AIDS Medicines and Diagnostics Service (AMDS) Annual ...•To assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health

AIDS Medicines and Diagnostics Service (AMDS)

Annual Stakeholders and Partners Meeting

Francis Aboagye-Nyame

Program Director, SIAPS Geneva, Switzerland

18 - 19 June 2012

Overview of the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program Improved Access. Improved Services. Better Health Outcomes.

Improved Access. Improved Services. Better Health Outcomes

Improved Access. Improved Services…


Oshakati Hospital Pharmacy

• Situation 4000 ART patients

1 Pharmacist

3 Pharmacist’s Assistants

• Functions of the pharmacy Dispensing ART, prophylaxis and other prescription medicine for

HIV/AIDS patients conforming to the criteria for initiation of treatment

Quantification and ordering of ART medicines from the CMS

Stock control and management of ART medicines, condoms, HIV rapid test kits

Counseling services for HIV/AIDS patients on medication use, side effects, therapeutic and toxic interactions of medicines

Monitoring defaulting patients


Introduction of ARV Dispensing Tool (ADT)

• Maintains records for each patient receiving ART Tracks patient profile and medication history

Links patient information and ARV medicines use history

• Tracks stock movement in a facility

• Improves quality of ART dispensing services Generates daily refill list of expected patients

Facilitates defaulter tracing/adherence monitoring

Removes need for transcribing prescription/reduces errors

• Generates key management reports Monthly ARV consumption

Uptake Trends and Currently Active Patients per Regimen

Stock status report


• Better scheduling of patient visits to the pharmacy leading to better dispensing and counseling practices

• Reduction of patient waiting time

• Enhanced labeling for patients leading to better medicine adherence and safety

• Easy and speedy retrieval of patient and stock information

• Better quantification, planning and decision leading to improved availability

• Reductions in daily work hours (Close at 5pm vs. 8pm) leading to improved staff morale, service efficiency, etc.

Improved Outcomes at Oshakati Hospital Pharmacy


Evolution to SIAPS

• Regional Pharmaceutical Management Project [Eastern Caribbean Drug Service] • 1986 – 1990

• Rational Pharmaceutical Management Project (RPM) • 1992 – 1999

• Rational Pharmaceutical Management Plus Program (RPM Plus) • 2000 – 2007

• Strengthening Pharmaceutical Systems Program (SPS) • 2007 – 2012

• Systems for Improved Access to Pharmaceuticals and Services (SIAPS) • 2011 – 2016


SIAPS Program Information

• Program name

• Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program

• Period of performance

• 5 years

• September 23, 2011, to September 22, 2016

• Total award amount

• Award: $197,926,458


Overall Goal and Objective

• Goal

• To assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health outcomes

• Objective

• To promote and use a systems-strengthening approach consistent with the Global Health Initiative that will result in positive and sustainable health impact

Health Outcomes

Services

Products


Intermediate Results

• Strengthen pharmaceutical sector governance

• Build individual, organizational, and institutional capacity for pharmaceutical supply management and services

• Address the information for decision-making challenges in the pharmaceutical sector

• Strengthen financing strategies and mechanisms to improve access to medicines

• Improve pharmaceutical services to achieve desired health outcomes


SIAPS Systems Strengthening Approach


SIAPS Technical Focus

Pharmaceutical Systems

Laws and Regulations

Medicines Policy

Regulatory Affairs

Quality Assurance

Product Selection

Medication Safety/Pharmacovigilance

Pharmaceutical Financing

Pharmaceutical Services

Pharmaceutical Care

Case Management

Rational Use

Adherence

AMR and Infection Control

STG/EML

Diagnostic Services

Supply Chain Management

Quantification

Supply Planning

Procurement

Customs Clearance

Transportation

Warehousing

Inventory Management

Distribution

Waste Management

Pharmaceutical MIS

LMIS

Service Data

Patient Information

Product Information

Organizational Information

Electronic Tools

Decision Support Systems - Dashboards

Health Elements: Malaria, HIV/AIDS, FP/RH, MCH, TB


Our Focus, Approach & Expertise


Technical Frameworks – 1 Options Analysis

Enhancing Access


Technical Frameworks – 2


Technical Frameworks – 3 Quality Assurance

Pharmaceutical Services


Technical Frameworks – 4


Tools for Pharmaceutical Management

Pharmadex


Where SIAPS/SPS Works

• TA in 30 countries • Offices in 22 countries • 340+ Staff worldwide • 80+% of staff from host country

SIAPS Field Offices

• Angola • Bangladesh • Brazil • Burundi • Cameroon • Dominican Republic* • DRC • Ethiopia • Haiti* • Lesotho • Liberia • Rwanda† • Guatemala* • Guinea • Mali • Mozambique • Namibia • Jordan* • Philippines • South Africa • South Sudan • Swaziland • Vietnam*

SPS • Afghanistan • Kenya • Madagascar • Ukraine


SIAPS Team

• Lead

• Management Sciences for Health

• Partners (4)

• ACPE, Harvard University (Pilgrim Institute & School of Public Health), LMI, UW

• Specialized Resources (5)

• AMREF, EPN, R4D, RTT Group, WDI


Management Sciences for Health

Saving lives and improving health,

especially among the world’s poorest and most vulnerable people,

by closing the gap between knowledge and action in public health.


MSH coverage – >2300 Staff, >70 nationalities, based in 45 countries


SIAPS Partners

Accreditation Council for Pharmacy Education

Harvard University

• Pilgrim Institute

• School of Public Health

Logistics Management Institute

University of Washington’s Department of Global Health


African Medical and Research Foundation

Ecumenical Pharmaceutical Network

Results for Development

RTT Group

VillageReach

William Davidson Institute

SIAPS Specialized Resource Partners


Core Operating Principles

• Emphasis on the Health systems strengthening approach

• Designing interventions based on GHI principles

• Building capacity of local institutions to implement interventions and provide TA

• Delivering interventions through local institutions

• Emphasis on country owned, country lead and sustainability

• Going beyond MOH

• Emphasis on measurements and demonstrating impact on health outcomes

SIAPS …

works with local USAID Missions, Ministries of Health, partners and stakeholders to build

capacity to assure the availability of quality pharmaceutical products and effective

pharmaceutical services to achieve desired health outcomes.


Better health outcomes…

Thank You

Documents

AIDS Medicines and Diagnostics Service (AMDS) Annual ...•To assure the availability of quality pharmaceutical products and effective pharmaceutical services to achieve desired health