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HAT 2019 ISSN 0857-5789 วารสารโรคหัวใจ THAI HEART JOURNAL วารสารทางวิชาการ ของสมาคมแพทย์โรคหัวใจ แห่งประเทศไทย ในพระบรมราชูปถัมภ์ Official Publication of The Heart Association of Thailand under the Royal Patronage of “Cardiology 5.1” H.M. the King 51st Annual Scientifi c Meeting 21st-24th March 2019 @ Grand Ballroom, Sheraton Hotel, Hua Hin Program & Abstracts Accredited for CME 31 Credit hours ปีที่ 32 ฉบับที่ 1 มกราคม 2562 Vol. 32 No. 1 (Supplement) January 2019 1 Thai Heart Journal 2 HAT 2019 วิสยทั ศนั ์ สมาคมแพทยโรคห์ วใจแหั ่งประเทศไทยในพระบรมราชปถู มภั ์ วิสยทั ศนั ์ (Vision Thai Heart) เป็นสมาคมวชาชิ พที ม่ี การสรี าง้ พฒนาั และเผยแพร ่ องคความร์ ู้ เสรมสริ างความช้ านาญดํ านโรคห้ วใจและหลอดเลั อดทื ่ี ไดร้ บการยอมรั บในระดั บสากลั แก่นคณคุ ่าหลกั (Core Value) CARDIO Way C: Commitment & Communication พฒนาและเผยแพรั ความร่ เรู้ องห่ื วใจและหลอดเลั อดเพื อสร่ื างเสร้ มสิ ขภาพหุ วใจของประชาชนใหั แข้ งแรง็ A: Advancement มงมุ่ นกั่ าวไปข้ างหน้ ้ารวมก่ นั R: R & D & Relationship สรางสรรผลงานว้ ชาการิ และสงเสร่ มความสิ มพั นธั ระหว์ างก่ นั D: Dynamic Optimum ปรบตั วเองตลอดเวลาใหั ท้ นกั บสถานการณั ์สงแวดลิ่ อมท้ เปล่ี ยนแปลง่ี I: Integrity สงเสร่ มความนิ ่าเชอถ่ื อและความไวื วางใจในความเป้ ็นของแพทยโรคห์ วใจั O: Obsession รกและภาคภั มู ใจในวิ ชาชิ พี วตถั ประสงคุ หล์ กั (Core Purpose: Reason for Being) มงมุ่ นสั่ งเสร่ มใหิ บ้ ุคลากรทางการแพทยพ์ ฒนาความรั อยู้ างต่ ่อเน่ือง และ สรางส้ งคมใหั ความต้ ่นตื วในเรั องส่ื ขภาพหุ วใจั ทงการปั้ ้องกนั และพฒนามาตรฐานการรั กษาดั แลใหู ด้ ยี งขิ่ น้ึ ความสามารถในการมองอนาคต (Envision) เป็นศนยู รวมองค์ ความร์ ู้ และแหลงอ่ างอ้ งทางวิ ชาการดิ านโรคห้ วใจในระดั บสากลั และเป็นพลงผลั กดั นใหั เก้ ดสิ งคมั หวใจแขั งแรง็ พนธกั ิจ (Mission) ต่อสมาชิก 1. กระตุนให้ สมาช้ กในการเขิ าม้ สี วนร่ วมในการพ่ ฒนาั และสงเสร่ มความสิ มพั นธั ระหว์ างสมาช่ กดิ วยก้ นั 2. ใหข้ อม้ ลความรู ทู้ ท่ี นสมั ยกั บสมาชั กในการพิ ฒนาศั กยภาพั 3. สงเสร่ มความริ วมม่ อกื บองคั การว์ ชาชิ พอี ่นในระดื บชาตั และนานาชาติ ิ ต่อการให้บริการ 1. เป็นทปร่ี กษาทางวึ ชาการิ 2. สราง้ พฒนาองคั ความร์ ดู้ วยการว้ จิ ยั การอบรมและสมมนาทางวั ชาการิ ต่อสงคมั 1. เผยแพรความร่ เพู้ อสร่ื างให้ ส้ งคมไทยหั วใจแขั งแรง็ 2. ใหบร้ การดิ านส้ ขภาพรุ วมก่ บหนั ่วยงานอนท่ื เก่ี ยวข่ี อง้ 3 Thai Heart Journal 4 HAT 2019 Contents Organizing Committee 7 Message from President 8 Message from Secretary-General 9 Message from Scientifi c Chairman 10 Invited International Faculty list 11 Invited Thai Faculty list 12 Invited Faculty Nurse list 16 Invited Faculty Pharmacist list 17 Invited Moderators 18 Invited Judges: Young Investigator Award 20 Invited Judges & Commentators: Cardiology Got Challenge 21 Invited Judges: Fellow Poster Presentation 22 Invited Commentators: โตะมหาสนุก 23 Invited Judges: JEOPARDY 24 Invited Presenter 25 Invited Panelists 26 Curriculum Vitae 27 Scientifi c Program 99 Abstracts 116 Young Investigator Award 143 Free Paper “Midvrllaneous” 153 Free Paper “CAD and ACS” 159 Free Paper 166 Night time Cardiology Got Challenge 172 JEOPARDY2019 173 Research by Fellow Group 1 174 Research by Fellow Group 2 190 Research by Fellow Group 3 207 Research by Fellow Group 4 223 Sponsor 241 Acknowledgement 242 5 Thai Heart Journal วารสารโรคหัวใจ Thai Heart Journal ISSN 0857-5789 Founding Editor Suphachai