Pharmaceutical Management: Our Impact

{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).

 {Photo credit: Francis Aboagye-Nyame/MSH}SIAPS West Africa Regional Program launches, April 2014.Photo credit: Francis Aboagye-Nyame/MSH

Antiretroviral (ARV) medicines are a matter of life or death for people who are HIV-positive.  In West Africa, the US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) is working to make sure people have uninterrupted access to these life-saving medicines.

{Photo credit: Warren Zelman}Photo credit: Warren Zelman

For over a decade, the Government of Ethiopia has been working to improve tuberculosis (TB) screening and has been greatly successful in increasing case detection. Unfortunately, as is too often the case, solving one problem created another: the nation now struggles to maintain an adequate supply of medicine to treat the newly diagnosed patients. Health facilities experience frequent stock outs of anti-TB medications, leaving many patients without treatment for weeks and even months.

 {Photo credit: SIAPS Namibia staff/MSH.}A health worker in Namibia using the Electronic Dispensing Tool (EDT).Photo credit: SIAPS Namibia staff/MSH.

When a pharmaceutical information management tool was adopted in Namibia, not only did its functionality improve health service delivery, but it also eased the burden on healthcare workers. Although HIV incidence is dropping, roughly 13 percent of adults in Namibia were infected with HIV in 2012. In some areas of the country, however, prevalence is much higher. In the Oshana region, about 28 percent of adults were living with HIV in 2010.

 {Photo credit: Yvonne Otieno/MSH.}Dr. Rafida, a pharmacist at Coast Provincial General Hospital, enters patient information into the ADT pharmacy management software.Photo credit: Yvonne Otieno/MSH.

“My wife was the first to discover her status. After giving birth, she started feeling unwell and […] tested positive for HIV,” says Mzee Ahmed*, who later learned his son, Juma, was also HIV positive. “After learning my wife’s status, it took me awhile to get tested but I eventually got the courage to get tested. The test was positive and I was also put on antiretroviral treatment,” explains Ahmed. Six years later, they all remain on their antiretroviral (ARV) drug regimens and visit health facilities regularly to refill their ARV prescriptions.

 {Photo credit: MSH staff.}Nurse Odila Jeune Gens is responsible for family planning services at the Dity health center.Photo credit: MSH staff.

Located in the remote highlands of Haiti’s northwest region of Port-de-Paix, the Dity health center has not always been able to provide adequate family planning services to women in the 21 surrounding communities, despite the obvious need. Maternal and infant mortality is high in the region due to the high number of births, short intervals between pregnancies, and the lack of skilled birth attendants.

 {Photo credit: Doris Bota / MSH.}Edison Kiprono Chepkonga, a medical laboratory technologist, is championing standards in health care at the district hospital.Photo credit: Doris Bota / MSH.

“Nothing lifts your heart more than giving your support and time to a good cause.” These were the words of Edison Kiprono Chepkonga, a medical laboratory technologist working at Kapsabet District hospital, situated in Nandi County (Rift Valley region), Kenya.  Edison is one of the 26 laboratory personnel that benefited from a biosafety training supported by the PEPFAR/CDC-funded Strengthening Public Health Laboratory Systems (SPHLS), led by MSH. The hospital has a bed capacity of 137. Thirty-seven satellite health facilities refer laboratory samples to the hospital.

{Photo credit: MSH staff/ SIAPS Ethiopia.}Photo credit: MSH staff/ SIAPS Ethiopia.

The US Agency for International Development (USAID)-funded Systems for Increasing Access to Pharmaceuticals and Services (SIAPS) Program has partnered with the Government of Ethiopia to bring a 100-year-old pharmaceutical management system into the 21st century. The Auditable Pharmacy Transactions and Services (APTS) is a package of data-driven interventions that ultimately result in a continuous supply of essential medicines, optimal budget utilization, and improved pharmacy services.

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