Tag Archives | standard treatment guidelines

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 easily access and use already available SIAPS resources, including tools, experiences, and results. The document is also intended to serve as a technical legacy for SIAPS to support knowledge exchange and sustainability of related work. The inventory is organized around the key program technical intervention areas as defined previously by the program. The document captures all key tools/approaches used by SIAPS (whether produced by SIAPS, a predecessor program, or a partner); selected country experiences in the form of technical reports or relevant materials; and other materials such as presentations, publications, technical briefs, and success stories that capture some of the results achieved by SIAPS.

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National Pharmacists’ Forum 2014 Technical Report: Dissemination of Pharmaceutical Services Information

SIAPS and its predecessor projects—Strengthening Pharmaceutical Systems (SPS) and Rational Pharmaceutical Management (RPM) Plus—have worked extensively to introduce and support tools that capture dispensing and supply chain data from public health facilities. SIAPS supports the Ministry of Health and Social Services (MoHSS) to conduct periodic analyses of antiretroviral therapy (ART) data by using available data sources, specifically the Electronic Dispensing Tool (EDT) and national database. In order for such data to inform programmatic decisions, it needs to be actively disseminated to program managers. The Division of Pharmaceutical Services (Div: PhSs), with technical assistance from SIAPS and the Supply Chain Management System (SCMS), compiles a quarterly ART Logistics Management Information System (LMIS) feedback report, a quarterly Pharmaceutical Management Information System (PMIS) feedback report, and an annual supportive supervision visit (SSV) feedback report. Hard and soft copies of the ART LMIS and PMIS reports are disseminated quarterly to all regions of Namibia, and SSVs reports are disseminated annually.

To improve dissemination and stimulate discussions of results, SIAPS supported Div: PhSs to conduct the National Pharmacists’ Forum 2014. Findings from PMIS feedback reports and recommendations made by SSVs were discussed with participants of the forum, which took place from September 29 to October 3, 2014, in Otjiwarongo, Namibia. Participants included pharmacists and stakeholders from 13 of Namibia’s 14 regions. The forum also provided opportunities to disseminate, discuss, and analyze other pharmaceutical services information in reports, such as the standard treatment guidelines (STGs) post-assessment report, and to introduce new medicines added to the Namibia Essential Medicines List (Nemlist).

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Improving Antibiotic Prophylaxis in Cesarean Section in Jordanian Hospitals

About one-third to one-half of all antibiotics used in hospitals is for surgical prophylaxis; however, 30 to 90 percent of this use is inappropriate. The Jordan Food and Drug Administration (JFDA) recently conducted a study in Jordanian hospitals that provided data on surgical antibiotic prophylaxis practices, including for cesarean section. The study findings indicated that these practices could be improved. In the context of the JFDA’s study findings and recommendations, the U.S. Agency for International Development-funded Strengthening Pharmaceutical Systems (SPS) program, and its follow-on Systems for Improved Access to Pharmaceuticals and Services (SIAPS), provided technical assistance to help strengthen practices regarding antibiotic prophylaxis for cesarean sections at three Ministry of Health (MOH) hospitals in Jordan—Prince Hussein Hospital, Prince Faisal Hospital, and Dr. Jameel Al Totanji Hospital.

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Assessment of Compliance of Outpatient Prescribing with the Namibia Standard Treatment Guidelines in Public Sector Health Facilities

The Ministry of Health and Social Services (MoHSS), in partnership with the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, funded by the US Agency for International Development (USAID) and implemented by Management Sciences for Health (MSH), conducted an assessment of compliance of prescribers with the Namibia Standard Treatment Guidelines (STG) and changes in prescribing practices for selected conditions. The first comprehensive Namibia STGs were launched and distributed to all health facilities in the country in 2011. The main objectives of the assessment were to determine the extent of compliance of prescribers with the STGs, and to compare prescribing practices before and after the roll out of the STGs. The assessment also aimed to explore factors associated with compliance and to find out what activities were implemented in health facilities and regions to promote compliance with the STGs.


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Ethiopia Standard Treatment Guidelines

In a healthcare system where multiple treatment options are available, the development and implementation of standard treatment guidelines (STGs) is a crucial strategy for ensuring effective and safe use of medicines, containing health care costs, and preventing antimicrobial resistance. STGs promote therapeutically effective and economic use of medicines at different levels of health facilities, as they give clear guidance and recommendations about the treatment and management of each clinical condition. When properly developed and implemented, treatment guidelines enhance rational medicine use and improve the quality of care. These guidelines provide up-to-date information relevant to the prevention, diagnosis and treatment of common diseases in Ethiopia which helps to achieve provision of quality care to patients.

These STGs provide greater consistency and standards of care, improve diagnostic accuracy, promote effective and safe use of medicines, and serve as a basis for improving treatment outcomes. It is also important to supply chain managers in improving the predictability of demand, and providing a standardized basis for forecasting, ordering, and purchasing of medicines.

This 3rd edition includes a package of evidence based information on diseases conditions, clinical features, methods of investigations, treatment options and referrals to the next level of care. Special emphasis is given to primary health care so as to address important public health needs in the country.

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April 2014 SIAPS/SCMS/BLC Newsletter

In this issue:

BLC Supports Evidence-Based Programming of the CAFO Capacity Building Interventions, Guiding Procurement and Prescribing of ARVs and other Medicines using the NEMLIST, Namibia launches the New Progressive ART Guidelines, Equipping Public Health Supply Chain Managers with Leadership and Management Skills, Streamlining the Regulation of Pharmacy Personnel in Namibia, Improving Adherence to ARV Medicines in Namibia, Strengthening Infection Control Committees at Different Levels of the Health System in Namibia, Motivating Pioneer Pharmacy Students towards Future Role in Delivery of ART and other Pharmaceutical Services

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Switching ART Patients to Second-Line Regimen

The purpose of the research was to identify the reasons for switching patients from first-line regimens to second-line regimens in the public healthcare setting in Gauteng Province. This study was an observational descriptive study. Randomly selected medical records for patients over 15 years old on second-line ART regimen attending public healthcare facilities in Gauteng’s five districts were reviewed to assess compliance with STGs, document the reasons for switching, and identify factors influencing the switch to second-line regimen.

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Standard Treatment Guidelines and Essential Medicines List Pre-Implementation Assessment: Prescribing Practices at Selected Sites

The aim of the assessment was to determine the impact of introducing the Swaziland STG/EML as measured by the outpatient prescribing patterns in Swaziland. This measurement will be made by conducting both a pre- and post-STG/EML implementation assessment.

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