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  1. 1

    [Drug management manual for primary healthcare facilities] Manuel de gestion des médicaments au niveau des formations sanitaires de base.

    Morocco. Ministère de la Santé. Direction des Hôpitaux et des Soins Ambulatoires. Division des Soins Ambulatoires

    [Rabat], Morocco, Ministère de la Santé, Direction des Hôpitaux et des Soins Ambulatoires, Division des Soins Ambulatoires, 2002 Mar. 44 p.

    This guide to drug management, prepared by the ministry of health of Morocco in the context of its policy aimed at improving the quality of care and services, constitutes a reference tool for sensitizing and training healthcare personnel. The goal in its development is to ensure access to medications, increasing their availability through a national strategy of acquisition and management of drugs and medical devices. The guide explains the notion of generic drugs, essential drugs and vital drugs; it outlines their streamlining through steps reflecting the pharmaceutical policy based on the concept of essential and vital drugs, the national list of which is one of the pillars; drug prescriptions; the fight against waste; information and education of patients about their proper use; and finally the control of the cycle of drug management whose basic functions are founded on four principles: selection, acquisition, distribution and utilization. The utilization of drugs as described by the guide involves rules to be observed for proper prescription, writing the prescription, dispensing medications and their use for the patient. The practical portion of the guide offers techniques for rational management of medications such as inventory management, order management and preventing loss. Indicators for tracking and evaluating consumption as well as information media are thus offered in order to permit those who make decisions about drugs to control drug management properly.
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  2. 2

    The determinants of breast-feeding in Mexico.

    Kugler EC

    [Unpublished] 1984. viii, 106 p.

    An analysis was performed on the breast-feeding behavior of a sample of 1178 Mexican women aged 15 to 49 interviewed during the Mexican Fertility Survey of 1976-1977 as part of the World Fertility Survey program. The study examines the relationships of individual, household, and community-level characteristics with breast-feeding initiation. Descriptive results revealed that overall 83% of the women in the sample breast-fed their last child. Breast-feeding varied little with maternal age, migrant status, and sex of the child, but women were more likely to breast-feed if they had less than 6 years of education, no work earnings, and a previous childbirth. Only 68.7% of the primaparas breast-fed their infants. Women who delivered in a hospital or clinic and/or were attended at a delivery by a doctor or a nurse midwife were less likely to breast feed. Lower proportions of women breast-fed whose husbands had more than 5 years of education and were involved in farm work. Households which possessed any number of assets (i.e, electricity, stove, iron, radio, television) had lower percentages of mothers breast feeding. 89.9% of rural breast-fed as compared to 73.4% of urban women. Communities which were more isolated and had lower levels of development had higher proportions of breast-feeding women. Communities which were more isolated and had lower levels of development had higher percentages of breast-feeding women. Communities which had medical resources had lower proportions of breast-feeding women. Logistic regression analyses identified the following variables as having significant negative relationships with breast feeding: 1) parity greater than 8, 2) delivery attended by a doctor or a nurse midwife, 3) birth in a private hospital or a clinic, 4) mother born in an urban area, 5) mother's work away from home, 6) mother's income, 7) husband's education greater than 5 years, 8) electricity in the household, 9) mean wage in the community, 10) industry or commerce and services as the main economic activity, and 11) distance from an urban community. Program and policy implications based on the results are presented, and limitations of the study are discussed. (author's)
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