Bangladesh government is very much aware of these unregistered pharmacy outlets and in action to control them which includes expiry and non registered drugs & pricing. For example, they are not providing any license to a new pharmacy; while the Government is encouraging to entrepreneurs to introduce model pharmacy concept under PPP approach and assuring of them getting registration. It's also decided that there should a registered pharmacist (A/B/C grade) in the pharmacy. In anyway, our model approach would be in line with Bangladesh Govt's strategic policy direction.
The truck will also carry the recently identified 25 priority MNCH medicines (by MOHFW) which are supposed to be available at all levels as part of improving continuum of care for both mother and child. To be noted, the priority MNCH medicine list considers the UN commissioned 13 Life saving commodities and the essentials medicines available at Community Clinics (the lowest level where the health services being provided) in Bangladesh.
There also remain gaps in primary healthcare coverage of urban areas where the quality and accessibility of health, family planning and nutrition services are yet to be managed efficiently either in public or in private sectors.
The Mid term review of Bangladesh Sector Program (2011-16) identified this issue too. It reads, "Issues of environmental health were not extensively discussed at the Mid term review. Little engagement is apparent by the MOHFW in general environmental health or climate change issues. In general there appears to be growing concern about environmental pollution (air, water, land). The urban environment of Dhaka is a good example of a highly polluted environment and one that is hazardous to those living in the city and especially slum areas. This can only be expected to get worse with the rapid urbanization if nothing is done to mitigate the situation.
Bangladesh Govt is in the process of designing next sector program and has stressed a lot on urban health and ensuring availability of quality pharmaceuticals at all levels and welcoming any innovative and sustainable model to improve pharmaceutical practice it its sector plan and is budgeting accordingly.