One of the constraints to effective control of neglected tropical diseases (NTDs) is that the needed medicines are often not available in sufficient quantities at service delivery points at the time of scheduled mass drug administration (MDAs). Supply systems for NTD drugs (NTDDs) differ from those for most other essential medicines in that NTDDs need to be delivered to selected endemic target sites on a defined schedule based on the frequency of the MDA, which could be once or twice a year. Consequently, NTDD supply chain systems need to be well designed and efficiently managed to ensure that health workers and communities have access to NTDDs and supplies, such as registers, medicines for managing adverse drug reactions (ADRs), height measuring poles, etc., at time of MDA. Availability of these items may be influenced by a variety of factors, including availability of the supplies at the central level, poor stock control, provider experience, economic influences, and transport. This guidance and standard operating procedures (SOPs) document will be valuable additional material for anyone who manages NTDDs—from program managers to service providers, community health workers (CHWs), community drug distributors (CDDs), teachers, technical assistance providers, and public- and private-sector partners. This document describes how to properly manage NTDD supplies throughout the supply chain and distribution process. The guidelines and SOPs serve as a reference document that NTD programs can use to review and enhance their own procedures for managing NTDDs and develop or refine their own SOPs to support the proper implementation of the supply chain components of MDA. These guidelines and SOPs are based on the assumption that countries already have the systems, structures, and processes in place to implement MDAs for NTDs.
Guidelines and Standard Operating Procedures for the Supply Chain Management of Drugs Used in Mass Drug Administration of Neglected Tropical Disease Programs
In November 2016, at the request of USAID/Benin, SIAPS conducted a rapid assessment of the medicines registration system of the Direction de la Pharmacie, du Médicament et des Explorations Diagnostiques (DPMED) in Benin and made recommendations to address the challenges arising from its current information system. The assessment identified opportunities to improve regulatory processes for the efficient and transparent registration of medicines. The purpose of SIAPS’s technical assistance visit in August 2017 was to conduct a situational analysis regarding the findings and recommendations made after SIAPS conducted a rapid assessment in November 2016. The goal was also to develop appropriate recommendations and a plan for the implementation of Pharmadex software and the management system of the medicines registration process at DPMED, Benin.
SIAPS final report showcases achievements across 46 countries. Interventions are described by intermediate results and health areas and demonstrate how SIAPS successfully worked with a range of stakeholders, including Ministries of Health, to bolster pharmaceutical systems and address country-specific needs.
USAID-SIAPS Technical Assistance to NTP Laboratory Network: Strengthening Leadership, Management, and Governance Capacity
The National Tuberculosis Program’s strategic direction for the laboratory services is to improve access to laboratory services so that all high-risk TB patients are tested using World Health Organization (WHO)-endorsed rapid diagnostic tests (RDTs) as the initial diagnostic procedure, particularly the Xpert MTB/RIF assay (Xpert). This entails the strengthening of the laboratory network (LNW) and its support systems to achieve a wider deployment and implementation of RDTs while ensuring the sustained delivery and quality of all currently employed TB diagnostic technologies, including smear microscopy, culture and drug susceptibility testing (DST), and line probe assay (LPA). To facilitate the laboratory network strengthening processes, SIAPS focused its technical assistance in strengthening the leadership, management, and governance (LMG) capacity of NTP, particularly the National Tuberculosis Reference Laboratory (NTRL), since the latter is mandated to provide technical leadership and oversight to the management of the laboratory network.
Department of Health Training Guide on Warehousing and Distribution of Family Planning, TB, and other Health Commodities in the Philippines
This guide is written for the DOH Philippines’ LMD. It can be used as support material in the training and development of new and existing staff involved in warehouse and distribution operations at all levels, particularly those who are involved in the process of receiving, putaway and storing, picking and packing, and dispatching of FP, TB, and other health commodities in DOH warehouses.
Development of Standard Operating Procedures to Strengthen Demand and Supply Planning of DOH Philippines
In line with the objective of the Department of Health (DOH) to strengthen supply chain management for pharmaceuticals and health commodities and ensure access for all Filipinos, this technical assistance aimed to support the DOH in strengthening demand and supply planning for pharmaceuticals. The assistance aimed to facilitate consensus building to harmonize demand and supply planning activities of the DOH, initiate the development of selected SOPs on demand and supply planning at the central level, identify data sets and requirements for performing consumption-based quantification for selected commodities.
