SIAPS Sierra Leone End of Project Report

Project dates: September 2015-December 2017

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Development of Swaziland’s National Antimicrobial Resistance Containment Strategic Plan

SIAPS has been proactive in supporting Swaziland in various areas of the pharmaceutical sector, which has contributed to the containment of antimicrobial resistance. During the process of developing the National AMR Containment Strategic Plan, the stakeholders and the AMR committee have learned valuable lessons—in particular, the importance of the One Health approach, as well as the leadership and collaboration, financial and technical capacity required not only for the development of the strategic plan, but also for its implementation. Understanding the One Health approach at the early stages of the process is helpful in leadership and in collaboration with national and international stakeholders, and securing stakeholders’ technical and financial commitment, in addition to the government’s investment in the implementation of the strategic plan. SIAPS’ timely technical support played a key part in finalizing the National AMR Containment Strategic Plan.

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Applying Principles of Pharmacoeconomics to Improve Medical Product Selection and Use in Low- and Middle-Income Countries: Trainer’s Guide

Tools and materials are needed for pharmacoeconomic evaluation and health technology assessment (HTA) training to strengthen health systems and increase and support their capacity to perform HTA in resource-limited countries. Training on how to apply pharmacoeconomics to essential medicines selection should focus on equipping health care workers, regulatory authorities, public health program personnel, and academic researchers with the skills and knowledge to strengthen pharmacoeconomic decision making as part of HTA within their health systems. This guide provides a template for use, adaptation, or adoption in many settings. It is intended that these materials will be adapted and supplemented to meet the needs and contexts of individual countries. In addition to this trainer’s guide, the curriculum package includes presentation slides, case studies, and other resources. The package is meant to provide resources and information to help trainers and facilitators conduct in-person trainings and develop local capacity for evidence based medical product selection. Included in this curriculum are nine training modules with notes for facilitators and guidance for each module, as well as workgroup activities and case studies to accompany the presentations. In addition to being a guide and basic platform that can be adapted for different settings, this material can serve as the basis for developing delivery formats beyond in-person trainings, such as distance or online training, to meet local stakeholder needs. Resources and materials for further reading are included to help enhance knowledge and prepare facilitators.

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Evaluation of community case management of malaria in the pilot health districts of Ghombo, Gashoho, and Mabayi

To accelerate achievement of the Millennium Development Goals (MDGs) and universal health coverage, Burundi has implemented different strategies, including PECADOM, or home-based community management of malaria. A PECADOM implementation guide was developed that compiled relevant information to inform the Ministry of Public Health and the Fight against AIDS officials about its implementation. The overall goal of PECADOM is to help reduce mortality caused by malaria.This document is an external evaluation report conducted in the three districts of Gashoho, Gahombo, and Mabayi, after 24, 19, and 12 months of implementation, respectively. The following chapters present the objectives and methodology of the evaluation, the key findings, lessons learned, challenges, and conclusions and recommendations.

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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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Assessment of DPM Medicine Regulatory System, Mali

A comprehensive assessment of DPM’s medicine regulatory system was conducted September to October 2017 by SIAPS funded by USAID. The WHO Global Benchmarking Tool was used for data collection. The scope of the assessment was focused on the five regulatory functions: national regulatory systems, medicines registration and marketing authorization (MA), pharmacovigilance (PV), market surveillance and control, and clinical trial oversight (CTO).

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Pharmaceutical Management Considerations for UHC

A presentation by Kwesi Eghan, Principal Technical Advisor, on March 19, 2018.

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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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Disposal Initiative Allows Bangladesh Hospital to Reclaim Space, Reduce Health Risks

In Bangladesh, the Ministry’s Procurement and Logistics Management Cell (PLMC) made an assessment of the status of medical equipment that was no longer usable and explored the logistics in health facilities across the country to accelerate the disposal process. The PLMC and SIAPS conducted seven divisional workshops on condemnation of medical and non-medical items for all district- and sub-district-level health managers under the MoHFW to share the assessment findings, the disposal process, and how that process could be improved for effective logistics management as part of a hospital management system.

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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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