Implementing an Integrated Pharmaceutical Management Information System for Antiretrovirals and Other Medicines: Lessons From Namibia

Mabirizi, David; Phulu, Bayobuya; Churfo, Wuletaw; Mwinga, Samson; Mazibuko, Greatjoy; Sagwa, Evans; Indongo, Lazarus; Hafner, Tamara

doi:10.9745/ghsp-d-18-00157

Cited by 19 publications

(16 citation statements)

References 5 publications

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“…In Mozambique, a robust electronic patient management system facilitated a facility-level reporting of required indicators, improved ability to identify patients lost to follow-up; and support facility and patient management for HIV care [19]. An implementation study aimed at implementing an integrated pharmaceutical management information system for antiretroviral treatment (ART) and other medicines in Namibia showed the system's reliability in managing ART patients, monitoring ART adherence and HIV drug resistance early warning indicators [20].…”

Section: Opportunities Presented By Ehis In the Lmicsmentioning

confidence: 99%

Electronic Health Information Systems to Improve Disease Diagnosis and Management at Point-of-Care in Low and Middle Income Countries: A Narrative Review

2020

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The purpose of an electronic health information system (EHIS) is to support health care workers in providing health care services to an individual client and to enable data exchange among service providers. The demand to explore the use of EHIS for diagnosis and management of communicable and non-communicable diseases has increased dramatically due to the volume of patient data and the need to retain patients in care. In addition, the advent of Coronavirus disease 2019 (COVID-19) pandemic in high disease burdened low and middle income countries (LMICs) has increased the need for robust EHIS to enable efficient surveillance of the pandemic. EHIS has potential to enable efficient delivery of disease diagnostics services at point-of-care (POC) and reduce medical errors. This review provides an overview of literature on EHIS’s with a focus on describing the key components of EHIS and presenting evidence on enablers and barriers to implementation of EHISs in LMICs. With guidance from the presented evidence, we proposed EHIS key stakeholders’ roles and responsibilities to ensure efficient utility of EHIS for disease diagnosis and management at POC in LMICs.

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Section: Opportunities Presented By Ehis In the Lmicsmentioning

confidence: 99%

Electronic Health Information Systems to Improve Disease Diagnosis and Management at Point-of-Care in Low and Middle Income Countries: A Narrative Review

2020

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“…Strengthening of supply chain of Antiretroviral therapy (ARVs) is very crucial in order to make essential medicines available. 1 In Namibia, several efforts have been done to strengthen supply chain of ARVs, including strengthening Prevention of Mother to Child Transmission (PMTCT) programs, but sporadic shortage has been reported. 1 , 2 The situation may be caused by the absence of a clear picture of aggregation of consumption figures of Nevirapine (NVP) syrup in medical stores and within health facilities, which has not been given much attention.…”

Section: Introductionmentioning

confidence: 99%

“… 1 In Namibia, several efforts have been done to strengthen supply chain of ARVs, including strengthening Prevention of Mother to Child Transmission (PMTCT) programs, but sporadic shortage has been reported. 1 , 2 The situation may be caused by the absence of a clear picture of aggregation of consumption figures of Nevirapine (NVP) syrup in medical stores and within health facilities, which has not been given much attention. This study has examined the supply-chain system in Oshana region and has developed an optimal mathematical supply-chain model, which is needed to ensure achievement of optimal conditions to prevent stock-outs of NVP syrup.…”

Section: Introductionmentioning

confidence: 99%

Time series analysis of Nevirapine syrup consumption in prevention of mother-tochild transmission and optimal supply chain model in Oshana region, Namibia

Magesa

Kabwebwe

Angula

2020

J. Public Health Afr.

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Introduction. HIV/AIDS continue to be serious communicable disease whose impact on public health in Namibia is massive. It is estimated that the prevalence rate of HIV in Namibia is 17.2%, ranking the country as the fifth highest in sub-Saharan Africa (SSA). Some improvement in reducing the number of cases of HIV/AIDS has been made in the country, but the sporadic shortage of medicines continues to slow down government efforts to foster the emergence of an HIV-free generation of Namibians Objective of the study. Develop and demonstrate a mathematical supply-chain model, which can establish parameters to prevent stock-outs of NVP suspension. Method: The study adopted retrospective approach to acquire data from 2012-2016. Results. Gamma supply chain model was developed as the optimal model for NVP syrup and forecasted consumption for 2017-2018 was determined. Conclusion and recommendation. It is a recommendation of this study that new guidelines for implementation of optimal supply-chain models at the regional medical store, health centers and clinics be implemented for Nevirapine syrup.

