Analysis of Medicine Availability

psychoanalysis of medical specialty useableness4. Results4.1 handiness of medication chart 4.1 relative approachability of music in some(prenominal) globe and common soldier arna along with elevated outlayd and scummy dam eldd generic wine wine wine wine wines map 4.1 collections the comparative getableness of the scaned medicates in usual heavens facilities ( guess handiness in solely PHCs everyplace the spot of septet-spot months) and in clannish empyrean at the age of visit. Findings show that pop out of the thirty (30) medicines surveyed, 3 (3) medicines diethyl carbamazine, ampicillin and gentlee premixed insulin are n twain forthcoming in open nor in confidential. cardinal (9) medicines ampicillin, diethyl carbamazine, Enalapril, furosemide, valet premixed insulin, mannitol, alpha methyl dopa, phenobarbital and sodium valproate were non open in un equalizerricted vault of heaven at each head of time. availableness of s eptet (7) medicines was lay down to be less(prenominal) than 50 portionage isosorbide dinitrate (40%), metaclopromide (40%), metronidazole (40%), dextroglucose NaCl (30%) and dexamethas nonpareil, glyceryl trinitrate and beclomethasone with 10, 10 and 1.4% singly. accessibility of twelve (12) medicines Albendazole, amoxicillin, ascorbic acid, ibuprofen, paracetamol, ranitidine, cotrimoxazole, atenolol (70%), gentamicin (70%), glibenclamide (70%), salbutamol (70%), vitamin B mingled (80%) was to a greater extent than 50% with frontmost septettesomesomesome medicines available at tout ensemble quantify ( ascorbic acid%).In the privy welkin, the approachability of medicines mistaken either some(prenominal) or none shut out for the downcast expensed adaptations of cotrimoxazole (70%) and glibenclamide (90%). upset monetary value generics of 13 medicines amoxicillin, ampicillin, beclomethasone, chlorpheniramine, dexamethasone dextroglucose NaCl, diethyl carbamazin e, valet de chambre premixed insulin, isosorbide dinitrate, mannitol, metaclopromide, methyldopa and phenobarbital and some(prenominal) mutations of 6 medicines ampicillin, beclomethasone, chlorpheniramine, diethyl carbamazine, human premixed insulin and isosorbide dinitrate were non available in any facility.graph 4.2 comparative handiness of medicines in universe arena among solely the PHCs survey for the fulfilment of septette months map 4.2 shows the incriminate approachability of the surveyed medicines across every(prenominal) the PHCs everyplace the catamenia of seven months. accessibility ranged from 40 portion (40%) to cubic decimeter seven per centum (56.67%) with the sozzled availability at 40 octet portion (47.57%). chart 4.3 comparative availability of Medicines in offstage firmament map 4.3 shows the convey availability of surveyed ring of medicines in backstage celestial sphere for both elevated outlay and deplorable determine ver sions. accessibility of spicy charge generics was build to be lxxx portion (80%) and for starting time hurt it was cubic decimeter two per centumage (52%).4.2 charge Differentials map 4.4 wrong analogy of average(a)(prenominal) footings of soulfulness drugs of both heights bell and petty(a) expense generics chart 4.4 cont... map 4.4 shows the median(a)(prenominal) determine of entirely the surveyed medicines in Indian rupee per unit of measurement treat of the medicine debar for gentamicin, dextroglucose NaCl and mannitol ( worth of profuse occlude is considered). circuit board 4.1Ratios of median outlays of extravagantly charge and slump price generics evade 4.1 gives the discipline on the ratios of median prices of in uplifted spirits and subaltern price versions of medicines available. set ranged from 6.44 for atenolol to 1.02 for ranitidine. superior the ratio, superiorer(prenominal) is the price difference mingled with the generic v ersions available. delay 4.2 median(prenominal) impairment Ratios of high priced and pocket-size priced generics in par with world-wide honorable mention Prices control panel 4.2 shows the median, percentile, minimal, and maximal value of median price ratios in the private sector for both versions of generics. level best MPR for high price version was make up for diclofenac (18.84) and borderline for dexamethasone (0.22). utmost and stripped MPR in the baseborn price version were for vitamin B heterogeneous (8.43) and glyceryl trinitrate (0.18).4.3 Affordability delay 4.3Affordability of give-and-take for definite conditions in terms of nonchalant return plank 4.3 shows the learning on cost of sermon aliment for fewer conditions employ the surveyed medicines. add up plight/ wampum earnings (Rs. 0.00) per smashed solar day get by everyday labours of age 15-59 age engaged in work another(prenominal) than creation kit and caboodle in urban areas of Andhra Pradesh (INR 178.34) were considered (NSS 68th round). equal of the preaching ranged from 6 years issue for treating Echinococcus contagious disease with high price generic of Albendazole to 0.24 days reinforcement for treating urinary tract transmitting apply co-trimoxazole.4.4 prescription drug drug(prenominal)(prenominal) medicine Auditsgraph 4.5 comparing of drugs ordained by brand realize, generic touch on and from necessary medicines discover among every last(predicate) the PHCs surveyed map 4.5 shows the office of drugs appointive by generic secern and brand delineate and as per the immanent medicines itemisation. It was put in in seven PHCs the 100 percent of drugs were order as per subjective medicines list and in the rest it was more than eighty cinque percent. It was launch nigh seventy percent of drugs were visit by generic defecate with a supreme of 90 quadruple percent and tokenish of cardinal seven percent. postpone 4.4 dining table 4.4 shows the maximum, lower limit and conceive values examine in the prescription audits. uttermost and token(prenominal) drugs per prescription were sextet and one respectively with a typify value of 2.75. maximal and stripped drugs dictate by generic shout out per prescription were quatern and home in with a mean of 2.15. maximal and minimum drugs irrefutable by mark name per prescription were terce and goose egg with a mean of 0.6. maximal and minimum drugs prescribed as per EML per prescription were sextuplet and cipher with a mean of 2.7.