Tag Archives | ARV

National Drug Service Organization: Analysis of Markups, Income, and Costs, 2007–2012

The SIAPS Program provided technical assistance to analyze recent NDSO operational costs and income trends and provide guidance on adjustments to existing markups to optimize the organization’s operational liquidity to sustain quality services and products. The study team analyzed or calculated selected financial and operational performance indicators from data in NDSO department reports, in annual financial statements (for the past five years), or extracted from NDSO’s information system, the RxSolution database.

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EDT Simplifies the Management of Pharmacy Appointments for Patients on Antiretroviral Therapy

Efficiently managing pharmacy appointments for large numbers of patients on antiretroviral therapy (ART) at public health facilities is challenging without a simple, computerized tool, such as the electronic dispensing tool (EDT). Download this article as a PDF At public health facilities in Namibia, pharmacy staff and nurses use the EDT to manage the register of […]

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Baseline Study Report: Prescription Practices for Antiretroviral Therapy in Comprehensive Care Services of the Dominican Republic

The purpose of this study is to determine if the current prescription practices adhere to the national therapeutic guidelines. Finding notable discrepancies between the prescription practices and the guidelines would explain unjustified expenses in ARV therapy and the stockout problems and overstocks that occasionally occur.

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Hastening ARV Dispensing in Namibia’s Public Health Facilities with the Electronic Dispensing Tool: Mr. George Lukonga’s Experience

By Harriet Kagoya, Senior M&E Advisor and Chipo Chirefu-Toto, Senior Finance and Operations Manager for the SIAPS Program Mr. George Lukonga is accustomed to dealing with 200 to 300 patients being treated with antiretroviral therapy (ART) on a daily basis. Lukonga is the Senior Pharmacist Assistant at the Katima Mulilo Hospital in the Zambezi region […]

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Facility-Level Practices and Behaviors That Affect Performance of the Antiretroviral Medicine Supply Chain

In an effective supply chain there are timely and efficient flows of information (on commodities and patients) and quality products between the supplying units (central and regional medical stores [CMS/RMS]) and the health facilities. Although much has been learned about how to measure, monitor, and improve supply chain performance for antiretrovirals (ARVs) at the central and regional levels, less has been done to identify and measure “downstream factors” at the health facility that have an impact on the performance of the “upstream” (central) supply chain indicators.

The aim of this activity is to identify and define facility-level practices that have an impact on the supply chain, determine how these practices are linked with central-level supply chain performance measures, and propose a methodology and study design for a rigorous, empirical study to understand and estimate the impact on the identified facility-level behaviors and practices and central-level supply chain performance. Linking facility-level practices and behaviors to the “upstream” supply chain measures will substantially support efforts to improve the performance of the supply chain, such as the accuracy of quantification and forecasting activities.

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Pharmaceutical Management Information System: Support Supervision Report, January–March 2014, Cameroon

This report shows the result of continuous monitoring conducted quarterly in Cameroon to ensure stock availability at ART treatment sites of HIV and AIDS commodities. Data sources on patient information and consumption and report submission are from monthly reports collected at health facilities during supervision. Data on stock status are collected by the supervisors with the support of the pharmacy staff the day of the visit.

During this period, SIAPS—
-Trained storekeepers and pharmacy attendants in 100% of targeted health facilities on the use of stock cards and dispensing registers provided to improve the logistics management information system
-Provided a monthly reporting form to 100% of its health facilities and 100% of other health facilities in Cameroon to improve availability of data at central and regional levels for decision making
-Mentored store keepers and data clerks in observing good storage practices and data management



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Information Systems and Coordination for Managing HIV and AIDS Related Commodities

The West and Central African regions have a low HIV prevalence. Because of the low number of patients on ART and limited technical and financial support, these regions have experienced frequent stock-outs of ARVs posing a serious risk to patients on ART and increasing the risk of HIV drug resistance in the region. As a key step in addressing this challenge, the West Africa Regional Health Office of the US Agency for International Development is providing support through the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program to address the recurring pharmaceutical supply management issues by supporting the regional coordination mechanism and the development and implementation of an early warning system (EWS) for antiretrovirals (ARVs) and HIV and AIDS related commodities.

As part of project startup, SIAPS conducted a situational analysis in Burkina Faso, Cameroon, Guinea, Niger, and Togo to gain an understanding of the current capacity for HIV and AIDS commodities management and supply. Also analyzed was the readiness of the HIV and AIDS commodities information management systems to provide the information necessary for routine monitoring of HIV and AIDS product availability in the region.

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Pharmaceutical Management Information System Support Supervision Quarterly Feedback Report, October to December 2013, Cameroon

Based on previous assessment findings and to fill the gaps, SIAPS supports improving data management of HIV and AIDS commodities in targeted ART health facilities in Cameroon by:

  • Assessing storage practices and inventory management to mentor and guide system improvement
  • Collecting data and information for the monitoring patients and stock
  • Mentoring and building the capacity of pharmacy attendants, storekeepers, and data clerks on storage, dispensing practices, inventory management, filling in registers, and reporting HIV and AIDS data
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A Protocol for Rapid Situational Analysis of the HIV and AIDS Commodity Supply Chain in Seven Target West African Countries

As part of project startup, SIAPS will conduct a situational analysis of seven countries (Benin, Burkina Faso, Cameroon, Guinea, Mauritania, Niger, and Togo) to gain an understanding of the current capacity for HIV and AIDS commodities management and supply. The situational analysis will also assess the readiness of the HIV and AIDS commodities information management systems to provide the information necessary for routine monitoring of HIV and AIDS product availability in the region.

The findings from the situational analysis will inform the development of appropriate interventions that will bridge the gaps and serve as a basis for establishing a regional coordination mechanism for HIV/AIDS commodities management.

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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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