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Analysis of Passive Surveillance Data Collected by the Swaziland Pharmacovigilance Unit, October 2016-March 2017

With support from SIAPS, the Swaziland National Pharmacovigilance Unit (NPVU) has been monitoring the safety of medicines used in the county by collecting and collating reports of adverse drug reactions (ADR) and other medicine-related problems through its spontaneous reporting system established under the country’s Ministry of Health in 2009. In addition, SIAPS has been supporting active surveillance for ARV and TB medicines. ADRs and other medicine-related problems are reported to the NPVU by health care providers using a paper ADR reporting form. Completed forms are sent to the NPVU or collected from health care facilities on a quarterly basis for data entry and analysis. SIAPS supports the collection of the forms and has seconded a data clerk to the NPVU to enter the data from the forms into Microsoft Excel. SIAPS support was further sought to analyze PV data and build the capacity of the PV team to undertake routine analysis of those data. The main objective of the work was to analyze PV data generated from the spontaneous reporting system in Swaziland to inform clinical practice (rational medicine use) and improve patient outcomes.

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HIV/TB Pharmaceutical Management Training in Swaziland to Improve Medicine Availability and Rational Use

An off-site training was held for 104 pharmacy personnel (32 males, 72 females) responsible for managing HIV and TB medicines in 88 health facilities in the 4 regions around the country. SIAPS supported the training, which included pharmacists, pharmacy technicians, and nurses. The trainings took place over August 7–17, 2017, and each region was trained […]

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Factors Associated With First-Line to Second-Line ART Regimen Switching Identified in the APMR Data Systems in Swaziland

In Swaziland, many observations have revealed that approaches to using the patient and logistics data from the Antiretroviral Therapy Patient Monitoring and Reporting (APMR) and RxSolution data systems were not always comparable, and results of data analysis from these electronic systems have not been adequately incorporated into decision-making processes. To bridge such gaps, a capacity-building initiative was started to ensure adequate training and demonstration of how the data in these electronic systems could be used for targeted programmatic data analysis and research to improve decision making. Through engagements with the MOH, a joint decision was made to study the factors associated with switching regimens from first-line to second-line ART that were identified in the APMR data management systems.

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SIAPS provides technical assistance to the Inter-Ministerial Commission on Medicines Availability in Swaziland

Upon receiving an invitation from the Right Honourable Prime Minister of Swaziland, Dr Sibusiso Barnabas Dlamini, SIAPS provided technical assistance to the task team appointed to examine the problem of inconsistent availability of essential medicines. Recent media reports and routine assessments conducted by the SIAPS Program indicated frequent stock-outs of essential medicines and medicinal supplies, […]

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Supportive Supervision and Mentorship Site Visit for Pharmacy Services in the Shiselweni Region, Swaziland

With support from SIAPS and in collaboration with other development partners, the Central Medical Stores (CMS) conducts supportive supervision and mentorship (SSM) visits to health facilities. Through these visits, the capacity of health personnel is built to effectively manage pharmaceuticals and services, improve the rational use of pharmaceuticals, and strengthen supply chain management at all levels of health care delivery.

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Swaziland Develops Key Performance Indicators to Improve Warehouse Management

In 2014, SIAPS supported the Ministry of Health (MOH), Central Medical Stores (CMS), and Swaziland Health Laboratory Services (SHLS) by conducting a workshop to build capacity and improve performance of staff that works in warehouse operations. The Imperial Health Services warehouse was used as a model to showcase warehousing best practices.

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Implementing an TB/HIV Active Surveillance System in Swaziland

SIAPS supported the Swaziland Ministry of Health (MOH) in mobilizing key stakeholders from the Swaziland National AIDS Program and the National Tuberculosis Control Program to introduce and implement an active surveillance system for patients on ARVs and anti-TB treatment. SIAPS provided technical assistance to MOH’s National Pharmacovigilance Unit (NPVU) to develop the protocol and tools to implement the system, as well as to develop a system for recruiting patients at the HIV and TB sites.

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Report on Routine Supportive Supervision Visits to Health Facilities in the Hhohho and Lubombo Regions, Swaziland

Since October 2015, SIAPS has been supporting hospitals, health centers, and high volume clinics at the request of regional implementing partners in the Hhohho and Lubombo regions. This report documents the support that facilities have received, progress made, and recommendations for future support.

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Evaluation of SIAPS Supportive Supervision and Mentorship Activities

This report presents highlights of SIAPS’ work to capacitate health workers on proper pharmaceutical service delivery and stock management over a four-year period (2012 to 2015). SIAPS did a baseline assessment at health facilities (HF) in 2012, and then from 2013 to 2015, its technical advisors provided assistance to address the identified performance gaps. The objectives of this evaluation were to document results achieved from implementing mentorship and supportive supervision (SS) visits in supply chain management and pharmaceutical services; and present lessons learned from the implementation of these visits.

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Establishment of Pre-Service Mid-Level Pharmacy Training in Swaziland: From Assessment to Implementation

To assess the feasibility of launching a pharmacy training program or programs in Swaziland, the assessment considered the establishment of different pharmacy training programs with different training models, taking into consideration market requirements in both the public and private sectors. The feasibility assessment recommended the ideal curriculum to be adopted for Swaziland.

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