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Phasing Out Stavudine-Containing Regimens in the Ethiopian ART Program: The Role of Pharmaceutical Information for Decision Making

This was a descriptive retrospective study that used secondary data collected from ART service pharmacies’ routine reports. The reports contained the patient’s medication profiles on specific type of regimen. All first- and second-line regimens are captured by the reports. The study used data and reports from September 2012 to September 2014. About 205,832 patients were on ART by September 2012; this number increased to 269,779 at the end of September 2014 because of program expansion and increase in the uptake of patients into the ART program. The 2012 data were collected from 318 ART sites while the 2014 data were collected from 383 ART sites, the increase owing to ART program scale-up to new facilities. About 52.3% (200/383) of the sites used the electronic dispensing tool. The remaining facilities used standard manual formats to capture the medication profiles. Data obtained from the ART reports were entered into MS Excel. For descriptive statistics, percentages of patients on d4T-, ZDV-, and TDF- based regimens were calculated at two-month intervals covering the two-year study period. Then trends of regimen switch (from d4T- to ZDV- or TDF-based regimens) were analyzed by using tables and graphs. In addition, differences in trends between switches to ZDV- and TDF-containing regimens were assessed. Success was determined by the degree to which regimen switches were achieved in accordance with the plan without treatment interruptions.

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Malaria PMI Quarterly Updates October-December 2014

According to the 2013 World Malaria Report,1 malaria incidence was reduced by about 31% and mortality rates by 49%in the World Health Organization (WHO) African Region between 2000 and 2012. These substantial reductions occurred as a result of a major scale-up of vector control interventions, diagnostic testing, and treatment with artemisinin-based combination therapies (ACTs). However, much remains to be done. The disease still took an estimated 627,000 lives in 2012,2 mostly children under five years of age in Africa.

Working closely with the President’s Malaria Initiative (PMI) both in Washington and in PMI focus countries, the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program aims to ensure the availability of quality pharmaceutical products and effective pharmaceutical services in support of PMI objectives. To this end, and based on PMI’s malaria program priorities, SIAPS endeavors to improve pharmaceutical governance, build capacity to manage malaria products while addressing the information needed for managing them, strengthen financing strategies and mechanisms to improve access to malaria medicines, and improve the quality of pharmaceutical services provided to malaria patients.

This report briefly describes the major activities that SIAPS conducted at the global level and in each of the above mentioned countries and regions between September and December 2014.

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February 2015 SIAPS/SCMS/BLC Newsletter

In this issue:

  • Namibia transitions to a once-a-day antiretroviral pill
  • Pharmaceutical human resources development for the sustained provision of quality antiretroviral treatment at health facilities in Namibia
  • Developing caregiver skills for the improved care and support of orphans and vulnerable children (OVC)
  • Monitoring site-level trends in HIV Drug Resistance Early Warning Indicators among children on treatment
  • SIAPS and SCMS participate in joint pharmaceutical management supportive supervision visits of ART sites
  • ART site improvement through monitoring system (SIMS) assessment in the Kavango and Zambezi Regions
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Pharmaceutical Management Information System: Support Supervision Report, January–March 2014, Cameroon

This report shows the result of continuous monitoring conducted quarterly in Cameroon to ensure stock availability at ART treatment sites of HIV and AIDS commodities. Data sources on patient information and consumption and report submission are from monthly reports collected at health facilities during supervision. Data on stock status are collected by the supervisors with the support of the pharmacy staff the day of the visit.

During this period, SIAPS—
-Trained storekeepers and pharmacy attendants in 100% of targeted health facilities on the use of stock cards and dispensing registers provided to improve the logistics management information system
-Provided a monthly reporting form to 100% of its health facilities and 100% of other health facilities in Cameroon to improve availability of data at central and regional levels for decision making
-Mentored store keepers and data clerks in observing good storage practices and data management

 

 

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Pharmaceutical Management Information System Support Supervision Quarterly Feedback Report, October to December 2013, Cameroon

Based on previous assessment findings and to fill the gaps, SIAPS supports improving data management of HIV and AIDS commodities in targeted ART health facilities in Cameroon by:

  • Assessing storage practices and inventory management to mentor and guide system improvement
  • Collecting data and information for the monitoring patients and stock
  • Mentoring and building the capacity of pharmacy attendants, storekeepers, and data clerks on storage, dispensing practices, inventory management, filling in registers, and reporting HIV and AIDS data
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Policy Brief: Status of the Supervision of Malaria Diagnostic and Treatment Posts in Countries of the Amazon Basin

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In 2011, AMI decided to evaluate the supervision system that had been implemented in each of the four countries. SPS consultants conducted an evaluation of supervisory coverage, how well the supervision instrument was completed, and its usefulness for decision making at the local, departmental, and central levels.

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En 2011 AMI decidió evaluar la situación del sistema de supervisión en los cuatro países. Consultores de SPS evaluaron la cobertura de la supervisión, la propiedad con que el instrumento era completado y su utilidad para la toma de decisiones en niveles local, departamental y central.

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