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“…ADRs are a major cause of hospital admissions and treatment interruptions; it was estimated that approximately 6.5% of hospital admissions were due to ADRs in the United Kingdom . As sub‐Saharan Africa (SSA) is worst hit by the HIV epidemic, it is important that systems are in place to monitor new and ongoing antiretroviral therapies (ART) . As newer medicines are increasingly integrated into standard treatment guidelines for public health care in SSA, the strengthening of adverse drug reaction reporting becomes critical to improve quality of care …”

Section: Introductionmentioning

confidence: 99%

“…4 As sub-Saharan Africa (SSA) is worst hit by the HIV epidemic, it is important that systems are in place to monitor new and ongoing antiretroviral therapies (ART). 5 As newer medicines are increasingly integrated into standard treatment guidelines for public health care in SSA, the strengthening of adverse drug reaction reporting becomes critical to improve quality of care. 6,7 In addition, this integration of new essential medicines into standard treatment guidelines not only demands improved pharmacovigilance but also raises the need for training and awareness of healthcare workers concerning ADRs and ADR reporting.…”

Section: Introductionmentioning

confidence: 99%

Optimizing spontaneous adverse drug reaction reporting in public healthcare setting in Namibia

Adenuga

Kibuule

Rennie

2019

Basic Clin Pharma Tox

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Despite the universal scale‐up of pharmacovigilance systems globally, adverse drug reaction (ADR) reporting remains suboptimal among resource‐limited countries. Few studies in sub‐Saharan Africa evaluate the effectiveness of adverse drug reaction (ADR) reporting programmes. A cross‐sectional survey using a self‐administered questionnaire to assess ADR reporting knowledge, attitude and practices among healthcare workers in Namibia's public sector was conducted between September and December 2018. The primary outcome were practices, knowledge and attitude of the respondents towards ADR reporting. Quantitative and qualitative data were analysed using descriptive statistics and thematic analysis, respectively. Of the 197 healthcare workers surveyed, 43.1% were nurses, 63.4% of the respondents knew about the ADR reporting system in Namibia, 76.7% knew the pharmacovigilance/ADR reporting centre in Namibia, while 37.3% had reported an ADR before. Nurses were less likely to be knowledgeable and report ADRs. The independent predictor of ADR reporting was the nursing cadre; adjusted odds ratio (aOR) = 0.17 (95% CI: 0.07, 0.401, P < .01). Pre‐ and in‐service trainings including introduction of electronic reporting platforms were some of the identified ways of optimizing the pharmacovigilance and ADR reporting systems by the respondents. As pharmacovigilance in Namibia relies on spontaneous reporting of ADRs, there is a need for advocacy and workforce strengthening for ADR reporting in the public health sector.

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Implementing an Integrated Pharmaceutical Management Information System for Antiretrovirals and Other Medicines: Lessons From Namibia

Abstract: Integrating patient and commodity data into one system while maintaining specialized functionality has allowed managers to monitor and mitigate stock-out risks more effectively, as well as provide earlier warning for HIV drug resistance.

Cited by 19 publications

References 5 publications

Electronic Health Information Systems to Improve Disease Diagnosis and Management at Point-of-Care in Low and Middle Income Countries: A Narrative Review

Electronic Health Information Systems to Improve Disease Diagnosis and Management at Point-of-Care in Low and Middle Income Countries: A Narrative Review

Time series analysis of Nevirapine syrup consumption in prevention of mother-tochild transmission and optimal supply chain model in Oshana region, Namibia

Optimizing spontaneous adverse drug reaction reporting in public healthcare setting in Namibia

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