programmes: 661 and 662 - world health...
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CORPORATE PLAN FOR THE YEAR
2011
PHARMACEUTICAL SERVICES
PROGRAMMES: 661 and 662
PREPARED BY:
THE PHARMACEUTICAL SERVICES
CORPORATE PLAN FOR THE YEAR 2011
CENTRAL MEDICAL STORES
PROGRAMME: 661
TABLE OF CONTENTS
Introduction......................................................................................................................................1
Mission Statement............................................................................................................................1
Vision Statement..............................................................................................................................1
Key Clients......................................................................................................................................2
SWOT Analysis
Strengths..............................................................................................................................2
Weaknesses .........................................................................................................................2
Opportunities........................................................................................................................3
Threats..................................................................................................................................3
Critical Issues...................................................................................................................................3
Program Review
Achievements.......................................................................................................................4
Program Objectives .........................................................................................................................4
Key Result Indicators ......................................................................................................................4
Proposals..........................................................................................................................................5
Estimated Budget.............................................................................................................................6
Appendices
Appendix I: CMS Staff.......................................................................................................7
Appendix II: Proposed Organogram for Central Medical Stores.......................................8
1
CORPORATE PLAN FOR THE YEAR
2011
CENTRAL MEDICAL STORES
PROGRAMME: 661
INTRODUCTION
Central Medical Stores (CMS) plays a vital role in the quest of the Ministry of Health and the
Environment to address the health needs of the population of St. Vincent and the Grenadines.
The department performs activities geared to ensuring availability of supplies to public health
institutions and handles customs clearance for other departments under the Ministry of Health
and the Environment.
MISSION STATEMENT:
Central Medical Stores is charged with the responsibility to procure, manage, prepare, and
distribute all pharmaceuticals and medical supplies for use within the public health sector.
VISION STATEMENT:
The vision of the Pharmaceutical Service is to have sufficient competencies to ensure that there
are appropriate drugs and medical supplies of good quality, in the right place, at the right time
and at the right price and the services must be very efficient.
2
KEY CLIENTS
Health professionals and the general population served through hospitals and health centers.
SWOT ANALYSIS
Strengths:
Central procurement
Improved distribution system
Acceptable service levels
Weaknesses
Inadequate financing
Inadequate storage
Lack of efficient inventory management system to deal with more than 1000 items
Difficulty for proper inventory record keeping
Inappropriate forecasting method
Deficient human resources (storekeeper/assistant manager, qualified staff)
Absence of satisfactory internal communication system
3
Opportunities
CMS is poised to deliver a service that ensures a constant and reliable supply of quality
pharmaceuticals and other supplies to all health institutions in the state. This opportunity
is maximized albeit in the face of long-standing and continuing threats due to limited
human and financial resources.
Coordinated central procurement encourages bulk ordering to take advantage of lower
prices.
Threats:
The increasing cost of the pharmaceutical budget
Poor debt servicing record
Withholding of goods and services by suppliers
CRITICAL ISSUES
Lack of Inventory Management Computer System
Inadequate financing
Withholding of goods/orders by suppliers/OECS-PPS
Inaccurate inventory record keeping
Staff shortage
Insufficient storage space
Delayed customs clearance due to withholding of shipping documents by local agents
4
PROGRAM REVIEW
ACHIEVEMENTS:
Distribution system streamlined
Inventory reviewed/stock taking
Reorganize storeroom
PROGRAM OBJECTIVES
Procure all pharmaceutical and medical supplies through CMS
Provide and maintain an accurate inventory system
Promote quality assurance and reliability in the distribution of drugs, medical supplies
and services to all health institutions in the state
KEY RESULT INDICATORS
Provision of a safe and affordable supply of Vital, Essential and Necessary (VEN) drugs
for nationally defined priority health problems
Improved inventory management
Improvement in the reliability of the delivery system for more timely procurement and
distribution of drugs, medical supplies and services to all health institutions in the state
5
PROPOSALS
Resource Requirements Justification Financial Implications
Office Supplies
CMS continues to face some challenges with office
supplies at times when the Government Storeroom is out
of items which are critical to CMS’s operations
See Budget
Vehicle Maintenance
Two (2) vehicles to be maintained
See Budget
Drug Budget Increase
Increasing demand for medicine and rising cost on the
world market.
Cater for significant increase in Contraceptives and
Oxygen demand
Items presently financed by PCU/World Bank will have
to be paid for by the ministry when the program ends.
Efforts are being made to reduce local purchase and
source items overseas at lower cost.
The pharmaceutical budget is presently under financed
and cannot adequately cater for the demands of the health
system.
An additional sum of
$600,000 over the 2010
allocation is needed to
adequately meet the
present needs.
Filling vacant positions
The Medical Stores Manager is overburdened being the
only senior person on staff and having to deal with
ALL technical and administrative issues.
Having a Pharmacist/Assistant Manager/Storekeeper
who can assist with some supervisory and technical
functions will result in improved efficiency and
accountability.
