History of Hospital Pharmacy Pratice in Nepal
Santabhavan Hospital (present patan Hospital that was established in 1956) is pioneer to start hospital pharmacy service in Nepal by Tansen mission hospital palpa that was started operation in 1959. During seventies and eighties of last century, goverment hospitals dispensed the extemporal preparations like; Cough expectorant, Simple linctus Pediatric, Magnesium trisilicate mixture (antacid), sulphur ointment, zinc oxide ointment, Gentian violet solution, Hypertonic solution, EUSOL, Potassium citrate mixture, Potassium chloride mixture, Sodium fluoride gargle etc. But there were no assistant pharmacists or pharmacist and mostly AHW(Assistant Health Worker) were performing the job, but now Pharmacist & Pharmacy Assistant performing the job. First time, in 2036 BS(1979), Ministry of Health, Goverment of Nepal, created the posts for two assistant pharmacists (Qualification: PCL Pharmacy passed from TU, IOM) in Mechi zonal hospital Bhadrapur and Mahindra hospital Bharatpur. There were the posts of graduate pharmacists (officers) in Kanti Hospital and Bir Hospital But they were neither doing dispensing nor patient couseling. In Bir Hospital those post are still today. In 2007 less than 8% of registered pharmacist and 37% pharmacy assistants worked in hospital and community pharmacies. There are more than 100 hospitals existing in the country but only approximately 15 hospitals have a presence of hospital pharmacist. And in many of medical colleges of the country, hospital pharmacy is totally absent and/or established just for formality. Very fe private and teaching hospital are having good hospital pharmacy today(Manipal Hospital Pokhara, Dhulikhel Hospital, Model Hospital). Mission hospitals (Patan Hospital and Tansen Hospital) have a classical hospital pharmacy with thier own system.