The UN adoption of the SDGs in 2015 signaled a strong commitment of member countries to the expanded access to essential health service agenda and definitively recognized the critical role of medicines in achieving UHC. The SDGs call for countries to “achieve universal health coverage, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all”. This paper seeks to highlight the key functional areas of pharmaceutical management, the critical components of the pharmaceutical system, and the management considerations needed to facilitate the attainment of UHC targets.
Pharmaceutical management considerations for expanded coverage of essential health services and financial protection programs
Strengthening Registration and Quality Assurance Systems for Generic ARVs, Related Medicines, and Devices in Namibia
In Namibia, USAID has been providing funding for technical assistance in the areas of pharmaceutical management and systems strengthening since 2003. During this period, the Rational Pharmaceutical Management Plus (RPM Plus) and Strengthening Pharmaceutical Systems (SPS) programs were implemented. RPM Plus supported interventions that largely focused on strengthening systems for the antiretroviral therapy (ART) and prevention of mother-to-child transmission of HIV programs. SPS focused on strengthening systems based on World Health Organization (WHO) building blocks, increasing the number of pharmaceutical personnel available for service delivery, strengthening policy coordination, and improving the regulatory functions of the NMRC. SIAPS focuses on further strengthening of regulatory and management systems in the pharmaceutical sector under the governance and health systems strategic area to support HIV and AIDS and other public health services.
By Helena Walkowiak and Maura Soucy Brown In SIAPS’ upcoming webinar on defining and measuring pharmaceutical systems strengthening (PSS), we’ll talk briefly about the development of a new tool that SIAPS and its partners are piloting. It’s intended to help the field measure the impact of PSS efforts. Some background on this activity: SIAPS has […]
To learn more about SIAPS program activities worldwide, please read our annual report for program year 6.
What Gets Defined, Gets Measured: Definitions and a Framework for Measuring Pharmaceutical Systems Strengthening
SIAPS is presenting its webinar “What Gets Defined, Gets Measured: Definitions and a Framework for Measuring Pharmaceutical Systems Strengthening” on Wednesday, December 6, at 8:00 am EST. Although a variety of tools are available to measure different elements of pharmaceutical systems, few attempts have been made to conceptualize a “pharmaceutical system” as an entity and […]
Human Resource Capacity Development for ART and Pharmaceutical Services in Namibia, October 2014-September 2015
SIAPS Namibia applied the capacity building approach to support the Ministry of Health and Social Services to enhance the capacity of two local training institutions—UNAM-SoP and the NHTC—to train pharmacists and PAs, respectively. With SIAPS technical assistance for defining a career path for PAs, UNAM-SoP started training pharmacy technicians, a new cadre in Namibia. SIAPS also continued its efforts to enhance the capacity of individuals through pre- and in-service training to ensure that health workers have adequate skills to administer quality pharmaceutical services. The capacity building interventions were done through training workshops and on-the-job technical assistance provided during support supervisory visits (SSVs) and remotely.
In May 2017, SIAPS held a Leadership Development Program (LDP) training to build the capacity of the Directorate of Drugs and Medical Supplies (DDMS), district and hospital pharmacists, and SIAPS field staff. It was the first such training in the country. The program aims to train pharmacists on basic principles and practices of good leadership, management, and governance to help them identify challenges like system and budget constraints—and to lead their teams in handling them with maximum efficiency, collaboration, and transparency. Another training goal is to help pharmaceutical managers optimize the SIAPS-supported Continuous Results Monitoring and Support System (CRMS), which has been implemented nationwide. The training created a pool of local LDP facilitators who can extend their knowledge to other DDMS staff and to pharmacists throughout all 13 districts in Sierra Leone.
The concept of a Barangay Health Management Council (BHMC) was developed by a working group comprising technical advisors from SIAPS and health staff from the Quezon City Health Department in late 2011. The BHMC initiative aims to strengthen the delivery of services under the national tuberculosis (TB) control program (NTP) in poor urban communities. This document was developed as a quick reference for those who plan to establish BHMCs. The contents of this guide are based on the insights and experiences of the people involved in the implementation of the BHMC initiative in Quezon City from 2012 to 2016. Described here are the practical steps for establishing, operationalizing, and sustaining a BHMC.
The availability of a unified essential medicines list (EML) with evidence-based clinical efficacy to be used by the Ministry of Health (MOH) for the state-guaranteed package of services is an essential part of the successful launch of the health care reform initiative in Ukraine. This required the development and institutionalization of a process to ensure sustainability into the future rather than a one-off list of essential medicines. The main task of SIAPS was the provision of technical assistance to the Government of Ukraine to solve the problem of medicines list harmonization, which was needed to review and update the NEML to be the sole list for procurement or reimbursement with public funds, and to develop legislative documentation to institutionalize the process. The work was performed in cooperation with the MOH and the State Expert Center.
Introduction of an Electronic Asset Management System in Bangladesh Health Systems: Completion of the Tool Pilot in Moulvibazar District Hospital
In Bangladesh, the government health facilities face a wide variety of health-related challenges and the Ministry of Health and Family Welfare (MOHFW) must have reliable and timely data on the performances of different parts of the health system to plan, implement, and measure health interventions. Even though the MOHFW procures a large number of medical and non-medical equipment, including IT equipment, there is no systematic process of deploying, operating, maintaining, upgrading, and disposing of those assets cost-effectively. This major part of the public-sector health investment was not addressed in previous health sector programs. The MOHFW worked together with SIAPS in 2016 to address the gap in systematic procedures. They developed and piloted an electronic Asset Management System (AMS) in the 250-bed Moulvibazar District Hospital (MDH) to manage assets in different facilities from registering stage to decommissioning.
- Pharmaceutical management considerations for expanded coverage of essential health services and financial protection programs
The UN adoption of the SDGs in 2015 signaled a strong commitment of member countries to the expanded access to […]
SIAPS provided technical assistance to facilitate the expedited assessment and registration of new and existing ARV formulations to support the […]
- Strengthening Registration and Quality Assurance Systems for Generic ARVs, Related Medicines, and Devices in Namibia
In Namibia, USAID has been providing funding for technical assistance in the areas of pharmaceutical management and systems strengthening since […]