ObjectiveS In human medicine the concept of essential drugs is established: a WHO Expert Committee produced in 2005 the 14th list; moreover some NGOs attempted to define this list. In veterinary medicine, apart from the work of A. Daborn, M. Ghirotti and R. B. Griffiths (1994), there are no similar criteria available to support cooperation projects in veterinary public health (animal health and zoonoses control). We tried to fill thevoid by identifying key criteria to produce a list of essential drugs in order to establish an initial budget for founding field positions for primary animal health care (PAHC) in developing countries, with particular focus on sub-Saharan Africa. METHODS The work developed through several steps: -establishment of target animal species, -identifying of the geographical area and its environmental, socio-economic and epidemiological features, -construction of a check list which takes into account the reduced effect of induction of drug resistance, limited suspension time, good resistance to adverse weather conditions, wide spectrum, cost-effectiveness balance, -production of a sheet for each selected category and validation of its appropriateness. RESULTS The sheets allow the selection of drugs, the organization of the references in the form of a limited range compendium of user-friendly, based on budget allocations and availability of drugs in loco: (a) chemotherapeutics, (b) antiphlogistics, (c) insecticides, (d) sedatives. CONCLUSION PAHC in developing countries - characterized by limited human and economic resources, low professional level of technicians, adverse field conditions, traditional models of livestock management - needs support to enable vet services in providing appropriate interventions aimed to the control of various animal diseases of social and economic importance. A proposal of criteria for the purpose to prepare a list of essential drugs is the output of a project held in the Postgraduate School of the Faculty of Veterinary Medicine of the University of Bologna and they are selected with due regard to public health relevance, evidence on efficacy and safety, and comparative cost-effectiveness. The implementation of a concept of essential veterinary drugs is intended to be flexible and adaptable to different situations, therefore the proposed tools are in the field being a useful support for technical assistance in developing countries but a discussion paper too.
|Number of pages||2|
|Journal||Tropical Medicine and International Health|
|Publication status||Published - 2009|