Dear Jain,

Yesterday after the telephonic conversation I ponder
upon this issue and feel the need to strike this issue
for the Rights of PLHIV and Civil Society.

Kindly start debate on different mailing lists for
understanding and advocacy of the issue.

With Best Wishes and Regards,
Avnish
--- meenu jain <sparshaids@...> wrote:

> Date: 26 Sep 2007
> From: Sanjeev Jain sanj1966@...
>
> Subject: Query: Rational Use of ARV and ARV
> Regulation.
>
> Dear Sir/ Madam
>
> Over the period of time ARV access has increased and
> the costs reduced.
> While Government is the major player to provide ARV,
> pharmaceutical
> companies have also placed the same on the shelves
> of the private pharmacies
> and people who do not want to access ARV from the
> government system are
> procuring ARV from the private pharmacies and drug
> dispensing shops. Now in
> the market ARV is available like any other drug.
>
> One of the major challenges visible is the rational
> use of ARV. While ARV
> shall be prescribed only by qualified medical
> doctors, the ARV is also now
> freely prescribed by non qualified doctors. People
> have started sharing
> stories where the ARV was prescribed even when it
> was not required by the
> positive person or in one family only one person was
> HIV positive but all
> the other family members will still prescribed ARV
> with their HIV negative
> status, ARV is also prescribed without doing the
> needed investigations,
> viral load or CD4.
>
> This raises few queries:-
>
> a. What Medical Council has to say on this? How the
> Drug controller can be
> made more responsible.
>
> b. Has anyone heard of a prescription audit on ARV
> been conducted by some
> one or by the national authorities?
>
> c. What is the opinion of Pharmaceutical
> companies? Can there be a
> mechanism/system that the drugs will be dispersed
> and regulated only through
> selected pharmacies and it will be closely
> monitored. Many examples are
> present world wide including India of Desferal /
> Kelfer disbursement for
> Thallasemics, or factor VIII and IX for
> Hemophiliacs, or close monitoring in
> case of vaccines.
>
> d. And if both the above things are not
> possible, what could be the
> other strategies besides building the capacities of
> the medical for
> appropriate and rational prescription and referrals
> and adherence counseling
> by non medical doctors
>
> Please help me in educating myself and find the
> possible solutions/
> strategies before ARV reaches the masses marketed/
> promoted as vitamins and
> health tonics, or misused like Oxytocin or
> Depo-provera and other drugs.
>
> Regards,
>
> Sanjeev Jain
> +91- 9415160430
> sanj1966@...
>
>
_________________________________________________________________
> "Post ads for free - to sell, rent or even
> buy.www.yello.in"
> http://ss1.richmedia.in/recurl.asp?pid=186
>
>



______________________________________________________
Hate storage limits? Get Yahoo! Mail with unlimited storage.
http://uk.mail.yahoo.com