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• On23rdApril2013,withsupportfromMSH/HCSM,thePPBlaunchedthePharmacovigilanceElectronicReportingSystem(PV-ERSforreportingsuspectedADRsandpoorqualitymedicinalproductsthrough:
– onlineandofflineaccessviamobileandfixeddevices
• Thelaunchwasattendedbykeystakeholdersinhealth,topofficialsfromtheHealthMinistriesandwasofficiallylaunchedbythePermanentSecretary,MinistryofInformationandCommunication,Dr.BitangeNdemo.
• Theapplicationcanbedownloadedeitheronacomputeroraccessedonasmartphone,orthereportcanbemadedirectlytothePPBontheirwebsite(http://www.pv.pharmacyboardkenya.org).
• Theinnovativedigitalsystemhasmade reporting easier, more cost effective, and prompt, and will serve to build its own database for future reference.
• ThePV-ERShasincreasedthevisibilityofthesupportofUSAIDandMSH/HCSMtotheKenyapharmacovigilancesystemstrengthening:
– Thelaunchwascoveredinseveralinternationalandlocalchannelsincludingprintandaudiomedia.
– USAIDandPPBparticipatedinalive-radioshowlinkingthePV-ERStoinnovation,sustainabilityandpatientsafety
• ThisinfluxofpharmacovigilanceinformationtoPPBhasresultedin:
– quarantining,recalling,orwithdrawingsomemedicines;changesinlabeling;lineinspectionsforcontinuousGoodManufacturingPractices;and,inonecase,theclosureofapharmaceuticalcompanythatwasnotmeetingregulatoryrequirements.
KusuN1,OumaC1,PanditJ2,AbwaoE2,MurimiG2,SiyoiF2,KoskeiK2,WanyeeS3,OkemwaE3,AnampiuP3
Management Sciences for Health/Health Commodities and Services Management (MSH/HCSM) Program, Nairobi, Kenya1
Pharmacy and Poisons Board (PPB)2 IntelliSOFT Consulting Limited3
Background
Approach
• EnhancingpatientsafetyremainsthecoreactivityforanyhealthcareproviderandthecoremandateofanyMedicinesRegulatoryAuthoritysuchasthePharmacyandPoisonsBoard(PPB).
• Pharmacovigilanceisonesuchsystemthathelpsensureandenhancepatientsafety.
• TheKenyaNationalPharmacovigilanceSystemwaslaunchedinJune2009
• Sincethen,theNationalPharmacovigilanceCentreatthePPBhasreceivedover6300suspectedAdverseDrugReactions(ADRs)andover375PoorQualityMedicinesreports,allpaper-based.
• Howeverroutinechallengescontinuetoincreasebecauseof:
– timeforreporting,providingfeedbackanddocumentinginvariousinstitutionalfiles
– thecost incurredforprinting,dissemination,makingmultiplecopiesanddataentryforthereceivedreports
– needforproperfilingandstorage.
• ThereforeappropriateandadequateuseofInformation,CommunicationsandTechnology(ICT)isnecessarytoimprovecollectionandmanagementofdataonthesafetyandqualityofmedicinesandmedicinalproducts
Embracing Technology in the Kenya National Pharmacovigilance Reporting System... “Kenya Goes Green”
Source: `The Lifesaver: MIPV newsletter, 1st edition, September 2011
• FromseveralpharmacovigilancerelatedtrainingsandstakeholderforacarriedoutinKenya,the need for a more efficient electronic reporting system (ERS)forhealthcareworkerstoreportdirectlytothePPBbecamemoreapparent.
• ThePPBwithsupportfromUSAIDthroughManagementSciencesforHealth/HealthCommoditiesandServicesManagement(MSH/HCSM)programandworkingwithIntelliSOFTConsulting,alocalITfirmdevelopedthePharmacovigilanceERS(PV-ERS).
– ThisisasuiteoffoursoftwareapplicationsenablinganyonetoreportsuspectedADRsandpoorqualitymedicinalproductsthroughonlineandofflineaccessviamobileandfixeddevices.
– Thesystemisbasedonanopen-shareLinuxsoftwareplatform
Results
Lessons Learned Acknowledgements • ThePV-ERSisalocallydevelopedICTsolutiontailoredtoprovideinformationfordecisionmakingbypolicymakers,publichealthprogramsandhealthcareworkers.
• DevelopmentofPV-ERSdemonstratesthatitispossibletodevelopcost-effective home-grown solutions thataddressspecificprioritiesthroughcollaboration and partnerships
• ThePharmacyandPoisonsBoard
• IntelliSOFTConsultingLimited
• USAID
• MSH/HealthCommoditiesandServicesManagementProgram
Conclusion
Next Steps
• ThePV-ERSisexpectedtoboostreportingandtrackingofsuspectedADRsandpoorqualitymedicinalproducts.
• ThePV-ERSwillultimatelyimproveassessmentandcommunicationofsafetyandqualityinformationofmedicinesinthemarket.
• ThePV-ERSwillpromotepatientsafetyandhealthoutcomes
• ThiswillinvolvesensitizinghealthcareprovidersonitsuseandrolloutofthesystemalongsideintegratingthesamewithotherexistingelectronicmedicalrecordsystemsinKenya.
• “Digital Kenya, here we come”.
The Permanent Secretary in the Ministry of Information and Communication, Dr.Bitange Ndemo, said that he will ensure that Kenyans access this digital pharmacovigilance reporting system and report from their mobile phones free of charge