Pharmaceutical Management: Our Impact

 {Photo credit: MSH}Medicines management supervisors receive computer training for collecting, submitting, and analyzing SPARS data.Photo credit: MSH

Districts in Uganda faced many problems in managing medicines and health supplies. Health facilities often placed orders for medicines and health commodities without reviewing their consumption rate­—how much they had been using—which led to both the expiration and stock-out of vital medicines. Medicines were also prescribed without following treatment guidelines, which when coupled with inadequate information and instructions during dispensing,  left patients dangerously confused.

 {Photo credit: MSH}BEFORE: Drugs in boxes placed on the floor in Kisoro HospitalPhoto credit: MSH

Shelves may seem very basic and not particularly worthy of note. In fact, shelves can transform how medicines and supplies are organized by making it easier for a hospital to keep track of how many drugs it has and prevent wasteful expiry.  For nearly 16 years, all drugs and health supplies in Kisoro Hospital were stored on the floor, which was inefficient and a challenge for staff members who had to manage the stock. 

{Photo credit: MSH}Knud Rhyl was brought on board by SURE and NDA to help devise the new guidelines and inspection tool. Knud helped adapt international best practices to the Ugandan context. He is pictured presenting at the meeting with key wholesalers in Uganda.Photo credit: MSH

In Uganda, although wholesale and retail pharmacies are legally distinct, their practices are indistinguishable and their customer base overlaps. Wholesalers’ service should be business-to-business only, but they often sell to the public. This division of responsibility is crucial in assuring the quality and safety of drugs; without accountability, substandard and counterfeit medicines can too easily slip through the cracks.

 {Photo credit: MSH}District Inspector, Daniel Isabirye, inspecting Misima HC II in Jinja, while Esther Mugadya, the In-charge, helps find stock cards for review.Photo credit: MSH

The National Drug Authority (NDA) has minimum standards and inspects facilities to certify that they meet those standards. Inspections, therefore, are important in ensuring good pharmacy practices. Until now, NDA had only inspected private sector pharmacies who had more resources to achieve what was required to be certified.

 {Photo credit: Aurélie Jousset/MSH}Joseph Borgelain inserts the cartridge into the PIMA machine to perform a rapid CD4 test for Paul.Photo credit: Aurélie Jousset/MSH

Two-year-old Paul had been sick for several days. On October 12, 2013, his aunt Marie brought him to the Jules Fleury Hospital in the Nippes department of Haiti. Two weeks prior, Paul’s mother, who is HIV-positive, had left for Port-au-Prince in search of work, leaving Paul in the care of his aunt.

 {Photo credit: MSH}Before the historic approval this September, stateholders met to dicuss the draft national strategic framework for pharmaceutical human resources.Photo credit: MSH

The Executive Board of Afghanistan’s Ministry of Public Health (MoPH) formally approved the country’s first national strategic framework for pharmaceutical human resources (HR) on September 28, 2013. The framework helps strengthen the pharmaceutical system and health workforce.

First established in 1974, the Ethiopian Pharmaceutical Association (EPA) has evolved to become one of the strongest and most exemplary professional associations in Ethiopia. Held up as a model, the EPA is the country’s first professional association to develop continuing professional development guidelines that are used nationwide. Recognizing the EPA’s professional capacity to lead the pharmaceutical sector, Ethiopia’s Ministry of Health has actively engaged the association in formulating the country’s health policy.

MSH's Global Technical Lead for HIV and AIDS, Scott Kellerman, has co-edited a 12-paper special supplement on pediatric HIV and AIDS for the journal AIDS. Dr. Nandita Sugandhi from CHAI and Dr. Rami Yogev from Northwestern University Department of Pediatrics were also co-editors. The series was initiated last year because of concerns that key issues in pediatric HIV and AIDS were being overlooked, such as case findings for children missed by PMTCT; linkage, retention and adherence to care for infected children; and the growing cohort of HIV-exposed and uninfected children.

{Photo credit: Rachel Hassinger/MSH}Photo credit: Rachel Hassinger/MSH

MSH spoke with Sandra Guerrier, Ph, MSc, project director for the USAID-funded Leadership, Management & Sustainability Project in Haiti (LMS Haiti)—one of four MSH projects in the country. Tell us about LMS and MSH’s presence in Haiti.

 {Photo credit: Yvonne Otieno/MSH}Dr. John Chimumbwa, Health Commodities and Services Management (HCSM) program Chief of Party, speaks at the launch.Photo credit: Yvonne Otieno/MSH

Kenyatta National Hospital (KNH) unveiled a new drug formulary, the first of its kind in Kenya, on September 6, 2013. The formulary consists of a list of all drugs used at KNH and guidelines on prescribing, dispensing, and providing medicine information to patients. 

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