In Bangladesh, the government health facilities face a wide variety of health-related challenges and the Ministry of Health and Family Welfare (MOHFW) must have reliable and timely data on the performances of different parts of the health system to plan, implement, and measure health interventions. Even though the MOHFW procures a large number of medical and non-medical equipment, including IT equipment, there is no systematic process of deploying, operating, maintaining, upgrading, and disposing of those assets cost-effectively. This major part of the public-sector health investment was not addressed in previous health sector programs. The MOHFW worked together with SIAPS in 2016 to address the gap in systematic procedures. They developed and piloted an electronic Asset Management System (AMS) in the 250-bed Moulvibazar District Hospital (MDH) to manage assets in different facilities from registering stage to decommissioning.
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Introduction of an Electronic Asset Management System in Bangladesh Health Systems: Completion of the Tool Pilot in Moulvibazar District Hospital
In 2014, SIAPS supported the Ministry of Health (MOH), Central Medical Stores (CMS), and Swaziland Health Laboratory Services (SHLS) by conducting a workshop to build capacity and improve performance of staff that works in warehouse operations. The Imperial Health Services warehouse was used as a model to showcase warehousing best practices.
Report on Routine Supportive Supervision Visits to Health Facilities in the Hhohho and Lubombo Regions, Swaziland
Since October 2015, SIAPS has been supporting hospitals, health centers, and high volume clinics at the request of regional implementing partners in the Hhohho and Lubombo regions. This report documents the support that facilities have received, progress made, and recommendations for future support.
This report presents highlights of SIAPS’ work to capacitate health workers on proper pharmaceutical service delivery and stock management over a four-year period (2012 to 2015). SIAPS did a baseline assessment at health facilities (HF) in 2012, and then from 2013 to 2015, its technical advisors provided assistance to address the identified performance gaps. The objectives of this evaluation were to document results achieved from implementing mentorship and supportive supervision (SS) visits in supply chain management and pharmaceutical services; and present lessons learned from the implementation of these visits.
Pharmaceutical Leadership and Governance Initiative in the Free State Province, November 2015–May 2016
The PLGI was implemented in the Free State Province from September 2015 to May 2016. Thirty-two pharmacists from primary health care (PHC) centers, hospitals, districts, and the provincial health depot successfully completed the program. The results achieved, together with the challenges faced by the pharmacy district teams, were presented at a final presentation workshop held in Bloemfontein in May 2016.
The LDP was offered to health care professionals in the Northern/Tygerberg Sub-Structure (NTSS), Western Cape Province. Twenty-four health care professionals (12 facility managers and 12 pharmacy supervisors) from primary health care facilities across the sub-structure were enrolled in the program in September 2012. The results achieved, together with the challenges faced by the NTSS facility teams, were presented at a final presentation workshop held in Cape Town in November 2014. Seven of the twelve teams (58%) had achieved their desired measurable results by the end of the six-month period.
Consolidating SIAPS’ Five-Year Support to the Ministry of Health and Social Services for Strengthening Pharmacovigilance in Namibia
The goal of SIAPS in Namibia was to improve the quality and safety of pharmaceutical services to achieve sustained HIV epidemic control. Since 2012, SIAPS focused on interventions that increased the availability of quality antiretrovirals (ARVs), other essential medicines, and services to sustain more than 80% ART coverage of patients in need. SIAPS activities also contributed to ensuring patient safety through pharmacovigilance (PV) activities.
Establishment of Pre-Service Mid-Level Pharmacy Training in Swaziland: From Assessment to Implementation
To assess the feasibility of launching a pharmacy training program or programs in Swaziland, the assessment considered the establishment of different pharmacy training programs with different training models, taking into consideration market requirements in both the public and private sectors. The feasibility assessment recommended the ideal curriculum to be adopted for Swaziland.
Ethiopian National Health Insurance Scale-Up Assessment on Medicines Financing, Use, and Benefit Management
An assessment on current pharmaceutical financing, SHI and CBHI medicines coverage, and public and private sector medicines prescribing and dispensing and their costs was conducted. The SCMS program conducted an assessment that addressed the supply chain and public-private partnership implications of the expected increased demand for quality medicines and related health supplies.
This report presents the findings from the SIAPS assessment, the implications for preparing a proof of concept for launching and implementing the SHI scheme, and the potential for opportunities to engage the private sector.
The SIAPS Program provided technical assistance to analyze recent NDSO operational costs and income trends and provide guidance on adjustments to existing markups to optimize the organization’s operational liquidity to sustain quality services and products. The study team analyzed or calculated selected financial and operational performance indicators from data in NDSO department reports, in annual financial statements (for the past five years), or extracted from NDSO’s information system, the RxSolution database.