Chaithiraphan Rungroj Krittayaphong Deputy Editor Rapeephon Kunjara-Na-Ayudhya Editor-In-Chief Nithima Ratanasit Verapon Pinphanichakarn Prin Vathesatogkit Aekarach Ariyachaipanich Editorial Board Alisa Limsuwan Michael Ezekowitz Srun Kuanprasert Apichai Khongphatthanayothin Naronk Rodwarna Sudaratana Tansuphaswadikul Apichart Nana Nithi Mahononda Su-Ed Gajaseni Charn Sriratanasathavorn Pantpis Sakornpant Sunil K. Das Chompunoot Ongcharit Payonk Jootar Supachai Tanomsup Chumpol Piamsomboon Piyamitr Sritara Suphachai Chaithiraphan Churawan Kangkagate Pradistchai Chaiseri Surapun Sitthisook Damras Tresukosol Pradit Panchavinnin Taweekiat Vasavakul Duangmanee Laohaprasittiporn Prasart Laothavorn Taweesak Chotivatanapong Geroge Vetrovec Pravit Tanprasert Virat Klungboonkrong Gumpanart Veerakul Prinya Sakiyalak Viroj Sueblinvong Henry Wilde Punnee Stienchoak Wacin Buddhari Kampol Prachuabmoh Saowaluk Prompongsa Warong Lapanun Kasem Watanachai Sarana Boonbaichaiyapruck Weerachai Nawarawong Kiertijai Bhuripanyo Sawaet Nontakanun Wilai Puavilai Kriengkrai Hengrussamee Somboon Boonkasem Woravut Jintapakorn Kritvikrom Durongpisitkul Songsak Kiatchoosakun Youngyuth Sahasakul Offi ce: The Heart Association of Thailand under the Royal Patronage of H.M. the King 5th Floor, Royal Golden Jubilee Building, 2 Soi Soonvijai, New Petchburi Road, Huaykwang, Bangkapi, Bangkok 10310, Thailand Tel: 0-2718-0060-4, Fax: 0-2718-0065 6 HAT 2019 Organizing Committee คณะกรรมการบริหารสมาคมแพทยโรคหัวใจแหงประเทศไทย ในพระบรมราชูปถัมภ THE HEART ASSOCIATION OF THAILAND UNDER THE ROYAL PATRONAGE OF H.M. THE KING (เมษายน 2561- มีนาคม 2563) นายกสมาคม ครรชิต ลิขิตธนสมบัติ President Khanchit Likitthanasombat อุปนายก รุงโรจน กฤตยพงษ Vice President Rungroj Krittayaphong เลขาธิการ เกษม รัตนสุมาวงศ Secretary-General Kasem Ratanasumawong เหรัญญิก ธนัญญา บุณยศิรินันท Treasurer Thananya Boonyasirinant ปฏิคม คุณหญิงมัลลิกา วรรณไกรโรจน Public Relations Offi cer Khunying Mallika Wannakrairot ประธานวิชาการ ธัชพงศ งามอุโฆษ Scientifi c Chairman Tachapong Ngarmukos กรรมกลาง ธีรภัทร ยิ่งชนมเจริญ Council Members Teerapat Yingchoncharoen ระพีพล กุญชร ณ อยุธยา Rapeephon Kunjara-Na-Ayudhya อดิศัย บัวคําศรี Adisai Buakhamsri วิวรรณ ทังสุบุตร Wiwun Tungsubutra นิธิมา รัตนสิทธิ์ Nithima Ratanasith สมนพร บุณยะรัตเวช สองเมือง Smonporn Boonyaratavet Songmueng 7 Thai Heart Journal Message from President Dear Colleagues and Friends, It is my honor and privilege to welcome you to the 51st Annual Scientifi c Meeting of The Heart Association of Thailand under the Royal Patronage of H.M. the King, 21st – 24th March 2019 at Sheraton Hotel, Hua Hin, Thailand. The theme “Cardiology 5.1” aims to bring together the best minds in the fi eld of cardiology to share and ex- change views and clinical experiences on the latest research breakthroughs of several complex cardiovascular diseases. In recognition of our two outstanding cardiac surgeon and cardiologist, this year, we are honored to present the Kasarn Jatikavanit Memorial Lecture on “Stroke prevention in AF: Asian perspective” by Dr. Gregory Yee Lip and the Kamon Sindhvanandha Honorary Lecture on “Big Data Cardiology” by Dr. Piyamitr Sritara. On behalf of the Heart Association of Thailand under the Royal Patronage of H.M. the King, I would like to express our deep gratitude