable. The impact of quality medicines within the management of those complications can not be overemphasized. Most of these medicines are sensitive to environmental conditions and should be handled properly. During this research, the standard of endocrine injection, misoprostol tablets, sulfate, and Ca gluconate injections was assessed across the six political geopolitical zones of Nigeria.

Procurement and provide challenges-

maternal health

The supply of maternal medicines, like all alternative medicines, in Nigeria is radio-controlled by a National Drug Policy (NDP) that was introduced in 1990 and reviewed in 2005. In line with a 2004 study assessing drugs provide ways in Nigeria, the foremost procurance ways are open tender and direct procurance. a number of the challenges practiced with these ways embrace late placement of orders and delayed payment, inflicting delayed provide of those life-saving medicines.

These delays are fatal once health facilities run out of medicines to stop and treat maternal complications. this is often referred to as ‘stock out’ or as this text place it, ‘E no dey, return tomorrow’. one in all the foremost common physiological condition connected complications in Nigeria is harm or blood loss and studies have shown that it will kill a girl among a pair of hours if not properly managed with the proper medication. These ladies don’t have till “tomorrow” to return back for medication that will save their lives, thus it’s essential to confirm that health facilities have the regular provision of quality maternal medicines.

Impact of lack of direct policy on maternal medicines

Quality maternal medicines are important in reducing maternal deaths. However, in Nigeria, thanks to the challenges related to policies for drugs procurance, ladies still die or expertise adverse outcomes once parturition as a result of they are doing not have access to quality, deliverance medication. ladies in particularly hard-to-reach communities are hardest-hit once it involves accessing quality attention and medicines.

Policies confirm ways and also the effective implementation of the policies ought to be a key outcome of policy development. Policy gaps exist in Nigeria’s national drug procurance landscape and also the problems embrace the proliferation of substandard medicines moreover as poor service delivery. distinctive and addressing these key policy gaps are necessary initial steps in guaranteeing that medicines that are used for a girl UN agency is giving life, are of the proper quality to save lots of her life which of her unborn kid, moreover as enabling her to possess a full recovery once parturition.

A Senior Drug procurance Officer with the Federal Medical Centre, Abeokuta, was asked regarding the challenges within the procurance of quality drugs and mentioned that “having too several players within the procurance chain offers additional area for circulation of substandard and pretend medicine, particularly in rural areas”. the dearth of adherence to the 2005 National Drug Policy and afterward the dearth of a national policy that directly addresses the procurance, supply, and sales of maternal medicines in Nigeria has given rise to the proliferation of substandard maternal medicines and falsified medicines.

Improving the procurance of maternal medicines
To curb the proliferation of faux and substandard medicine, the nation should develop a policy that offers them autonomy over the national and sub-national procurance of medicine, as well as maternal medicines. in line with the procurance Officer, “There should be a policy that offers the national full charge and management of what medicine acquire the country and what medicine is factory-made within the country and circulated in our hospitals. The policy should be developed with provisions that address current lapses in accessibility and affordability of quality maternal medicines”.

What needs to be done?

  • Provisions that guarantee a note of understanding (MoU) with manufacturers and a demanding certification system for suppliers, guaranteeing the regulation of costs whereas guaranteeing adherence to quality standards.
  • An efficient and monitored system for personal sector involvement in distribution wherever required, to confirm walk distribution of life-saving medicines.
  • Provision created for annual procurance plans as determined by service suppliers, UN agency is trained in quantification and prediction of drug supplies; and strict pointers that stipulate that procurance is completed in line with the annual procurance plans.
  • The drug policy in Nigeria ought to back legislation for autonomous procurance agencies.
  • It is best to observe for national drug policies to incorporate medicine and provide a management system, linking federal medical stores, state medical stores, and health facilities to confirm useful audits, the path of movement of medicines, and generate data to be used within the choice, quantification, and prediction of medicines.

Results
Providing quality medicines to the mother and the newborn should be the priority. Sample of those commodities that were procured principally from wholesale and retail pharmacies, wherever these were pronto obtainable, whereas the federal medical center’s reported low accessibility. roughly, 74.2% of endocrine injection samples failing the essay take a look at, with the northeast and southeast zones registering the very best failure rates. Misoprostol tablets recorded a shared failure of 33.7%. sulfate and Ca gluconate injection samples recorded a failure rate of half-dozen. 8% and 2.4%, severally.

Conclusion
The prevalence of signs of endocrine and misoprostol commodities was of substandard quality. Strengthening the provision chain of those necessary medicines is predominant to make sure their effectiveness in reducing maternal deaths in Nigeria.

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