6
ESTIMATED BUDGET 2010 (Excluding Personal Emoluments)
Item Estimated Cost ($ EC)
Operating & Maintenance
Office Supplies 10,000
Equipment Maintenance 6,000
Vehicle Maintenance 12,000
Total Operating & Maintenance 28,000
Pharmaceuticals & Supplies
PPS Orders (1,600,000 x 4) 6,400,000
Non-PPS Overseas Orders 800,000
Local Orders – Oxygen 400,000
Local Orders – Other 150,000
Total Pharmaceuticals & Supplies 7,750,000
Utilities 135,000
Communication 24,000
Allowances 2,400
Rental of Assets 1,500
TOTAL CMS 7,938,500
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APPENDICES
Appendix I: CMS Staff
Staff Position No. On Estimate No. On establishment Vacancies
Manager CMS
Pharmacists
Clerks
Driver
Male Attendants
Female Attendant
1
2
5
1
2
1
1
1 (Cuban)
5
1
2
1
0
1
0
0
0
0
Total 12 11 1
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Appendix II: Proposed Organogram for Central Medical Stores
Pharmacist/Storekeeper/
Assistant Manager
Issue
Officers (2)
Accounts
Clerks (2)
Customs
Broker
Female
Attendants (1) Male
Attendants (2)
Medical Stores Manager
Driver (1)
Asst. Customs
Broker/Driver
Pharmacist
CORPORATE PLAN FOR THE YEAR 2011
PHARMACEUTICAL SERVICES
PROGRAMME: 662
TABLE OF CONTENTS
Departmental Overview Mission Statement...............................................................................................................1
Vision Statement.................................................................................................................1
Organizational Chart...........................................................................................................1
Summary by programme…………………………………………………………...….….2
Planning Overview……………………...……………………………………………......5
Strategic Objectives…………...……………………………………………...…. 5
Proposed Organizational Structure & Nomenclature of the Pharmaceutical Services...… 7
Sector Environmental Analysis
Internal Analysis
Strengths.................................................................................................................9
Weaknesses.............................................................................................................9
External Analysis
Opportunities........................................................................................................10
Threats………………………………………………………………………..…10
Critical Issues/Risk Analysis
Identification and analysis of Critical Issues…............................................................... 11
Recommended response to Critical Issues…………………………………...……...… 11
Plans and priorities for budgeted year Main sector plans and priorities………………………………………………………….12
Annual Objectives...............................................................................................................12
Main Activities for Budgeted Year………………………………………………….… 13
Appendices
Appendix I: Job Descriptions of Pharmacist Assistant/Technician…………..…...…… 16
Appendix 2: Job Description and Specifications Pharmacist I ……………..……….… 19
Appendix 3: Job Description and Specifications Pharmacist II …………….…….…… 20
Appendix 4: Job Description and Specifications Pharmacist III ………….…………… 23
Appendix 5: Job Description and Specifications Pharmacist IV ………….…………… 25
Appendix 6: Pharmaceutical Services Defect Sheet …………………………..….…… 28
Appendix 7: SVG PV & DIC Quarterly Report - August 2010 ……………………...…31
1
PHARMACEUTICAL SERVICES
DEPARTMENTAL OVERVIEW
MISSION STATEMENT:
The Pharmaceutical Service is charged with the responsibility to procure, manage, prepare,
dispense and distribute all drugs and medical supplies for use within the public health sector and
to be responsible for the promotion of the safe use of medications, pharmaceutical devices and
services towards the desired therapeutic end.
VISION STATEMENT:
The Pharmaceutical Service is to have sufficient competencies to ensure an efficient and
effective supply of appropriate drugs and medical supplies of good quality, in the right place, at
the right time and at the right price and to maximize the delivery of Pharmaceutical Care.
ORGANIZATIONAL CHART:
Chief Pharmacist
Senior Pharmacist
Student Pharmacist
(7)
CMS Manager
Senior Pharmacist
MCMH
District Pharmacists
(10)
Senior Pharmacist
District
Pharmacist (3) MHC/LPH
Pharmacist
2
SUMMARY BY PROGRAMME:
The Pharmaceutical Services embodies all activities relating to procurement, storage, and
distribution of pharmaceuticals, supplies and administration of Pharmaceutical Care to clients.
This department incorporates the Central Medical Stores, all Hospitals and Health Centers under
two program heads, Central Medical Stores (661) and Pharmaceutical Services (662).
Programme 662 covers all dispensing facilities throughout the state. At present there are 38
district pharmacies and one at the Mental Health Center, which services the Lewis Punnett Home
(LPH). These pharmacies are divided up into districts with 2 - 5 pharmacies to a district.
The Pharmaceutical Services supervises and coordinates the activities at these centers to ensure
dependable access to efficient and professional Pharmaceutical Care. All pharmacies are staffed
with proficiently trained pharmacists who attend to particular needs of patients who access
services at the health institutions daily.
Although the department had been plague with some chronic problems, especially in the areas of
human resource, maintenance and supplies, the Pharmaceutical Services continues to experience
reasonable improvements over the years.
We are still experience staff shortage and this is obvious when persons are sick, on holidays,
emergency leave or has to attend regional workshops.
In 2010 Mr.Zavier Jack a pharmacy student was granted three (3) years study leave to attend the
Barbados Community College to do an Associate’s Degree in Pharmacy. Mr. Mohan Bentinck a
pharmacy student was granted study leave for four (4) years in Trinidad and Tobago to do a
Bachelor’s Degree in Pharmacy.
Mr. Evrad Jones a Pharmacy Technician/Assistant who was appointed as a pharmacy student has
applied for no pay leave to attend the T.A. Marryshow Community College in Grenada to do an
Associate’s Degree in Pharmacy.
I have requested through the Ministry of Health for replacement of the Taiwanese volunteers,
Miss Shao-yi Wang and Chiang Yu-Hui, whose period of service ended August 13, 2010.
3
The Cuban Pharmacists Mr.Orlando Basulto and Mr.Leyander Carbonell period of service ends
soon in November 2010.
Pharmacovigilance and Medicine/Drug Information Center (PV & DIC) is now finally in
operation with a Pharmacovigilance coordinator who has drawn on the technical words of
advice from the World Health Organization (WHO) indicates that there should be established a
National Centre for Pharmacovigilance and Medicine/Drug Information Centre as a separate
unit.
The pharmacy service over 20 years ago saw the need of Medicine/Drug Information and Poison
Centre and every year in numerous advanced proposals ask for such a centre and also designate
the area where the Senior Pharmacists office is located as the area for such a unit. This centre
will help in promoting and supporting the Wellness Revolution a result indicator as set forward
by the budgeted estimates for the year 2008 and with the addition of pharmacovigilance will
improve patient care and safety in relation to the use of medicines and all medical and
paramedical interventions. The centre also aims to improve public health and safety in relation to
the use of medicines.
(See Appendix 7……for the activities of the Centre)
The Pharmacy and Therapeutic Committee (PTC) has been meeting and has submitted a
proposal to PAHO to have a workshop which will provide information on and educate healthcare
providers on rational use of drugs. The SVG Essential Medicine List modeled from WHO was
developed by the PTC which will be launch on the 18th
September 2010.
User fees and stamps recovery cost need reviewing. The cost is minimal and it is still very
challenging to collect these user fees, something needs to be done urgently.
Prescription Service Levels: There continue to be satisfactory performance in the service, in the
face of drug availability constraints, mainly timely payment for medications. (See tables 1, 2 &
3 below).