to everyone participating in this meeting and making it a successful and rewarding event. I would like also to express our sincerest thanks to the conference sponsors, and to all our members and staff for their contribution to the organization of this meeting. I certainly hope this will help strengthen further collaboration among those involved in cardiovascular medicine. Looking forward to meeting all of you in Hua Hin in March 2019. Warmest regards, Khanchit Likittanasombat, MD President The Heart Association of Thailand under the Royal Patronage of H.M. the King 8 HAT 2019 Message from Secretary General Dear Colleagues, It is my great pleasure to welcome you to the 51st Annual Scientifi c Meeting of the Heart Association of Thailand under the Royal Patronage of H.M. the King scheduled to take place from 21st – 24th March 2019 in Hua Hin, Thailand. The mission of the Heart Association of Thailand under the Royal Patronage of H.M. the King, is to address issues in cardiovascular disease and to provide the latest educational knowledge to those involved in the management of patients with complex cardiovascular diseases. We hope, this year’s scientifi c program will attract the interest of not only physicians but also healthcare personnel. As we are all well aware, cardiovascular disease affects not only the elderly, but also young and middle-aged alike. There are many unrecognized cases of sudden cardiac death claiming their lives. Sessions dedicated to this will hope to improve awareness and help this depressing condition. Your interaction with your colleagues from many different institutes will stimulate a creative exchange of ideas and will be personally rewarding. We do look forward to welcoming all of you back to help make this annual cardiology event a successful one. Yours sincerely, Kasem Ratanasumawong, MD Secretary General The Heart Association of Thailand under the Royal Patronage of H.M. the King 9 Thai Heart Journal Message from Scientifi c Chairman Dear Friends and Colleagues, On behalf of the Organizing Committee, it is my great pleasure to welcome you to the 51st Annual Scientifi c Meeting of the Heart Association of Thailand under the Royal Patronage of H.M. the King scheduled to take place in Hua Hin, Thailand from 21st – 24th March 2019. Themed “Cardiology 5.1” of this year scientifi c program has been designed to meet the specifi c education needs of not only physicians but also allied professionals engaged in cardiovascular care including nurses, pharmacists, medical technicians and scientists. The meeting will serve as a forum for the attendees for shar- ing and exchanging of ideas on new and emerging approaches to diagnosis, management and treatment of heart diseases with local and internationally renowned experts. A series of state-of-the-art presentations and symposia will also be presented by them. We strongly believe that the 4 days meeting will serve as an inspiration and to further enrich and equip you in today’s management and treatment of several complex cardiovascular