Leadership, Management, and Governance Evidence Compendium: Medical Products, Vaccines, and Technologies
This brief on “Medical Products, Vaccines, and Technologies” is one of the chapters of the Leadership, Management, and Governance Evidence Compendium. The USAID-funded Leadership, Management, and Governance (LMG) Project collaborated with the USAID-funded SIAPS program to develop this chapter. The compendium contributes to the evidence base and advocates for continued investment in Leadership, Management, and Governance (L+M+G) activities by examining and documenting the evidence that exists regarding L+M+G’s role in strengthening health system performance in low and middle-income countries. The compendium’s five chapters draw on existing evidence documented in peer-reviewed and grey literature to describe the mechanisms that illustrates L+M+G’s role in the health system and the mechanisms through which L+M+G influences health system functioning.
Rapport de l’atelier de formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE)
La formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE) a été réalisée du 18 au 22 septembre 2017 dans la salle de conférence du COU. Elle a réuni 40 acteurs au total : deux facilitateurs de SIAPS et trois du DOU-SP et 35 prestataires qui ont reçu la formation, venant des services de santé de 3 régions (Kayes, Koulikoro, Sikasso) ; le district de Bamako et le CHU du point G. Ces différents acteurs sont impliqués par leurs rôles dans la gestion des produits Ebola. Au cours de cette formation, à travers 11 sessions dispensées, les acteurs ont appris comment estimer les besoins et faire la commande des produits, comment enregistrer et soumettre les données logistiques des produits de la prévention d’Ebola dans OSPSANTE, quel outil primaire ils doivent utiliser pour saisir les données dans le portail d’Ebola, quels sont les rapports que l’outil peut produire et comment faire les analyses pour la prise de décision dans le cadre de l’amélioration de la disponibilité des ME.
Evaluation of community case management of malaria in the pilot health districts of Ghombo, Gashoho, and Mabayi
To accelerate achievement of the Millennium Development Goals (MDGs) and universal health coverage, Burundi has implemented different strategies, including PECADOM, or home-based community management of malaria. A PECADOM implementation guide was developed that compiled relevant information to inform the Ministry of Public Health and the Fight against AIDS officials about its implementation. The overall goal of PECADOM is to help reduce mortality caused by malaria.This document is an external evaluation report conducted in the three districts of Gashoho, Gahombo, and Mabayi, after 24, 19, and 12 months of implementation, respectively. The following chapters present the objectives and methodology of the evaluation, the key findings, lessons learned, challenges, and conclusions and recommendations.
SIAPS and its predecessor programs have assisted numerous countries in strengthening governance to promote robust decision making, enhance accountability, reduce opportunities for corruption, and improve efficiencies to enable better access to and use of quality-assured medicines. This compendium draws on these experiences and provides a collection of examples of strategies and approaches for strengthening governance in pharmaceutical systems. The compendium highlights accumulated insights into factors that may have enabled or constrained the success of governance improvement initiatives. The intention is to systematically bolster knowledge, in alignment with USAID’s collaborating, learning, and adapting approach, so that stakeholders may examine the applicability of lessons learned and apply them in different settings to maximize resources and attain better development results. The compendium begins by defining governance, then explains its importance in pharmaceutical systems and introduces the framework SIAPS has used to guide its governance strengthening activities. It presents eight case studies on SIAPS’ work in enhancing governance in pharmaceutical systems, summarizes challenges commonly encountered and lessons learned, and closes with some reflections on the usefulness of SIAPS’ governance-strengthening framework.
- Therapeutics Information and Pharmacovigilance Centre's Analysis of Spontaneous Adverse Events due to Antiretroviral and Other Medicines
The use of antiretrovirals (ARVs) in combination for treating patients with HIV has greatly ameliorated morbidity and mortality by reducing […]
SIAPS worked with global and in-country partners to improve access to and use of life-saving medicines for women and children, […]
- Guidelines and Standard Operating Procedures for the Supply Chain Management of Drugs Used in Mass Drug Administration of Neglected Tropical Disease Programs
One of the constraints to effective control of neglected tropical diseases (NTDs) is that the needed medicines are often not […]