4
TABLE 1
Overview of District Prescription Activity for Jan – Jun 2009 and 2010
TABLE 2
Overview of MCMH Prescription Activity
TABLE 3
*
OECS/PPS recommends a minimum of 85% Service Level as satisfactory
DISTRICT Prescriptions Rx Prescribed Rx Dispensed Stamps Service Level %
2010 2009 2010 2009 2010 2009 2010 2009 2010 2009
Chateaubelair 4097 4500 12194 13868 11214 13109 167 312 91.6 94.5
Barrouallie 5565 5713 15099 15422 12454 14590 429 437 82.3 94.6
Georgetown 4649 4334 14163 13483 11989 12985 904 798 84.9 96.2
Union Island 2652 2788 7357 8080 6807 7954 1082 977 92.7 98.4
Bequia 3158 3454 10654 11939 8546 10638 412 257 79.6 90.4
Sandy Bay 3363 3377 9015 9198 8102 8366 64 375 89.5 91.2
Biabou 5894 4986 16453 13452 14584 12570 328 746 75.7 93.7
Mespo 4808 5799 15225 17782 13237 17360 912 859 86.8 97.5
Belair 6851 8604 26198 31881 20645 23432 608 961 78.7 73.3
Kingstown 7830 6556 20764 18021 17350 16895 1993 1493 83.5 93.7
Mental Health 988 815 2641 2573 2274 2397 0 0 85.7 93.2
LPH 149 186 964 1100 822 955 0 0 86.8 88.0
Total 50004 51112 150727 156799 128024 141134 6899 7215 84.8 92.0
MCMH Pharmacy 2009 ---Jan to Jun Prescriptions Rx Prescribed Rx Dispensed Stamps Service Level %
Out-Patient 13616 31291 28496 2821 91.9
In-Patient 13112 31044 28703 0 92.5
MCMH Pharmacy 2008 ---Jan to Jun
Out-Patient 12633 27449 25159 2764 91.7
In-Patient 11764 28563 26376 0 92.3
MCMH Pharmacy 2010 --- April to Jun
Out-Patient 5070 12145 9929 1419 81.8
In-Patient 5469 13371 10826 0 81.0
On Call Activity at MCMH Pharmacy Month Prescriptions Rx Prescribed Rx Dispensed
Year 2008 -- 2009 -- 2010 2008 -- 2009 -- 2010 2008 -- 2009 -- 2010
Jan 265 -- 290 -- 494 -- 721 -- 458 -- 692 --
Feb 276 -- 223 -- 677 -- 476 -- 623 -- 449 --
Mar 454 -- 373 -- 1120 -- 925 -- 995 -- 818 --
Apr 201 -- 408 -- 321 446 -- 933 -- 777 371 -- 868 -- 659
May 293 -- 385 -- 296 668 -- 876 -- 677 619 -- 795 -- 621
Jun 299 -- 309 -- 255 715 -- 740 -- 481 654 -- 681 -- 429
Total 1788 -- 1988 -- 842 4120 -- 4671 -- 1935 3720 -- 4303 -- 1709
5
PLANNING OVERVIEW OF HEALTH CENTRES AND CLINIC DAYS
01. KINGSTOWN
1. KINGSTOWN - Everyday
2. SION HILL - Friday
02. BELAIR
1.STUBBS - Monday at Enhams
2.ENHAMS - Tuesday
3 CALLIAQUA. - Wednesday
4. BELAIR - Thursday
5.SION HILL - served by Belair Pharmacist
03.MARRIAQUA (HOSPITAL/CLINIC)
1. GREGG. - Monday
2.SHUT IN - Tuesday
3. MESOPOTAMIA -Wednesday
4 CALDER. - Thursday
5. RICHLAND PARK - Friday
04.CEDARS
1. BIABOU - Monday
2. LOWMANS WD - Tuesday - .
3. DIAMONDS - Wednesday
4. SHUT IN - Thursday
5. PARK HILL - Friday
05. GEORGETOWN (HOSPITAL)
1. GEORGETOWN - Monday
2. COLONARIE - Tuesday
3. BYREA - Wednesday
3. SOUTH RIVERS - Thursday
4. SHUT IN - Friday
06. PEMBROKE 1. CAMPDEN PARK - Monday
2. RETREAT - Tuesday
3. LAYOU - Wednesday
4. BARROUALLIE - Thursday
5.CLARE VALLEY - Friday
07. CHATEAUBELAIR (HOSPITAL)
1. SPRING VILLAGE - Monday
2. ROSEHALL. - Tuesday
3. COULLS HILL. - Tuesday
4 TROUMACA - Wednesday
5. CHATEAUBELAIR - Thursday
08.NORTHERN--GRENADINES (HOSPITAL)
1.PORT ELIZABETH - Monday & Thursday
2.PAGET FARM - Tuesday
09.SOUTHERN--GRENADINES (HOSPITAL)
1. MAYREAU - Monday (monthly)
2.ASHTON - Tuesday
3.CANOUAN -Wednesday
4 CLIFTON. - Thursday
10. SANDY BAY
1. OWIA - Monday
2.FANCY - Tuesday
3. SANDY BAY - Wednesday
4.OVERLAND - Thursday
5.SHUT IN - Friday
LEWIS PUNNETT HOME
MENTAL HEALTH CENTRE –Everyday
except Wednesday Pharmacist goes to
CANOUAN.
MILTON CATO MEMORIAL HOSPITAL
MCMH PHARMACY - Everyday
6
PRESENT STAFFING:
The present Government Estimates provides for twenty-nine (29) pharmacy staff members
within the Pharmaceutical Services including the Drug Inspector, and the two pharmacist
positions at the Central Medical Stores.
PRESENT & PROPOSED STAFFING WITHIN THE PHARMACEUTICAL SERVICES
POSITIONS
NO. ON
ESTIMATES
NO. FILLED
NO.
POSITIONS
VACANT
PROPOSED
POSITIONS
Chief Pharmacist 1 1 0 1
Senior Pharmacists 3 2 * 1 * 3
Manager Medical Stores 1 1 0 1
Pharmacists Medical Stores 2 0 2 2
Hospital Pharmacists 3 3 0 4
District Pharmacists 10 10 0 11
L.P.H/ M.H.C. 1 1 0 1
Student Pharmacists 7 5 2 5
Pharmacy Assistants 0 0 0 2
Stubbs Polyclinic 0 0 0 3
Canouan Pharmacist 0 0 0 1
Clinical Pharmacist 0 0 0 2
Total 28 23 5 36
* Senior Pharmacist (Kelton Lewis) on Pre-retirement leave
AMENDMENT TO PROGRAMME 662 OBJECTIVES AS PRINTED IN THE 2010
ESTIMATES:
* NOTE The current program objectives should be changed to:
To procure, manage, prepare, dispense and distribute all drugs and medical supplies for use
within the public health sector.
