Transcript Poster presentation

QUALITY OF DRUG ADVERTISEMENTS
FOLLOWING THE DEREGULATION OF MASS
MEDIA IN INDONESIA
Sri Hidayati, Siti Munawaroh, Sulanto Saleh-Danu
International Network for Rational Use of Drugs –
Yogyakarta/ Indonesia
Background: Deregulation of Mass Media
Enactment of Press Law No: 40/1999, publishing permit is
not required anymore
Liquidation of Ministry of Information which previously
controlled the mass media (2000)
Growing number of printed and electronic mass media
Newspaper
Magazine
Television
Radio
167 titles
231 titles
7 channels
803 stations
>1000 titles
>500 titles
41 channels
>1200 stations
Quality of drug advertisements?
Objectives
 To evaluate ethical practices of drug
advertisements
 To evaluate the regulatory status of drug
advertisements in Indonesia
 To explore concerns of the regulatory body
to the ethical aspect of drug advertisements
Methods
Design:
Descriptive explorative study
Data collection: • Observation of drug advertisements in mass media
in 2 phases, before (1996) and after (2003) the
deregulation of mass media
• Interview with key person in National Agency on
Drug and Food Control (NA-DFC)
Indicators:
• Percentage of drug advertisements mentioning:
Generic name
 Drug price
Indication
 The manufacturer’s
Contraindication
name and address
 Drug registration number
• Existence of regulation and monitoring system for
drug ads
Source and Number of Ads Observed
Source
Before
After
2 radio stations in 2 days of
broadcasting
2 TV channels in 2 days of
broadcasting
1 daily newspaper for one
month
2 monthly magazines for one
year
Billboards in main streets and
displays in 50 pharmacies in
one purposively selected city
Total
15
90
23
253
31
51
219
275
29
782
317
1451
Chronological events
DEREGULATION:
Press Law 40/1999
Health
Law
23/1992
Ministerial
Decree
386/1994
1992
1994
BEFORE
DEREGULATION
1996
AFTER
DEREGULATION
1999
2003
Findings: REGULATORY STATUS
 Health Law No. 23/1992: Drug information should be
objective, complete, and not misleading
 Ministry of Health Decree No. 386/1994: Detailed rules
in promotion of non-prescribed drugs
 Advertisements are regularly monitored by observing
advertisements sampled from mass media.
 VIOLATION
 Sanction for promotional violation: written
reprimand, instruction to stop the promotion,
withdraw the promotional material
 Promotional violation at National level in 2002: 675
cases, 139 were categorized as breaching the law.
Result: DECLINING QUALITY OF INFORMATION IN ELECTRONIC MEDIA
120
100
100
91
RADI
O
100
120
100
100
100
86
80
100
57
%60
47
40
100
78
80
60
20
TELEVI
SION
51
51
40
24
14
10
0
0
0
Gen.
names
20
Indication
Cont. Indic.
0
Name of
manuf.
address of
manuf.
14
1
Price
0
0
Gen. name
Indication
2
0
Cont. Indication name of manuf.
Before
address of
manuf.
Price
After
In electronic media (radio and television), the quality of information
in drug advertisements after deregulation declined, as shown by the
falls of all indicators’ values
Result: IMPROVEMENT IN PRINTED MEDIA
NEWSPAPER
80
100
98
100
BILLBOARD
60
51
44
60
51
39
40
28
20
8
4
0
Gen. names
Indication
Contra Indic.
Name of
manuf.
94
100
Address of
manuf.
0 0
Price
40
40
24
0
0 2
0
Generic name
Indication
Contraindication
Name of manufacturer Address of manufacturer
Price
After
 In printed media (newspaper,
51
51
51
31
28
4
0 1
0
Genericnames
36
93
44
20
45
Before
62
60
88
20
MAGAZINE
80
88 90
85
80
67
40
98
100
indication Contraindication
Nameof
Addressof
manufacturer manufacturer
price
magazine and billboard), a marked
improvement has been achieved
after deregulation as shown by the
rise of percentage of all indicators,
except the address of manufacturer.
Discussions
 Regulations have been available for a decade, but
the quality of drug information in drug ads is still far
from expected
 Factors contributed: the weak monitoring system,
weak enforcement for sanction in cases of violation.
 Monitoring should ideally be conducted with
standardized forms referring both to the regulation
and information approved during registration.
 Efforts are needed to encourage critical attitude to
drug advertisements among general public.
Conclusions
 The loosening of publishing/broadcasting permit
unlikely affects the quality of drug advertisements
 Strong regulations on drug promotion are
available (Law and Decree), but the enforcement
and control system are weak
 The quality of drug advertisement is more
dependent on the power of regulation
implementation. Therefore, stronger enforcement
and sanctions is urgently needed
“Terima Kasih”
(Thank You)