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New Delhi : Public Health and hospitals being a state subject, it is for the States/UTs to take necessary actions to boost healthcare services including distribution of life-saving and generic drugs in public health facilities. However, under the National Health Mission (NHM), financial and technical support is provided to the States/UTs for strengthening their healthcare delivery system including support for provision of essential drugs free of cost to those who access public health facilities. All the States/UTs have reported that they have notified free drug policy in their respective States/UTs.
Availability of the drugs are being monitored through Drug and Vaccine Distribution Management System (DVDMS). DVDMS is a web-based Supply Chain Management System that deals in purchase, supply, distribution and inventory management of various drugs, sutures, surgical and consumable items. It has an in-built provision of monitoring and checking the availability of medicine at all facilities at district and state level.
DVDMS links various Regional/ District Drug Warehouses (DWH), District Hospitals (DH), their sub stores like Community Health Centres (CHC) and Primary Health Centres (PHC). Moreover, it has the functionality for distribution of drugs to patients, thus enabling tracking of consumption till last mile.
With an objective of making quality generic medicines available at affordable prices to all, Pradhan Mantri Bhartiya Jan Aushadhi Pariyojana (PMBJP) was launched by the Department of Pharmaceuticals, Ministry of Chemicals & Fertilizers, Government of India. Under this scheme, dedicated outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendras (PMBJKs) are opened to sell generic medicines at affordable rates. As on June 21,2019, 5,365 Pradhan PMBJKs are functional across the country.
The National List of Essential Medicines (NLEM) is one of the key instruments in healthcare delivery system of a country which inter alia includes accessible, affordable quality medicine at all the primary, secondary, tertiary levels of healthcare. The primary purpose of NLEM is to promote rational use of medicines considering the three important aspects i.e. cost, safety and efficacy. Furthermore it promotes prescription by generic names.
Public health being a State subject, the number of essential medicines to be provided free of cost is decided by the States and varies from State to State. However, the Ministry has provided illustrative list of essential medicines that should be provided at Sub Centres, Primary Health Centres, Community Health Centres and District Hospitals, according to a PIB release.
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