To be responsible for the promotion of the safe use of medications, pharmaceutical devices
and services towards the desired therapeutic end.
7
PROPOSED ORGANIZATIONAL STRUCTURE & NOMENCLATURE OF THE
PHARMACEUTICAL SERVICES
There is a need for change in nomenclatures of the government
pharmaceutical personnel in the 2010 estimates (see Appendices I - IV).
The Pharmaceutical Services has for some time through the advanced proposals and more
recently through its presentation to the reclassification team been indicating that it would be
more equitable and in the best interest of all the stakeholders if there is a laddering of the
position of Pharmacist to allow for Pharmacist 1, Pharmacist 11, and Pharmacist 111, Pharmacist
IV and that provision are made for Intern Pharmacist, Pharmacist Assistant/Pharmacist
Technician.
We can justify our position by using, the history and current practice, equity, and the differences
in technical proficiencies.
The pharmacy profession is one of the most intellectually dynamic /organic field, pharmacists
must continually update themselves with the latest drug information if they are to be true to their
mission; of protecting the public health through the promotion of the safe use of medication and
medical devices. The current practice is that pharmacists are required to complete up to thirty
credit hours of continuing education (CE) annually before re-licensing as stated in our draft
regulations that is at the legal department nearly four years. This is already the practice in some
Caribbean countries and included in the draft Pharmacy Act for the Caribbean for harmonization
and in the SVG Pharmacy Act draft regulations, which has already been forwarded for
enactment. Certainly someone who is required to challenge him/herself academically every year
with new information ought to have an equitable reward in professional growth and esteem.
Presently Pharmacist enters the service with different academic and professional competencies.
This trend is likely to continue for the next ten years as the regional academic institution undergo
the required transition to accommodate the accepted mandate that all new entrants into the
pharmacy profession should have a degree, as it now stands, Pharmacist are registered either
having completed a three year diploma/ associate degree in Barbados or Guyana and completed
the equivalent of one year of internship or having completed a Bachelor of Science Degree in
8
Pharmacy at the Universities of Technology in Jamaica or UWI in Trinidad and completed the
equivalent of a year of internship. Since the competencies are different the Pharmacist Manager
(Chief Pharmacist) would wish to deploy them differently without seeming to be partisan; clearly
one would prefer to have those with more competencies perform in the more challenging areas.
The B.Sc. Pharmacists are considered more competent in delivering on the new concept of
Pharmaceutical Care and assist in Clinical Practice. It would therefore be more appropriate to
have them function at the Milton Cato Memorial Hospital Pharmacy and in districts having
community hospitals than their Diploma colleagues. Hospital practice presents unique
opportunities and challenges for pharmacist to practice pharmaceutical care, guaranteeing the
best therapeutic outcomes, and for them to apply pharmacoeconomics principles in rational drug
use. These realignments in staff would of necessity require different emphasizes in job
description.
Our suggestions are for us to have:
a) Pharmacist Assistant/Pharmacist Technician and Pharmacy students
b) Pharmacist I Diploma / Associate Degree
c) Pharmacist II Bachelors Degree Pharmacist
d) Pharmacist III (Senior Pharmacist)
e) Pharmacist IV (Clinical Pharmacist)
The formulation in (d) would allow for Degree Pharmacist who has taken specialized post
graduate course/ training to be accredited for those training. Additionally we proposed; Intern
pharmacist to be included since there will be internship after regulations are passed and that they
be remunerated in Grade H. Also a provision should be made to add Pharmacy Assistant to the
nomenclature with provision that they be remunerated in Grade I. (see Appendix 1)
9
SECTOR ENVIRONMENTAL ANALYSIS
Internal Analysis:
Strengths:
The Pharmaceutical Service has links between local, regional and international
organizations.
Most of our pharmacists have been upgraded to at least the Bachelor’s degree.
Pharmacy Council regular meetings are held.
System in place for procurement and distribution of drugs and supplies to meet needs of
hospitals and health centers.
Most Pharmacies are air-conditioned to improve the shelf life and stability of drugs.
Pharmacovigilance and Medicine/Drug Information Center are established.
Pharmacy and Therapeutic Committee was established and now has quarterly meetings.
Weaknesses:
The Pharmacy Council is constrained; since the Pharmacy Regulations at the legal affairs
are not passed as yet.
The quality of the pharmaceutical service is compromised due to shortage of
professional staff, heavy work load.
Absence of medicine/drug policies and prescription protocols to control prescribing
patterns.
No registration of drug policy in place as recommended by the World Health
Organization (WHO). (This leads to difficulty in the control of counterfeit drugs).
No formalized system of continuing education. (No provision made for training that is
allocated funds available in vote # 368 in the estimate).
Not all pharmacies are upgraded to meet the required standards. (Inadequate facilities,
equipment and inadequate maintenance of existing facilities).
10
Pharmacovigilance Medicine/Drug information activities are significantly hampered due
to lack of essential equipment.
Cost recovery system for medication is ineffective and inefficient, this needs reviewing
by the administration body.
Insufficient support for pharmacy training at the undergraduate level and inadequate
continuing education and upgrading.
Proper forecasting and regular distribution of supplies continues to be a problem. The
Health Information System should offer some solution to this problem
Suitable workplace standard operational procedures.
Inadequate maintenance of Air Conditioners. (Units’ downtime last up to several months
and could compromise the potency of medicines).
Lack of a sterile unit at MCMH.
External Analysis:
Opportunities:
To support the Pharmacy Council to augment pharmacy regulations for quality assurance
and monitoring of the importation, distribution and sale of pharmaceuticals in the country
and delivery of Pharmaceutical Services.
To facilitate through collaboration with other stakeholders the establishment of a
National Medicine Policy. And
To strengthen the Pharmacy and Therapeutic Committee to monitor prescription practices
and promote rational drug use and design treatment protocols.
Threats: Counterfeit drugs can easily infiltrate the system. (No drug registration policy)
Irrational drug prescribing.
11
CRITICAL ISSUES/RISKS ANALYSIS:
Identification and Analysis of Critical Areas
Recommended Response to Critical Issues
Staff shortage creates a strain on management of staff
placement for holidays and sick leave or any emergency
leave.
