1

Pharmacy Improvement Program

Improving quality in the pharmaceutical sector

Millicent Olulo OreraPharmAccess Kenya

Mombasa, 27th of September 2013

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:

2

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

Issues in Pharmaceutical Industry

• Weak regulations• Poor product quality• Unregistered pharmacies• Fragmented supply chain• Lack of resources for healthcare• Weak pharmacy management • Stocks outs

Consequences for Customers in Africa

Limited availability

of medicines

Poor customer service

Unreliable quality of medicines

High medicine

prices

Pharmacy Improvement Program

Quality Improvement

Financing

Pharmacy management

Improve patient access to quality services and medicines through private standalone

pharmacies in Africa

Yes

Pharmacy Process flow

6

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

Parallel processes

7

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

Quality Assessment

• Evaluation of the infrastructure, equipment and processes in place

• Conducted following loan disbursement• Using the pharmacy quality standards

developed

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

Pharmacy Quality Standards (con’t)

10

• 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

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

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)

12

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

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.

Thank you! Asante sana!