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    พยาบาลสาร : Nursing Journal คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ วารสาร พยาบาลสาร Nursing Journal ปีที่ 47 ฉบับที่ 1 มกราคม-มีนาคม พ.ศ. 2563 • Volume 47 No.1 January-March 2020 ISSN 0125-5118 ที่ปรึกษา (Consultant) ศาสตราจารย์ ดร.วิภาดา คุณาวิกติกุล คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ Wipada Kunaviktikul, PhD, RN, FAAN Faculty of Nursing, Chiang Mai University ผู้ช่วยศาสตราจารย์ ดร.จุฑารัตน์ มีสุขโข คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ Jutarat Mesukko, PhD, RN Faculty of Nursing, Chiang Mai University ที่ปรึกษากองบรรณาธิการ (Editorial Advisors) ศาสตราจารย์เกียรติคุณ ดร.วิจิตร ศรีสุพรรณ อดีตนายกสภาการพยาบาล Wichit Srisuphan, DrPH, RN Professor ศาสตราจารย์ ดร.ประนอม โอทกานนท์ ศาสตราจารย์ Pranom Othagnont, RN, M.E.D.,Ed.D. Professor ศาสตราจารย์ ดร.สมจิต หนุเจริญกุล ศาสตราจารย์ Somchit Hanucharurnkul, PhD, RN Professo บรรณาธิการ (Editor) ศาสตราจารย์ ดร. อารีวรรณ กลั่นกลิ่น คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ Areewan Klunklin, PhD, RN Faculty of Nursing, Chiang Mai University รองบรรณาธิการ (Associate Editor) รองศาสตราจารย์ ดร.นันทพร แสนศิริพันธ์ คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ Nantaporn Sansiriphun, PhD, RN, APN Faculty of Nursing, Chiang Mai University กองบรรณาธิการ (Editorial Board) ศาสตราจารย์ ดร.รุจา ภู่ไพบูลย์ คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดลศาสตราจารย์ Rutja Phuphaibul, DNS, RN Faculty of Nursing, Mahidol University ศาสตราจารย์ ดร.วีณา จีระแพทย์ คณะพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย Veena Jirapaet, PhD, RN Faculty of Nursing, Chulalongkorn University ศาสตราจารย์ ดร.วารุณี ฟองแก้ว คณะพยาบาลศาสตร์ มหาวิทยาลัยเชียงใหม่ Warunee Fongkaew,
  • Direct Billing Network

    Direct Billing Network

    PHILIPPINES THAILAND VIETNAM SINGAPORE INDONESIA More than just insurance. Pacific Cross provides peace of mind. PHILIPPINES TABLE OF CONTENTS HOSPITALS TAGUIG CITY MISAMIS OCCIDENT AL MANDALUYONG CITY BAGUIO CITY RIZAL DAVAO CITY PASIG CITY ILOCOS SUR MANILA DAVAO DEL NORTE TAGUIG CITY LA UNION MARIKINA CITY GENERAL SANTOS CITY VALENZUELA CITY LAOAG CITY MUNTINLUPA CITY SOUTH COTAB AT O CALOOCAN CITY PANGASINAN PARAÑAQUE CITY SULTAN KUDAR A T MALABON DAGUPAN CITY PASAY CITY SURIGAO CITY PASAY CITY NUEVA VIZCAYA QUEZON CITY BUTUAN CITY QUEZON CITY BULACAN RIZAL CLINICS MARIKINA NUEVA ECIJA VALENZUELA BAGUIO BACOLOD CITY PAMPANGA CAMARINES NORTE OLONGAPO CITY ILOILO OLONGAPO LEGASPI CITY PANGASINAN ANTIQUE ZAMBALES TABACO CITY PAMPANGA ROXAS BATAAN NAGA CITY ANGELES CITY AKLAN BATANGAS BACOLOD CITY CAGAYAN VALLEY BOHOL LIPA CITY ILOILO LA UNION NEGROS OCCIDENTAL CAVITE NEGROS OCCIDENTAL BULACAN CEBU LAGUNA BOHOL LAGUNA DUMAGUETE CITY PALAWAN CEBU CITY LIPA CITY BUTUAN CITY QUEZON LAPU-LAPU CITY CAVITE EASTERN SAMAR LUCENA CITY MANDAUE CITY LAS PIÑAS CITY CAGAYAN DE ORO CITY CALOOCAN CITY DUMAGUETE CITY PARAÑAQUE CITY DAVAO CITY LAS PIÑAS CITY CALBAYOG CITY MUNTINLUPA CITY GENERAL SANTOS CITY MAKATI CITY ORMOC CITY MAKATI CITY LANAO DEL NORTE MANDALUYONG CITY TACLOBAN CITY RIZAL COTABATO SAN JUAN ZAMBOANGA CITY ANTIPOLO MAGUINDANAO PASIG CITY CAGAYAN DE ORO CITY MANILA SURIGAO CITY 1 HOSPITALS • Ranada General Hospital Contact Person: Alex V. David (or any HMO 01, CORDILLERA ADMINISTRATIVE REGION Brgy. 9, Balintawak St., Laoag City, Ilocos BAGUIO CITY Norte, 2900 Tel. No.: 514-9417 / 514-9381 • St. Louis University of the Sacred Heart Tel. No.: (077) 773-1199 Mobile No.: (0943) 410-2336 / (0922) 824- Gen.
