Unfortunately, when I tried to access [BNF] through the link http://www.evidence.nhs.uk/formulary/bnf/current , this is the response I got:
"This site has detected that you are accessing it from Kenya.
Unfortunately this site is only available from Great Britain.
We apologise for any inconvenience."
My colleagues within East Africa, (Rwanda, South Sudan, Tanzania and Uganda) tell me the same...
The severe paucity of reliable sources of readily accessible medicine information may be the main driver for wide-scale irrational use of medicines and its consequences which range from Adverse Drug Reactions, Anti-Microbial Resistance and Wastage of per capita income.
In East Africa for instance, the prescribing practice is heavily influenced by the commercially biased information from the medical representative, who in addition, use several unethical ploys to influence the prescribers. It is worse in rural settings where nurses, who play an pivotal role in primary healthcare, prescribe up to 80% of the medications. The prescribing patterns and practices are more or less influenced by several important dynamics including personal experiences, information from colleagues and sometimes out-dated sources of information.