Procure staff to fill existing vacant posts so that
vacation will be well spaced and staff
motivation through job enrichment.
Strengthening of Pharmaceutical Therapeutic Committee,
by encouraging more participation of consultants to help
in development of protocols and guidelines for common
diseases treatment.
To secure rational drug use and treatment
protocols and implement some of the gold
standards nationally.
Support for Pharmacovigilance (PV) and Drug
Information Center.
PV is an essential tool in improving patient care
and safety, improving public health and to
detect problems in the use of medicines.
Upgrade and maintenance of pharmacies, Air
Conditioners, pharmacies’ furniture and equipment.
Allocate sufficient funds for maintenance of
pharmacies and equipment (See Appendix 6).
(No provision under 361 for operating and
maintenance services.
Need to address urgently workplace safety issues
particular the absence of a Fume Cupboard exposes staff
members to known carcinogenic agents and respiratory
toxins.
Need to purchase and install
Continuing education is necessary since the pharmacist is
an integral part of the Health Care System and the
profession is the most intellectually dynamic /organic
field. Pharmacy is a very dynamic/ organic profession,
continuing education is therefore critical.
Some funds are necessary in our votes for
continuing education to attend workshops both
locally and regionally. Let us make use of
evidence base medicine practices to inform
better drug therapy and reduce adverse effects
in this dynamic profession.
Inadequate remuneration for on-call duties performed.
Persons should be remunerated according to
Civil Service Orders.
No provision for overtime and public holidays.
Provision should be made ( check the on call
activity at MCMH for the first 6 months in
2010 on page 6)
The unacceptable verbal abuse of pharmacist by the public
as a result of poor public education and long customer
waiting hours
Team with Health Promotion to design and
implement public educational program
Shortage of staff as pharmacist, specialized pharmacists,
pharmacist aids etc
Provisions of additional pharmacists to properly
manage new polyclinics and existing vacancies.
Difficulty in transporting volunteer pharmacists (as
relieving officers) to districts.
Provision should be made wherever possible to
transport volunteer Pharmacist.
Provision of living quarters in remote areas for pharmacist
Over the years the Pharmacy quarters has been
commandeered by other personnel’s and
government services, this has adversely
affected the operation of the Pharmaceutical
Service like the placement of staff.
12
PLANS AND PRIORITIES FOR BUDGET YEAR:
MAIN SECTOR PLANS AND PRIORITIES:
1. Fill vacant posts
2. There is a need for change in nomenclatures of the government pharmaceutical personnel
in the 2010 estimates as suggested above.
3. Create posts for Pharmacy Assistant/Technicians
4. Budget for Clinical/Specialist Pharmacist
5. Repair/maintain pharmacies and equipment
6. Fume cupboard – MCMH
7. Furnish and equipped the Pharmacovigilance Center
8. Continuing education for pharmacists, pharmacy students /assistants.
ANNUAL OBJECTIVES:
1. To review and develop the Human Resource Plan to effectively carry out all current and
new functions of the Pharmaceutical Service.
2. Strengthen the Formulary and Therapeutic Committee to promote and encourage the
practice of evidence based medicine and monitor and evaluate drug utilization patterns.
3. To review and upgrade and maintain facilities and equipment in the Pharmacy service for
optimal pharmaceutical outcome also personnel.
4. To promote the ethical and legal aspects of the Pharmaceutical service
13
MAIN ACTIVITIES FOR BUDGETED YEAR:
Item Estimated
Cost
Training - Clinical Pharmacist 100,000
Filling existing vacant pharmacist post (2)
Replace three Student Pharmacist posts with
Pharmacy Assistants/technicians
Six new positions for pharmacists granted
Traveling Allowances (One new officer) 6,000
Continuing Education Workshops
Regional 15,000
Local 6,000
Total Workshops 21,000
Pharmacovigilance and Medicine/Drug
Information Center
15,000
Tablet Counters (8) 80,000
Fume Cupboard 20,000
Repair/Maintain Pharmacy & Equipment
TOTAL
14
Resource Requirements Justification Financial
Implications
To implement a Human resource
plan to:
a. Procure staff to fill existing
vacant Pharmacy posts at Medical
Stores.
Vacancies filled to provide full coverage at all times.
Staff shortage creates a strain on management of staff
placement for holidays and sick leave or any emergency
leave.
b. Procure staff to fill two (2) new
proposed positions: Clinical
Pharmacists.
The role of the clinical pharmacist emphasizes the patient
and their medication management and therapeutic
outcome that improve quality of life.
Undertaking clinical audits and pharmacy practice
research for the Pharmacy and Therapeutic Committees. Training could be done on-line
$200,000 –Training
of One Clinical
Pharmacist 2010-
2011 then one in
2012.
c. Procure staff to fill six (6) new
proposed pharmacists positions:
Two Kingstown Pharmacy
One Hospital Pharmacy
Three Stubbs Polyclinic
One Canouan pharmacy
1. Kingstown Pharmacy has 2 doctors at the clinic,
psychiatric and dental doctors therefore there is a need for
one (1) extra pharmacist.
2.Hospital pharmacy 1 pharmacist to be used as the
relieving pharmacist
3. Stubbs polyclinic 3 pharmacists to ensure that 2
pharmacists do not have to work 365-366 days in the year.
4. Canouan has clinic on Mondays and Wednesday and the
pharmacist should legally dispense the medication, this is
not so.
d. To obtain funds for students
pharmacists, especially economic
cost for all pharmacy students
To meet the minimum qualification required for registration
to practice pharmacy.
An acute shortage of trained pharmacists is foreseeable in
the near future as the two Cuban pharmacists are due to
leave in November 2010.The Taiwan Pharmacists have left
the country already.
Also, one member of staff is a retiree and a senior
pharmacist on pre-retirement leave.
e. Participation in regional and local
workshops where possible
1. Keep abreast of current best practices in the field.
2. To keep management inform of changes within the
profession, the new trends and requirements for good
pharmacy practice.
$15,000
Replace two student pharmacists’
with two (2) Pharmacy
Assistant/technician posts.
Pharmacist Assistants are better trained to assist the
pharmacist and they will not necessarily be trained as
pharmacists
Automated Tablet Counter To improve the efficiency at selected Pharmacies $80,000
Strengthened the Pharmacy and
Therapeutic Committee to develop
and establish rational drug use
policies.
