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Continuous Results Monitoring and Support System

This is the report of the first continuous results monitoring and support system (CRMS) exercise in Bombali District, which was conducted in May 2016. The purpose of the report is to highlight the findings and observations of the CRMS exercise. A total of 104 health facilities (HFs) (one hospital, 18 community health centers (CHCs), 57 community health posts (CHPs), 26 maternal and child health posts (MCHPs), and two clinics) were assessed using a comprehensive checklist based on selected service and system indicators. The CRMS exercise examined different indicators that focused on stock availability; consumption; expiry; number of patients treated; availability and performance of pharmaceutical information tools; storage conditions; staffing; training; and supervision.

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Implementing a Dashboard for Pharmaceutical Information in Namibia

SIAPS supported the MoHSS to design and implement a web-based electronic information system (dashboard) for both patient and stock status in Namibia. It was designed to improve coordination among facility, district, regional, and national stakeholders involved in HIV commodity management; increase the use of pharmaceutical information for management decision making at all levels of health care; and improve planning for financial resources for pharmaceutical commodities. The dashboard comprises a module for monitoring 22 pharmaceutical services delivery indicators, a module that summarizes the number of people accessing ART services, and an early warning system against stock-outs of antiretrovirals (ARVs) and other essential medicines.

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Inventory Control and Good Storage Practices Training for Primary Health Care Nurses and Pharmacy Staff in Khomas, Ohangwena, and Otjozondjupa Regions, Namibia

Although SIAPS introduced a number of automated inventory control tools, such as the Facility Electronic Stock Card (FESC) and Electronic Dispensing Tool (EDT) for district hospitals, since June 2015, at the primary health care (PHC) level, inventory control and storage practice are a major challenge and the major cause of stock-out of medicines for antiretroviral therapy (ART), tuberculosis (TB), and malaria in all regions in Namibia. To ameliorate these challenges, the MOHSS has revised and distributed standard operating procedures (SOPs) for the management of medicines and medical supplies at PHC facilities in the period of 2015–16, and training on these SOPs has been provided to all staff at the PHC level in the Khomas, Ohangwena, and Otjozondjupa regions in the months of May, June, August, and November 2017. A training was needed to improve inventory control and good storage practices, thereby improving access and restraining increases in the pharmaceutical budget by reducing expiries and damaged pharmaceuticals and at the same time building the training capacity of the regional pharmacists. Facilitation of these trainings was supported by the SIAPS technical advisor. The trainings aimed to improve the management of ARVs, TB medicines, and related health commodities. It was necessary to improve inventory control and good storage practices, thereby improving access and further reducing the increasing pharmaceutical budget by reducing cases of expired and damaged pharmaceuticals.

 

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Benin National Supply Chain Assessment

In an effort to improve the health status of the Beninese population, a priority activity included in the 2015 convention between the US Government, represented by USAID, and the Benin Government, represented by the Ministry of Health (MOH), was to conduct a comprehensive assessment of the public health supply chain, focused on essential medicines that are associated with the package of low-cost, high-impact interventions. SIAPS undertook this assessment in close collaboration with and under the leadership of the MOH, represented by the National Health Products Supply Chain. This report presents information on the capability, maturity, and operational performance of Benin’s health supply system, along with a strategic plan of interventions to address identified weaknesses that will allow reliable supply and use of medicines in the health system.

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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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Rapport de l’enquête sur la vérification de l’utilisation finale des produits de lutte contre le paludisme au Mali, août 9-29, 2017

La présente édition de l’EUV a été réalisée août 9-29, 2017, sous la direction du PNLP dans les régions du sud du Mali. L’objectif de l’étude est de contribuer à améliorer la disponibilité, la gestion, et l’utilisation des médicaments et autres intrants antipaludiques dans les structures sanitaires publiques et parapubliques du Mali. C’est une étude de type transversal et descriptif qui s’est intéressée aux points de prestation de soins, ainsi qu’aux points de distribution et de dispensation des intrants antipaludiques dans les structures sanitaires des régions de Kayes, Koulikoro, Sikasso, Ségou, Mopti, et le district de Bamako.

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Dashboard data improves pharmaceutical supply-chain decision-making in Namibia’s public health facilities

Yousef Makar is the Chief Pharmacist at the Windhoek Central Hospital, Namibia’s national referral hospital for specialised health care services for the past five years. Before July 2016, Yousef and other pharmacy managers in government health facilities faced huge challenges in managing the inventory of pharmaceuticals with frequent stock-outs of key pharmaceuticals because consumption information […]

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Sustaining SIAPS’ impact: What’s next for pharmaceutical systems strengthening?

By Francis Aboagye-Nyame, SIAPS program director Greatjoy Mazibuko was a pharmacist at the Oshakati Intermediate Hospital in Namibia working with ART patients. Every day, he rose at dawn, not knowing how many patients he would have that day. He often worked for 12 hours or more; patients were kept waiting for hours, perhaps having traveled […]

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HIV/TB Pharmaceutical Management and Supply Chain Training Report

According to the World Health Organization, many countries spend 30–40% of their health care budgets on medicines and medical commodities, and a significant amount of the funds are wasted because of irrational medicines use and inefficiencies in stock management due to lack of skills. Other serious problems that health care organizations face include the overuse of antimicrobials, which increases the risks of antimicrobial resistance, leads to increased adverse drug reactions (ADRs), and results in considerably higher costs associated with drug use. Training pharmacy personnel on proper handling of medicines can help improve the proper handling and dispensing of medicines, rational use of medicines, and adherence to treatment to improve patient health outcomes. The primary objective of the HIV/TB pharmaceutical management and supply chain training was to develop the skills of the pharmacy personnel on proper management of HIV and TB medicines in health facilities.

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