Focus on Scale

Key to the success of any health systems strengthening project is whether it effects broad, sustainable, institutional change.  Sound strategic planning can grow a successful hospital pilot program into a nationwide health intervention that improves lives.  The examples below show the SIAPS program’s work in bringing pharmaceutical systems strengthening interventions to scale.



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

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.  Read more>>


Technical Publication: Strengthening the Leadership and Management of Pharmaceutical Services in South Africa
Learn about the successes, challenges and lessons learned during the implementation of the Pharmaceutical Leadership Development Program (PLDP) in South Africa, including its rapid scale-up across 7 provinces.  Read more>>



Technical Report: Results and Impact of the Introduction of an Integrated Pharmaceutical Supply System in the Dominican Republic
The objective of this study was to determine, through secondary sources, the impact of SUGEMI on the operational efficiency of the supply system and the availability of medicines in the health care facilities, regional warehouses and central warehouses.  Read more>>



Blog: Institutionalizing e-TB Manager as a national TB registry in Ukraine
Since its adaptation and implementation in Ukraine in 2009, e-TB Manager, a web-based software for managing information needed by national TB control programs, has been implemented at regional and national level.  In 2012, the Government of Ukraine officially adopted it as a National TB registry.  Read more>>


Success Story: Changing Systems to Change Lives in Ethiopia: Aster’s Story
The Auditable Pharmaceutical Transactions and Services (APTS), a package of interventions, was piloted in Debre Markos Hospital in Ethiopia and showed unprecedented success in increasing the availability of essential medicines and decreasing wastage.  Since implementation at Debre Markos Hospital, APTS has been implemented in more than 70 health facilities, with scale-up progressing quickly.  Read more>>


Presentation: Scaling Up Integrated Community Case Management
The SIAPS/Burundi team supported Burundi’s Ministry of Health (MoH) National Malaria Control Program to evaluate their pilot of community case management of malaria. The objective was to inform the requirements for expanding services to include malaria, diarrhea, and pneumonia, called integated community case management (iCMM) and recommendation to consider for scale-up.  Read more>>



Deployment of the HIV and AIDS Commodity Management Tool OSPSIDA in Six Focus Countries in West and Central Africa: Benin, Burkina Faso, Cameroon, Guinea, Niger, and Togo
Learn about the deployment of the HIV and AIDS Commodity Management Tool OSPSIDA across national, regional, and health facility levels in 6 countries in West and Central Africa.  Read more>>

RxSolution: An Electronic Inventory and Patient Management Tool Improves Access To and Rational Use of Medicines
Over the past three years, SIAPS has expanded the use of RxSolution to a total of 350 sites across South Africa.  RxSolution is an electronic inventory management and pharmaceutical dispensing tool that supports efficient and effective management and distribution of medicines from the supplier to the patient. Read more>>

Video: Reducing Stock-outs and Saving Lives in Bangladesh
The SIAPS Program worked with the DGFP in Bangladesh to successfully implement a nationwide, web-enabled logistics management information system with a dashboard to track the stock status of contraceptives at 29,200 service delivery points.  The tool has supported the transition of local-level managers from data producers to data users, improved decentralized decision making, and reduced stock-outs.  Read more>>

See last month’s focus on priority and emerging health issues
Learn about the SIAPS program’s work to strengthen health systems in response to cross-cutting health needs