This report presents results of the assessment on implementation of Auditable Pharmaceutical Transaction and Services (APTS), a package of interventions designed to improve the quality of pharmaceutical services at public health facilities. The development and implementation of this intervention has been supported by the SIAPS program, which is implemented by Management Sciences for Health (MSH) with funding from United States Agency for International Development (USAID). The project is implemented in close collaboration with the Federal Ministry of Health (FMOH), regional health bureaus (RHBs), and the respective health facilities.
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Key to the success of any health systems strengthening project is whether it effects broad, sustainable, institutional change. Sound strategic planning can grow a successful hospital pilot program into a nationwide health intervention that improves lives. The examples below show the SIAPS program’s work in bringing pharmaceutical systems strengthening interventions to scale. Technical Publication: Transforming Pharmaceutical […]
Using Electronic Pharmacy Dispensing Data for Surveillance of Outpatient Antibiotic Consumption and Monitoring of Antibiotic Prescribing Practices at District and Provincial Hospitals in the South African Public Sector
The primary aim of this study was to assess the feasibility of using electronic pharmacy dispensing data extracted from RxSolution® for the surveillance of outpatient (ambulatory) antibiotic consumption and monitor antibiotic prescribing practices at district and provincial hospitals in public health facilities in North West Province, South Africa, between April 2013 and March 2015. This was an exploratory project to develop hypotheses on the volume of antibiotics used and prescribing patterns.
A new collection of technical briefs highlight strategic approaches, innovations, results and lessons learned in implementing systems-wide interventions to strengthen pharmaceutical systems and services in three countries: South Africa, Namibia and Ethiopia. Click on the thumbnails below to read the full technical briefs. Strengthening Namibia’s Pharmacy Sector and Workforce Strengthening the Leadership and Management of […]
Inefficient and irrational use of medicines is a well-documented problem in both developed and developing countries. It leads to cost increases and adverse clinical effects for patients. The inappropriate use of medicine can be reduced if health care professionals involved in the different aspects of medicine use promote good practices for medicine management and use. An appropriate forum for the development and implementation of medicine policies is the Drug and Therapeutics Committee (DTC).
In Mozambique, the establishment of hospital DTCs was officially requested by the Ministério da Saúde (MISAU) (Ministry of Health) in the document The Departamento de Farmacia Hospitalar (DFH) (Department of Hospital Pharmacy) in the Direcção Nacional de Assistência Médica (National Directorate of Medical Assistance) of MISAU also took on the establishment of hospital DTCs as a priority intervention to improve the appropriate use of medicines at the hospital level. SIAPS has provided technical assistance to assist hospitals in establishing DTCs to improve medicine use, and in the collection and analysis of medicine use information for decision making as part of its support to counterparts in the pharmaceutical sector.
By Abraham Ayuen, Senior Communications Specialist for SIAPS South Sudan. This post originally appeared on MSH’s website. Six-year-old Yohana Peter clutched a bottle of mango juice as he waited for his medication outside a pharmacy at Al Sabah Children’s Hospital in Juba, South Sudan. Seated next to his mother on a metal bench, Yohana looked anxious. […]
By Tsion Issayas, Communications Manager for SIAPS Ethiopia. This post originally appeared on MSH’s website. Aster Amanuel Desalegn lives in Debre Markos, 190 miles from the Ethiopian capital of Addis Ababa. She is a 70-year-old mother of four and grandmother of two. Her granddaughters, Emuye, 6, and Blen, 8, live with her. On a trip back […]
By Liza Talukder, Communications Technical Advisor and Dr. Seikh Asiruddin, Senior Technical Advisor for SIAPS Bangladesh. This post originally appeared on MSH’s website. Tama, a resident of Parokhali village in the Khulna district of Bangladesh, was devastated when her 15-day-old daughter was diagnosed with pneumonia-related complications and needed treatment, including immediate oxygen support. Following instructions from the […]
Over the past two decades, Ethiopia has improved its delivery of primary health care services and begun to make great progress toward meeting the Millennium Development Goals, particularly with regard to maternal, newborn, and child health and the prevention and control of HIV and tuberculosis. Yet pharmaceutical services—a patient’s last point of care and one […]
Technical Brief: Transforming Pharmaceutical Services in Ethiopia through Auditable Pharmaceutical Transactions and Services
MSH has implemented pharmaceutical management projects in Ethiopia since 2005, through the Rational Pharmaceutical Management Plus Project and the Strengthening Pharmaceutical Systems (SPS) Program and most recently the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. The SIAPS Program (2011 to 2016) aims to reduce morbidity and mortality, primarily for HIV and AIDS, malaria, and priority conditions in MNCH.
One of the most successful SIAPS initiatives in Ethiopia is implementation of Auditable Pharmaceuticals Transactions and Services (APTS), a package of interventions that addresses accountability and transparency; access to information for decision making; efficient use of medicines budgets and human resources; and quality of pharmacy services—all of which affect the performance of hospitals in the public sector.