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Strengthening Governance in Pharmaceutical Systems: A Compendium of Country Case Studies

SIAPS and its predecessor programs have assisted numerous countries in strengthening governance to promote robust decision making, enhance accountability, reduce opportunities for corruption, and improve efficiencies to enable better access to and use of quality-assured medicines. This compendium draws on these experiences and provides a collection of examples of strategies and approaches for strengthening governance in pharmaceutical systems. The compendium highlights accumulated insights into factors that may have enabled or constrained the success of governance improvement initiatives. The intention is to systematically bolster knowledge, in alignment with USAID’s collaborating, learning, and adapting approach, so that stakeholders may examine the applicability of lessons learned and apply them in different settings to maximize resources and attain better development results. The compendium begins by defining governance, then explains its importance in pharmaceutical systems and introduces the framework SIAPS has used to guide its governance strengthening activities. It presents eight case studies on SIAPS’ work in enhancing governance in pharmaceutical systems, summarizes challenges commonly encountered and lessons learned, and closes with some reflections on the usefulness of SIAPS’ governance-strengthening framework.

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Process of implementing e-TB Manager, 2008-2016: a summary of 10 countries

multicountry user experience analysis of e-TB Manager and an in-depth study in Ukraine were published. However, the procedural aspects of e-TB Manager implementation in each country were not documented. While facilitators and barriers for eHealth implementation in resource-constrained settings are well known, the objective of this paper is to summarize the tailored implementation approaches given local context, which is a crucial consideration. The paper summarizes the key lessons learned and implications for other electronic health information systems.

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Setting the stage for pharmaceutical system reform in Ukraine

By Juanita Folmsbee, Ukraine Country Project Director, SIAPS and SAFEMed To be fully effective, health system strengthening projects should have sustainable impact and lay the groundwork for future progress. Here’s how SIAPS’ work supported health system reform in Ukraine. SIAPS worked in Ukraine for four years, from 2013 through 2017. Ukraine has the most severe […]

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SIAPS Ukraine End of Project Report

Project dates: September 2012 – June 2017

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EML Harmonization Process in Ukraine

The availability of a unified essential medicines list (EML) with evidence-based clinical efficacy to be used by the Ministry of Health (MOH) for the state-guaranteed package of services is an essential part of the successful launch of the health care reform initiative in Ukraine. This required the development and institutionalization of a process to ensure sustainability into the future rather than a one-off list of essential medicines. The main task of SIAPS was the provision of technical assistance to the Government of Ukraine to solve the problem of medicines list harmonization, which was needed to review and update the NEML to be the sole list for procurement or reimbursement with public funds, and to develop legislative documentation to institutionalize the process. The work was performed in cooperation with the MOH and the State Expert Center.

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SIAPS closes in Ukraine

On June 30, 2017, SIAPS closed its office in Ukraine. Since 2011, SIAPS worked with the Ministry of Health (MOH) and other stakeholders strengthening the country’s pharmaceutical systems and enhancing transparency of procurement practices and rational medicine use. SIAPS provided assistance to streamline medicine selection by harmonizing the essential medicines list (EML). This was done […]

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The TB burden in Ukraine is among the most severe in Europe, and achieving TB control is hindered by weak information and reporting systems. Recognizing that managing pharmaceutical information is essential to curbing the spread of TB, the Ukrainian government adopted e-TB Manager, a digital case management tool developed by SIAPS, to help manage TB-related […]

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Sustaining Ukraine’s progress in fighting TB

Tuberculosis, which is the leading cause of death among infectious diseases in Ukraine, is especially dangerous due to the high estimated number of patients with multidrug-resistant TB. Since its implementation in 2008, e-TB Manager, a digital case management tool, has shown strong results: 81% of users, including doctors, nurses, and laboratory professionals, agree that it […]

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IT solution for pharmacovigilance supports rational use of quality, safe, and effective medicines

An online system for monitoring and reporting cases of adverse drug reactions and lack of efficacy of medicines comprehensively addresses the need for improved access to quality, safe, and effective medicines. “The evaluation and analysis of PAIS system in Ukraine has brought out gaps and identified recommendations on operational PAIS system optimization and enhancing its […]

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e-TB Manager Promotes Treatment Quality and Evidence-Based Forecasting of TB Medicines in Ukraine

Assessments conducted in 2013 on the management of TB drugs in Ukraine highlighted specific pharmaceutical management challenges, particularly in terms of data collection, capacity constraints, data quality, and frequency of reporting. Of note, cases of TB within the penitentiary system―roughly 15% of all TB cases in Ukraine―were poorly tracked; even when available, data from the penitentiary system were not integrated with the information system at the Ministry of Health (MOH), which skewed TB surveillance data. Furthermore, ongoing political unrest and personnel changes at the MOH continue to hinder efforts to address these challenges.

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