Update knowledge for drugs for this changing profession e.g.
having rational drug use policies and encouraging evidence
based prescribing to ensure patients benefit in compliance and
general well being. Proposal submitted to PAHO for funding.
PAHO funding
$8100.00
15
Resource Requirements Justification Financial Implications
To strengthened Pharmacovigilance (PV),
Drug/Medicine Information Centre with staff,
infrastructure, equipment and software.
PV is an essential tool in improving
patient care and safety, improving public
health and to detect problems in the use of
medicines.
$15,000
To establish workplace safety plans and
policies e.g. Fume cupboard for MCMH
pharmacy. Sterile unit for I.V preparations,
oncology including total parenteral nutrition
(TPN) preparation and administration.
Some chemicals emit hazardous fumes
and therefore require controlled
conditions for preparation of solutions. At
present students prepare these solutions on
the grounds of the MCMH premise.
Oncology and TPN preparations require
special handling procedures for safety
reasons. The required aseptic technique
should be practiced in a sterile room.
$20,000 - Fume
Cupboard
Regulations to be enacted.
To provide intersectional corporation between
the drug regulatory body, police, customs
service and the judiciary
To provide sufficient legal framework and
link with the SVG Pharmacy Council and the
SVG Pharmaceutical Association to develop
ethical codes, practice requirements for all
pharmacists in SVG good pharmacy practice.
Upgrade & maintenance of pharmacies and
equipments
Proper facilities are needed for
satisfactory performance
Assessment to be done by
Ministry of
Communication and
Works
Provision of living quarters in remote
areas. to the pharmacist
Over the years pharmacy house has been
commandeered by other government
services this has adversely affected the
operation of the Pharmaceutical services
Re: placement of staff
Granting overtime pay to pharmacists
working at MCMH on Sundays and public
holidays.
The prescription activity on Sundays and
public holidays is equivalent to the
workload handled on a regular week day.
This is spread over a period of several
hours; therefore, officers should be
remunerated.
(See table 3: On Call Activity at MCMH
Pharmacy for Jan – Jun, 2008-2009 and
Aril to June 2010)
52 Sundays + Approx 10
Public Holidays * 6
Hours/Day
= 372 Hours/Year
16
APPENDICES
APPENDIX 1: JOB DESCRIPTIONS OF PHARMACIST ASSISTANT/ PHARMACY
ASSISTANT / PHARMACY TECHNICIAN
As this will represent an official formalization of the paradigm shift in Pharmacy that is on the
way in SVG it is important that the guidelines and standard are outlined so that both the public
and private sector can be guides. It is also important to distinguish between that function which
may be performed in an institutional Pharmacy as against a retail Pharmacy and some functions,
which may only be performed by a registered Pharmacist.
DEF: For this proposal the term Pharmacists Assistant or Pharmacy Technician or Pharmacy
Assistant will have the same meaning, and shall be defined as a job title for a pharmacy staff
member "who works under the direct supervision of a licensed pharmacist, and performs many
of the routine function of a pharmacists as outlined in the proposal.
Qualifications:
A Pharmacy Assistant or Pharmacy technician -in-training shall:
a) Be at least 18 years of age.
b) Have no felony or gross misdemeanor conviction relating to controlled substances within
thirty-six (36) months of the date of application.
c) Have no history of drug abuse or provide satisfactory evidence of rehabilitation.
d) Hold a high school graduate a hold a minimum of five O’ Levels passes inclusive of
Math, English and a Science.
e) Have completed requirements for registration as determined by the Council.
f) Wear a name badge with the appropriate designation ―Pharmacy Technician/Assistants‖
or a "Pharmacy Technician-In-Training" at all times when in or near the pharmacy area.
g) Identify himself or herself as a ―Pharmacy Technician‖ or a "Pharmacy Technician-In-
Training" in all telephone conversations while on duty in the pharmacy.
h) A pharmacy technician-in-training shall apply to the Council for a training permit on an
application supplied by the Council and shall pay the fee required, within ten (10)
calendar days of starting on-the-job training. This permit shall be valid for two years
from date of original issuance. The Council shall determine the extent of the training and
the accredited training sites accreditation requirements in the cases of external training.
17
Pharmacy function
The following are those pharmacy functions a licensed pharmacy technician or a registered
pharmacy technician-in-training may perform under the direct supervision of a licensed
pharmacist:
(a) Retail Pharmacy
I. Prescription preparation-- retrieving the product from stock, counting, pouring,
reconstituting, placing product in prescription container, and affixing the label.
II. Prescription input--making computer entries for new or refill prescriptions, provided the
pharmacist meets obligations as outlined in a ―Prospective Drug Use Review‖.
III. Prescription refill authorizations-- contacting the practitioner's office and obtaining refill
authorizations for any prescription provided there are no changes in the prescription order.
IV. Restocking emergency drug supply--restocking drugs.
(b) Institutional Pharmacy.
I. Distributive functions-- stocking: automated drug dispensing units, floor stock, crash carts,
after-hour drug cabinets, sterile solutions, and unit dose cart preparation.
II. Repackaging into unit dose and/or unit of issue packaging.
III. Inspections—conducting regular inspections as required for institutional pharmacy, e.g.
monitoring stock levels, expiry dates, deterioration in quality of medicines.
IV. Input practitioner medical orders--entering information into a patient’s profile or
medication administration record provided those obligations of a pharmacist as described in
―Prospective Drug Review‖ is met.
V. Prescription preparation-- retrieving the product from stock, counting, pouring,
reconstituting, placing product in prescription container, and affixing the label.
18
(c) A pharmacy technician, but not a pharmacy technician-in-training, may perform the
following pharmacy functions in a retail or institutional pharmacy:
Compounding: The prescription order shall first be reviewed by a pharmacist and the decision
made to compound determined before assigning to a pharmacy technician. The pharmacist-in
charge (PIC) shall certify competency of the pharmacy technician prior to allowing a pharmacy
technician to assist the pharmacist in compounding, and annually thereafter. Documentation of
the basis of the certification shall remain on file at the pharmacy and be available for inspection
by the Council for each pharmacy technician, and shall include, but not limited to,
documentation of the following skills or knowledge as required for a specific pharmacy practice.
