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Report of a ToT and Cascade Training on Leadership Development Program for Pharmacists from the Public Sector of the Ministry of Health and Sanitation of Sierra Leone

The pharmaceutical sector in Sierra Leone faces several challenges. The Ministry of Health and Sanitation (MOHS), in collaboration with different partners, is in the process of strengthening the capacity of district and peripheral health facilities (hospitals and peripheral health units (PHUs)) to ensure an uninterrupted supply of essential medicines, manage supply chain activities through an improved nationwide pharmaceutical management information system, and promote rational medicine use for better health outcomes. USAID support to the MOHS through SIAPS focuses on pharmaceutical management systems strengthening and supply chain management through capacity building and technical assistance to improve governance, management and leadership, selection and quantification, pharmaceutical management information systems, rational medicine use, and CRMS. The purpose of conducting MSH’s LDP training was to build the capacity of Sierra Leone’s DDMS, district/hospital pharmacists, and SIAPS staff in leadership, management, and governance. The goal was to ensure that the directorate, its district/hospital pharmacists, and SIAPS Sierra Leone staff would be equipped with the knowledge and skills to manage and lead the different components of the program efficiently in a transparent and participatory manner. The purpose of the training of trainers (ToT) for the LDP was to establish a pool of local LDP facilitators who could cascade the program to other DDMS staff and district/hospital pharmacists throughout the 13 districts.

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Guidelines and Standard Operating Procedures for the Supply Chain Management of Drugs Used in Mass Drug Administration of Neglected Tropical Disease Programs

One of the constraints to effective control of neglected tropical diseases (NTDs) is that the needed medicines are often not available in sufficient quantities at service delivery points at the time of scheduled mass drug administration (MDAs). Supply systems for NTD drugs (NTDDs) differ from those for most other essential medicines in that NTDDs need to be delivered to selected endemic target sites on a defined schedule based on the frequency of the MDA, which could be once or twice a year. Consequently, NTDD supply chain systems need to be well designed and efficiently managed to ensure that health workers and communities have access to NTDDs and supplies, such as registers, medicines for managing adverse drug reactions (ADRs), height measuring poles, etc., at time of MDA. Availability of these items may be influenced by a variety of factors, including availability of the supplies at the central level, poor stock control, provider experience, economic influences, and transport. This guidance and standard operating procedures (SOPs) document will be valuable additional material for anyone who manages NTDDs—from program managers to service providers, community health workers (CHWs), community drug distributors (CDDs), teachers, technical assistance providers, and public- and private-sector partners. This document describes how to properly manage NTDD supplies throughout the supply chain and distribution process. The guidelines and SOPs serve as a reference document that NTD programs can use to review and enhance their own procedures for managing NTDDs and develop or refine their own SOPs to support the proper implementation of the supply chain components of MDA. These guidelines and SOPs are based on the assumption that countries already have the systems, structures, and processes in place to implement MDAs for NTDs.

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Strengthening Medicine Registration in Benin: A Detailed Assessment

In November 2016, at the request of USAID/Benin, SIAPS conducted a rapid assessment of the medicines registration system of the Direction de la Pharmacie, du Médicament et des Explorations Diagnostiques (DPMED) in Benin and made recommendations to address the challenges arising from its current information system. The assessment identified opportunities to improve regulatory processes for the efficient and transparent registration of medicines. The purpose of SIAPS’s technical assistance visit in August 2017 was to conduct a situational analysis regarding the findings and recommendations made after SIAPS conducted a rapid assessment in November 2016. The goal was also to develop appropriate recommendations and a plan for the implementation of Pharmadex software and the management system of the medicines registration process at DPMED, Benin.

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OSPSANTE: Guide de l’Utilisateur

L’objectif de l’outil OSPSANTE est de capturer, de suivre, d’agréger et de diffuser des informations sur les produits de Nutrition et de lutte contre le paludisme, la PF, la SMI et le VIH, pour soutenir la prise de décision basée sur des éléments de preuve au Mali. L’outil OSPSANTE aidera le pays et les organisations internationales, telles que l’USAID, l’ONUSIDA, l’OMS, le Fonds mondial et autres parties prenantes à améliorer les prévisions, la planification de l’approvisionnement et les achats pour permettre la disponibilité continue des produits de Nutrition et de lutte contre le paludisme, de la PF, de la SMI, et du VIH. Le présent guide de l’utilisateur permettra d’utiliser facilement l’outil OSPSANTE. Il fournit des conseils pas à pas pour accéder à l’outil OSPSANTE et générer des rapports.

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Continuous Results Monitoring and Support System

This is the report of the first continuous results monitoring and support system (CRMS) exercise in Bombali District, which was conducted in May 2016. The purpose of the report is to highlight the findings and observations of the CRMS exercise. A total of 104 health facilities (HFs) (one hospital, 18 community health centers (CHCs), 57 community health posts (CHPs), 26 maternal and child health posts (MCHPs), and two clinics) were assessed using a comprehensive checklist based on selected service and system indicators. The CRMS exercise examined different indicators that focused on stock availability; consumption; expiry; number of patients treated; availability and performance of pharmaceutical information tools; storage conditions; staffing; training; and supervision.

