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Pharmacy Improvement Program
Improving quality in the pharmaceutical sector
Millicent Olulo OreraPharmAccess Kenya
Mombasa, 27th of September 2013
PharmAccess & GHFThis project was developed in collaboration between PharmAccess and Pfizer, as part of the Global Health Fellows (GHF) program
The key objectives of the fellowship were:
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Develop a viable model for the
Pharmacy Improvement
Program, which is built on the current program for clinics
with the loans component (MCF)
and quality component (SafeCare)
Test its feasibility through conducting
a pilot
Develop an implementation plan
and training materials
Issues in Pharmaceutical Industry
• Weak regulations• Poor product quality• Unregistered pharmacies• Fragmented supply chain• Lack of resources for healthcare• Weak pharmacy management • Stocks outs
Consequences for Customers in Africa
Limited availability
of medicines
Poor customer service
Unreliable quality of medicines
High medicine
prices
Pharmacy Improvement Program
Quality Improvement
Financing
Pharmacy management
Improve patient access to quality services and medicines through private standalone
pharmacies in Africa
Yes
Pharmacy Process flow
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Financial Assessment
Loan application & approval
Medium loandisbursed
Identification
Working capital facility
Situational AnalysisBusiness Plan
Quality Assessment/Improvement PlanPharmacy Management SystemPharmacy Management Training
Working Capital needed?
Loan approved?No
End of procedure
MCF approval?No
YesEnd of procedure
TA partnerBank
WholesalerOthers
Bank
Link with wholesaler
Yes
Parallel processes
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Bank appraisal
Loan disbursed
InvestmentsLoan repayment
Quality assessment
Monitoring
Working capital loan?
Stock financing
via wholesaler
Pharmacy managemen
t system
Quality improvemen
t planQuality
Financing
Business Business Plan
Pharmacy managemen
t training
MCF appraisal
Identification
Quality Assessment
• Evaluation of the infrastructure, equipment and processes in place
• Conducted following loan disbursement• Using the pharmacy quality standards
developed
Pharmacy Quality Standards
Level 1 - Risk Category A
Level 2 - Risk Category B
Level 3 - Risk Category C
Level 4 - Risk Category D
Completion of Program
Pharmacy Quality Standards (con’t)
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• Licensing, personnel, finance, customer, procurement, quality, Standard Operating Procedures (SOPs)
Management and Leadership
• Dispensing, inventory management, storage
Medication management
• Data, recordsInformation management
• Management, Prevention, Fire, Security, WasteRisk management
• Building, maintenance, equipment, electrical, ICT, water, sewage, housekeeping
Facilities
Pharmacy Quality Standards (con’t)
Category 7 Pharmacy: Retail (1) - personnel number is 1 person (including proprietors)
• 172 applicable quality standards
Category 8 Pharmacy: Retail (2) – personnel number is 2 persons or more (including proprietors)
• 214 applicable quality standards
Quality Improvement Plan
� Developed based on the areas for improvement identified during the quality assessment� Proposed action items to address areas for
improvement� Proposed timelines for progressive and practical
implementation at the facility
� Progress on Quality Improvement Plan monitoring� Self-monitoring (quarterly)� On-site visit (bi-yearly basis or as deemed necessary)
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Financial Activities
1. Pharmacy Business Plan2. Loans
A. Improvement Loan� 6,000 – 50,000 USD, tenor 6-36 months� Infrastructure, equipment� Pharmacy management system (PMS)
B. Working Capital Loan� Revolving facility� Stock financing
Pharmacy Management System (PMS)
• Essential for good management of pharmacy business and inventory
• Ensure sustainability of any improvements• The purchase and installation of an electronic
Pharmacy Management System is included as a requirement of the program.
Thank you! Asante sana!
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