In the Philippines, tuberculosis (TB) is the sixth leading cause of death, mostly affecting the poor and vulnerable populations. Stock-outs of TB medicines in public health facilities compromise treatment of patients with TB because of limited access and additional burden of out-of-pocket expenses for medicines. As part of the improvement of the overall supply chain of the TB program, SIAPS has been working with the Department of Health central office with focus on quantification, procurement, storage, distribution, and pharmacovigilance. In addition, the National TB Control Program (NTP) requested SIAPS to develop an action-oriented practical guide for TB pharmaceutical management.
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Promoting better use of medicines through the establishment of a National Essential Medicines Committee in Swaziland
The WHO estimates that more than 50% of all medicines are prescribed, dispensed or sold inappropriately, and that 50% of all patients fail to take them correctly. The overuse, underuse or misuse of medicines—also known as irrational use of medicines—results in wastage of scarce resources, increased risk of adverse drug reactions, and widespread health hazards, […]
This document provides a background and basic guidance to medicine use data collection to be undertaken by University of Namibia School of Pharmacy second-year students during their placement in rural health facilities.
In 2012, UNAM-SoP introduced 4-week placements at health facilities located in rural communities for pharmacy students as part of their practical training. This placement is meant to provide the students with hands-on experience on the provision of pharmaceutical services at these facilities. From the lessons learned from the students’ 2012 placement experience, UNAM, from 2013, included data collection on pharmaceutical-related indicators aimed at building students’ capacity to assess pharmaceutical service delivery at health facilities, to interact with other members of the health care team and patients, and obtain insights into the pharmaceutical management procedures. Through this exercise, students learn how to assess dispensing practices, including assessing client knowledge and satisfaction with information received about their medicines. These indicators are based on the global pharmaceutical management indicators developed by the World Health Organization (WHO)
A new manual published by the USAID-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program aims to guide health care professionals in the development and implementation of standard treatment guidelines (STGs). STGs are designed to assist health care professionals in making decisions about appropriate, effective patient care. However, health managers often have trouble […]
Developing, Implementing, and Monitoring the Use of Standard Treatment Guidelines: A SIAPS How-To Manual
STGs are designed to assist health care professionals in making decisions about appropriate, effective patient care. However, health managers often have trouble setting and meeting the high standards required of modern, developed health care systems. With stakeholders expressing concern over issues such as strength of evidence, transparency, conflicts of interest, and effective implementation, it is clear that many health care professionals need further guidance in developing and making use of STGs.
This manual guides health professionals through the process of establishing and implementing STGs, placing special emphasis on the low- and middle-income country (LMIC) context. By including tools, templates, and success stories as well as hyperlinks to useful resources, the manual helps health practitioners understand not only important concepts of treatment guidelines, but also how they can best be used in practice.
National Pharmacists’ Forum 2014 Technical Report: Dissemination of Pharmaceutical Services Information
SIAPS and its predecessor projects—Strengthening Pharmaceutical Systems (SPS) and Rational Pharmaceutical Management (RPM) Plus—have worked extensively to introduce and support tools that capture dispensing and supply chain data from public health facilities. SIAPS supports the Ministry of Health and Social Services (MoHSS) to conduct periodic analyses of antiretroviral therapy (ART) data by using available data sources, specifically the Electronic Dispensing Tool (EDT) and national database. In order for such data to inform programmatic decisions, it needs to be actively disseminated to program managers. The Division of Pharmaceutical Services (Div: PhSs), with technical assistance from SIAPS and the Supply Chain Management System (SCMS), compiles a quarterly ART Logistics Management Information System (LMIS) feedback report, a quarterly Pharmaceutical Management Information System (PMIS) feedback report, and an annual supportive supervision visit (SSV) feedback report. Hard and soft copies of the ART LMIS and PMIS reports are disseminated quarterly to all regions of Namibia, and SSVs reports are disseminated annually.
To improve dissemination and stimulate discussions of results, SIAPS supported Div: PhSs to conduct the National Pharmacists’ Forum 2014. Findings from PMIS feedback reports and recommendations made by SSVs were discussed with participants of the forum, which took place from September 29 to October 3, 2014, in Otjiwarongo, Namibia. Participants included pharmacists and stakeholders from 13 of Namibia’s 14 regions. The forum also provided opportunities to disseminate, discuss, and analyze other pharmaceutical services information in reports, such as the standard treatment guidelines (STGs) post-assessment report, and to introduce new medicines added to the Namibia Essential Medicines List (Nemlist).
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 […]
Key AMR Resources
Success Stories Containing Antimicrobial Resistance Through Integrated Community Case Management Using a Health-Systems-Strengthening Approach to Contain AMR: A South African Experience Fighting Antimicrobial Resistance with Pre-Service Training Taking a Stand against Antimicrobial Resistance: Strengthening Systems to Promote the Rational use of Medicines Fighting AMR in Resource-Limited Settings: Experiences in Swaziland Mitigating antimicrobial resistance: Preventing resistance […]
Taking a Stand against Antimicrobial Resistance: Strengthening Systems to Promote the Rational Use of Medicines
A year ago, the World Health Organization (WHO) released its first global report on antimicrobial resistance, revealing a number of troubling trends: rising rates of resistance to first-line antibiotics for common infections such as urinary tract infections, gonorrhoea, and staph infections; a growing inability to treat deadly diseases like tuberculosis (TB) with second-line and even […]
Development of the National Minimum Standards for Healthcare Facilities in Ethiopia: A Milestone for Country Ownership and Sustainability of Best Practices
Licensing is a statutory mechanism by which a governmental authority grants permission to an individual practitioner to engage in an occupation or to a healthcare organization to operate and deliver services. Licensing allows governments to ensure basic public health and safety by controlling the entry of providers and facilities into the health care market and by establishing standards of conduct for maintaining that status.
In Ethiopia, government and development partners are investing a huge amount of resources to improve the quality of health services and ensure their sustainability. However, there remain the serious challenges of accountability, ownership, and sustainability. Accordingly, governance is recognized as one of the key strategic interventions in the Health Sector Development Programme (HSDP) IV. It is also recognized by international development partners as a building block for health system strengthening. The development of these standards can be taken as a good governance intervention within the health system. These regulatory tools mandate that both practitioners and health institutions comply with a minimum set of requirements and update their licenses regularly to continue operating as a healthcare-providing institution. This way, best practices (adapted to the country’s context) will easily be owned and sustained. On the other hand, the EFMHACA will develop and deploy standardized tools to execute inspection and licensing functions and ensure transparency and accountability in these processes.