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NTP Laboratory Network Assessment: Strategic Directions to Improve Access and Quality of TB Diagnostic Services Assessment Report

The National TB Program has embarked on the new Philippine Strategic TB Elimination Plan Phase One: 2017–2022, setting targets and objectives to significantly reduce TB mortality and prevalence by 2022. Among the key activities in the plan is to ensure the access of all priority patients to rapid TB diagnosis along with drug susceptibility testing for rifampicin. This entails the expanded deployment of the new RDTs, exemplified by Xpert, at the primary level of care. The NTP envisions using RDTs as the initial TB diagnostic test within the short term. This assessment was done to gather information on the laboratory network’s capacity to provide access to diagnostic services, particularly the new rapid TB diagnostics at the primary level of care, identify factors that serve as barriers to ensuring the provision of continuous and reliable laboratory services, and to propose actions to address the identified barriers.

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Inventory Control and Good Storage Practices Training for Primary Health Care Nurses and Pharmacy Staff in Khomas, Ohangwena, and Otjozondjupa Regions, Namibia

Although SIAPS introduced a number of automated inventory control tools, such as the Facility Electronic Stock Card (FESC) and Electronic Dispensing Tool (EDT) for district hospitals, since June 2015, at the primary health care (PHC) level, inventory control and storage practice are a major challenge and the major cause of stock-out of medicines for antiretroviral therapy (ART), tuberculosis (TB), and malaria in all regions in Namibia. To ameliorate these challenges, the MOHSS has revised and distributed standard operating procedures (SOPs) for the management of medicines and medical supplies at PHC facilities in the period of 2015–16, and training on these SOPs has been provided to all staff at the PHC level in the Khomas, Ohangwena, and Otjozondjupa regions in the months of May, June, August, and November 2017. A training was needed to improve inventory control and good storage practices, thereby improving access and restraining increases in the pharmaceutical budget by reducing expiries and damaged pharmaceuticals and at the same time building the training capacity of the regional pharmacists. Facilitation of these trainings was supported by the SIAPS technical advisor. The trainings aimed to improve the management of ARVs, TB medicines, and related health commodities. It was necessary to improve inventory control and good storage practices, thereby improving access and further reducing the increasing pharmaceutical budget by reducing cases of expired and damaged pharmaceuticals.

 

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Rapport de l’enquête sur la vérification de l’utilisation finale des produits de lutte contre le paludisme au Mali, août 9-29, 2017

La présente édition de l’EUV a été réalisée août 9-29, 2017, sous la direction du PNLP dans les régions du sud du Mali. L’objectif de l’étude est de contribuer à améliorer la disponibilité, la gestion, et l’utilisation des médicaments et autres intrants antipaludiques dans les structures sanitaires publiques et parapubliques du Mali. C’est une étude de type transversal et descriptif qui s’est intéressée aux points de prestation de soins, ainsi qu’aux points de distribution et de dispensation des intrants antipaludiques dans les structures sanitaires des régions de Kayes, Koulikoro, Sikasso, Ségou, Mopti, et le district de Bamako.

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Rapport de l’atelier de formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE)

La formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE) a été réalisée du 18 au 22 septembre 2017 dans la salle de conférence du COU. Elle a réuni 40 acteurs au total : deux facilitateurs de SIAPS et trois du DOU-SP et 35 prestataires qui ont reçu la formation, venant des services de santé de 3 régions (Kayes, Koulikoro, Sikasso) ; le district de Bamako et le CHU du point G. Ces différents acteurs sont impliqués par leurs rôles dans la gestion des produits Ebola. Au cours de cette formation, à travers 11 sessions dispensées, les acteurs ont appris comment estimer les besoins et faire la commande des produits, comment enregistrer et soumettre les données logistiques des produits de la prévention d’Ebola dans OSPSANTE, quel outil primaire ils doivent utiliser pour saisir les données dans le portail d’Ebola, quels sont les rapports que l’outil peut produire et comment faire les analyses pour la prise de décision dans le cadre de l’amélioration de la disponibilité des ME.

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Applying Principles of Pharmacoeconomics to Improve Medical Product Selection and Use in Low- and Middle-Income Countries: Trainer’s Guide

Tools and materials are needed for pharmacoeconomic evaluation and health technology assessment (HTA) training to strengthen health systems and increase and support their capacity to perform HTA in resource-limited countries. Training on how to apply pharmacoeconomics to essential medicines selection should focus on equipping health care workers, regulatory authorities, public health program personnel, and academic researchers with the skills and knowledge to strengthen pharmacoeconomic decision making as part of HTA within their health systems. This guide provides a template for use, adaptation, or adoption in many settings. It is intended that these materials will be adapted and supplemented to meet the needs and contexts of individual countries. In addition to this trainer’s guide, the curriculum package includes presentation slides, case studies, and other resources. The package is meant to provide resources and information to help trainers and facilitators conduct in-person trainings and develop local capacity for evidence based medical product selection. Included in this curriculum are nine training modules with notes for facilitators and guidance for each module, as well as workgroup activities and case studies to accompany the presentations. In addition to being a guide and basic platform that can be adapted for different settings, this material can serve as the basis for developing delivery formats beyond in-person trainings, such as distance or online training, to meet local stakeholder needs. Resources and materials for further reading are included to help enhance knowledge and prepare facilitators.

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