Tag Archives | Assessment

Situation Analysis: Regulatory Data Management System of Philippines FDA

The goals of this situation analysis were to evaluate the current status of the PFDA’s overall regulatory information management system, with a focus on medicine registration data management, and to develop recommendations and an action plan to cultivate a more robust regulatory information management system, including the required IT solutions to manage licensing of drug establishments and the registration of pharmaceutical products, as well as other operations of the PFDA.

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Using Electronic Pharmacy Dispensing Data for Surveillance of Outpatient Antibiotic Consumption and Monitoring of Antibiotic Prescribing Practices at District and Provincial Hospitals in the South African Public Sector

The primary aim of this study was to assess the feasibility of using electronic pharmacy dispensing data extracted from RxSolution® for the surveillance of outpatient (ambulatory) antibiotic consumption and monitor antibiotic prescribing practices at district and provincial hospitals in public health facilities in North West Province, South Africa, between April 2013 and March 2015. This was an exploratory project to develop hypotheses on the volume of antibiotics used and prescribing patterns.

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Methodology for the Rapid Review and Updating of Lists of Medicines in the Dominican Republic

The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program proposed a methodology for reviewing lists of essential medicines (LEM) and formularies, with the potential to achieve optimum results in short periods of time and with a minimal investment of resources. The methodology consisted of identifying an expert international pharmacologist with experience in the LEM process and the following procedural steps: Design of an instrument for drafting the proposal, drafting and review of proposal by the expert, and national workshop to review and validate the proposal.

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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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National Assessment on the Status of Implementation of Clinical Pharmacy Services at Public Hospitals in Ethiopia

Clinical pharmacy is an area of practice in which pharmacists provide direct patient care that optimizes medication therapy and promotes health, wellness, and disease prevention. Trends in pharmacy practice elsewhere indicate that a gradual shift has taken place from product-focused to patient-oriented practice. In Ethiopia various efforts have been made to initiate clinical pharmacy services (CPS) in public health facilities. Some of these efforts include launching a postgraduate clinical pharmacy program, changing the undergraduate pharmacy curriculum, developing standards and guidelines, and providing in-service trainings. These efforts have led to initiation of CPS in a number of hospitals. The status of implementation of this service, its outcomes, challenges, and opportunities were assessed.

The assessment was conducted with the objective of evaluating the status of CPS implementation at selected public hospitals in Ethiopia to guide future government interventions to improve and sustain CPS.

This was a descriptive cross-sectional study that applied both quantitative and qualitative data collection methods. The study was conducted April 6–17, 2015, on a purposively selected group of 43 hospitals from five regional states and two city administrations of a total 65 hospitals that took part in the in-service training program. The hospitals were selected based on two criteria: participation in clinical pharmacy in-service training and their geographical accessibility. The data collection tool was designed to capture information that is essential to determine the overall successes and challenges in CPS implementation.

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Characterization of the Supply Chains for Medicines and Medical Supplies in Latin America

In the region of the Americas different modes of organization are used for medicine supply chains. Some are in the process of transformation as a product of sectoral reforms or decentralization of public administration. However, until now no systematic characterization of the supply chains has been made based on standardized categories. In the absence of this information, the decision makers responsible for the transformations in these countries find themselves without tools for recognizing and comparing the base situation and recording the implications of the changes.

This rapid study, coordinated by the Alliance for Health Logistics Systems in Latin America (Alianza para Sistemas Logísticos en Salud en América Latina, or ASLAL), starts from a taxonomic proposal agreed upon by its members for the purpose of characterizing the medicine supply chains in the Americas based on standardized categories.

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Assessment of the Medicines Benefit Program of the Ghana National Health Insurance Scheme

Since its launch in 2003, the NHIS has been struggling to overcome and manage shortcomings in its medicines benefit program (MBP), which is under the overall operation of the National Health Insurance Authority (NHIA). Examples of identified deficiencies that need to be addressed include: frequency of the update of selected medicines; inadequacy of prices quoted by the NHIS for reimbursement; increased stock-outs of essential medicines at health facilities; a growing number of patients who occasionally have to pay out of pocket for medicines; and the rising value of medicines claims as a proportion of total claims.

To systematically address challenges in the NHIS’ MBP, it was important to undertake an assessment of its current management system to identify the causes, extent, and nature of the problems and to suggest remedial actions. To this end, with funding from USAID and in collaboration with key stakeholders, SIAPS conducted an assessment of the NHIS’ MBP. The findings and recommendations of the assessment will be used to guide the NHIA on strategies to improve the design of the MBP, and to strengthen medicines claims management, pricing, and reimbursement processes. This intervention was also done with the aim of enhancing the availability of medicines and acceptability of the medicines program by all stakeholders.

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Analysis of Bottlenecks Related to Demand, Supply, and Use of Antibiotics for the Treatment of Neonatal Sepsis in the DRC

This study was initiated by the Direction de la Santé de la Famille et de Groupes Spécifiques (D10) and the Ministry of Public Health and carried out with technical and financial assistance from the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) and Integrated Health Project (PROSANI-Plus) implemented by Management Sciences for Health (MSH). The study stems from the many efforts by the Government and its partners to reduce maternal, infant, and, specifically, neonatal mortality.

Funding for the study, the report, and its dissemination was obtained from the Global Technical Reference Team for injectable antibiotics through the convener of the group, Save the Children.

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Post-Qualification Monitoring and Evaluation of Pharmacist Assistants Trained at the National Health Training Centre in Namibia

Namibia has a decentralized public health system with 14 administrative regions. It is challenged by a dual burden of HIV and AIDS and tuberculosis (TB) as well as by the persistent shortage of pharmaceutical personnel. Well-trained pharmacist assistants (PA) are central to ensuring that the correct medicines are available in sufficient quantities as well as for counseling patients on the proper use of medicines and monitoring patients’ adherence to antiretroviral therapy (ART) and other treatments. The National Health Training Centre (NHTC) has conducted this first formal workplace assessment of PAs who have graduated from the institution since 2007 in response to support from the US Agency for International Development (USAID) for a series of systematic interventions to strengthen the capacity and quality of PA training. Broadly, the USAID-funded SIAPS program supported the NHTC to conduct a tracer study to inform strategies for improving the PA training program and its reaccreditation by the Namibia Qualifications Authority (NQA). Specifically, the study assessed: the proportion of NHTC PA graduates who are working in a PA role; the PAs’ satisfaction with the training they received at the NHTC; employers’/supervisors’ satisfaction with the PAs’ services; and strengths and weaknesses of the PA training program. Stakeholders’ recommendations for improving the PA training program were also obtained.

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Safety of Medicinal Products in the Philippines: Assessment of the Pharmacovigilance System and its Performance

The Food and Drug Administration (FDA) Philippines, with support from the US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program conducted an assessment of the Philippines’ pharmacovigilance (PV) system and its components. They are (1) governance, policy, law, and regulation; (2) systems, structures, and stakeholder coordination; (3) signal generation and data management; (4) risk assessment and evaluation; and (5) risk management and communication, using the Indicator-based Pharmacovigilance Assessment Tool.

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