  • Clinical Epidemiology of 7126 Melioidosis Patients in Thailand and the Implications for a National Notifiable Diseases Surveilla

    Clinical Epidemiology of 7126 Melioidosis Patients in Thailand and the Implications for a National Notifiable Diseases Surveilla

    applyparastyle “fig//caption/p[1]” parastyle “FigCapt” View metadata, citation and similar papers at core.ac.uk brought to you by CORE Open Forum Infectious Diseases provided by Apollo MAJOR ARTICLE Clinical Epidemiology of 7126 Melioidosis Patients in Thailand and the Implications for a National Notifiable Diseases Surveillance System Viriya Hantrakun,1, Somkid Kongyu,2 Preeyarach Klaytong,1 Sittikorn Rongsumlee,1 Nicholas P. J. Day,1,3 Sharon J. Peacock,4 Soawapak Hinjoy,2,5 and Direk Limmathurotsakul1,3,6, 1Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand, 2 Epidemiology Division, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand, 3 Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, Old Road Campus, University of Oxford, Oxford, United Kingdom, 4 Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 5 Office of International Cooperation, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand, and 6 Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Background. National notifiable diseases surveillance system (NNDSS) data in developing countries are usually incomplete, yet the total number of fatal cases reported is commonly used in national priority-setting. Melioidosis, an infectious disease caused by Burkholderia pseudomallei, is largely underrecognized by policy-makers due to the underreporting of fatal cases via the NNDSS. Methods. Collaborating with the Epidemiology Division (ED), Ministry of Public Health (MoPH), we conducted a retrospec- tive study to determine the incidence and mortality of melioidosis cases already identified by clinical microbiology laboratories nationwide. A case of melioidosis was defined as a patient with any clinical specimen culture positive for B.
  • Saturday 5 September 2015

    Saturday 5 September 2015

    SATURDAY 5 SEPTEMBER 2015 SATURDAY 5 SEPTEMBER Registration Desk 0745-1730 Registration Desk, SECC for Pre-conference Workshop and Course Participants Location: Hall 4, SECC Group Meeting 1000-1700 AMEE Executive Committee Meeting (Closed Meeting) Location: Green Room 10, Back of Hall 4 AMEE-Essential Skills in Medical Education (ESME) Courses Pre-registration is essential and lunch will be provided. 0830-1700 ESME – Essential Skills in Medical Education Location: Argyll I, Crowne Plaza 0845-1630 ESMEA – Essential Skills in Medical Education Assessment Location: Argyll III, Crowne Plaza 0845-1630 RESME – Research Essential Skills in Medical Education Location: Argyll II, Crowne Plaza 0845-1700 ESMESim - Essential Skills in Simulation-based Healthcare Instruction Location: Castle II, Crowne Plaza 0900-1700 ESCEPD – Essential Skills in Continuing Education and Professional Development Location: Castle 1, Crowne Plaza 1000-1330 ESCEL – Essential Skills in Computer-Enhanced Learning Location: Carron 2, SECC Course Pre-registration is essential and lunch will be provided. 0830-1630 ASME-FLAME - Fundamentals of Leadership and Management in Education Location: Castle III, Crowne Plaza Masterclass Pre-registration is essential and lunch will be provided. 0915-1630 MC1 Communication Matters: Demystifying simulation design, debriefing and facilitation practice Kerry Knickle (Standardized Patient Program, Faculty of Medicine, University of Toronto, Canada); Nancy McNaughton, Diana Tabak) University of Toronto, Centre for Research in Education, Standardized
