To provide basic information on the management and appropriate prescribing, dispensing and use of RMNCH medicines will familiarize with the terminologies used in drug management, the medicines used, including their generic names, uses, doses, precautions, side effects, storage and handling, advising/counselling patients. It thereby addresses the scope of knowledge which will fill those information gaps on how best use RMNCH medicines by healthcare providers and clients.
The formulary apart from being used as desk reference by Health care providers can also be used as a resource material during the basic training of Health care providers who specifically deal with RMNCH services.
Table of Contents
I. Medicines for Children Under Five
1. Medicines Used in Diarrhea
2. Medicines Used in Intestinal Helminthiasis
3. Medicines Used in Intestinal Protozoal Infections
4. Medicines Used in Malaria for Children
5. Medicines Used in Neonatal Sepsis
6. Medicines Used in Pain and Palliative Care
7. Medicines Used in Pneumonia
8. Medicines Used in Prevention of Mother-To-Child Transmission of HIV (PMTCT)
9. Co-trimoxazole Preventive Therapy (CPT)
10. Medicines Used in Prevention of TB in a Newborn
11. Medicines Used in Severe Acute Malnutrition
12. Medicines Used in Trachoma
13. Medicines Used in Umbilical Cord Infection
14. Medicines Used in Vitamin A Deficiency
15. Vaccines Used in Expanded Program of Immunization (EPI)
II. Medicines for Women
1. Medicines Used in Abortion
2. Medicines Used in Anemia During Pregnancy
3. Medicines Used in Hyperemesis During Pregnancy
4. Medicines Used in Hypertensive Disorders During Pregnancy
5. Medicines Used in Infertility
6. Medicines Used in Maternal Sepsis
7. Medicines Used in Postpartum Hemorrhage
8. Medicines Used in Preterm Labour Management
9. Medicines Used in Sexually Transmitted Infections (STIs)
10. Medicines Used in Treatment of HIV for Pregnant Women
11. Medicines Used in Treatment of Malaria for Pregnant Women
12. Medicines Used in Treatment of TB for Pregnant Women
13. Medicines Used in Vaginal Candidiasis
14. Tetanus Toxoid Immunization for Women of Childbearing Age
15. Contraceptives
16. Miscellaneous
Objectives and Scope
The primary goal of this formulary is to provide health care professionals with specific, up-to-date, and clinical-oriented information on life-saving medicines for reproductive, maternal, newborn, and child health (RMNCH) to ensure rational medicine use. The work aims to support appropriate prescribing, dispensing, and administration of these medicines to reduce morbidity and mortality rates in women and children.
- Provide comprehensive monograph information for priority RMNCH medicines.
- Serve as a rapid reference desk guide for health care practitioners.
- Promote standard and rational prescribing, dispensing, and counseling practices.
- Support training programs for health care providers working in RMNCH services.
Excerpt from the Book
Oral Rehydration Salts (ORS)
Sachets containing powder for dilution in 1 liter (Contains: glucose 13.5 g/l, sodium chloride 2.6 g/l, potassium chloride 1.5 g/l, trisodium citratedihydrate 2.9 g/l. Provides: glucose 75 mmol/l, sodium 75 mEq or mmol/l, chloride 65 mEq or mmol/l, potassium20 mEq or mmol/l, citrate 10 mmol/l, osmolarity 245 mOsm/l). Total Osmolarity is 245 mmol/L.
Indications: replacement of fluid and electrolyte loss in diarrhea. For the prevention and treatment of mild to moderate dehydration from acute diarrhea of any cause, in all age group.
Precautions: ORS is not appropriate for patients with gastrointestinal obstruction, inability to drink, oliguric or anuric renal failure, or when parenteral rehydration therapy is indicated as in severe dehydration or intractable vomiting.
Summary of Chapters
I. Medicines for Children Under Five: This chapter provides detailed therapeutic guidance on essential medicines for managing conditions like diarrhea, malaria, pneumonia, and severe acute malnutrition in young children.
II. Medicines for Women: This chapter covers pharmacological interventions for maternal health issues, including pregnancy-related disorders, abortion, postpartum hemorrhage, and contraception methods.
Keywords
RMNCH, Ethiopia, Medicines Formulary, Rational drug use, Maternal health, Child health, Neonatal sepsis, Malaria treatment, Contraception, Antibiotics, Prescribing practices, Dispensing, Patient counseling, Life-saving medicines.
Frequently Asked Questions
What is the primary purpose of this RMNCH Medicines Formulary?
The formulary provides up-to-date, clinically oriented information on life-saving medicines for women, newborns, and children to promote rational prescribing and dispensing in Ethiopia.
Who is the target audience for this document?
It is designed for use by all health care professionals, including prescribers and dispensers, involved in providing RMNCH services at various healthcare facilities.
Does this formulary replace standard treatment guidelines?
No, the formulary is intended as a rapid reference tool and does not substitute standard treatment guidelines or national protocols.
How are the medicine monographs structured?
Monographs typically include dosage form and strength, indications, precautions, drug interactions, contraindications, side effects, dose/administration, and storage conditions.
What is the significance of the "Pregnancy Category" provided?
It classifies medicines according to the US-FDA system to help practitioners assess the benefit-risk ratio when prescribing medication during pregnancy.
What general principles for "Good Prescribing Practices" are emphasized?
The document highlights the importance of clear, legible, and non-abbreviated prescriptions using generic names, stating the diagnosis, and specifying doses accurately based on weight or body surface area for children.
How should ORS be reconstituted and stored?
ORS should be reconstituted in 1 liter of water and kept in a closed container in a cool place, with any remaining solution discarded after 24 hours.
What specific precautions are mentioned for using Gentamicin in neonates?
Clinicians are advised to monitor renal, auditory, and vestibular functions, and serum gentamicin concentrations, as the drug is associated with nephrotoxicity and ototoxicity.
- Quote paper
- Tatek Deneke (Author), 2016, Ethiopian Reproductive, Maternal, Newborn and Child Health (RMNCH) Medicines Formulary, Munich, GRIN Verlag, https://www.grin.com/document/516699
