pharmacy improvement program - safecare.org. millicent olulo orera - quality of the... · pharmacy...
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Pharmacy Improvement Program
Improving quality in the pharmaceutical sector
Millicent Olulo OreraPharmAccess Kenya
Mombasa, 27th of September 2013
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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
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Issues in Pharmaceutical Industry
• Weak regulations• Poor product quality• Unregistered pharmacies• Fragmented supply chain• Lack of resources for healthcare• Weak pharmacy management • Stocks outs
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Consequences for Customers in Africa
Limited availability
of medicines
Poor customer service
Unreliable quality of medicines
High medicine
prices
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Pharmacy Improvement Program
Quality Improvement
Financing
Pharmacy management
Improve patient access to quality services and medicines through private standalone
pharmacies in Africa
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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
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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
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Quality Assessment
• Evaluation of the infrastructure, equipment and processes in place
• Conducted following loan disbursement• Using the pharmacy quality standards
developed
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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
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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
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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
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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
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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.
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Thank you! Asante sana!