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.
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
An assessment of Namibia’s pharmaceutical system conducted in 2009 identified a number of capacity building challenges to be addressed to improve pharmaceutical services. These challenges included shortages of key staff, unmanageable workloads, and inadequate storage space for medicines. In response, the Ministry of Health and Social Services (MOHSS) identified several key mechanisms to address these challenges and strengthen the pharmaceutical sector including improving the functionality of drugs and therapeutics committees (DTCs), expanding use of the Electronic Dispensing Tool (EDT) to track pharmaceutical products and patients, revising the current method of stock management, and harnessing data for decision making.
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 […]
- The Electronic Dispensing Tool Hastens ARV Dispensing in Namibia’s Public Health Facilities: Mr. George Lukonga’s Experience
- EDT in a Nutshell
- Capacitating Pharmacist Assistant Students in Using the EDT to Manage Stock of ARV Medicines and Dispense to ART Patients
- Improving Access to and the Availability of Essential Pharmaceutical Supplies for Health Extension Work in Namibia
- Training and Mentoring Improves the Efficiency of the Rundu Regional Medical Depot in Namibia
- Improving Inventory Management Skills of Nurses for Decentralized ART Service Delivery: The Case of Roshpinah Clinic
- SIAPS Assists Namibia’s School of Pharmacy to Introduce Pre-service Medicines Regulation Training
- Routine Use of the Standard Pharmaceutical Order Book in Primary Healthcare Facilities of Kunene Region Leads to Improved Inventory Control
- Practical Training and on-thejob Support Improves ART Pharmaceutical Service Delivery in Namibia: Experiences of a Pharmacist Assistant at the Karasburg District Hospital
- Maintaining High Quality Pharmaceutical Standards in ART Service Delivery
In this issue:
- Piloting Mobile Phone Messaging Services to Enhance Patient Adherence to Antiretroviral Treatment
- Information on Antiretroviral and Other Medicines Registered in Namibia Now Available on a Web-based Platform
- BLC Disburses a Capacity Development Grant to Tonata to Improve Service Delivery by the Network of PLHIV in Namibia
- Synergy with UNAM’s School of Medicine in Building Local Expertise for Preventing Antimicrobial Resistance
- First Class of Pharmacists Graduates from the SIAPS-supported School of Pharmacy in Namibia
- Inaugural Pharmacist Assistant Forum: A New Platform for Disseminating Pharmaceutical Services Information for Decision-making in Namibia
- Effective Global Fund Grant Management for Improved HIV/AIDS Service Delivery
In this issue:
- Namibia transitions to a once-a-day antiretroviral pill
- Pharmaceutical human resources development for the sustained provision of quality antiretroviral treatment at health facilities in Namibia
- Developing caregiver skills for the improved care and support of orphans and vulnerable children (OVC)
- Monitoring site-level trends in HIV Drug Resistance Early Warning Indicators among children on treatment
- SIAPS and SCMS participate in joint pharmaceutical management supportive supervision visits of ART sites
- ART site improvement through monitoring system (SIMS) assessment in the Kavango and Zambezi Regions
Enhancing the Delivery of Antiretroviral Treatment Using Mobile Dispensing Technology in Namibia’s Kavango and Zambezi Regions
Katelyn Payne, SIAPS Project Associate, Greatjoy Mazibuko, SIAPS Senior Technical Advisor, and Bayobuya Phulu, SIAPS Senior Technical Advisor Conquering Geographic Barriers At the Nankudu District Hospital in the North Eastern part of Namibia’s Kavango region, nurses are busy preparing antiretroviral treatment (ART) medicine packs—just one of the many duties they have to ensure patients receive […]
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.
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.
Before the implementation of MSH’s Electronic Dispensing Tool, pharmaceutical management and information systems in Ethiopia were poor at capturing, aggregating, and reporting data relevant for informing decision making. This was especially true at service delivery points. With the introduction of Antiretroviral Therapy (ART) in Ethiopia, it became clear that without an effective information system, it would be challenging—if not impossible—to ensure the uninterrupted availability and rational use of the newly acquired ARVs. EDT is a cutting-edge information system that uses the patient as the focal point. EDT captures the critical information needed to make decisions about the individual’s drug regime as well as stock inventory and aggregate patient statistics. USAID-funded SIAPS has partnered with Ethiopia’s Pharmaceuticals Fund and Supply Agency (PFSA) to establish and maintain an effective electronic information system at ART pharmacies to monitor patient adherence; drug resistance; access to medicines; prescribing, dispensing, and medicine use practices; and patient safety.
- The Use of Pharmaceutical Information for Decision Making in Namibia's National ART Program: Assessment Report
SIAPS conducted this assessment to determine the extent to which pharmaceutical information generated from the Electronic Dispensing Tool (EDT) and […]
The Directorate of Drugs and Medical Supplies (DDMS) plays a key role in providing technical guidance and setting strategic direction […]
- Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program Inventory of Key Technical Resources
The main purpose of this inventory is to serve as a reference to help stakeholders working in the pharmaceutical sector […]