Accredited Drug Dispensing Outlets (ADDO)

Awards: 2nd Runner-Up; Most Innovative Health Market Innovation

Sub Category: Provider Training

For many common medical problems, several factors encourage people to self-diagnose and medicate. These factors include distance to the facility, seriousness of the illness, availability and quality of medicines.

The ADDO Program began in 2003 as pilot project with the goal of improving access to essential medicines and pharmaceutical services in the rural and underserved areas of Tanzania where there are few or no registered Pharmacies.

One of the ADDO Program’s objectives is to better equip small rural drug shops to provide quality medicines and pharmaceutical services. The program trains and provides oversight of the shop attendants who dispense the drugs, raises consumer awareness about accredited drug sellers, and strengthens the regulatory monitoring and inspection of outlets. Due to its success, the Government of Tanzania has adopted the ADDO model for the entire country, and is expanding the model from the pilot area into other regions of Tanzania mainland.

 The ADDO program has so far been rolled out to cover more than half the population in the country. ADDO Program currently covers about 4,000 outlets with over 9,000 trained providers country wide serving an average of 7,000 people at each outlet. Scale up will be completed in 2012. Pilot results show that there was a reduction of unregistered medicines in the shops from 26% to 2%, an increase in availability of registered drugs, and improved clients’ perception about the availability of medicines.

The Tanzanian government hopes to complete the roll out of the program all over the country by the end of 2012. It is also expected that a maintenance component being developed currently will be implemented to improve the program services to clients and help ensure sustainability of the program.