Tag Archives | Technical Brief

Technical Brief: Building Leadership and Governance in Supply Chain Management for the National TB Control Program of the Philippines

The National TB Control Program (NTP) in the Philippines is continuously scaling up its operations in the diagnosis and treatment of TB to achieve the results and deliverables described in the 2010–2016 Philippine Plan of Action to Control Tuberculosis. The USAID-funded SIAPS Program is supporting the NTP in its effort to increase the capacity of various aspects of supply chain management, including leadership and governance. SIAPS supported the NTP in establishing the Drugs and Supplies Management Working Group by developing the terms of reference and facilitating regular meetings with partners and stakeholders.

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Technical Brief: Building Pharmaceutical Management Capacity in South Sudan

South Sudan’s health system is struggling to overcome a myriad of challenges, including poor pharmaceutical supply management practices, weak infrastructure, and inadequate skilled manpower. The outbreak of civil unrest in the nascent nation in December 2013 further exacerbated the already dire situation. South Sudan has one of the highest maternal mortality rates in the world, estimated at 789/100,000 live births. The country’s HIV prevalence rate increased from about 2% in 2000 to 2.6% in 2015 among adults, according to the South Sudan HIV/AIDS Commission and Ministry of Health. As of 2014, only 6% of 15 million people living with HIV were on antiretroviral therapy (ART).

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Technical Brief: Transforming Pharmaceutical Services in Ethiopia through Auditable Pharmaceutical Transactions and Services

MSH has implemented pharmaceutical management projects in Ethiopia since 2005, through the Rational Pharmaceutical Management Plus Project and the Strengthening Pharmaceutical Systems (SPS) Program and most recently the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. The SIAPS Program (2011 to 2016) aims to reduce morbidity and mortality, primarily for HIV and AIDS, malaria, and priority conditions in MNCH.

One of the most successful SIAPS initiatives in Ethiopia is implementation of Auditable Pharmaceuticals Transactions and Services (APTS), a package of interventions that addresses accountability and transparency; access to information for decision making; efficient use of medicines budgets and human resources; and quality of pharmacy services—all of which affect the performance of hospitals in the public sector.

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Technical Brief: Implementing a Computerized Medicine Registration System in Mozambique

In 2012, the Government of Mozambique began a national accelerated response to HIV and AIDS. As a result, better awareness, funding, and deployment of proven interventions have significantly improved HIV prevention, treatment, and care support. This includes the rapid scaling up of antiretroviral therapy. With significant support from the US President’s Emergency Plan for AIDS Relief, coverage of eligible adults rose from 47% in 2012 to 72% by the end of 2013 (PEPFAR Mozambique Country Operational Plan, FY14).

However, there is a shortage of quality essential medicines in the country, exacerbated by the time it takes for medicine importers and distributors to get authorization for importing and selling medicines. The longest wait times are for antiretroviral, antimalarial, and new molecule medicines that require more complex documentation, such as World Health Organization (WHO) prequalification. To help close these gaps, Mozambique engaged SIAPS to strengthen the pharmaceutical sector’s institutional and individual capacity.


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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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Technical Brief: HIV and AIDS Commodity Management Tool

Alerts on stock-outs of lifesaving antiretrovirals emerged in a number of countries in the West African region in 2012 and 2013. Several root causes for this have been identified, including a lack of tools to improve the sharing of HIV and AIDS commodity information among stakeholders for faster decision making. This greatly affects the ability of partners to anticipate the needs of the host country, leads to delays in providing support, and creates doubt in the mind of the donors as to actual needs.

The USAID-funded SIAPS Program, implemented by Management Sciences for Health, has provided support to six countries in West and Central Africa—Benin, Burkina Faso, Cameroon, Guinea, Niger, and Togo—to set up a web-based EWS to monitor HIV and AIDS commodities.

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Technical Program Update: Combating Antimicrobial Resistance with Stronger Health Systems

Antimicrobial resistance (AMR) is one of the world’s most pressing and urgent global health threats— one that could erode the current progress against tuberculosis (TB), malaria, HIV/AIDS, and many other infectious diseases. AMR poses an enormous threat to the safety and feasibility of complex surgeries and procedures like organ transplantation and chemotherapy, but could also make childbirth, minor infections, and hospital stays more perilous. While AMR has emerged as a critical issue at the global level, current efforts to address AMR are insufficient to curb its spread. Immediate, cross-cutting, and multidisciplinary action is required to adequately address the multidimensional drivers of AMR. In the health sector, strengthening the systems through which health services and medicines are provided is a prerequisite to making progress against AMR.

This technical program update discusses how the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, funded by the US Agency for International Development (USAID), is working to address AMR through a health system strengthening approach with interventions spanning the global, regional, national, and local levels.

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Technical Brief: Strengthening Namibia’s Pharmacy Sector and Workforce

Namibia faces a dual public health burden of HIV and AIDS and tuberculosis (TB). Critical to the treatment and management of these diseases is an effective workforce that can provide quality pharmaceutical services throughout the country. Pharmacists and pharmacist assistants (PAs) play critical roles in dispensing life-saving medications, monitoring patient health and progress, and educating both patients and other health professionals about proper medication use, storage, and dispensing practices. To meet the high demand for quality pharmaceutical services and to ensure that pharmacy personnel needs are being met, the US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program supported the Government of the Republic of Namibia in the long-term planning of pharmaceutical human resources and building the capacity of two local institutions to provide pre-service and in-service pharmaceutical management training.

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Technical Brief: Strengthening the Leadership and Management of Pharmaceutical Services in South Africa

South Africa’s health system is under enormous strain. There is a sizeable and increasing number of people with chronic diseases, both communicable and noncommunicable. The country has the largest population living with HIV, estimated at 7 million; an HIV prevalence rate of 19.2%; and 180,000 HIV-related deaths in 2015. South Africa has the highest number of people on HIV treatment—nearly 2.6 million—and has committed to nearly doubling that number in the next few years. It also has a significant burden of tuberculosis (TB), including multi- and extensively-drug resistant TB.

According to the World Health Organization, South Africa ranks third in terms of TB burden, after India and China.3 There is also high maternal, neonatal, and child mortality. In partnership with civil society and development organizations, the country has made significant strides in reducing the tide of HIV, AIDS, and TB, thereby contributing to an increase in life expectancy. Nevertheless, the effectiveness and efficiency of the country’s health system remain a huge challenge. The burden of communicable and non-communicable diseases and the rapidly growing patient population have considerable implications for the delivery of pharmaceutical services.

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Technical Brief: Improving Health Outcomes through Delivery of Patient-Centered Pharmaceutical Care by Pharmacists in Low- and Middle-Income Countries

Health systems in low- and middle-income countries have focused on managing acute infectious conditions, and pharmacy practices have typically focused on product-centered services rather than patient-centered care. However, these countries are experiencing an increasing burden of chronic communicable and non-communicable diseases, such as HIV and AIDS and cardiovascular diseases. Providing effective long-term care for chronic diseases requires pharmacy practices to strengthen patient counseling and adherence, and bolster linkages among clinical, laboratory, pharmacy, and other services. To respond to this need in pharmacy services, many countries are expanding their pharmacy practice from a model that centers on supplying and dispensing medicines to one that emphasizes the provision of patient-centered pharmaceutical care―and in collaboration with other health care providers―to support the achievement of better health outcomes.

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