Greetings from FAPA

Federation of Asian Pharmaceutical Associations

Challenge for Post-Prandial Speakers

Leonila M. Ocampo, RPh, MS

President, PPhA

Philippines Pharmacists Association

OFFICERS AND COMMITTEE CHAIRS

Pharmacy Education Accreditation Panel Malaysian Qualification Authority/Pharmacy Council

National Patient Safety Council Ministry of Health Malaysia

Pharmacists must promote Pharmacovigilance

50,000 prescriptions found not to

be so correct!

In MALAYSIA

44,000 = 88 Aircrafts with 500 seats each

= 1 Air crash every 4 days

98,000 = 196 Aircrafts with 500 seats each

= 1 Air crash every 2 days

44,000 : 98,000

“To Err is Human: Building A Safer Health System”

Institute of Medicine (IOM) Report , 1999

MEDICAL/MEDICATION ERRORS FATALITIES

Many never get to see their loved ones again!

John C P Chang , FAPA President

Philippines Pharmacist Association Convention Manila – 26 – 28 April, 2012

Unleashing the Pharmacy Power in Asia

John C P Chang , FAPA President

Philippines Pharmacist Association Convention Manila – 26 – 28 April, 2012

Unleashing the Pharmacist Power in Asia

POWER OVERCOMING WEAKNESSES

MAXIMISING STRENGTHS

Power Equation

= +

Remove Negative Perception

Leader

Recognition

Individual Level Education, Training, Attitude, Knowledge, Skill

Pharmacy Institution Level Association, Legislations, Ethical Code, Best Practices,

Pharmacy Council, CPD, etc

National Level (Healthcare System) Advocacy, Leadership, Healthcare Team

Sources of Pharmacist Power

Objective

Member associations in Asia despite making significant progress in recent decade continue to face challenges in developing and promoting an effective and deservingly recognised pharmacy profession. With collective action we can achieve better results and in contributing to the betterment of healthcare system nationally and within the Asian Region.

a. Overview on the Issues and Challenges facing Pharmacists

in National Associations in Asia

b. How Member Associations under FAPA Leadership, as an

Asian Pharmacist Regional Organisation can help meet these

Challenges

Crystal-balling Pharmacist’s Future in Asia

Trials & Tribulation of Pharmacy

Pharmacy DNA

Ensuring Survival!

Pharmacy – among the most evolving Profession?

Favourite topics of pharmacy gatherings are on changing roles, new roles, etc

Evolving Roles Changing, Extending and Expanding

“A trend for pharmacy practice to move away from its original focus on compounding, medicine supply,

towards a more inclusive focus on patient care.”

Compounder Pre-packed

Medicines

Selling

Counseling

Service +

Information

Patient care

Pharmaceutical

Care

In 1995 PEW COMISSION IN THE US REPORT

“Revitalising the health profession for the

21st Century”

A SURPLUS OF 40,000

PHARMACISTS!

PHARMACISTS – The third largest healthcare

professional group in the world today.

Support from Strong Global Pharmacy Leadership

Gathering of Thought Leaders

sharing with Pharmacists from

Around the World

WHO

CONSULTATIVE

GROUP REPORT

New Delhi, 1988

&

WHO MEETING

Tokyo 1993

WHO Report Says……

“Effective medicine can be practised only where there is efficient drug management”

“Only when pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organised with the professionalism that they demand”

“ They are able to provide informed advice to patients with minor illnesses and often to those the more chronic conditions who are on established maintenance therapy

New tool to enhance role of pharmacists in health care

“The traditional role of pharmacists is to manufacture and

supply medicines. More recently, pharmacists have been faced with increasing health demands: an ever-growing and complex range of medicines, and poor adherence to prescribed medicines, have forced the evolution of the pharmacist’s role into a more patient centred approach (known as pharmaceutical care). Adherence to long-term therapy for chronic conditions in developed countries averages 50%, with even lower rates for developing countries”

MEANWHILE ASIA BOOMS

Emerging Asia

Pharmacists Reawakening to serve the People of Asia

Dawning of the 21st Century Asia

ASIA 46 countries 4 billion people

(60% of the world's population)

Over US$4 trillion of foreign exchange reserves - more than half of the world's total.

