The US Ambassador to Namibia, H.E. Thomas F. Daughton, launched CBART group ARV refills on June 1, 2017. These groups are implemented widely in Onandjokwe and other districts in northern Namibia, where the HIV burden is high. During the CBART group ARV refill initiative launch, the ambassador remarked “simple solutions = best solutions; bring the pharmacy to the people rather than sending people to the pharmacy”. Since then, SIAPS has been supporting Namibia’s Ministry of Health and Social Services (MoHSS) and partners to implement this initiative. The MoHSS, with support of partners, has decentralized ART services to achieve the ambitious UNAIDS 90-90-90 targets for ending the AIDS epidemic by 2020. Although Namibia faces a high HIV burden, with approximately 220,000 living with HIV, the MoHSS has successfully expanded its ART patient coverage to more than 80%. With more than 150,000 people receiving ART from public health facilities countrywide, the MoHSS is making efforts to ensure retention of ART clients on treatment to minimize the development of HIV drug resistance.
In Bangladesh, the Ministry’s Procurement and Logistics Management Cell (PLMC) made an assessment of the status of medical equipment that was no longer usable and explored the logistics in health facilities across the country to accelerate the disposal process. The PLMC and SIAPS conducted seven divisional workshops on condemnation of medical and non-medical items for all district- and sub-district-level health managers under the MoHFW to share the assessment findings, the disposal process, and how that process could be improved for effective logistics management as part of a hospital management system.
Amélioration de la disponibilité et de l’accessibilité des produits et médicaments essentiels par l’opérationnalisation d’un système d’information pour la gestion logistique en Guinée
Malgré d’importantes ressources financières consacrées par le Gouvernement et les partenaires au développement pour renforcer la chaîne d’approvisionnement des produits de santé, des insuffisances majeures entravent le fonctionnement effectif du système de logistique en Guinée. Le programme SIAPS travaille avec le ministère de la Santé pour l’amélioration du système d’information. Dans le souci de rendre disponibles les données logistiques de routine pour des décisions plus éclairées, la DNPM et SIAPS ont pris la décision au second semestre 2016, de redynamiser le système de logistique intégrée avant la fin de l’année 2017. Trois actions majeures ont été abordées, à savoir : la révision annuelle des procédures du Système de logistique intégrée, la mise en œuvre du Manuel de procédures à tous les niveaux de la pyramide sanitaire et la mise en place d’une Unité de gestion logistique pour les produits de santé.
As a pharmacist, Md. Jahidul Hasan has worked in several hospitals, but it was not until he joined Square Hospital Limited (SHL) that he learned about pharmacovigilance (PV). SHL is a 400-bed tertiary care private hospital in Dhaka, Bangladesh, that serves an average of 1,200 out-patients each day. The Directorate General of Drug Administration (DGDA), with technical assistance from SIAPS, officially launched Bangladesh’s national PV program in 2013. The DGDA first introduced the PV program at 20 private and public hospitals, including SHL, and 13 pharmaceutical companies. Since then, the DGDA and SIAPS have organized trainings for the PV focal persons in these hospitals and pharmaceutical companies to build their skills and knowledge on PV and increase adverse drug event (ADE) reporting.
Patients on lifelong antiretroviral therapy (ART) may be at risk of forgetting their pharmacy appointments for antiretroviral (ARV) refills. The SMS-based ART pharmacy appointment and medication adherence reminder service provides automated text notifications to ART patients reminding them to pick up their ARV refills according to appointment dates made by pharmacy staff using the SIAPS-supported Electronic Dispensing Tool (EDT). The service was introduced in May 2015 at 10 public-sector ART sites in 6 of Namibia’s 14 regions.
SIAPS joined those involved in supply chain management in Sierra Leone to collaborate on a plan to handle products for reverse logistics and proper disposal. The turnkey activity of segregating, sorting, documenting, packing and preparing for collection by the district medical stores is part of the technical assistance the SIAPS Project supports in the country; namely, establishing and using a Continuous Results Monitoring System (CRMS) in nearly all health facilities. The CRMS tracks a series of indicators for medicine availability and disease case management, including storage adequacy, overstocks of medicines, and expiry management.
Pharmacist Assistants Alleviate the Shortage of Pharmacy Staff at Public Health Facilities in Namibia
The Omusati region of Namibia has the second-highest HIV prevalence in the country, standing at 17.4%—higher than the national average of 13.1 reported in 2013. Decreasing the HIV prevalence and improving pharmaceutical services for antiretroviral therapy (ART) in Omusati—and the country as a whole—is therefore a goal of the Ministry of Health and Social Services […]
Ensuring the availability and proper use of logistical information for decision-making is a major challenge for the Malian health system at both the regional and central levels. Until 2015, Mali was using a paper-based system to manually compile, analyze, and aggregate data. This increased the risk of errors and required significant time from health facility […]
In Swaziland, the USAID-funded SIAPS Program has taken great strides in ensuring country ownership and sustainability of local technical assistance initiatives. Since 2012, SIAPS has supported quantification efforts in Swaziland, providing extensive support to the Ministry of Health (MoH) in conducting quantification exercises for antiretrovirals (ARVs), TB medicines, and sexual and reproductive health commodities to […]
In Ukraine in recent years, failed rounds of centralized public tenders for pharmaceuticals and blockage of public funds in antimonopoly litigations were regarded as a harbinger of the impending crisis in the public health sector. The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program was requested to step in and provide technical assistance to improve the system of public pharmaceutical procurement and enhance the expertise of the selected regional health administrations and individual health care facilities. Framework contracting was viewed as the most effective procurement technique to ensure value for money in the contexts of decentralization and diverse regional specifics. SIAPS led the implementation of framework contracting into the oblast procurement practices in two oblasts, with the ultimate goal of bringing systemic changes into the national health procurement system.
- 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 […]