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 Treatment Guidelines

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 Treatment Guidelines

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

5. Standard Treatments may include essentials of diagnosis.
Health Problem =
symptom - "headache”
diagnosis - "malaria”
health service - "antenatal care”
Standard Treatment Guidelines

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

7. Advantages of Standard Treatments
For Patients
consistency among prescribers
most effective treatments prescribed
improved drug supply
For Providers
provides expert consensus
provider can concentrate on diagnosis
quality of care standard
basis for monitoring and supervision
Standard Treatment Guidelines

8. Advantages of Standard Treatments
For Supply Management Staff
performance standard for drug supply
allows pre-packs of common items
drug demand more predictable
For Health Policy Makers
funds used more efficiently
assess and compare quality of care
therapeutic integration of special programs
Standard Treatment Guidelines

9. Standard Treatments 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 Treatment Guidelines

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 Treatment Guidelines

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

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

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 Treatment Guidelines

14. Standard Treatments in Pagalia:
Activity One
Case Study:
Standard Treatments in Pagalia:
A Second Edition?
Standard Treatment Guidelines