Pharmaceutical Management: Our Impact

 Screenshot of SIAPS West Africa Regional Project dashboard shows national stock status in Niger; three products in blue have more than 100 months in stock.

Alerts of stock-outs of life-saving medicines for antiretroviral therapy (ART) and treating opportunistic infections have emerged from a number of countries in West Africa. Several root causes of stock-outs have been identified such as poor coordination and information sharing among partners.

With thousands of people dying in West Africa from the Ebola virus and many more at risk, Liberia’s Accredited Medicine Stores (AMS) and other drug shops continue to help ensure access to pharmaceutical products and services at the community level even as other health facilities have closed down. They also offer the potential to contribute to the control of the lethal disease that has West Africa and the international community on high alert.

{Photo credit: PFSCM.}Photo credit: PFSCM.

Since 2006, the Supply Chain Management System (SCMS) has been working with Guyana’s Ministry of Health to strengthen the supply chain responsible for delivering life-saving medicines. An integral part of Guyana’s Ministry of Health, the Materials Management Unit (MMU), is responsible for managing, storing, and distributing drugs and health commodities to the country’s public health facilities.

Working group meeting

To ensure successful treatment and prevention of TB, countries should have strong pharmaceutical management systems to ensure uninterrupted supply of quality anti-TB medicines. Acknowledging shortcomings of the existing TB pharmaceutical management system (TB PM), Uzbekistan’s Ministry of Health (MOH) requested that SIAPS provide assistance and conduct a countrywide TB PM assessment. SIAPS, in collaboration with the WHO Country Office and the TB PM Working Group (created by MOH), conducted the assessment.

Dr. Andrew Nyandigisi from the Malaria Control Unit discusses lessons learned in the implementation of DHIS2 with workshop participants. {Photo credit: Yvonne Otieno/MSH.}Photo credit: Yvonne Otieno/MSH.

An effective reporting system for health commodities is critical to ensure accountability, enable informed decision making, and provide timely access to information. Using DHIS2 to Manage Data for Malaria Commodities

 {Photo credit: Annette Scheckler/MSH.}Pharmacist Bethlehem Nega counsels a patient.Photo credit: Annette Scheckler/MSH.

Updated January 30, 2015 A Phone Call for Health Alongside a road in a remote area of the Amhara Region, Solomon Dawit*, a truck driver from the Ethiopian capital Addis Ababa, sits waiting for a ride to the nearest town. He has two big problems: his truck has broken down and he doesn’t know how long it would take to get the parts needed to fix it. Another problem?  He is running out of his lifesaving antiretroviral (ARV) medication. After one month of waiting, Dawit’s truck is fixed, and he heads back home to Addis Ababa.

Kwesi Eghan, courtesy.

Used appropriately, medicines save lives, decrease effect or cure diseases, and improve quality of life. Medicines are also key determinants of health care quality, and can be among the most cost-effective uses of scarce health care resources. At the same time, management of medicines is a major source of inefficiencies in health care systems around the world...- Kwesi Eghan We spoke with Kwesi Eghan, MSc, MBA, BPharm, about the role of medicine and sound medicines benefits management for countries to successfully achieve universal health coverage.

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

A project of the US President's Emergency Plan for AIDS Relief (PEPFAR) administered by the US Agency for International Development (USAID), Supply Chain Management System (SCMS) is led by the non-profit Partnership for Supply Chain Management (PFSCM)—a partnership of John Snow, Inc. (JSI), and Management Sciences for Health (MSH). The Supply Chain Management System (SCMS) established a local field office in Democratic Republic of the Congo (DRC) in early 2013. As one of the most recent additions to the SCMS global portfolio of countries, the local staff of five has sought to scale up and produce results extremely quickly. SCMS’ primary mandate in the DRC is to supply the HIV commodities needed by six PEPFAR implementing partners that are spread across four of the DRC’s eleven provinces. These six implementing partners provide care to some of the most at-need populations within the DRC. They have set ambitious treatment targets and depend on SCMS to deliver the commodities that will allow them to meet those needs. The commodities supplied by SCMS range from antiretroviral drugs (ARVs) to antibiotics needed to treat opportunistic infections, lab equipment, supplies and test kits. This year, 22,514 Congolese people will receive treatment with ARVs supplied by SCMS.

 {Photo credit: Erin Polich/MSH.}Tambura County, South Sudan.Photo credit: Erin Polich/MSH.

Located in Western Equatoria State of South Sudan, Tambura County is poor, remote, and struggling to overcome the effects of decades of civil war. Yet, finding solutions to complex problems is not new for the people of Tambura County. When it came time to fix the broken pharmaceutical system, with the help of SIAPS, Tambura County’s health authorities took the initiative to shift away from the push supply system for pharmaceuticals to a pull system.

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

For more than eight years, the Supply Chain Management System (SCMS) has been saving lives through stronger supply chains. Funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR), SCMS is supporting rapid scale-up of HIV/AIDS programs, creating a reliable global supply chain where none existed, leveraging economies of scale to reduce costs, and serving as an emergency provider of choice for AIDS programs. SCMS is managed by the non-profit Partnership for Supply Chain Management (PFSCM)—a partnership of John Snow, Inc. (JSI), and Management Sciences for Health (MSH).

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