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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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SMS Reminders Improve Patients’ Pharmacy Appointment-keeping for Antiretroviral Refills in Namibia

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.

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SIAPS Annual Report: Program Year 5

Systems thinking is now a widely accepted concept in global health. Governments, donors, and other actors in global health recognize that guaranteeing the availability of medicines is a necessary, but insufficient component to improving health outcomes. Rather, medicines availability must be bolstered by other components, such as ensuring that quality medicines are available and prescribed and dispensed appropriately by health care workers; patients must also use medicines properly. In order to achieve improvements in health for their populations and address health inequities, governments and donors must invest in strengthening health systems. A health system depends on its subcomponent, a pharmaceutical system, for the continuous availability of safe, effective, and affordable essential medicines and other health technologies of assured quality to deliver effective health interventions that improve health outcomes. This is in alignment with USAID’s Vision for Health Systems Strengthening (2015-2019). To this end, the USAID-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program focuses on achieving positive health outcomes by assuring the availability of quality pharmaceutical products and effective pharmaceutical services.

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Bangladesh Health Information Systems Mapping Analysis

At the request of Ministry of Health and Family Welfare (MOHFW) and the US Agency for International Development (USAID) mission in Bangladesh, the Systems for Improved Access to Pharmaceutical and Services (SIAPS) Program, funded by USAID, was asked to assist the Bangladesh Ministry of Health and Family Welfare and other local partners to address the health information needs across the Family Planning and Health Systems directorates within the MOHFW. The SIAPS team of consultants was asked to assess existing health information systems (HIS) tools, their scope, and performance to explore opportunities to integrate/link the tools and improve efficiency and reduce wastage of resources.

The evaluation was performed to review maturity of systems’ deployment and use, performed a systems mapping to help MOHFW and the Government of Bangladesh to streamline the development and management of HIS. This is primarily to facilitate the use of data and information for the MOHFW to effectively manage the health programs, medicines, and services for patients. In a discussion with the stakeholders—Directorate General Family Planning, Directorate General Health Services, Deutsche Gesellschaft für Internationale Zusammenarbeit, UNICEF, and CARE, a prioritized set of 20 systems were mapped and evaluated.

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Ethiopia: Oromia Regional Council ratifies APTS regulation

On October 30, 2015, proposed regulations for implementation of the Auditable Pharmaceutical Transactions and Services (APTS) system were unanimously enacted by the Oromia Regional Council. The Council accepted all articles of the regulation and recommended immediate implementation of APTS in the region. APTS is a package of data-driven interventions that support a continuous supply of essential medicines, […]

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Ukraine’s Ministry of Health highlights SIAPS pharmacovigilance tool at WHO meeting

At the 38th Annual Meeting of Representatives of National Pharmacovigilance Centres participating in the WHO Programme for International Drug Monitoring, held in New Delhi, India from 4-6 November, Olena Matvieieva from Ukraine’s Ministry of Health (MOH) presented the ways in which SIAPS and the MOH are working to improve the methodology and systems for passive […]

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Pharmadex launches in Mozambique, streamlining medicines registration

On October 1, the Pharmacy Department within Mozambique’s Ministry of Health successfully launched Pharmadex—a major achievement, and a significant step toward making the country’s medicines registration system more effective and transparent. Pharmadex, a SIAPS-supported web-based tool, supports a more efficient medicines registration process by organizing and housing all relevant information needed for an application to […]

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Decreasing the Data Burden at the Last Mile to Improve Data Management and Use for Stronger Pharmaceutical Systems

Through its support of governments in low- and middle-income (LMIC) countries across the globe, SIAPS Program has helped many governments address the data management challenges facing their health systems. Governments and their partners are acutely aware of the need for innovative ways to reduce the data burden on health workers.

To define and quantify the data burden facing health workers, SIAPS conducted a review of data management and use practices, particularly with respect to pharmaceuticals, in Malawi and Swaziland. Malawi was chosen because of the presence of a SIAPS partner working with the Ministry of Health to improve supply chain data management and pharmacovigilance; Swaziland was chosen because of a recently released study of the health management information system which, although comprehensive on information flow for patient-specific data, did not cover pharmaceutical information flows or individual data burden on health workers.

The purpose of the in-country assessments was to gather specific examples and case studies to help quantify and illustrate the data management challenges facing LMIC health systems. During these assessments, the local teams identified the pharmaceutical and health service delivery data being collected at the service delivery points (health centers and hospitals), documented the tools and approaches being used to manage pharmaceutical and health service delivery data, and quantified the level and causes of data burden at the service delivery point. SIAPS staff and partners interviewed health workers such as nurses, their assistants, and pharmacy personnel as well as management at all levels of the health system, including health center management at regional/district level, and central level staff such as chief pharmacists, vertical disease-specific program managers, and health management information systems (HMIS) staff. In addition to these individual interviews, the teams also observed data collection processes at the hospitals and health centers and examined the data contained in the forms and registers. Informed by these in-country assessments, as well as the collective years of experience of SIAPS and its partners in managing these issues, this brief provides both context for and an articulation of the data burden seen within health systems in LMICs. It also provides recommendations for ways that ministries of health, donors, and implementing partners can rethink their approach to data management to improve health service delivery.

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