Increase in Demand for Healthcare and Pharmaceuticals

FACTORS INFLUENCING HEALTHCARE

POTENTIAL IN ASIA

Population growth, huge market potential

Better education and access to healthcare information

through Internet

Rising income and affluence, demand for quality care

More healthcare professionals being trained

Growing ageing population, living longer

Lifestyle illness, threat from non-communicable diseases

Healthcare and medical technology driven demand

Better healthcare delivery system and governance

PHARMACISTS REAWAKENING DRIVEN BY EXPANDING

PHARMACY INSTITUTIONS & NGOS

At the Opening Council Meeting FIP Congress, Hyderabad, India

3rd Sept. 2011

At the Opening Council Meeting FIP Congress, Hyderabad, India

3rd Sept. 2011

MANY CHALLENGES FACED BY

PHARMACISTS AT NATIONAL AND

INTERNATIONAL SCENE

Progress comes

with Challenges

REALITY Pharmacy and Pharmacists

although have come a long way

but we still have more distance to

cover!

Amidst the discussion at FIP Congress, reality sets in when delegates from

developing countries spoke out on the gaps in practice against developed

nations …

* Pharmacy Practice affected by the divide of advanced vs developing

healthcare system

Challenges are what make life

Overcoming them is INTERESTING

what makes life meaningful

Mark Twain

CHALLENGES AT NATIONAL/PROFESSION LEVEL

Pharmacists’ Mindset

Evolving roles of Pharmacists

Acceptance as member of healthcare profession –

by others, including consumers

Professionalism & Governance - Image

Adoption of Best Practices in Pharmacy – Advancing

Hospital and Community Practice

Dispensing Separation

Quality Pharmacy Education

Pharmacy Advocacy and Leadership

Harness the energy of Young Pharmacists

Strengthening the Pharmacy Organisations

1970 1975 1980 1985 1990 1995 2000 2005 2010

8 7 6 5 4 3 2 1 0

235 265 434 893 1325 2100 3168 4793 8300

PHARMACISTS MANPOWER GROWTH TREND

Malaysia ‘000

Pharmacist Densities by Income Economies Pharmacists Population Ratio Still Low

Huge Demand to become

Pharmacists

But are we getting the right

people to take up Pharmacy?

Dishonesty, Unethical!

“The Lack of Professionalism can affect the

image of Pharmacy Practice”

Threat to Professional Image

“Damaging News ”

Money

Job issues

Altruism

Health interest

Science

% c

as

es

(n

=1

30

8)

Slovenia

Romania

Swiss

NL

Portugal

Singapore

Nepal

Australia

Jamaica

Malaysia

0

25

50

75

MOTIVATION

in taking up Pharmacy Studies

Mindset

and Attitude

Pharmacists’ Mindset

A consequence of past and historical

development , trapped

Pharmacy – majority not the first choice

as a career, but things are changing

Seeing pharmacy more as a job rather

than a vocation (profession)

Self-centered, rather than institutional

centered

Still pursuing a product/logistic based

practice

Subservient to the medical profession

Unsure of where their future is or where

they are heading?

“Only when the pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organized with the professionalism that they demand.” The Role of the Pharmacist in the Health Care System (1994; 60 pages)

WHO Collaborative Study

As Pharmacists, we believe we are members of the Healthcare Team

But are we truly being

accepted?

In Reality, it has been an

“unequal” partnership

within the healthcare team

Pharmacy with the MoH, Malaysia

Pharmacy Practice in Brazil Submitted by Marco Antonio de Freitas (not verified) on Sat, 2007/04/14 -

19:22.

