oa Central African Journal of Medicine - Drug utilisation, supply and expenditure at Chitungwiza, Gweru, Mpilo, Parirenyatwa and United Bulawayo Hospitals in one year (1987 -1988)

Volume 37, Issue 6
  • ISSN : 0008-9176



From 1987 to 1988 a total of 759 602 items were supplied to the five hospitals at a cost of Z$4 603 256.17. Over that period 373 203 (49.13 pc) were supplied by the Government Medical Stores (GMS) at a cost of Z$1 341 675.32 while 386 399 (50.87 pc) of the items were supplied by the Private Sector (PS) at a cost of Z$3 261 580.85. The disease pattern in hospitals' main causes of admission was used as a parameter to indicate the rationality of drug use and expenditure. The defined daily dose (DD), was used as a standard of comparison on drug usage at the five hospitals. Anti-infectives ranked highest in both use and expenditure in most hospitals while cytotoxics and vitamins respectively accounted for the highest expenditures and usage at Parirenyatwa hospital. The source of drug supplies to the hospitals was mainly the PS. Foreign currency shortages and the ineffective distribution system in the GMS seem to play an important factor in the provision and the utilisation of drugs in the public sector. In the public sector, physicians often prescribe expensive brand name products rather than the corresponding generic drugs.

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