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KINGDOM OF CAMBODIAMinistry of Health

National Center for Parasitology, Entomology and Malaria Control

CNM

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National anti-malaria drug policy

Create and maintain access to earlydiagnosis and prompt, effective, safe

and good quality treatment of malariadisease.

Minimize selection pressure for drug

resistance.

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Parasitological cure to reduce reservoirof infection.

The anti-malaria drug use was based onthe National treatment guideline forMalaria and recommended by WHO.

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Anti-malaria drug combination

National Treatment Guideline for Malaria

-National treatment Guideline was developed in2000 (for combination therapy)

-Artesunate and Mefloquine combination for first linetreatment

-Quinine with Tetracycline for second line treatment

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Anti-malaria drug procurement

Plan

MoH procurement (National budget and

WB)CNM procurement (Global Fund)

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A+M blister packaging Facility

Packaging facility was agreed by MoHto setting up this facility

The blister packaging process wassupported by WHO and supervised byCNM (National Malaria Center)

Artesuante and Mefloquine free tabletswere supplied by MoH (CMS) to thepackaging facility

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A+Ms Categories

There are 3 categories of A+M:

A+M2 = 6 tablets of Artesunate and 2

tablets of MefloquineA+M3 = 9 tablets of Artesunate and 3

tablets of Mefloquine

A+M4 = 12 tablets of Artesunate and 4tablets of Mefloquine

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Quality Assurance

Before packaging

All of batch number of Artesunate were analyzed

All of batch number of Mefloquine were analyzed

After packaging All of lot number of each A+M categories were

analyzed

Stability of all A+M categories were done

At the field

2 sides were selected for collecting the A+M

3 monthly for collecting the A+M from all fields

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Anti-malaria drug supply system

The A+Ms were supplied through the

public sector

The Malarinewere supplied through the

PSI organization to the Private sector

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ANTI-MALARIA DRUG SUPLLY

SYSTEM IN CAMBODIA

DEPARTMENT OFDRUG AND FOOD

ESSENTIAL MEDICINE BUREAUCENTRALMEDICAL STORE

NATIONAL HOSPITAL=7NHs

PROVINCIAL HEALTH DEPARTMENT

OPERATIOAN DISTRICT = 75ODs

OFFICE AND PHARMACY

REFERRAL HOSPITAL

68RHs

HEALTH CENTER

827HCs

HEALTH POSTREPORT

SUPPLY

REPORT and SUPPLYTEMPORERY TIME

Outreach Activity

MINISTRY OF HEALTH

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