Available medication at the Case de Santé

Name	Use	Form	Cost
Paracetamol	Fever	Syrups and pills	N/A
Cotrimoxazole	Infections: IRA (Infections Respiratoires Aigues) and cutaneous infections	Sirups and pills	6,900 CFA/box through the government medication distribution system 15,000 CFA/box through the Karang private pharmacy
Mebendazole	Anti-parasidic	Sirups and pills	220 CFA/box through the government medication distribution system 10,000 CFA/box through the Karang private pharmacy
Ibuprofen	Fever and pain	Pills	N/A
Vitamin C	Fatigue, weakness	Pills and injections	N/A
Efferalgan	Colds, fever	Pills	N/A
Amoxicillin	Antibiotic	Pills	N/A
Iron	Anemia, weakness, fatigue	Pills	N/A
ACT (Artemisinin-based combination therapy)	Malaria	Injections	N/A
Vitamin B12	Anemia	Injections	N/A
Atropines	Diarrhea and vomiting	Injections	20,000 CFA/box through the Karang private pharmacy

All Cases de Santé are supposed to get their medication solely through the government distribution system. Each month, Alassane writes up a list of medication to be replenished and how many boxes of each he needs. This list is dropped off at the Karang Poste de Santé, who then orders the medication from the Centre de Santé in Sokone.

The Case de Santé in Dassilami Socé is supposed to service 3 villages: Dassilami Socé, Boutilimite, and Sarudia. However, Alassane’s patient register indicates that people come from more then 14 surrounding villages for his services. On top of that, he only gets half the amount of medication he asked for from Sokone. Inevitably, he runs out of medication by the 20^th of each month.

At that point, he has no choice but to go buy extra medication from the private pharmacy in Karang, where everything is 3 times as expensive. As a result, he also has to resell this medication to patients at the Case de Santé at a slightly higher price in order to make a little bit of profit. Luckily, patients at the Case de Santé can buy several pills at the time instead of an entire box, so the cost for them is still relatively low. When it comes to syrups, though, they are out of luck: they have to buy the whole bottle.