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Section X

Self-Assessment Checklist

Governments or other interested groups, including health care professionals, may use the following checklist to guide their analysis of national drug control policies. Please note that some inquiry may be needed prior to answering the questions contained on this checklist.

1. Has the government conducted an examination to determine if there are overly restrictive provisions in national (and state, if applicable) drug control policies that impede prescribing, dispensing or needed medical treatment of patients with narcotic drugs, or their availability and distribution for such purposes, and made the necessary adjustments?

[  ] Yes    [  ]   No    [  ]  Information not available

2. Is there a provision in national drug control policies that recognizes that narcotic drugs are absolutely necessary for the relief of pain and suffering?

[  ] Yes    [  ]   No    [  ]  Information not available

3. Is there a provision in national drug control policies that establishes that it is the government's obligation to make adequate provision to ensure the availability of narcotic drugs for medical and scientific purposes, including for the relief of pain and suffering?

[  ] Yes    [  ]   No    [  ]  Information not available

4a. Has the government established administrative authority for implementing the obligation to ensure adequate availability of narcotic drugs for medical and scientific purposes, including licensing, estimates and statistics? [11]

[  ] Yes    [  ]   No    [  ]  Information not available

4b. Are adequate personnel (employees) available for the implementation of this responsibility?

[  ] Yes    [  ]   No    [  ]  Information not available

5a. Does the government have a method to estimate realistically the medical and scientific needs for narcotic drugs, including for the opioid analgesics which are needed for pain relief and palliative care?

[  ] Yes    [  ]   No    [  ]  Information not available

5b. Has the government critically examined its method for assessing medical needs for narcotic drugs, as requested by the INCB?

[  ] Yes    [  ]   No    [  ]  Information not available

5c. Has the government established a satisfactory system to collect information about medical need for opioid analgesics from relevant facilities?

[  ] Yes    [  ]   No    [  ]  Information not available

6. Does the government furnish annual estimates to the INCB of need for narcotic drugs for the next year in a timely way?

[  ] Yes    [  ]   No    [  ]  Information not available

7. If it appears that the medical need for opioid analgesics will exceed the estimated amount which has been approved and confirmed by the INCB, is it government policy to furnish a request for a supplementary estimate?

[  ] Yes    [  ]   No    [  ]  Information not available

8. Does the government submit to the INCB in a timely way the required annual statistical reports respecting production, manufacture, trade, use and stocks of narcotic drugs?

[  ] Yes    [  ]   No    [  ]  Information not available

9a. Has the government informed health professionals about the legal requirements for the use of narcotic drugs, and provided an opportunity to discuss mutual concerns?

[  ] Yes    [  ]   No    [  ]  Information not available

9b. Has the government identified and addressed concerns of health care professionals about being investigated for prescribing opioids?

[  ] Yes    [  ]   No    [  ]  Information not available

10. Is there cooperation between the government and health care professionals to ensure the availability of opioid analgesics for medical and scientific purposes?

[  ] Yes    [  ]   No    [  ]  Information not available

11. Has the government taken steps, in cooperation with licensees, to ensure that there are no shortages of supply of opioid medications caused by inadequate procurement, manufacture and distribution systems?

[  ] Yes    [  ]   No    [  ]  Information not available

12. Do national drug control policies provide for the licensing of an adequate number of individuals and entities to support a distribution system that will maximize physical access of patients to pain relief medications?

[  ] Yes    [  ]   No    [  ]  Information not available

13a. Has the government established a national cancer control programme to which it allocates health care resources?

[  ] Yes    [  ]   No    [  ]  Information not available

13b. Has the government taken steps to ensure the practice of the WHO Analgesic Method for cancer pain relief by continuing education programmes and by its inclusion in medical, pharmacy and nursing curriculum?

[  ] Yes    [  ]   No    [  ]  Information not available

14. Is there terminology in national drug control policy that has the potential to confuse the medical use of opioids for pain with drug dependence?

[  ] Yes    [  ]   No    [  ]  Information not available

15. Are there provisions in national drug control policy that restrict the amount of drug prescribed or the duration of treatment?

[  ] Yes    [  ]   No    [  ]  Information not available

16. Are there prescription requirements in national drug control policy that may unduly restrict physician and patient access to pain relief?

[  ] Yes    [  ]   No    [  ]  Information not available



[11]       In some cases, the government's policy may be found in either the law or administrative policies, or in both.

 

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