Pharmaceutical Management: Our Impact

 {Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria}A Minna hospital employee checks a blood sample for HIV.Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria

To increase country ownership and sustainability of laboratory services and programs, the USAID-funded Prevention Organizational Systems AIDS Care and Treatment (Pro-ACT) project, led by MSH, identified the need to develop the program leadership and management capacity of local medical laboratory associations in Nigeria. 

 {Photo: Michael Bajile/MSH-Tanzania}Vincent Nanai conducts routine inventory in the Bariadi District pharmacy store.Photo: Michael Bajile/MSH-Tanzania

As a pharmacist with the Bariadi Council Health Management Team in Tanzania’s Lake Zone, Vincent Nanai is responsible for ensuring that all 23 public health facilities supported by the council are stocked with essential commodities. However, prior to Nanai’s training from the US Agency for International Development (USAID)-funded Tibu Homa project, many public health facilities within the Lake Zone frequently ran out of medicines and supplies.

 {Video screenshot}MSH and partners developed the Pharmaceutical Leadership Development Program (PLDP) in South Africa in 2011.Video screenshot

Strong leadership and management are important factors in the delivery of quality health services, efficient use of resources, and achievement of positive health outcomes.

 {Photo credi: Warren Zelman}Democratic Republic of the Congo.Photo credi: Warren Zelman

We spoke with Management Sciences for Health (MSH)’s Beth Yeager, MHS, Principal Technical Advisor, Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program, and Chair, Maternal Health Supplies Caucus, Reproductive Health Supplies Coalition, about MSH’s global technical leadership on improving access to maternal health medicines and commodities. MSH serves as an active member of the UN Commission on Life-Saving Commodities for Women and Children (UNCoLSC) and the Reproductive Health Supplies Coalition. Beth Yeager

 {Photo credit: SCMS/Côte d’Ivoire}Côte d’Ivoire’s central medical store unloading supplies at the docking station.Photo credit: SCMS/Côte d’Ivoire

The Supply Chain Management System (SCMS) has been providing technical assistance since 2005 to Côte d’Ivoire’s central medical store, the Pharmacie de la Sante Publique (PSP)—later re-named the Nouvelle PSP (NPSP)—to strengthen the management of products in the health system. SCMS is a project under the US President’s Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID).

 {Photo courtesy: SIAPS Angola}National Malaria Control Program and SIAPS staff doing inventory control during a field visit.Photo courtesy: SIAPS Angola

In Angola, the National Malaria Control Program (NMCP)’s 2013 annual report suggests that malaria alone represents 35 percent of all curative treatment demands, 20 percent of hospital admissions, 40 percent of perinatal deaths, and 25 percent of maternal deaths. Universal and continuous availability of recommended artemisinin-based combination therapy (ACT) and rapid diagnosis tests (RDTs) are a critical prerequisite for the effective management of clinical malaria.

 Victoria Mwanza receiving her certificate from Dr, Kent Brower, Pro-Vice Chancellor.

Victoria Mwanza, 42, is part of the first cohort of pharmacy assistants to graduate from the Southern Africa Nazarene University (SANU) with a Certificate in Pharmacy. This in-country pharmacy training program, established at the request of the Ministry of Health, was launched by SANU in August 2012, with the support of US Agency for International Development (USAID)-funded and Management Sciences for Health (MSH)-led Systems for Improved Access to Pharmaceuticals and Services (SIAPS).

 {Photo credit: SCMS}SCMS staff provides technical assistance to head of pharmacy at Hôpital Bernard Mevs in Haiti.Photo credit: SCMS

Hôpital Bernard Mevs is one of 177 sites where the Supply Chain Management System (SCMS), a US President’s Emergency Program for AIDS Relief (PEPFAR)-funded project, delivers lifesaving HIV & AIDS drugs and commodities in Haiti. On any given day, dozens of the more than 1,070 patients currently on antiretroviral treatment (ART) at the hospital wait outside the pharmacy’s door where Rose-Marie Marcelin dispenses their monthly supply of medication.

 {Photo credit: Jean-Jacques Augustin.}SCMS leads a national quantification exercise to ensure the availability of lifesaving drugs for nearly 55,000 HIV & AIDS patients.Photo credit: Jean-Jacques Augustin.

An estimated 141,000 people live with HIV in Haiti. In support of the Ministry of Public Health and the Population (MSPP)’s continued effort to improve the lives of people living with the virus, the US Government, through the Supply Chain Management System (SCMS), collaborates with the National AIDS Program to achieve its objective of having at least 90 percent of the eligible population on antiretroviral treatment (ART) by September 2015.

{Photo credit: Warren Zelman, Ethiopia.}Photo credit: Warren Zelman, Ethiopia.

This story originally appeared on SIAPSProgram.org. This year’s National Annual Review led by Ethiopia’s Ministry of Health (MoH) brought together more than 850 health professionals from across the country to discuss the way forward in public health for the coming year. The MoH identified eight priority areas, one of them being the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program/Ethiopia's transformative APTS system—the first time a pharmacy area was selected as part of the annual review meeting agenda.

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