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Standard Operating Procedures for Planning and Implementing a Continuous Results Monitoring and Support System in Sierra Leone at the Primary Health Unit Level

Since May 2016, the Directorate of Drugs and Medical Supplies (DDMS) and SIAPS have supported district health management teams (DHMTs) to implement the continuous results monitoring and support system (CRMS) in their respective health facilities. By the end of 2017, 10 of the 13 districts and more than 1,000 health facilities had conducted three rounds of quarterly CRMS supervisions, reviewed the evidence in stakeholder review workshops, and produced reports. The indicators tracked are generally classified as service indicators (monitoring treatment uptake, consumption, stock status, and rational use) and system indicators (monitoring availability and functioning of information systems and forms, storage and handling, availability of skilled staff, and capacity building). CRMS supervisors use a checklist and various tools and forms to complete their findings and observations; they also provide real-time mentorship and support to address challenges. The findings and observations of CRMS exercises are summarized and presented to key stakeholders and owners of the system in a CRMS review forum where actionable plans are discussed and operationalized by the next quarterly exercise. The purpose of this standard operating procedure (SOP), which was prepared as a job aid, is to provide a frame of reference for implementing a CRMS to conduct comprehensive, participatory, and responsive monitoring using the first exercise as a baseline to track trends in improvement following continuous engagement of target facilities. This approach is in line with supportive supervision and monitoring system but is more proactive and action oriented.

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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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Department of Health Training Guide on Warehousing and Distribution of Family Planning, TB, and other Health Commodities in the Philippines

This guide is written for the DOH Philippines’ LMD. It can be used as support material in the training and development of new and existing staff involved in warehouse and distribution operations at all levels, particularly those who are involved in the process of receiving, putaway and storing, picking and packing, and dispatching of FP, TB, and other health commodities in DOH warehouses.

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Development of Standard Operating Procedures to Strengthen Demand and Supply Planning of DOH Philippines

In line with the objective of the Department of Health (DOH) to strengthen supply chain management for pharmaceuticals and health commodities and ensure access for all Filipinos, this technical assistance aimed to support the DOH in strengthening demand and supply planning for pharmaceuticals. The assistance aimed to facilitate consensus building to harmonize demand and supply planning activities of the DOH, initiate the development of selected SOPs on demand and supply planning at the central level, identify data sets and requirements for performing consumption-based quantification for selected commodities.

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Warehousing Operating Procedures Manual

There has been a long‐recognized need of Central Medical Stores Depot (CMSD) staff for a complete collection of documents representing the up‐to‐date warehouse management
standard operating procedures (SOPs) of CMSD: there was no such resource capturing all the
operational procedures, circulars, registers, office orders, and so on used in the different sections
involved in CMSD’s logistical activities. In answer to this need, CMSD management has taken the initiative to develop a single volume containing all the required documents they have been adopted into existing procedures over the years of operation.

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Technical Assistance to Strengthen the Angola Central Medical Warehouse System

The purpose of this activity was to design and implement warehouse operations system improvements for CECOMA, and to design and implement a human resource capability development and performance improvement (HRCD&PI) program based on the identified gaps.  The assignment entailed conducting a rapid analysis of warehouse and distribution system capacity, including staff capacity, to identify gaps and validate previous findings, and then to design and implement customized warehouse system strengthening improvements as well as an appropriate HRCD&PI program. Information was gathered through record reviews and interviewing CECOMA management and key informants in the different operational units of the warehouse. Qualitative data were collected through one-on-one interviews and focus group discussions.

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Model Business Process Flows for Registration of Medicines: A Guide for Establishing a Standardized Generic Version of SIAPS Pharmadex Software

The introduction of Pharmadex has so far targeted individual country requirements. Currently, under the African Medicines Regulatory Harmonization initiatives, efforts are underway to adopt common and harmonized processes and communication platforms for medicine registration in regional economic communities, such as EAC, ECOWAS, and the Southern African Development Community. The purpose of this report is therefore to describe the currently known processes in selected countries and develop a model set of business processes for medicine registration based on internationally accepted standards. These model business processes can then serve as the basis for establishing a model version of Pharmadex’s registration module.

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Developing Better Terms of Reference to Improve the Performance of Pharmaceutical Sector Committees: Case Studies from South Africa

In South Africa, there are numerous governance structures that make crucial decisions about selection, procurement, distribution, and use of medicines, diagnostics, and other pharmaceutical products. A challenge commonly encountered is that critical committees either do not exist or where the committee is in place, it does not function optimally. One of the most underlying causes of poor functioning of committees is the absence of or weak terms of reference (TOR). In 2015, the Affordable Medicines Directorate (AMD) of South Africa’s National Department of Health (NDOH), requested assistance from SIAPS in strengthening the TOR of several national committees, including those involved in selection of medicines for inclusion on the National Essential Medicines List (NEML). SIAPS developed a TOR guidance document that can be used in the development or review of TOR. The purpose of this brief is to share the guidance document and the processes SIAPS and their counterparts followed to develop new and revise existing TOR for three different pharmaceutical sector committees in South Africa.

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Formato de Auto Evaluación del SUGEMI en CPN

Formulario para la autoevaluación del Sistema Único de Gestión de Medicamentos e Insumos (SUGEMI). Este formulario es compulsorio para todos los centros de primer nivel de atención (CPN).

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Procedimientos Operativos de Almacén de CEAS

El SUGEMI, es el conjunto de procesos y recursos del sistema de salud orientados a garantizar la disponibilidad y uso racional de produc­tos de calidad. Es un sistema que integrará las diferentes modalidades de suministro de medicamentos e insumos de salud, existentes en los Centros del primer nivel de atención (CPN) y Centros Especializados de Atención en Salud (CEAS) del segundo y tercer nivel, bajo una sola administración. Tiene por objetivo final mejorar la accesibilidad de la población a medicamentos esenciales de calidad, promoviendo a la vez la racionalidad en su utilización. Con este fin se han desarrollado una serie de documentos pertenecientes a los procedimientos operativos de la gestión del suministro de los CEAS, para el fortalecimiento de los Servicios de Farmacia Hospitalaria (SFH), que servirán como herramientas de gestión estándares para una prestación de servicios farmacéuticos eficiente y de calidad.

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