I'm a pharmacist in Brazil. In our country, every citizen has the right to own a pharmacy. You don't need to be a pharmacist to open a pharmacy. A pharmacy is considered a simple business like any other. Few pharmacists are pharmacy owners in Brazil. They are obliged to work for people with absolutely no qualification and earn very low salaries (US$ 9000,00 a year). The government do not include pharmacists in the national health programmes. The population don´t respect pharmacists as health professionals and usually treat them like pharmacy clerks(in our country one doesn´t need to be a pharmacy technician to work in a pharmacy side by side with a pharmacist. These unqualified people are like shop clerks in other countries). For these reasons many pharmacists abandon the career in Brazil. They feel very frustrated because of little recognition of their work and very low earnings.

Viewing Pharmacists as Threats!

Doctors, don’t act like Pharmacists!

PHYSICIANS

PHARMACISTS

COUNSELLING

SCREENING

OTC PRESCRIPTION

HEALTH

PROMOTION

DIAGNOSIS

TREATMENT VALIDATION

+ PHARMACEUTICAL CARE

MEDICAL CARE

Referring

Pharmacists and Physicians in the Value Chain

Dr Michel BUCHMANN, FIP vice-president, september 2001

The “War” Continues…

DISPENSING SEPARATION ISSUE IN MALAYSIA 31st March 2008 in the NST

Pharmacist Earning Respect!

“Pharmacists should move from behind the counter and start serving the public by providing care instead of pills only.

There is no future in the mere act of dispensing. That activity can and will be taken over by the internet, machines, and/or hardly trained technicians. The fact that pharmacists have an academic training and act as health care professionals puts a burden upon them to better serve the community than they currently do.”

(From: Pharmaceutical care, European developments in concepts,

implementation, and research: a review.1,p.x.)

Are Pharmacists

themselves obstacle to

their Growth &

Development?

Who is the Pharmacist?

Professional Image of Pharmacist

Pharmacy or Retail Outlet?

Franchised Logos

Pharmacy

PHARMACY A Pharmacist’s Franchise!

Dispensing

Big Image Problem to Overcome! A Malaysian Study

SS Chua et al.

Medical Profession is clinical and patient focus

What can we unify the Pharmacy Profession?

R&D Marketing

Hospital

Academia

Industrial Community

Pharmacy – Profession with many options

Common GOAL for these Pharmacists

Hospital

Industrial Community

R&D

Marketing

Academia

Patient

Safety &

Outcome

Pharmacists Across Practice Fields (%)

Hospital Sector

Community

Sector

Asia Hospital

Dominates

Pharmacy Today is

GLOBALLY CONNECTED

The Global Pharmacy Leader

has been leading the

transformation

Because WE share SIMILAR Issues and Problems!

Pharmacists’ Mindset

Evolving roles of Pharmacists

Acceptance as member of healthcare profession –

by others, including consumers

Professionalism & Governance - Image

Adoption of Best Practices in Pharmacy – Advancing

Hospital and Community Practice

Dispensing Separation

Quality Pharmacy Education

Pharmacy Advocacy and Leadership

Harness the energy of Young Pharmacists

Strengthening the Pharmacy Organisations

Quality Use of Medicines

“Reengineering Pharmacy Practice in a Changing World”

Global concerns surrounding rational drug therapy, the quality of the drug supply, the responsiveness to patient needs around drug information, and the structuring of pharmacy practice to meet new governmental and social demands.

Ideals and Idealists: Striving to Achieve Our Societal Imperative Henri R. Manasse, Jr. 2007;64(16):1685-1692. © 2007 American Society of Health-System Pharmacists

As a result, our profession is becoming more globally connected. And we are coming to need each other as we position our profession for the future.

With the rapid pace of global change affecting our profession daily,

interconnections with our global counterparts is

vital. We must begin to work together to tackle these changes and

develop universal standards to improve the quality of care and

safety we provide our patients.

