The pharmaceutical sector in Sierra Leone faces several challenges. The Ministry of Health and Sanitation (MOHS), in collaboration with different partners, is in the process of strengthening the capacity of district and peripheral health facilities (hospitals and peripheral health units (PHUs)) to ensure an uninterrupted supply of essential medicines, manage supply chain activities through an improved nationwide pharmaceutical management information system, and promote rational medicine use for better health outcomes. USAID support to the MOHS through SIAPS focuses on pharmaceutical management systems strengthening and supply chain management through capacity building and technical assistance to improve governance, management and leadership, selection and quantification, pharmaceutical management information systems, rational medicine use, and CRMS. The purpose of conducting MSH’s LDP training was to build the capacity of Sierra Leone’s DDMS, district/hospital pharmacists, and SIAPS staff in leadership, management, and governance. The goal was to ensure that the directorate, its district/hospital pharmacists, and SIAPS Sierra Leone staff would be equipped with the knowledge and skills to manage and lead the different components of the program efficiently in a transparent and participatory manner. The purpose of the training of trainers (ToT) for the LDP was to establish a pool of local LDP facilitators who could cascade the program to other DDMS staff and district/hospital pharmacists throughout the 13 districts.
Report of a ToT and Cascade Training on Leadership Development Program for Pharmacists from the Public Sector of the Ministry of Health and Sanitation of Sierra Leone
This is the report of the first continuous results monitoring and support system (CRMS) exercise in Bombali District, which was conducted in May 2016. The purpose of the report is to highlight the findings and observations of the CRMS exercise. A total of 104 health facilities (HFs) (one hospital, 18 community health centers (CHCs), 57 community health posts (CHPs), 26 maternal and child health posts (MCHPs), and two clinics) were assessed using a comprehensive checklist based on selected service and system indicators. The CRMS exercise examined different indicators that focused on stock availability; consumption; expiry; number of patients treated; availability and performance of pharmaceutical information tools; storage conditions; staffing; training; and supervision.
Inventory Control and Good Storage Practices Training for Primary Health Care Nurses and Pharmacy Staff in Khomas, Ohangwena, and Otjozondjupa Regions, Namibia
Although SIAPS introduced a number of automated inventory control tools, such as the Facility Electronic Stock Card (FESC) and Electronic Dispensing Tool (EDT) for district hospitals, since June 2015, at the primary health care (PHC) level, inventory control and storage practice are a major challenge and the major cause of stock-out of medicines for antiretroviral therapy (ART), tuberculosis (TB), and malaria in all regions in Namibia. To ameliorate these challenges, the MOHSS has revised and distributed standard operating procedures (SOPs) for the management of medicines and medical supplies at PHC facilities in the period of 2015–16, and training on these SOPs has been provided to all staff at the PHC level in the Khomas, Ohangwena, and Otjozondjupa regions in the months of May, June, August, and November 2017. A training was needed to improve inventory control and good storage practices, thereby improving access and restraining increases in the pharmaceutical budget by reducing expiries and damaged pharmaceuticals and at the same time building the training capacity of the regional pharmacists. Facilitation of these trainings was supported by the SIAPS technical advisor. The trainings aimed to improve the management of ARVs, TB medicines, and related health commodities. It was necessary to improve inventory control and good storage practices, thereby improving access and further reducing the increasing pharmaceutical budget by reducing cases of expired and damaged pharmaceuticals.
Rapport de l’atelier de formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE)
La formation des acteurs du niveau périphérique sur le portail Ebola de l’outil de suivi des produits de santé (OSPSANTE) a été réalisée du 18 au 22 septembre 2017 dans la salle de conférence du COU. Elle a réuni 40 acteurs au total : deux facilitateurs de SIAPS et trois du DOU-SP et 35 prestataires qui ont reçu la formation, venant des services de santé de 3 régions (Kayes, Koulikoro, Sikasso) ; le district de Bamako et le CHU du point G. Ces différents acteurs sont impliqués par leurs rôles dans la gestion des produits Ebola. Au cours de cette formation, à travers 11 sessions dispensées, les acteurs ont appris comment estimer les besoins et faire la commande des produits, comment enregistrer et soumettre les données logistiques des produits de la prévention d’Ebola dans OSPSANTE, quel outil primaire ils doivent utiliser pour saisir les données dans le portail d’Ebola, quels sont les rapports que l’outil peut produire et comment faire les analyses pour la prise de décision dans le cadre de l’amélioration de la disponibilité des ME.
