I am happy that you raised this issue because in many developing countries,
like Nigeria, donor agency funded drugs are managed by non pharmacists, at both
private sectors and primary health centres. Drugs and other health commodities
are easily accessible in the open market without restrictions, so they fall
into the hands of untrained persons who cajole the unsuspecting and uninformed
mothers into seeking healthcare from them, so even with the availability of the
drugs etc, there is widespread misuse with consequent treatment failure.
The presence of NGOs also weaken the formal health sector because the NGOs
offer more attractive remuneration, and even in hospitals where they exist
alongside the formal health services, the government employees prefer to work
there. In majority of the secondary and tertiary hospitals in Nigeria where
HIV/AIDs counselling and treatment pharmacies exist, they are so well furnished
and equipped that every Pharmacist in the hospital would prefer to work their,
thereby downplaying on the poorly equipped government pharmacy within the same
hospital, PLEASE IS THIS STRENGTHENING OR WEAKENING?