Tag Archives | Dominican Republic

USAID representative’s statement on SIAPS work in the Dominican Republic

From September 2012 to December 2016, SIAPS worked to reform and strengthen the Dominican Republic’s health sector by expanding access to quality health care, detecting TB cases, and improving HIV and AIDS treatment and prevention services. Using a systemic approach that considered all health system functions and national driving forces, SIAPS was able to put […]

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Closing the Financial Gap to Ensure Availability of HIV and AIDS Commodities in the Dominican Republic

SIAPS’ predecessor project, Strengthening Pharmaceutical Systems, worked with the government to establish the SUGEMI system to provide more accurate information on consumption, forecasting, pricing, and distribution. SUGEMI is an information system that is fully aligned with the country’s health sector reform process, compatible with the decentralized health sector, and designed to coordinate information across different vertical disease programs. These features were essential to promote the long-term sustainability and local ownership of the system.

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SIAPS’ Capacity Building Efforts to Improve the Dominican Republic’s Health Management System

The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program has designed and implemented a certificate course to ensure the strengthening and sustainability of rational medicine use in the Dominican Republic. Universidad Central del Este (UCE) conducted the first course to thirty-two students in mid-2016 and shall conduct a second course in the last quarter of 2016 with technical assistance from the SIAPS Program and USAID funding. Personnel of the Dominican regulatory agency, members of pharmacy and therapeutics committees, and hospital opinion-leading prescribers were among the pioneer students who successfully completed the course in June 2016. As part of the Dominican government’s measures to promote the rational use of medicines, registration fees shall be subsidized for the subsequent cohorts of students until a critical mass of qualified professionals is reached. In 2010, the Dominican Republic’s Ministry of Public Health established the management system for drugs and medical supplies (SUGEMI) with assistance of the SIAPS Program financed by USAID. SUGEMI’s impact on access to medicines is dependent upon two factors: efficient supply chain and rational use of available medicines. The SIAPS’ certificate course is aimed at improving the latter.

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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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Guía estandarizada para la integración de los Centros: Especializados de Atención en Salud al SUGEMI

La Reforma del Sector de la Salud en la República Dominicana contempla la organización de un Sistema Único de Gestión del Suministro de Medicamentos e Insumos (SUGEMI) y la prestación de servicios de salud a través de los Servicios Regionales de Salud (SRS).

La etapa inicial de implementación del SUGEMI destacó la gestión del suministro para el primer nivel de atención y de los medicamentos e insumos de los programas de VIH/SIDA y Tuberculosis. Durante esta etapa los Centros Especializados de Atención en Salud (CEAS) participaron en los ejercicios nacionales de programación para la compra, siguiendo la metodología del SUGEMI.

En agosto de 2013, el Departamento de Medicamentos e Insumos (DMI) del Servicio Nacional de Salud (SNS) llevó a cabo un estudio para conocer la situación del suministro en los CEAS. Los resultados de la evaluación del SUGEMI en los CEAS evidenciaron graves deficiencias en la gestión del suministro y en las condiciones y prácticas de almacenamiento. Ante esta situación, el DMI, con apoyo de Systems for Improved Access to Pharmaceuticals and Services (SIAPS), elaboró procedimientos operativos (PO) para la implementación del SUGEMI en los CEAS, e inició la integración de 8 centros en 2015. El plan de trabajo del DMI para 2016, contempla la incorporación escalonada del resto de los CEAS de la red pública al SUGEMI.

Esta guía está dirigida a los Equipos Líderes Regionales e Intrahospitalarios. La guía se organiza alrededor de los pasos secuenciales que facilitan la implementación del SUGEMI en los CEAS. Para cada paso se describen las tareas y se vinculan los instrumentos, formularios y materiales educativos que apoyan la implementación.

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Good Practices for the Dispensing of High-Cost Medicines in the Framework of an Integrated Supply System

Background Within the framework of health sector reform, the National Health Service (Servicio Nacional de Salud) of the Dominican Republic has been implementing the Integrated System for Medicine and Supply Management (Sistema Único de Gestión de Medicamentos e Insumos, or SUGEMI) in the public health services network. Its objective is to improve public access to […]

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Lessons Learned: Technical Assistance for the Organization of an Integrated National Medicine Supply System in the Dominican Republic

The Ministry of Public Health (Ministerio de Salud Pública, or MSP) of the Dominican Republic has been implementing the Integrated Medicines Management System (Sistema Único de Gestión de Medicamentos e Insumos, or SUGEMI) on a nationwide scale. The US Agency for International Development (USAID) and Management Sciences for Health, through its projects Strengthening Pharmaceutical Systems (SPS) and Systems for Improved Access to Pharmaceuticals and Services (SIAPS), have provided financial and technical assistance for the design and implementation of SUGEMI. This process, which began in 2009, has not been without the complexities that challenge all developmental interventions in the framework of administrative decentralization and health sector reform. These obstacles, which have been systematically and successfully addressed, can serve as lessons for technical assistance agencies that are asked to support the integration of multiple vertical public supply systems for medicines and supplies.