Applying Principles of Pharmacoeconomics to Improve Medical Product Selection and Use in Low- and Middle-Income Countries: Trainer’s Guide
Tools and materials are needed for pharmacoeconomic evaluation and health technology assessment (HTA) training to strengthen health systems and increase and support their capacity to perform HTA in resource-limited countries. Training on how to apply pharmacoeconomics to essential medicines selection should focus on equipping health care workers, regulatory authorities, public health program personnel, and academic researchers with the skills and knowledge to strengthen pharmacoeconomic decision making as part of HTA within their health systems. This guide provides a template for use, adaptation, or adoption in many settings. It is intended that these materials will be adapted and supplemented to meet the needs and contexts of individual countries. In addition to this trainer’s guide, the curriculum package includes presentation slides, case studies, and other resources. The package is meant to provide resources and information to help trainers and facilitators conduct in-person trainings and develop local capacity for evidence based medical product selection. Included in this curriculum are nine training modules with notes for facilitators and guidance for each module, as well as workgroup activities and case studies to accompany the presentations. In addition to being a guide and basic platform that can be adapted for different settings, this material can serve as the basis for developing delivery formats beyond in-person trainings, such as distance or online training, to meet local stakeholder needs. Resources and materials for further reading are included to help enhance knowledge and prepare facilitators.
According to the World Health Organization, many countries spend 30–40% of their health care budgets on medicines and medical commodities, and a significant amount of the funds are wasted because of irrational medicines use and inefficiencies in stock management due to lack of skills. Other serious problems that health care organizations face include the overuse of antimicrobials, which increases the risks of antimicrobial resistance, leads to increased adverse drug reactions (ADRs), and results in considerably higher costs associated with drug use. Training pharmacy personnel on proper handling of medicines can help improve the proper handling and dispensing of medicines, rational use of medicines, and adherence to treatment to improve patient health outcomes. The primary objective of the HIV/TB pharmaceutical management and supply chain training was to develop the skills of the pharmacy personnel on proper management of HIV and TB medicines in health facilities.
This policy guidance document is divided into 13 different areas:
- Country policy development
- Revised program guidelines, Essential Medicines List (EML), and reporting and recording forms
- Training of health workers and community partners (community health worker/relais)
- ACSM strategies
- Forecasting and quantification
- Health system strengthening
- Quality and safety
- Monitoring and evaluation
In the last five years, SIAPS has provided technical assistance to the Namibia Medicines Regulatory Council (NMRC) to strengthen its capacity for registration and quality testing by training technical staff in medicines dossier evaluation, developing guidelines for conducting the routine PMS of quality of medicines, and collecting medicine samples at selected ART and TB treatment sites for laboratory testing. SIAPS mentored and provided guidance and technical support to NMRC staff and other personnel in conducting efficient dossier reviews for the registration of ARVs, anti-TB, and other essential medicines. Consequently, intensive dossier review sessions were organized and fully funded by NMRC after effective and successful transition of the activity to NMRC for sustainability. SIAPS provided technical assistance to the NMRC to develop guidelines and collect medicine samples from seven priority regions (Kavango East and West, Khomas, Ohangwena, Omusati, Oshana, Oshikoto, and Zambezi) and one urban hotspot (Grootfontein [Otjozondjupa]).
SIAPS conducted a training on pharmacovigilance (PV) to increase the capacity of the National Tuberculosis Program, the Lung Center of the Philippines, Pharmaceutical Division, and Food and Drug Administration. Strengthening the capacity of staff in these organizations and other stakeholders in this area of PV reinforces current safe scale-up efforts and introduction of these lifesaving regimens. Furthermore, providing training for staff in data management, causality assessment, and signal detection enhances expansion of safety monitoring to other medicines used within the health system in the Philippines.
Training on Pharmaceutical and Medical Commodities Supply Chain Management in Humanitarian Response Settings
Most NGOs and partners who work with OFDA face significant challenges in pharmaceutical procurement and supply chain management (SCM) as well as difficulties complying with OFDA policies, procedures, and funding/donation requirements. OFDA seeks to ensure excellence in its operations and programs and continues to push for significant changes to establish a humanitarian aid system that is more nimble, effective, and accountable. To accomplish this, OFDA requested technical assistance from SIAPS to develop training materials and facilitate two rounds of training for staff of its collaborating humanitarian aid partners and local and international NGOs. This training will help to ensure that appropriate procurement and SCM is implemented for the delivery of quality-assured pharmaceuticals and medical commodities to conflict-affected, internal, and cross-border displaced people. The objectives of the training program were to build the capacity of humanitarian aid partner staff on humanitarian SCM for the effective delivery of pharmaceuticals and medical commodities.
Project dates: 2012-2018
- Standard Operating Procedures for Planning and Implementing a Continuous Results Monitoring and Support System in Sierra Leone at the Primary Health Unit Level
Since May 2016, the Directorate of Drugs and Medical Supplies (DDMS) and SIAPS have supported district health management teams (DHMTs) […]
- Report of a ToT and Cascade Training on Leadership Development Program for Pharmacists from the Public Sector of the Ministry of Health and Sanitation of Sierra Leone
The pharmaceutical sector in Sierra Leone faces several challenges. The Ministry of Health and Sanitation (MOHS), in collaboration with different […]