Tag Archives | rational medicine use

Supporting drug and therapeutics committees in Sierra Leone to promote safe, appropriate medicine use

Irrational medicine use and poor pharmaceutical management at all levels are widespread problems in many developing countries, including Sierra Leone. Misuse, underuse, and overuse of medicines; weak systems that compromise medicine safety; the waste of scarce resources due to expiry; and the rise of antimicrobial resistance (AMR) are particularly worrying because they directly affect health outcomes. Because of a lack of sound data for decision making, health workers may need to select products for medicines lists, supply, and prescribing based on observation and preferences. SIAPS is facilitating the selection of appropriate, safe products to be procured and used at different levels of the public health system. Promoting rational medicine use cuts down on waste, improves health outcomes, and helps prevent the spread of AMR.

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Mozambique Drug and Therapeutics Committee Workshop: Technical Report

Inefficient and irrational use of medicines is a well-documented problem in both developed and developing countries. It leads to cost increases and adverse clinical effects for patients. The inappropriate use of medicine can be reduced if health care professionals involved in the different aspects of medicine use promote good practices for medicine management and use. An appropriate forum for the development and implementation of medicine policies is the Drug and Therapeutics Committee (DTC).

In Mozambique, the establishment of hospital DTCs was officially requested by the Ministério da Saúde (MISAU) (Ministry of Health) in the document The Departamento de Farmacia Hospitalar (DFH) (Department of Hospital Pharmacy) in the Direcção Nacional de Assistência Médica (National Directorate of Medical Assistance) of MISAU also took on the establishment of hospital DTCs as a priority intervention to improve the appropriate use of medicines at the hospital level. SIAPS has provided technical assistance to assist hospitals in establishing DTCs to improve medicine use, and in the collection and analysis of medicine use information for decision making as part of its support to counterparts in the pharmaceutical sector.

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Technical Brief: Strengthening Drug and Therapeutics Committees to Promote Rational Medicine Use in Mozambique

Mozambique is one of the poorest countries in the world, with approximately 70% of the population living below the poverty line. Many women and children are unable to access essential health services and medicine due to inadequate geographic coverage, financing, and available health professionals. Neonatal mortality is 30 deaths per 1,000, and under-five mortality is 90/1,000. Malaria accounts for approximately 26% of hospital deaths. Dual infections of tuberculosis (TB) and HIV and the threat of increasing multidrug-resistant TB complicate the national TB program response. To support priority programs such as HIV prevention and treatment and maternal and child health, Mozambique’s Ministry of Health and SIAPS are establishing Drug and Therapeutics Committees (DTCs) and training committee members to improve medicine management and use, thereby helping to achieve good health outcomes.

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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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SIAPS Presents on OSPSANTE and OSPSIDA at WHO Francophone Technical Briefing Seminar on Medicine Policy 2016

The World Health Organization Department of Essential Medicines and Health Products invited SIAPS to participate in its annual French Technical Briefing Seminar, held 9-13 May, in Geneva, Switzerland.  The seminar, held every year since 1998, brings together experts working in the pharmaceutical and health sector programs in francophone countries, around current and topical issues related […]

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Containing Antimicrobial Resistance to Realize the Goals of Universal Health Coverage

Joshi MP. Containing antimicrobial resistance to realize the goals of universal health coverage. Oral presentation at the Ecumenical Pharmaceutical Network (EPN) Forum 2016, Tubingen, Germany. May 18-21, 2016.

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SIAPS Delivers Plenary Presentation on AMR and UHC at EPN Forum 2016

The EPN Forum 2016, held 18-21 May 2016, in Tubingen, Germany, convened EPN constituents and stakeholders to intensify the network’s focus on major challenges in the pharmaceutical sector, including antimicrobial resistance (AMR). The forum was a chance for stakeholders to exchange ideas, share knowledge and best practices, and chart an effective course of action to […]

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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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Baseline Study of Private Drug Shops in Bangladesh: Findings and Recommendations

Retail drug shops are the preferred first point of contact for a majority of the population in developing countries including Bangladesh. Currently in Bangladesh, 1,03,451 licensed retail drug shops and approximately an equal number of unlicensed retail drug shops are involved in selling drugs “over-the-counter.” Most of the salespeople and dispensers at those retail drug shops do not have training in dispensing drugs or in offering diagnoses and treatment, which they frequently do.

Because those drug shop salespeople have no other channel of information beyond the formal sectors open to them, they fall easy prey to the aggressive marketing strategies of the pharmaceutical companies. Irrational use of drugs such as overprescribing, multidrug prescribing, using unnecessarily expensive drugs, dispensing drugs without a prescription, and overusing antibiotics and injections have been the most common problems found with those retailers for a long time.

Given the importance of the informal sector, including retail drug shops in Bangladesh, improved regulation of this sector offers an important opportunity to improve community health. Experiences in other parts of world have demonstrated that private-sector drug seller initiatives that are based on an accreditation and regulation model are feasible, improve access to medicines, and can be scaled up.

This study aims to fill in the knowledge gaps about those unregulated drug shops in the private sector and about management of them through the informed design of an accredited drug shop model in Bangladesh. The inclusion of the tuberculosis-related assessment in this study is a result of the priority for a TB program that will increase the number of cases that are detected and referred early to a TB treatment and diagnosis center for proper management.


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Concept and Guidelines for Medicine Use Assessment During Students’ Rural Placements

This document provides a background and basic guidance to medicine use data collection to be undertaken by University of Namibia School of Pharmacy second-year students during their placement in rural health facilities.

In 2012, UNAM-SoP introduced 4-week placements at health facilities located in rural communities for pharmacy students as part of their practical training. This placement is meant to provide the students with hands-on experience on the provision of pharmaceutical services at these facilities. From the lessons learned from the students’ 2012 placement experience, UNAM, from 2013, included data collection on pharmaceutical-related indicators aimed at building students’ capacity to assess pharmaceutical service delivery at health facilities, to interact with other members of the health care team and patients, and obtain insights into the pharmaceutical management procedures. Through this exercise, students learn how to assess dispensing practices, including assessing client knowledge and satisfaction with information received about their medicines. These indicators are based on the global pharmaceutical management indicators developed by the World Health Organization (WHO)

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