  • 314 Provider List (For Client)@01-09-57

    314 Provider List (For Client)@01-09-57

    Bangkok tel. fax web B Care Medical Center 29 Moo 6 Phaholyothin Rd., Saimai 0-2523-3359-71 www.bcaremedicalcenter.com OPD&IPD BNH Hospital (Bangkok Nursing Home) 9 Convent Rd, Silom Bangrak , Bangkok 0-2686-2700 www.bnhhospital.com OPD&IPD Bangkok Hospital 2 Soi Soonvijai 7, New Petchburi Rd, Huaykwang , Bangkok 0-2310-3000 www.bangkokhospital.com IPD ONLY Bangkok Hospital (Heart Center) 2 Soi Soonvijai 7, New Petchburi Rd, Huaykwang , Bangkok 0-2310-3000 www.bangkokhearthospital.com IPD ONLY Bangkok Christian Hostital 124 Silom Rd., Suriyavong , Bangrak , Bangkok 0-2625-9000 www.bkkchristianhosp.th.com OPD&IPD Bangna 1 Hospital 1302 Bangna-Trad 3rd KM Rd., Bangna, Bangna, Bangkok 10260 02- 746 8630-9 02-398-9531 www.bangna.co.th OPD&IPD Bangmod Hospital 747 Rama 2 Rd., Bangmod , Jomthong, Bangkok 10150 0-2867-0606,0-2416-0049 www.bangmodhos.com OPD&IPD Bangpai Hospital 58/2 Phetkasem Rd, Pak-Klong , Phasicharoen , Bangkok 0-2457-9740, 0-2865-7948 _ OPD&IPD Bangpakok 1 Hospital 2 Soi Suksawad 25/1 Suksawad Rd., Bangpakok Ratboorana 0-2872-1111 www.bangpakokhospital.com/ OPD&IPD Bangpakok 2 Hospital 372-372/1 Eakkachai Rd., Bangbon, Bangbon, Bangkok 10150 02-899-0130-9 02-451-0357 _ OPD&IPD Bangpakok 8 Hospital 115/524 Moo. 4 Akekachai Road, Bangbon, Bangkok 10150 0-2894-4111 www.bangpakokhospital.com OPD&IPD Bangpakok 9 Hospital 362 M.4 Rama 2 Bangmod Chomthong 0-2877-1111 www.bangpakokhospital.com/ OPD&IPD Bangkok Health Clinic 2/42-43 Nusasiri Building,2nd floor Unit204-205 Soi Sukhumit 42, Sukhumvit Road ,Prakhanong,Khlongtoey02-712-0335-7,Bangkok
  • Medicines in Health Care Delivery Thailand

    Medicines in Health Care Delivery Thailand

    MEDICINES IN HEALTH CARE DELIVERY THAILAND Situational Analysis: 23 November – 4 December 2015 Report prepared using the WHO/SEARO workbook tool for undertaking a situational analysis of medicines in health care delivery in low and middle income countries February 2016 World Health Organization, Regional Office for South East Asia, New Delhi, India. 1 CONTENTS Page 1. Abbreviations 5 2. Executive Summary 2.1 Introduction ..8 2.2 Medicines Supply ..9 2.3 Medicines Selection 10 2.4 Medicines Use 10 2.5 Medicines Regulation 12 2.6 Medicines Policy 13 3. Programme 15 4. Medicine Supply 16 4.1 Responsible Agents/Departments 17 4.2 Drug availability 17 4.3 Annual aggregate data of medicines distribution/consumption 19 4.4 Drug procurement 25 4.5 Allocation of Budget for medicines in the public sector 26 4.6 Drug quantification in the public sector 26 4.7 Drug Distribution in the public sector 27 4.8 Patient Flow in the Health Facilities 29 4.9 Insurance 30 4.10 Drug Manufacturing 31 4.11 Drug management in the private sector 32 4.12 Summary status in medicines supply since last situational analysis 33 4.13 Medicines Supply: Recommendations 33 5. Medicines Selection 35 5.1 National Essential Medicines List (EML) 36 5.2 Other Medicine Lists 37 5.3 Development / updating of national EML 38 5.4 Implementation of the EML 39 5.5 Summary status in medicines selection since last situational analysis 41 5.6 Drug Selection: Recommendations 41 Contents 2 6. Medicines Use 42 6.1 Responsible Agents / Departments 43 6.2 Past prescription surveys of medicines