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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Technical Brief: Improving Health Outcomes through Delivery of Patient-Centered Pharmaceutical Care by Pharmacists in Low- and Middle-Income Countries
Health systems in low- and middle-income countries have focused on managing acute infectious conditions, and pharmacy practices have typically focused on product-centered services rather than patient-centered care. However, these countries are experiencing an increasing burden of chronic communicable and non-communicable diseases, such as HIV and AIDS and cardiovascular diseases. Providing effective long-term care for chronic diseases requires pharmacy practices to strengthen patient counseling and adherence, and bolster linkages among clinical, laboratory, pharmacy, and other services. To respond to this need in pharmacy services, many countries are expanding their pharmacy practice from a model that centers on supplying and dispensing medicines to one that emphasizes the provision of patient-centered pharmaceutical care―and in collaboration with other health care providers―to support the achievement of better health outcomes.
Interfacing RxSolution with a Biometric Verification System to Improve Patient Records Management in South Africa
Enhancing patient recordkeeping in Tshwane Metropolitan Municipality The City of Tshwane Metropolitan Municipality, located in the Gauteng Province, is the fifth-largest municipality in South Africa and home to over 2.9 million residents as well as the capital, Pretoria. The municipality operates 24 primary health care facilities providing access to health services, primarily to the uninsured […]
Incorporating RxSolution into Pre-service Instruction on Medicines Supply Management in South Africa
By Bright Phiri, SIAPS Communications Officer; Katelyn Payne, SIAPS Project Associate; and Susan Putter, SIAPS Principal Technical Advisor A serious deficit of pharmacy support personnel in South Africa has highlighted the need to create new career opportunities in the field of pharmaceutical services provision. According to the South African Pharmacy Council, there are approximately 14,213 […]
This new SIAPS video tells the story of the Pharmaceutical Leadership Development Program (PLDP) launched in South Africa in 2011 with the aim of strengthening leadership, management and governance skills for pharmacists and pharmacy managers. The PLDP is offered through the USAID funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) project. SIAPS leveraged […]
On April 24, 2015, the first class of students graduated from the B.Pharm program at the University of Namibia (UNAM)–the first and only pharmacy degree program in the country. With the help of the USAID-funded SIAPS program, the Namibian Ministry of Health and Human Services was able to conceive, establish, and encourage enrollment in the B.Pharm […]
Building Local Capacity for Clinical Pharmacy Service in Ethiopia through a Holistic In-Service Training Approach
Recognizing the need for patient-focused services and the competency gap in the curriculum, schools of pharmacy in Ethiopia revised their curricula in 2008 to focus more on the patient. In addition, recognizing the potential benefits of introducing clinical pharmacy to the patients and the health sector, the Federal Ministry of Health (FMOH) has included clinical pharmacy services in the pharmacy chapter of the Ethiopian Hospital Reform Implementation Guidelines (EHRIG) as one of the key services to be provided by hospitals. The pharmacy chapter of the guideline has been implemented in all public hospitals since 2010. The document has explicitly indicated that pharmacists need to contribute to the safe, effective, and economic use of medicines so as to maximize treatment outcomes.
However, introducing clinical pharmacy services in Ethiopia requires pharmacists who are well trained in patient-focused services. That need proved to be a huge challenge in implementing the standards in the EHRIG because all pharmacists in the country were trained using the old product-focused curriculum. As a short-term solution to assist the Government of Ethiopia in commencing clinical pharmacy service at hospitals, SIAPS (and its predecessor program Strengthening Pharmaceutical Systems [SPS]) initiated an in-service training program aimed at building the clinical knowledge and skills of practicing hospital pharmacists. The training program proved to be a successful initiative that has attracted much interest and has brought together universities, the Pharmaceuticals Fund and Supply Agency (PFSA) and SIAPS for a new national objective: the initiation of clinical pharmacy service in Ethiopian hospitals, which is the first of its kind in the country.
Information contained in this report was delivered as a poster presentation at the 2015 American College of Clinical Pharmacy’s Global Conference on Clinical Pharmacy in San Francisco, California. Citation as follows:
Chanie T. Mekonnen N. Yiegezu Y. Tadeg H. An innovative in-service training course on clinical pharmacy for hospital pharmacists in Ethiopia. Poster presentation at the 2015 American College of Clinical Pharmacy’s Global Conference on Clinical Pharmacy, San Francisco, CA. October 19, 2015.
In spite of being both preventable and curable, tuberculosis (TB) remains a major global health threat. Second only to HIV/AIDS in terms of deaths caused by a single pathogen, TB killed nearly 17% of the 9 million people infected by the disease in 2013. While effective interventions led to a decrease in TB cases in […]
During the past fiscal year (FY 2013), the SIAPS Guinea team and its Ministry of Health partners (National Malaria Control Program [PNLP], Central Pharmacy of Guinea [PCG], National Medicines Regulatory Authority [DNPL], Bureau for Health Strategy and Development/National Health Information System [BSD/SNIS], Regional/District Health Authorities, and health facility agents) accelerated activities related to all four objectives outlined in the work plan. For the most part, SIAPS has succeeded in completing its key activities for the year, with specific progress noted especially for Objective 3, that of improving the availability of information (reporting) for decision making, and also for Objective 4, that of improving the availability of antimalarial products at the health facility level and correcting stock-outs.
The high burden of HIV and the rapid scale up of ARV treatment program in KwaZulu-Natal provided a unique opportunity to establish a cohort event monitoring system at selected sites within the province. The aim of the cohort event monitoring study was to implement and establish a system of active surveillance that would have resulted in the timely identification, management, and prevention of adverse events to ART.
The goal of the Antiretroviral Cohort Adverse Event Monitoring programme in KwaZulu-Natal (ACADEMIK) was to establish an AE surveillance system that would support patient safety, patient adherence to lifelong ART, and enhance quality of patient care in the ARV treatment programme in the province.