• Pharmaceutical sector indicators should be monitored regularly to see the effectiveness of effects of interventions and policies

• Conduct operational research to assess factors that cause specific problems and constraints to best practices

• There is the need to carry a study on the role of peddlers

• Critically investigate the difficulties inherent in the management of drugs from the central level to the periphery, standardise and disseminate SOP's; strengthen information systems

• Provide training to managers within the procurement and distribution chain. This should include training for private sector and private not for profit groups in the pharmaceutical sector. The training should focus on forecasting, procurement, storage and distribution of to prevent stock outs.

• The Ministry of Health, the Ghana Health Service, consumer associations together with the general public to lobby for reduction in prices of essential medicines. Advocacy should aim at reducing/removing tariffs and taxes on all essential medicines both in the public and private sectors.

• Rational drug use concepts should be part of the training curricula of all health professionals and part of ongoing in-service training so as to reinforce the concepts to ensure sustained change

• Private drug outlets should be included in improving the rational use of drugs activities

• Investigate innovative factors that what would motivate better adherence to the Standard Treatment Guidelines to use in the development and launch of the next edition

• There should be regular monitoring of the use of the standard treatment guidelines; dispensers should be encouraged to dialogue and give feedback to prescribers so they would know their prescribing habits and try to improve prescribing to conform to the Standard Treatment Guidelines.

• Improve drug labelling to include visual labelling for illiterate patients

• Public/consumer education should target the social and cultural aspects of medicines use particularly in relation to the consequences of inappropriate and unnecessary use of injections and antibiotics; education on compliance with treatment should be emphasized. The use of the popular media ought to be continued and strengthened. Promote patient rights

• Institutionalize drug and therapeutic committees (DTC) in all health facilities to improve the correct efficient and cost effective management of drugs and also to ensure effective monitoring of the indicators at facility level. DTC members should be adequately trained and empowered to carry out their duties

• Strengthen the national health insurance scheme to improve (financial) access to drugs

• GNDP should direct some of its activities to the private and not-for-profit sectors