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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.

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A Guide for the Establishment of a Barangay Health Management Council

The concept of a Barangay Health Management Council (BHMC) was developed by a working group comprising technical advisors from SIAPS and health staff from the Quezon City Health Department in late 2011. The BHMC initiative aims to strengthen the delivery of services under the national tuberculosis (TB) control program (NTP) in poor urban communities. This document was developed as a quick reference for those who plan to establish BHMCs. The contents of this guide are based on the insights and experiences of the people involved in the implementation of the BHMC initiative in Quezon City from 2012 to 2016. Described here are the practical steps for establishing, operationalizing, and sustaining a BHMC.

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DHIS2 and e-TB Manager Interoperability: Creating a Stronger Digital Health System in Bangladesh

In 2015, at the request of the Directorate General of Health Services (DGHS), SIAPS undertook a comprehensive mapping exercise of the existing HIS tools in the country to review their scopes and performances and explore opportunities to link the tools to improve efficiency.
The assessment included a deep dive into the DHIS2 platform to assess the system’s capacity, robustness, data security, and interoperability and strongly recommended that the country continue using DHIS2 for data aggregation, analysis, and reporting, with a caution that overload of individual patient data should be avoided. This recommendation triggered a thoughtful consideration to integrate the standalone e-TB Manager with DHIS2 so that patient summary data become available through DHIS2 for indicator reporting and decision making.


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Amélioration de la disponibilité et de l’accessibilité des produits et médicaments essentiels par l’opérationnalisation d’un système d’information pour la gestion logistique en Guinée

Malgré d’importantes ressources financières consacrées par le Gouvernement et les partenaires au développement pour renforcer la chaîne d’approvisionnement des produits de santé, des insuffisances majeures entravent le fonctionnement effectif du système de logistique en Guinée. Le programme SIAPS travaille avec le ministère de la Santé pour l’amélioration du système d’information. Dans le souci de rendre disponibles les données logistiques de routine pour des décisions plus éclairées, la DNPM et SIAPS ont pris la décision au second semestre 2016, de redynamiser le système de logistique intégrée avant la fin de l’année 2017. Trois actions majeures ont été abordées, à savoir : la révision annuelle des procédures du Système de logistique intégrée, la mise en œuvre du Manuel de procédures à tous les niveaux de la pyramide sanitaire et la mise en place d’une Unité de gestion logistique pour les produits de santé.

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Strengthening the Pharmaceutical System in Sierra Leone after Ebola

SIAPS received two years of funding from the U.S. Agency for International Development (USAID) in September 2015 to provide technical assistance to rebuild and strengthen the post-Ebola pharmaceutical supply chain management system and improve the supply chain and rational medicine use in Sierra Leone. To support these goals, SIAPS provides technical assistance for systems strengthening activities including governance and leadership, supply chain management and information for decision making.

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Sierra Leone Project Update: Continuous Results Monitoring and Support System

In May 2016, SIAPS began helping Sierra Leone institute a Continuous Results Monitoring and Support System (CRMS) to assess baseline challenges in pharmaceutical management and regularly track and support improvement in key areas. The CRMS uses a series of indicators related to medicine consumption and availability, disease case management, storage conditions and practices, inventory control and human resources. SIAPS is using this approach in Sierra Leone to improve pharmaceutical management in all health facilities as part of the post-Ebola recovery effort. The CRMS approach includes forming and training team members, planning logistics, visiting health facilities, collecting and analyzing data, providing real-time support and mentoring, preparing reports, and bringing key stakeholders together to review results and plan future activities.

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Mise en oeuvre de SAGE L100 à la PCG Rapport d’analyse détaillée des exigences

Ce document est le rapport d’analyse détaillée des exigences pour l’automatisation des opérations de la PCG avec SAGE L100 i7 et SAGE Paie. Il a été élaboré par la PCG et S2IT avec l’appui technique du projet SIAPS à travers un atelier et des visites de collecte d’information dans les services de la PCG. Il décrit les processus opérationnels tels qu’ils sont à la PCG, liste les exigences de chaque processus et précise le paramétrage à réaliser dans les applications SAGE par S2IT pour satisfaire ces exigences.

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Rapport Consolidé des Ateliers de Formation Des Utilisateurs en Vue de L’implémentation du Système de Logistique Intégrée en Guinée

Du décembre 13, 2016 à l’avril 8, 2017, se sont déroulés, sur l’ensemble du territoire, des formations destinées aux utilisateurs en vue de l’implémentation du système de logistique intégrée en Guinée. L’objectif était de renforcer les connaissances, les compétences, et les aptitudes des utilisateurs afin d’assurer la remontée des données logistiques et la disponibilité constante des produits de qualité, à tous les niveaux. Les ateliers de formation ont regroupé les responsables impliqués dans la gestion des stocks au niveau central, au niveau de la ville de Conakry et au niveau des régions de Boké, Kindia, Mamou, Labé, Faranah, Kankan, et N’Zérékoré. À l’issue de ce déploiement, 511 utilisateurs ont été formés sur le Système d’Information pour la Gestion Logistique (SIGL) Intégrée. Ils sont désormais bien outillés pour produire et transmettre les données sur les médicaments qu’ils gèrent au niveau de leurs structures respectives.

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U.S. Ambassador visits Namibia clinic to unveil new SIAPS e-health innovation

The U.S. Ambassador to Namibia, H.E. Thomas Daughton, visited a hospital and clinic in the Oshana region of Namibia last week to unveil a new electronic stock card, an innovation that has greatly improved service delivery in the country. The Facility Electronic Stock Card (FESC) simplifies pharmaceutical inventory control tasks, allowing pharmacy staff to devote […]

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Guide to Tracking Pharmaceutical Expenditures in a Health System

This guide is designed to take country-level pharmaceutical and financing experts through the System of Health Accounts (SHA) framework as a potential approach that can be adapted to track pharmaceutical expenditures. The guide also reviews important first steps that must be considered to operationalize pharmaceutical expenditure tracking. It is intended to serve as a foundation for a wider conversation about pharmaceutical expenditure tracking approaches and to bring attention to key normative issues including expenditure definitions and boundaries that will need to be addressed before full-scale implementation guidelines for pharmaceutical expenditure tracking can be fully adopted.

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