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Kenyatta National Hospital Pharmacy - Department Ensuring Safe Drug Use

The pharmacy department, which falls under clinical services, is one of the major support areas at KNH. Chief Pharmacist, Dr Godfrey Ombuya, who heads a team of highly trained professionals, manages the area, which was recognised in 2006 as the second best performing department in the hospital. The 80-man pharmacy team also operates a comprehensive care unit for antiretroviral medicines which is unique in the region for its individualised patient booths for counseling on use of HIV/AIDS medicines. However, the department is not without challenges. It spends about Sh 300 million yearly on drug stocks, but the problem of drug resistance raises costs.

Dr Ombuya says drug resistance is a serious challenge.

He says that sometimes disease-causing organisms sometimes build resistance drugs purchased over the counter need to be “phased out” to create room for more effective medicine.  “We first discovered it in the 80s  after clinical tests showed that some patients were not displaying expected reactions to certain types of medicines,” he says. Drug resistance has become a menace, globally. It was even the theme for the United Nations 2011 World Health Day. “Unnecessary use of antibiotics is one of the contributing factors," says Dr Ombuya.

Other factors include under dosage and the proliferation of many pharmacies that make it easier for quick over-the-counter unprescribed purchases, among others.

Such cases in the long run, lead to more devastating results such as the upsurge of other disease causing organisms which pose further challenges in treatment. Nevertheless, drug resistance can be prevented and controlled if patients learn to follow instructions from their physicians.  Taking the required and recommended dosage of medicine and avoiding self-diagnosis may help.  The department provides pharmaceutical services to inpatients and outpatients through service outlets

 

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