that particularly affects low- and middle-income countries with strained health systems. This problem is even more pronounced in Nigeria, wherein Kano State, Nigeria. To address this, Kano State implemented the Drug Revolving Fund system in 2005, which has since become a model of success and sustainability. is based on a simple yet effective principle.
One of the critical components of the DRF system's success lies in its sustainable funding model. Initially, essential medical supplies were stocked in the 60 healthcare facilities enrolled in the DRF system in Kano State. The inclusion of a markup on the cost of drugs distinguished this financing model. Despite this markup, the overall cost of these drugs and essential health commodities remained lower than market prices, ensuring accessibility to necessary medications and supplies.
With robust supervisory structures and community involvement, the system operates sustainably, achieving over 80% availability of essential drugs. This success has led to facility renovations and additional community investments, with monthly revenues from consumables contributing significantly to local development initiatives.Despite its success, the DRF system is not without its challenges. Achieving 100% coverage of PHC facilities remains a goal, as some have not yet been fully capitalised.
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