I. Knowledge and understanding of Good Manufacturing Practices
II. Weights and measures
III. Calculations
IV. Use of torsion balance or electronic scales
V. Knowledge of various techniques utilized to compound products
VI. Labeling requirements
VII. Aseptic technique
VIII. Use and maintenance of laminar and/or vertical flow air hood
IX. Knowledge in handling chemotherapeutic agents
X. Dating requirements
XI. Record keeping requirements
19
APPENDIX 2: JOB DESCRIPTION AND SPECIFICATIONS PHARMACIST I
JOB REQUIREMENTS: Minimum Diploma/ associate degree with one year of internship
Pharmacists are an integral part of the health care system, the experts on drugs; they play a
pivotal role by being responsible for providing drug information to all Health Care Providers
(including Physicians).
Pharmacist requires continuing education in order to cope with the changing roles and chemical
mutation that occur in this field, as well as the numerous new drugs that are constantly being
introduced at an ever-increasing rate.
Considering their academic entry requirement to pursue pharmacy, after a minimum of four
years i.e. (4) years for intensive study and a year of internship pharmacist.
Job description and activities
Registration or licensing is required.
a) Receiving prescriptions.
b) Reviewing prescriptions for completeness.
c) Screen patient profile database (case history.)
d) Screen patients’ current therapy (drugs and food interaction.)
e) Review prescription for appropriateness of dosage and therapy
f) Labeling of medication.
g) Dispensing of prescription
h) Prescribe for mild self-limiting diseases
i) Collection, storage, evaluation and retrieval of stored patient profile information.
j) Dissemination of drug information to practitioners, allied health professionals and the public
k) Select and recommend therapeutically pharmaceutically effective drug products
l) Promote rational drug use by the physicians
m) Perform drug utilization review
n) Detect and overcome incompatibilities in drug mixtures
o) Maintain inventory control
p) Advice on identification and interactions of OTC and prescribed medication
q) Promote control and dispense of dangerous drugs
r) Inventory management.
s) Pharmacist has to take the added duty of exemption of patient on stamp collection.
t) Responsible for the maintenance of buildings and equipment.
u) Work on own initiative.
v) Promote Rational Drug use. Compound drug preparation to meet specific requirements.
w) Counsel patient on the use of drugs to assure compliance.
x) Advice patient on the selection of over –the- counter drugs (OTC).
y) Help established dosage regimen for patient.
20
APPENDIX 3: JOB DESCRIPTION AND SPECIFICATIONS PHARMACIST II
Job description and activities
A ―Pharmacist 11” with a minimum of five years of Pharmacy training i.e. four years for
intensive study and a year of internship, this pharmacist will works in a hospital pharmacy
setting, primarily within the public sector. They are responsible for ensuring the safe, appropriate
and cost-effective use of medicines. Hospital Pharmacists as they may be termed will use their
specialist knowledge to dispense drugs and advise patients about the medicines they have been
prescribed. They work collaboratively with other health care professionals to optimize drug
therapy and patient care management. In addition to the supply and control of medication within
hospitals, they also provide a wide range of special services, such as drug information, and
service on sterile medicines, radiopharmacy, oncological, ward pharmacy and clinical services.
Some pharmacists will also be involved in the manufacture of the required drug treatments. The
role of the hospital pharmacist sometimes extends outside the hospital, with responsibility for
medicines in health centers, nursing homes, or hospices.
Skill level
The entry requirement for this occupation is a bachelor degree or higher qualification.
Registration or licensing is required.
Typical work activities include:
a) participating in ward rounds and or take patient drug histories and contribute to the treatment
decision-making process - this includes highlighting a drug's potential side effects, harmful
interactions with other drugs and the suitability and rational use* of treatments for patients
with particular health conditions;
b) Carrying out standard dispensing function such as receiving prescriptions, reviewing
prescription for appropriateness of dosage, screening for drug- drug and drug food/herb
interactions labeling or overseeing the labeling of medication,
c) Counsel patient on the use of drugs to assure compliance.
21
d) liaising with physicians, nurses and other fellow health care professionals to ensure the
delivery of safe, effective and economic drug treatment;
e) counseling patients on the effects, dosage and route of administration of their drug
treatments, particularly those who require complex drug therapy;
f) monitoring every stage of medication therapy to improve all aspects of delivery and report
patient side effects;
g) communicating effectively with patients' relatives, community pharmacists, general
practitioners (GPs), etc;
h) preparing and quality-checking sterile medications under special conditions (e.g. intravenous
medications for those unable to take food otherwise, anti-cancer medications, eye drops, etc);
i) ensuring medicinal products are stored appropriately and securely to ensure freshness and
potency;
j) ensuring medication reaches the patient in the correct form and dose - this may include
tablets, capsules, ointments, injections, inhalers or creams;
k) being responsible for the accurate dispensing and timely distribution of drugs and medicines,
for inpatients or outpatients;
l) supervising and checking the work of less experienced and less qualified staff;
m) Monitoring the record-keeping system in pharmacies, especially the inventory control
system.
n) Checking and approving all requisitions for pharmaceuticals and medical supplies before
submitting to the Central Medical Stores.
o) Monitoring the record –keeping system in all hospitals. This also involves ensuring that all
are in place and the required procedures adhered to.
p) responding to medication-related queries from within the hospital, other hospitals and the
general public;
q) keeping up to date with, and contributing to, research and development, often in
collaboration with medical staff and colleagues in the pharmaceutical industry;
r) writing guidelines for drug use within the hospital, preparing bulletins and implementing
hospital regulations;
s) providing information to individual wards on budgets and expenditure on drugs;
t) In collaboration with a clinical Pharmacist when available and the medical staff set up
clinical trials, evaluating new medications against claims made by pharmaceutical companies
22
and recommending new medicines that are the safest and most effective for individual patient
needs.
More experienced pharmacists may be involved in teaching, both within the pharmacy
department and more widely within the hospital. In teaching hospitals, this could include
lecturing clinical staff on various aspects of drug treatment.
In SVG hospital Pharmacist (Pharmacist 11) will be required to operate either at the MCMH
Pharmacy or in district which include a community hospital or health center; namely
Chateaubelair, Georgetown, Levi Latham, Bequia, Union Island and the geriatric and mental
health hospitals. They can fill any other position as the need arises.
23
APPENDIX 4: JOB DESCRIPTION AND SPECIFICATIONS PHARMACIST III
Qualification: A Bachelor’s degree, with a minimum ten years as pharmacist.
