Abstract
Availability of modern medicine increased all over the world due to huge expansion of the global Pharma market. At the same time misuse as well as accessibility of the most of essential drugs to majority of the population was denied due to cost-effectiveness of healthcare delivery combined with poor procurement policies and poor prescribing practices. During the recent years, the national list of India has assumed immense importance to improve access to medicines in India. It is therefore necessary to understand policies and guidelines followed in developing WHO essential drug list and national list of essential medicines. In this review article history of essential drug list and important inclusions in NLEM 2015 and WHO EML 2015 were highlighted.
Highlights
Drugs fulfill to the needs and requirements of primary healthcare of population are called as essential drugs, which are available in adequate amounts, in the appropriate dosage forms with assured quality and detailed information providing evidence on efficacy and safety, and comparative cost effectiveness
The importance of the national list is increased in such a way that it became a major source for the national medicine policies
The concept of essential drug list was first promoted in Tamilnadu state of India in 1994.Delhi is the initiator in developing a comprehensive policy in 1994 and it was the only Indian state having such a comprehensive policy. for use within the state government health facilities it have developed standard guidelines (STGs).the armed forces medical college (AFMC) has expanded STGs
Summary
Drugs fulfill to the needs and requirements of primary healthcare of population are called as essential drugs, which are available in adequate amounts, in the appropriate dosage forms with assured quality and detailed information providing evidence on efficacy and safety, and comparative cost effectiveness. The concept of essential medicines has been worldwide accepted as a powerful tool for the attainment of the highest possible level of health Essential medicines are those that satisfy the priority healthcare needs of the population. They are selected with due regard to public health relevance, evidence of efficacy and safety, and comparative costeffectiveness. 12) Sufficient government expenditure to ensure availability of medicines and staff Implementation of these policies will help prevent to a great extent irrational prescribing and promote rational drug therapy
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