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    Prevalence estimates of substandard drugs in Mongolia using a random sample survey

    212758_212759.pdf (209.1Kb)
    Access Status
    Open access
    Authors
    Khurelbat, D.
    Dorj, Gereltuya
    Bayarsaikhan, E.
    Chimedsuren, M.
    Sanjjav, T.
    Morimoto, T.
    Morley, M.
    Morley, K.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Khurelbat, D. and Dorj, G. and Bayarsaikhan, E. and Chimedsuren, M. and Sanjjav, T. and Morimoto, T. and Morley, M. and Morley, K. 2014. Prevalence estimates of substandard drugs in Mongolia using a random sample survey. Springer Plus. 3 (709): pp. 1-10.
    Source Title
    Springer Plus
    DOI
    10.1186/2193-1801-3-709
    ISSN
    2193-1801
    School
    School of Pharmacy
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/16349
    Collection
    • Curtin Research Publications
    Abstract

    To determine the prevalence of substandard drugs in urban (Ulaanbaatar) and rural (selected provinces) areas of Mongolia, samples of 9 common, therapeutically important drugs were collected from randomly selected drug outlets in Ulaanbaatar and 4 rural provinces by “mystery shoppers”. Samples were analyzed by visual inspection, registration status, and biochemical analysis. Samples failing to meet all Pharmacopeia quality tests were consideredsubstandard.In the rural provinces, 69 out of 388 samples were substandard, giving an estimated prevalence of substandard drugs of 17.8% (95%CI:14.1-22.0). There were 85 unregistered samples, giving a prevalence estimate of unregistered drugs of 21.9%. (95% CI: 17.9-26.3). In the urban Ulaanbaatar districts, 112 out of 848 samples were substandard, giving an estimated prevalence of substandard drugs of 13.2% (95%CI: 11.0-15.7). There were 150 unregistered samples, giving a prevalence estimate of unregistered drugs of 17.7% (95%CI:15.2-20.4).In the rural provinces, 35 out of 85 (41.2%) unregistered samples were substandard; whereas 34 out of 303 (11.2%) registered samples were substandard. (p < 0.0001) In the urban districts, 18 out of 150 (12.0%) unregistered samples were substandard, whereas 94 out of 698 registered were substandard. (13.5%) (p = 0.6).The prevalence of substandard and unregistered drugs is higher in rural provinces. There is asignificant association between substandard and unregistered drugs in the provinces but not inthe urban districts. The underlying causes for substandard drugs need to be further investigated in order to help formulate strategies to improve pharmacovigilance and the drugsupply quality in Mongolia.

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