The CAP/CHART connection

2004-2007

Bringing Caribbean Pharmacists into the HIV/AIDS care loop

ABOUT CAP

ESTB 1976 Individual members

800 Pharmacists from the Caribbean

National Associations & Councils

Associate members Annual meeting in

August each year Leadership elected

every 2 years Regional and

international linkages

Our vision

Developing and Empowering the Pharmacists of the Caribbean toward excellence in the provision of all aspects of pharmacy practice

Broad aims of CAP/CHART initiatives Improved patient/client care Increased access and seamless care Achieving equity Initiate mainstreaming Integrate HIV/AIDS training into the Continuing

Professional Development (CPD) framework Research outputs Health promotion and prevention initiatives Enhanced pre-service training Strengthen internal CPD structures Harmonization and Standardization

Selected findingsCAP Baseline Survey 2002

Training required Knowledge levels unacceptable to pharmacistsPharmacists willing Pharmacists willing to expand access to ARTs Pharmacists willing to participate in the care processAttitude shift indicated Need for positive shifts in attitude identified

Caribbean Association of Pharmacists KABP (2002)

Diffusion approach

DiffusionA special type of communication process in which participants create and share information with one another to reach mutual understanding

Everett, Rogers. Diffusion of Innovation (1995)

CAPMay 2004

St. Vincent & the Grenadines Trainer of Trainers (Innovators & opinion

leaders)

The pharmacology of ARTs (basic) Adherence to treatment Treatment of HIV/AIDS

50 participants

CAP/CHARTAugust 2004

Belize Early majority (peer respected)

Treatment of HIV/AIDS Side effect management

200 participants

CAP/CHARTMay 2005

Nassau , Bahamas Trainer of Trainers (Innovators ,

opinion leaders)

Antiretrovirals and Adverse Drug Interactions.

Drug/Herbal interactions

50 participants

CAP/CHARTAugust 2005

Guyana

Early majorityHIV/AIDS:Emerging co-infections

and comorbidities

Works shop (30 persons)

Pharmacoeconomic considerations

and rational drug procurement

250 participants

CAP/CHART December 2005

Tobago

Nutritional aspects (CFNI) Orientation to laboratory values (CAREC) Communication for concordance

50 participantsSponsors: Tobago House of Assembly, Ministry of Health,

Trinidad and Tobago

CAP/CHARTMarch 20-April 1, 2006

Jamaica-Kingston and Montego BayTrainer of trainers

Basic pharmacoeconomics and rational drug procurement

Caribbean drug treatment guidelines

45 participants Sponsors: National Health Fund (Jamaica):

Ministries of Health- Trinidad and Tobago, St. Vincent, Guyana, St. Lucia, Bahamas. Corporate sponsors-CARIMED, Bayer pharmaceuticals, CARPIN

CAP/CHART May 2006

Suriname

Trainer of trainers Mainstreaming Dialogue 1 Psychosocial aspects of

HIV/AIDS care

30 participants

CAP/CHARTAugust 2006

St. Kitts NevisEarly majority

Mainstreaming Dialogue 2 Children and HIV/AIDS HIV/AIDS and Substance Abuse Taking care of PLWHAs

(workshop)-PLWHA facilitated

200 participants

CAP December 2006

Dominica Early majority

Basic pharmacoeconomics Advanced pharmacoeconomics ( 2 completing) Caribbean HIV/AIDS treatment guidelines

22 participants

Partners: Pharmacists of Dominica and Trinidad and Tobago

Overview of country involvement

Beneficiaries Jamaica, Trinidad and Tobago, St. Vincent & the

Grenadines, St. Kitts Nevis, Turks and Caicos, Anguilla, Cuba, Belize, Bahamas, Dominica, Guyana, Suriname, Curacao, St. Lucia.

Targetted: Barbados, Haiti, Cayman, Grenada, Antigua and Barbuda

Plans 2007 Pre-service training

Lecturers and curricula June 2007, August 2007

Late majority Collaboration with PPS in St. Lucia Comprehensive HIV/AIDS training May 14-19, 2007

Workshop - Role of the Caribbean pharmacist in HIV/AIDS care

Advanced pharmacoeconomics Pharmacology of ARTs August 2007 Cayman Islands

KABP report 2007

Challenges Harmonization and standardization Regional cost reduction strategies for

ARVsARVs Improving and expanding service delivery Funding

Thank you

www.cap.org.jm