Report of workshops on evaluation of MTP and CBIA intervention to improve rational use of medicines in the community and hospital supported by WHO. Even though public medicine budget is severely limited problems of inappropriate use of medicines such as overusing antibiotics, injections and poly- pharmacy commonly occur in health facilities such as hospitals and health centers in Mongolia. This has a negative impact on health outcomes and treatment costs. Training module, called CBIA (= Cara Belajar Ibu Aktif; Mothers’ Active Learning Method), utilises a self-learning process. Information printed on the pharmaceutical package or package inserts are used as the training material. MTP, an abbreviation for Monitoring-Training-Planning, is an approach which combines the three strategies. It applies an adult learning process, which consists of learning and description of practices, reflection of previous experience, problem-solving, and setting up the target of improvement. In addition, it is unique because it involves the target prescribers to decide what to do to improve practices. This approach has been field-tested and proven effective to improve prescribing practice in health facilities, such as public hospitals, private hospitals, as well as public health centers. The MTP strategy is cost-effective and self initiative tool to improve drug use practices. MOH has organized MTP and CBIA intervention in Central Clinical Hospital as selected a pilote hospital from 2005 and has extended it through regions. Under this intervention MOH organized two workshops in Orkhon aimak /Northern region/ on 26-28 June 2007 and in Khentii aimak /Easthern region/ on 04-06 July 2007. 28 participants from DarkhanUul, Selenge, Orkhon, Khubsugul, Bulgan, Arkhangai aimaks participated in the Northern region workshop. 26 participants from Dornod, Dornogobi, SukhBaatar, Khentii aimaks partiticipated in the Easthern region workshop. Programme and schedule of workshops on MTP and CBIA intervention in improving rational use of medicines approved by the vice minister MOH A.Otgonbold. Dr Sri Suryawati short-term consultant from WHO undertaked consultancy on workshops for 2 aimaks with working group from MOH. The main goal of workshops was to train the 54 participants from 10 aimaks on how to implement the monitoring, training and planning intervention in a focused rational use of medicines in pilot hospital and a small group interactive intervention in improving rational use of medicine among consumers. Subjects of presentation by the Mrs Sh.Enkhtuya, D.Chuluuntsetseg and Mrs T.Oyunbileg supported by Dr Sri Suryawati were as follows: Introduction to MTP and MTP guidline Conducting MTP in hospital MTP to improve medicine use in hospital Strategies to improve medicine use by the community Patients perception about disease and treatment Problems of medicine by the patiants CBIA to improve medicine use in the community Results of treatment MTP and CBIA in Central Clinical Hospital MTP to implement in Drug therapeutics commitees of Hospital By the programme of workshop organized 6-8 working group on evaluation MTP & CBIA. The working group introduced and discussed of each groups presentation. All participants were very pleased for organizing and they had a good impression about workshops. The participants had certificate of attendance from MOH and WHO Representative in Mongolia. At present time organized working groups in aimaks who participated in workshop and continue to train MTP and CBIA in hospital.
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