Tag Archives | D Mabirizi

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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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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Pharmaceutical System Strengthening Interventions to Improve Access to Antiretroviral Therapy

The world’s response to the AIDS pandemic of dramatically increased financial assistance to provide affordable medicines for HIV and AIDS did not automatically lead to access to antiretrovirals (ARVs). The effectiveness of these multimillion dollar initiatives was recognized to be limited by the capacity of the health care and pharmaceutical supply systems to deliver these lifesaving medicines. Constraints to improving access to ARVs included inadequate capacity in clinics and hospitals that provide antiretroviral therapy (ART); inadequate pharmaceutical planning and information systems; and an inefficient supply chain.

A holistic approach to access looks beyond product availability and price to include other essential components, such as the availability of quality pharmaceutical services and the ability of the patient to benefit from both products and services that support the safe, effective, and appropriate use of the medicines.

Countries have stepped up to meet this challenge. This paper illustrates pharmaceutical systems’ strengthening interventions and their impact on improving access to ARVs and related services as well as continuing challenges and some recommendations.

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Incorporating Pharmaceutical Supply Management Modules in the Pre-Service Curriculum of the BPharm Program of the University of Namibia, School of Pharmacy

Mazibuko JN, Sagwa E, Kagoya HR, Kibuule D, Rennie T, Tukai M, Ghoneim R, Mabirizi D, et al. (October 2014). Incorporating pharmaceutical supply management modules in the pre-service curriculum of the BPharm program, of the University of Namibia, School of Pharmacy. Poster presentation at the People that Deliver Conference, Copenhagen, Denmark. Published in the Journal of Pharmaceutical Policy and Practice. 2014; 7(Suppl. 1):12.

View the abstract

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Strengthening the Nevirapine Safety Signal by Using the Electronic Dispensing Tool in Namibia

The primary objective of this signal strengthening activity was to estimate the frequency of substitution of NVP with a protease inhibitor (PI) during the period 2008 to 2011 and to determine if any increase detected was statistically significant.

The incidence of NVP-related reactions of grade 3 and 4 increased with the implementation of Namibia’s 2010 ART Guidelines. The NVP safety signal of increased reports of grade 3 and 4 reactions was indeed a true signal. It is possible that initiating NVP-containing ART in women with high baseline CD4 counts, that is >250 cells/mm3, was the cause for the increase in the incidence of NVP-related grade 3 and 4 reactions. Therefore, the national HIV programme needs to review the use of NVP.

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Promoting Rational Medicine Use and Preventing the Development of Antimicrobial Resistance in Namibia: Workshop and Stakeholders Forum

Namibia has adopted the public health approach to scaling up antiretroviral therapy (ART) that involves the use of standardized and simplified treatment regimens. Drug resistance (DR) to antiretroviral (ARVs) medications is inevitable in populations on life-long ART. Namibia is one of the three countries in Africa (in addition to Botswana and Rwanda) that has reached 80 percent coverage for ART (Joint United Nations Programme on HIV/AIDS – UNAIDS, 2011). Containing AMR is a key focus of the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program in Namibia. SIAPS proposes to work with UNAM SOP, MoHSS, and other stakeholders to strengthen local initiatives and networks to help prevent the development and spread of resistance to ARV, anti-TB, and other antimicrobial agents.

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Namibia Antiretroviral Therapy Adherence Baseline Survey Report

The Namibia Antiretroviral Therapy (ART) Adherence and Improvement Initiative is a phased approach guiding the implementation of adherence activities in Namibia over the period May 2011 to April 2013. The approach consists of seven implementation phases of
adherence activities. The Namibia ART Baseline Adherence Survey was the first step in this systematic approach, designed to provide the baseline information required for design of cost-effective interventions.

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Sustaining Namibia: Improving the Nation’s Health through Sustainable Pharmacy Competency

Rennie T, Haoses-Gorases L, Lates J, Mabirizi D, Nyarang’o P, Sagwa E. Sustaining Namibia: improving the nation’s health through sustainable pharmacy competency. International Pharmacy Journal. 2011; 27(1): 21-24.

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