HOW CAN

FAPA

SHOW THE

WAY?

As an Asian

Regional Pharmacy

Organisation

FAPA will cooperate

with FIP as a global

leader and other

pharmacy related

organisations

to address these issues

Gaps Still Persist

Many challenges faced by

pharmacists in member

countries in Asia

FAPA Leveling the Playing Field, Not Lowering

Advanced

Practice

Basic

Practice

Unity in Diversity

EXCITING ROLE FOR

FAPA!

Within the Pharmacy Community

Taipei, 5-8, November, 2010

Present at this

Workshop/Seminar in

Yogyakarta are international

pharmacy leaders from no less

than 14 countries

SHARING, INFLUENCING, and

BRINGING CHANGE To the Profession

Are We Together Again

All of the great leaders have had one

characteristic in common; it was the

willingness to confront unequivocally

the major anxiety of their people in

their time. This, and not much else, is

the essence of leadership.

- John Kenneth Galbraith

FAPA Federation of Asian Pharmaceutical Associations

COMMON ISSUES

PLATFORM FOR DISCUSSION

SHARING OF KNOWLEDGE, SKILL AND EXPERIENCES

DEVELOPING A STRONG NETWORK OF MEMBER

ORGANISATIONS

INSTITUTIONAL SUPPORT

AUSTRALIA

HONG

KONG

Countries in Asia

Member Organisations

fully aware of the potential of

pharmacists contributing to national healthcare system

A Young Pharmacist Says: “The pharmacy profession is,

and always should be, a dynamic healthcare profession.

It has much potency that still needs to be developed so that

we may best meet the needs of the community”

Harnessing the Energy and

Dynamism of Young Pharmacist

Groups in Asia

YPG Philippines

YPG Malaysia

YPG Taiwan

FAPA INTERNATIONAL TRAVEL SCHOLARSHIP FOR YPG IN DEVELOPING COUNTRIES

“ In conclusions, FAPA Taipei had successfully met its objective in bringing pharmacists in different segment from all over the world in sharing the latest advancement in term of profession, technology, issues and pharmaceutical care as a whole. Representing Malaysia as a young pharmacist has provided me with the sense of where we are now compared to other developed Asia countries. .....We do have the ultimate goal which is to make our profession respectable and recognized in the community. We should have the vision and the goal to improve the current practices so that we will benefit not only in terms of workload relief but also entire health care system.” Mr Ong Aik Liang, Ward Supply Pharmacist at Pusat Perubatan University Kebangsaan Malaysia. He was one of the recipients of the FAPA Travel Scholarships

which enabled him to attend the FAPA2010 conference in Taiwan.

FAPA Travel Scholarships

Quality PHARMACY EDUCATION

is the key driver of PHARMACY DEVELOPMENT

PHARMACY

EDUCATION HAS NOW

COME UNDER THE

RADAR SCREEN OF

WORLD THOUGHT

LEADERS AND

ORGANISATIONS

The WHO UNESCO FIP Pharmacy Education Taskforce: Enabling Concerted and Collective Global Action

Claire Anderson, PhD,a Ian Bates,MSc,b Diane Beck, Pharm D,c Tina Brock, EdD,d Billy Futter, MComm,e

Hugo Mercer, PhD,f Mike Rouse, BPharm,g Tana Wuliji, BPharm,h and Akemi Yonemura, EdDi

Vision Against the background of complex pharmacy workforce trends,

changes in the roles of pharmacists and growing health challenges, an essential need exists to have a clear and shared vision for professional pharmacy education as well as a process for building collective action and momentum to develop quality pharmacy education.

Further consultation and research is needed in addition to the establishment of an effective global sharing platform.

Plans are also currently in the advanced stages of development for the establishment of a global pharmacy education network, GPhEd, of pharmacy schools through the UNESCO UNITWIN (university twinning) programme.