This report is directed at public officials and consultants from aid agencies that are working on the implementation of integrated supply management systems. It is organized around the 10 lessons brought about by the implementation of SUGEMI in the Dominican Republic as of March 2016.

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Financing for the Procurement of Medicines and Supplies for the Diagnosis and Treatment of HIV/AIDS in the Dominican Republican

In 2012, the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program carried out a study that concluded there was a USD 2.5 million financial gap for providing antiretroviral therapy (ART) to 22,440 patients who were hoped to be covered in 2013. This estimate included an expanded security stock that would avoid scarcities caused by delays in purchases or shipments. The presentation and discussion of this study with authorities and specialists from the Ministry of Public Health (Ministerio de Salud Pública, or MSP), the National Council on HIV/AIDS (Consejo Nacional del VIH/SIDA, or CONAVIHSIDA), and international aid agencies allowed the referenced financial gaps to be closed by means of better price negotiation with international suppliers and the first-time allocation of USD 1.9 million for the purchase of ARVs in the MSP budget. In 2013 only USD 350,000 was required from PEPFAR to cover shortages in supplies.

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Diplomado en Uso Racional de Medicamentos: Guía General Didáctica para el Docente

Esta guía ha sido preparada para los docentes que serán responsables de facilitar el “Diplomado sobre Uso Racional de Medicamentos”. La guía comprende una sección introductoria que presente los objetivos, finalidad y productos esperados del Diplomado; y una sección práctica que ofrece al docente los materiales y recursos necesarios para dirigir y apoyar a los estudiantes en su programa del Diplomado.

Disclaimer: These documents have been finalized in collaboration with country partners and have not been reviewed by SIAPS Program editorial staff

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Estudio de Línea de Base: Situación del suministro de medicamentos e insumos de Planificación Familiar de la República Dominicana

En el marco de la reforma del sector salud, el modelo de provisión a través de redes de servicios contempla la organización de un Sistema Único de Gestión de Medicamentos e Insumos (SUGEMI) operado y manejado por los Servicios Regionales de Salud (SRS). El SUGEMI se aprueba mediante el Acuerdo Ministerial (000019 julio 2010) y se ratifica por medio del Decreto Presidencial 168-13 del Presidente Danilo Medina. Con estos respaldos administrativos se establece como prioridad el SUGEMI con la finalidad de mejorar el acceso de la población a medicamentos esenciales e insumos sanitarios de calidad en la Red Pública de Servicios de Atención en Salud.

Con asistencia técnica del Programa Systems for Improved Access to Pharmaceuticals and Services (SIAPS), financiado por la Agencia de los Estados Unidos para el Desarrollo Internacional (USAID), la Unidad Nacional de Gestión de Medicamentos (UNGM) del Ministerio de Salud Pública (MSP) elaboró procedimientos operativos y manuales para la implementación del SUGEMI en los nueve SRS. En febrero de 2012 se realizó un inventario nacional para integrar los medicamentos e insumos del Programa Nacional de Control de la Tuberculosis, el Programa Nacional de Atención Integral de VIH y SIDA y medicamentos e insumos usados en el primer nivel de atención y nivel especializado. A partir de esta integración, los nueve SRS asumieron la gestión y operación del suministro de estos productos en la red de establecimientos, como lo establece la Reforma de Salud.

En la actualidad todavía existen programas de salud colectiva cuyo suministro de medicamentos e insumos continúa siendo operado por equipos del nivel central y las Direcciones Provinciales y Direcciones de Áreas de Salud (DPS/DAS). El plan de implementación del SUGEMI contempla la integración del programa de Planificación Familiar (PF) de la Dirección General Materno Infantil y de Adolescentes (DIGEMIA) del MSP en el 2015.

La DIGEMIA solicitó apoyo a SIAPS/USAID para llevar a cabo un estudio de línea de base para conocer la situación de la gestión del suministro de los insumos de PF e identificar intervenciones para la elaboración de un plan de integración al SUGEMI. Para el desarrollo de este estudio se contó con el apoyo del Fondo de Población de las Naciones Unidas (UNFPA).

El estudio permitió conocer el proceso logístico operado por el programa a nivel central y las DPS/DMS. Los hallazgos presentados en este documento servirán de fundamento para una propuesta que incorpore los productos usados por el Programa de PF a un sistema integrado.

Disclaimer: These documents have been finalized in collaboration with country partners and have not been reviewed by SIAPS Program editorial staff

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