The SIAPS Namibia Project Director, Dr. Evans Sagwa, has advocated for adoption of strategies to ensure drug safety in TB and HIV treatment programs in the country. He made this call while delivering a public lecture on Friday, September 22, 2017, entitled “Strategies for optimizing patient safety in HIV and TB treatment programs in Namibia,” […]
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HIV/TB Pharmaceutical Management Training in Swaziland to Improve Medicine Availability and Rational Use
An off-site training was held for 104 pharmacy personnel (32 males, 72 females) responsible for managing HIV and TB medicines in 88 health facilities in the 4 regions around the country. SIAPS supported the training, which included pharmacists, pharmacy technicians, and nurses. The trainings took place over August 7–17, 2017, and each region was trained […]
Pediatric Antiretroviral Treatment Uptake, Treatment Adherence, Regimen Switches, and Retention in Care in Namibia
In Namibia, a preliminary review of EDT records suggests that children form a small proportion of the patients accessing ART in any given setting, nationally composing 8% of the patients on ART in the MoHSS facilities. Over the years, managing children has been complicated with formulations that have not been friendly for children, complicated regimens, and occasional stock-outs of pediatric ARVs. These challenges may increase the number of children that might receive suboptimal care, including delayed or no interventions in face of poor adherence, ultimately leading to suboptimal response to treatment. This can then increase the risk of HIV drug resistance and leads to short survival of HIV-infected children. Findings from this assessment will provide much needed evidence on trends in pediatric HIV treatment uptake, levels of adherence, and retention among those on treatment. Ultimately, the evidence generated will support MoHSS policy makers and leaders in modifying and strengthening interventions aimed at enhancing treatment uptake, adherence, retention, and viral load suppression among HIV-infected children in Namibia.
Factors Associated With First-Line to Second-Line ART Regimen Switching Identified in the APMR Data Systems in Swaziland
In Swaziland, many observations have revealed that approaches to using the patient and logistics data from the Antiretroviral Therapy Patient Monitoring and Reporting (APMR) and RxSolution data systems were not always comparable, and results of data analysis from these electronic systems have not been adequately incorporated into decision-making processes. To bridge such gaps, a capacity-building initiative was started to ensure adequate training and demonstration of how the data in these electronic systems could be used for targeted programmatic data analysis and research to improve decision making. Through engagements with the MOH, a joint decision was made to study the factors associated with switching regimens from first-line to second-line ART that were identified in the APMR data management systems.
Namibia had a prevalence of HIV infection of 17.2% in 2016. That rate of infection, coupled with the vastness of the country and a shortage of qualified pharmaceutical personnel, resulted in a critical need to strengthen health systems. Below are some highlights of SIAPS’ ongoing work in the country. Ensuring access to safe and quality […]
A Q&A with Greatjoy Mazibuko, SIAPS Senior Technical Manager in Namibia You’re working in Namibia, which has one of the highest prevalence rates of HIV in the world. How does this affect life in the country? The prevalence of HIV infection stood at 17.2% in 2016, which is relatively high for sub-Saharan Africa, but it’s […]
In a major advance against the spread of HIV, Namibia has approved the use of emtricitabine/tenofovir disoproxil fumarate (TDF/FTC) to prevent HIV infection. The Namibian Medicines Regulatory Council (NMRC) approved a generic version of the medicine, Ricovir EM®, which is manufactured by Mylan Pharmaceuticals. It is used in combination with other antiretroviral medications to treat […]
On June 1, 2017, 38 new pharmacy assistants (PAs) graduated from Namibia’s National Health Training Center (NHTC). At the graduation ceremony, Dr. Andreas Mwoombola, the Permanent Secretary of the Ministry of Health and Social Services (MOHSS), encouraged the graduates to prioritize the health of their communities and to serve those communities with dignity. He decried […]
Supportive Supervision and Mentorship Site Visit for Pharmacy Services in the Shiselweni Region, Swaziland
With support from SIAPS and in collaboration with other development partners, the Central Medical Stores (CMS) conducts supportive supervision and mentorship (SSM) visits to health facilities. Through these visits, the capacity of health personnel is built to effectively manage pharmaceuticals and services, improve the rational use of pharmaceuticals, and strengthen supply chain management at all levels of health care delivery.
Patients on lifelong antiretroviral therapy (ART) may be at risk of forgetting their pharmacy appointments for antiretroviral (ARV) refills. The SMS-based ART pharmacy appointment and medication adherence reminder service provides automated text notifications to ART patients reminding them to pick up their ARV refills according to appointment dates made by pharmacy staff using the SIAPS-supported Electronic Dispensing Tool (EDT). The service was introduced in May 2015 at 10 public-sector ART sites in 6 of Namibia’s 14 regions.
By Francis Aboagye-Nyame, SIAPS program director Greatjoy Mazibuko was a pharmacist at the Oshakati Intermediate Hospital in Namibia working with […]
On Monday, March 19, SIAPS presented its webinar “Pharmaceutical Management Considerations for UHC.” This webinar discussed the practical steps needed […]
A presentation by Kwesi Eghan, Principal Technical Advisor, on March 19, 2018.