From regulation to implementation: investigating the role of regulators in implementing regulation of specialized drug shops selling antimalarials in two Kenyan Districts

Recent studies have pointed to the increasing role of the private sector in promoting access to health care despite frequent evidence of poor quality. This has sparked debate on how the quality of care provided could be improved, and one suggested way is by strengthening regulation. This study explores how this can be achieved by investigating the degree of regulatory infringement in specialized drug shops with respect to retail provision of antimalarial drugs. This will involve: (a) Extensive literature review to map Kenyan regulatory frameworks, and to understand current debates on regulation, (b) A quantitative survey of all specialized drug shops (SDSs) in four divisions from two rural districts (2 divisions per district). This will be used to describe the characteristics of these outlets, to identify the degree of regulatory infringement, and document the frequency of regulatory enforcement activities such as inspections and sanctions, (c) Developing and piloting an in-depth interview guide for front-line regulatory staff. This will provide a base for future research seeking to explore the roles regulatory staff play in enforcing retail drug regulation. The study findings will inform debate on improving implementation and appropriateness of retail pharmaceutical regulation and increasing coverage of appropriate malaria treatment.

Article: Examining characteristics, knowledge and regulatory practices of specialized drug shops in Sub-Saharan Africa: a systematic review of the literature

Drug-based Strategies
Leadership & Governance

Sep 2007 — May 2012

$255,768

Kenya