FAPA-AASP WORKSHOP ON PHARMACY EDUCATION

IMPORTANCE OF CREDENTIALS IN PHARMACY

A pharmacist’s credentials are indicators that he or she holds the qualifications needed to practice

the profession of pharmacy and is therefore worthy of the trust of patients, of other health care

professionals, and of society as a whole. In the profession of pharmacy, the interest in credentials

has been catalyzed in recent years by several factors.

* First among them are the pace of change and the increasing complexity of health

care.

* Second factor is the pharmacist’s expanding patient-centered role. Interest in

credentialing has likewise been stimulated by the growing trend toward specialization in

pharmacy practice and by the need to document the pharmacist’s ability to provide specialty

care.

* Third factor has been the need to assure the public, employers, payers, other

health providers, and other pharmacists that practitioners are competent no matter where they are

in their careers and where they practice.

* Fourth, economic realities enter the picture. Pharmacists who are providing cognitive services or

specialized care should be compensated for the services they provide. Similarly, payers rightfully

expect and deserve to receive validation that pharmacists are qualified to provide such services.

Credentials, and in many cases, more specifically, certification, can help provide the

documentation that Medicare and Medicaid, managed care organizations, and other third-party

payers require of pharmacists today and in the future.

INTERACTING WITH OTHE INTERNATIONAL/REGIONAL

ORGANISATIONS

WHO

FIP ACCP AASP AFPS

Essential Elements

to

Advancing the

Pharmacy Profession

Power Triangle

Communication

POWER

Hill & Knowlton CEO

MPS appealed against

shortening Pharmacy

Course

PHARMACY TRAINING INSTITUTIONS

IN MALAYSIA

USM

UKM

UM

IIU

UiTM

IMU

UCSI

AIMST

NOTTINGHAM

CYBERJAYA

MASTERSKILL

MSU

MAHSA

SEGI –SUNDERLAND

MONASH

\

Public Private

FAPA Forum on Community Pharmacy Accreditation Taipei, Taiwan (2010)

The Bill was finally passed

What is the Impact on Pharmacists

performing Screening Tests?

Asian Community Needs Help

CONCLUSION

Pharmacy Profession has evolved over time to meet the changing

healthcare needs of the people and nations

However there are still many issues and challenges confronting the

profession.

Asia as a region has enjoyed unprecedented socio-economic growth

leading to huge demand for pharmaceuticals and healthcare

services

Demand for pharmacists is expected to grow at fast pace

Promoting the evolving roles of pharmacists

Developing a strong Young Pharmacist Group to energize the

profession

Enhancing Professionalism & Governance - Image

Adoption of Best Practices in Pharmacy – Advancing Hospital and

Community Practice

Promoting Quality Pharmacy Education

Pharmacy Advocacy and Leadership

Strengthening management of member organisations

FAPA Federation of Asian Pharmaceutical Associations

COMMON ISSUES

PLATFORM FOR DISCUSSION

SHARING OF KNOWLEDGE, SKILL AND EXPERIENCES

DEVELOPING A STRONG NETWORK OF MEMBER

ORGANISATIONS

INSTITUTIONAL SUPPORT

HOW CAN FAPA CONTRIBUTE TO THE DEVELOPMENT OF PHARMACY IN ASIA?

Creating strong networking amongst pharmacist community, within

Asia and outside it, and with other international pharmacy

organisations

Creating opportunities for sharing of knowledge and information

Identifying common areas of concern and sharing experiences

Improving the perception on pharmacist’s role and image

Promoting the evolving roles of pharmacists

Developing a strong Young Pharmacist Group to energize the

profession

Enhancing Professionalism & Governance - Image

Adoption of Best Practices in Pharmacy – Advancing Hospital and

Community Practice

Promoting Quality Pharmacy Education

Pharmacy Advocacy and Leadership

Strengthening management of member organisations

Thank You For Your Kind Attention!