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Developing and Implementing a Nationwide Electronic Pharmacy Dispensing System in Low-Resource Settings: The Electronic Dispensing Tool in Namibia’s ART Program

In 2004 the MSH-implemented RPM Plus Program supported the MoHSS in carrying out a baseline assessment of pharmaceutical management information and monitoring systems in Namibia. The key objective of this assessment was to determine “the capacity of the local government to meet medicine and other health commodity needs in support of the launch and establishment of the national prevention of mother-to-child transmission (PMTCT) and PMTCT-Plus programs.”

From the challenges identified in the baseline assessment, an urgent need was evident to develop an information system that will ensure uninterrupted access to ARVs to a growing population of patients on ART in Namibia.

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Strengthening the Nevirapine Safety Signal by Using the Electronic Dispensing Tool in Namibia

The primary objective of this signal strengthening activity was to estimate the frequency of substitution of NVP with a protease inhibitor (PI) during the period 2008 to 2011 and to determine if any increase detected was statistically significant.

The incidence of NVP-related reactions of grade 3 and 4 increased with the implementation of Namibia’s 2010 ART Guidelines. The NVP safety signal of increased reports of grade 3 and 4 reactions was indeed a true signal. It is possible that initiating NVP-containing ART in women with high baseline CD4 counts, that is >250 cells/mm3, was the cause for the increase in the incidence of NVP-related grade 3 and 4 reactions. Therefore, the national HIV programme needs to review the use of NVP.

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A Phone Call for Health: Improving Patient Care and Adherence to Treatment in Ethiopia

The SIAPS Ethiopia Team Alongside a road in a remote area of the Amhara Region, Solomon Dawit, a truck driver from the Ethiopian capital of Addis Ababa, sits waiting for a ride to the nearest town. He has two big problems: his truck has broken down and he didn’t know how long it would take […]

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A Phone Call for Health: Improving Patient Care and Adherence to Treatment in Ethiopia

Before the implementation of MSH’s Electronic Dispensing Tool, pharmaceutical management and information systems in Ethiopia were poor at capturing, aggregating, and reporting data relevant for informing decision making. This was especially true at service delivery points.  With the introduction of Antiretroviral Therapy (ART) in Ethiopia, it became clear that without an effective information system, it would be challenging—if not impossible—to ensure the uninterrupted availability and rational use of the newly acquired ARVs. EDT is a cutting-edge information system that uses the patient as the focal point. EDT captures the critical information needed to make decisions about the individual’s drug regime as well as stock inventory and aggregate patient statistics. USAID-funded SIAPS has partnered with Ethiopia’s Pharmaceuticals Fund and Supply Agency (PFSA) to establish and maintain an effective electronic information system at ART pharmacies to monitor patient adherence; drug resistance; access to medicines; prescribing, dispensing, and medicine use practices; and patient safety.

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February 2014 SIAPS/SCMS/BLC Newsletter

To learn more about what SIAPS, BLC and SCMS are doing in Namibia, you can read all about it here in the January-February 2014 newsletter. Topics include: the impact of  facility level behavioral practices on CMS performance in the supply of ARVs:  a competency framework to inform public health supply chain workforce planning in  Namibia; Namibia’s Pharmaceutical Regulatory Capacity; leveraging technology for more efficient regulation of ARVs and other pharmaceuticals in Namibia; and institutional support for training pharmacist assistants.

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Electronic Dispensing Tool Relieves Paperwork Burden for Healthcare Providers in Namibia

Before joining the SIAPS team, Greatjoy Mazibuko served as a hospital pharmacist in charge of antiretroviral therapy (ART) services at the Oshakati Intermediate Hospital in Namibia. During this time, Greatjoy first worked with Management Sciences for Health (MSH) to help his hospital’s ART pharmacy adopt a pharmaceutical information management tool, the Electronic Dispensing Tool (EDT) […]

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Improved Monitoring of Patients and ARVs with the EDT

The SIAPS Program, which supports the Ministry of Public Health, has targeted inclusion of a pilot project to test the Electronic Dispensing Tool (EDT) to respond to this weakness in data management at three antiretroviral (ARV) treatment sites. Staff responsible for dispensing ARV medicines from the three hospitals selected as pilot sites were trained on using the EDT before receiving an information technology kit from the SIAPS Program, which provides ongoing technical support to ensure better handling of the tool.

 

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August 2013 SIAPS/SCMS/BLC Newsletter

The SIAPS/SCMS/BLC Namibia e-Newsletter is a monthly newsletter that keeps you abreast of activities fundedby the USAID and implemented by MSH Namibia. Key focus areas are strengthening health systems, capacity building, and human resource development.

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October 2012 SIAPS/SCMS/BLC Newsletter

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The SIAPS/SCMS/BLC Namibia e-Newsletter is a monthly newsletter that keeps you abreast of activities funded by the USAID and implemented by MSH Namibia. Key focus areas are strengthening health systems, capacity building, and human resource development.

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EDT

Pharmaceutical service providers often lack the data they need to dispense the correct medicines in correct amounts as well as monitor the use and side effects of those medicines. Providers must be able to easily collect patient data and access patients’ medical history in order to optimize patient care, support management decisions, and appropriately manage […]

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