Browsing by Author "Serwanga, Allan"
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Item The impact of the increase in import verifcation fees on local production capacity of selected medicines in Uganda(Journal of Pharmaceutical Policy and Practice, 2023) Rajab, Kalidi; Onen, Solomon; Nakitto, Diana Kesi; Serwanga, Allan; Mutasaaga, Joseph; Manirakiza, Leonard; Mwesigwa, Denis; Nahamya, David; Ndagije, Helen ByomireThe local manufacture of pharmaceuticals is an opportunity to develop a broader manufacturing and knowledge-based economy and reduce over dependence on imports. To promote local production, the Ugandan government introduced Buy Uganda Build Uganda policy geared towards promoting use of locally manufactured goods. It also increased import verification fees in 2017 for 37 selected locally manufactured essential medicines from 2 to 12% to discourage importation of these medicines. This study assessed the impact of the increase in verification fees on local production capacity of the medicines.Item Prescription of Levofloxacin and Moxifloxacin in Select Hospitals in Uganda: A Pilot Study to Assess Guideline Concordance(Antibiotics, 2020) Nambasa, Victoria; Ndagije, Helen B.; Serwanga, Allan; Manirakiza, Leonard; Atuhaire, Joanitah; Nakitto, Diana; Kiguba, Ronald; Figueras, AlbertIn Uganda, national tuberculosis (TB) treatment guidelines were revised to include the newer generation fluoroquinolones among the second-line treatment options for multidrug-resistant TB. This study was designed to analyze if the prescription of these quinolones is compliant with country recommendations. Methods: This was an observational retrospective study of consumption data for 2017 and 2018 across four selected regional referral hospitals. The sources of consumption data were hospital pharmacy stock cards and the dispensing register. The medical files of patients who had been prescribed fluoroquinolones were also assessed to study compliance with the Uganda Clinical Guidelines and the British National Formulary (BNF). Results: None of the 371 levofloxacin prescriptions analyzed complied with the Uganda Clinical Guidelines, although 250 (67.3%) were prescribed for indications included in the BNF. According to WHO prescription indicators, only 220 (59.3%) prescriptions were appropriate. Conclusion: The prescription of levofloxacin and moxifloxacin increased in the hospitals studied, but in a high proportion of cases, they were not compliant with country recommendations. The findings call for the strengthening of national antimicrobial stewardship programs.