Senior Pharmacist requires an advanced level of competence, numerous responsibility and
accountability is demanded.
JOB DESCRIPTION;
General:
Responsible for all action by all staff members under his supervision and to ensure the delivery
of a safe effective and dependable pharmaceutical care delivery system within the specified
department (s), maximizing resources to deliver the best pharmacotherapeutic outcomes.
Activities:
a) Supervise and report on all units’ staff and is integrally involved in training of students and
other staff development.
b) Set specification for inventory management of drugs and other medical supplies.
c) Act as a reference for drug information, providing information to other member of the health
profession and public.
d) Assist chief pharmacist in preparing estimates for personnel supplies and equipments, and is
responsible for planning organizing and directing their section policies and procedures and
accordance with departmental policies and procedures.
e) To manage unit staff relation to ensure efficient service delivery.
f) Assist in the design of prescription protocols.
g) To participate in pharmacy and therapeutic deliberations and compounding of the formulary.
h) Assist the Chief Pharmacist to ensue smooth running of the pharmaceutical service.
i) General supervision of the work of all pharmacists under their immediate control.
j) Complaint handling
k) Promote rational drug use by close collaboration with District Medical Officers and Central
Medical Stores (CMS).
l) Monitoring the record-keeping system in pharmacies, especially the inventory control
system.
24
m) Checking and approving all requisitions for pharmaceuticals before submitting to the Central
Medical Stores.
n) Monitoring the record –keeping system in all hospitals. This also involves ensuring that all
are in place and the required procedures adhered to.
o) Submitting regular reports on all relevant activities taking place in the area.
p) Perform all standard dispensing function when necessary such as:
o Receiving prescriptions, & reviewing prescription for appropriateness of dosage,
o Screening for drug- drug and drug food interactions
o Labeling or overseeing the labeling of medication
o Counsel patient on the use of drugs to assure compliance.
25
APPENDIX 5:
JOB DESCRIPTION AND SPECIFICATIONS PHARMACIST IV
Job Title and Grade: Clinical Pharmacist Grade C
Job Summary: To act as the role model for clinical pharmacists and take the lead in advancing
the Pharmacy service to fulfill the clinical Management agenda in the Pharmaceutical Service.
To ensure appropriate arrangements are in place for medicines management within the MCMH
and to liaise with colleagues to adopt best practice.
Background experience: Essential: Hospital Pharmacy, practicing clinical pharmacist.
Desirable: Medicines information training, introduction of a new service, budgetary
management.
Qualifications: Essential: M.Pharm. Desirable: MSc or PhD in Clinical Pharmacy.
Skills/Aptitudes: Essential: I.T. skills, communication skills, presentation skills, report writing,
management skills, innovative, problem solving. Desirable: Radical thinking.
Personality/Other Factors: Essential Outgoing, well motivated, rounded person, thinking on
feet. Desirable: Enthusiastic.
Location: Milton Cato Memorial Hospital Pharmacy department. However, the post holder will
be expected to provide the services for which he/she is responsible to all clients of the MCMH
Authority.
Relationship with other staff:
1. Accountable to and managed by the Chief Pharmacist MCMH department.
2. Collaborates with colleagues within Pharmacy to promote and facilitate good
clinical practice.
3. Liaises with pharmacy, medical, nursing and other staff as necessary.
4. Liaises with other Clinical Pharmacists in the Region.
26
Main Functions and responsibilities:
1. To undertake the lead Clinical Pharmaceutical care management of patient
utilizing the MCMH service and medicines management within the hospital
pharmacy department.
2. To support the Chief Pharmacist to deliver to the Medical directorate.
3. To collaborate with all Pharmacist to implement a programme to introduce a
pharmaceutical care service.
4. To promote and encourage the highest possible clinical standards in conjunction
with clinical services.
5. To ensure that appropriate arrangements are in place for clinical supervision of
pharmacy staff within MCMH Authority.
6. To undertake relevant clinical audits and pharmacy practice research for the
pharmacy and therapeutic committees.
7. To implement a strategy for quality improvement within the Pharmacy service.
8. To provide tutoring for interns and for the Certificate and diploma in Clinical
Pharmacy.
9. To undertake relevant clinical audits and pharmacy practice research for the
Pharmacy and therapeutic committees.
10. To ensure that hospital and departmental procedures and policies are observed.
11. To regularly update and developed these policies and procedures as far as they
affect the provision of the services managed by the post holder.
12. To assist the chief pharmacist with the overall management and co-ordination of
the various services of the department and to undertake any other relevant duties
as agreed with the Chief Pharmacist.
13. The post holder must keep him/herself informed as to his/her responsibilities in
the event of a major incident.
14. To comply at all times with any regulations issued by the MOHE, especially those
governing health and safety at work and to ensure that any defects which may
affect safety at work are brought to the attention of the appropriate manager.
15. All staff is required to respect the confidentiality of all matters that they may learn
relating to their employment, other members of staff and to the general public.
27
16. This job description reflects the present requirements and objectives of the post, it
does not form part of your contract of employment. As the duties of the post
change and develop the job description will be reviewed and will be subject to
amendment, in consultation with the post holder.
28
Appendix 6: Updated Version 22/02/11
Pharmaceutical Services: Air Conditioning and Maintenance of Facilities. DISTRICT
PHARMACIES
AIR-
CONDITION
CLINIC
DAY
REMARKS
CALLIAQUA Not Working, serviced on 23.3.10
MONDAY Needs enclosing to ensure proper
functioning of AC
BELAIR New Installation AC on 8.4.10
TUESDAY
SION HILL Working, needs servicing
WEDNESDAY Needs servicing and a remote. Pipe
not working properly.
ENHAMS Working, serviced on 23.3.10.Needs servicing
FRIDAY Holes in blocks needs enclosing to
ensure proper functioning of AC. Also a remote and a tabletop fridge.
GREGGS Working, Needs servicing soon
MONDAY Prescriptions are filled and
dispensed through louvers and
burglar bars to patient needs to be
replaced with a door.
`
MESPOTAMIA Working serviced on 17.6.10,
WEDNESDAY Door needs repairing .Shelves
refurbish. Condenser unit needs
changing.ASW-12 A1-HS
CALDER Not Working serviced on 17.6.10,
THURSDAY Counter & Cupboards need to be
removed and replace with shelves.
Ventilation needs blocking up.
RICHLAND PARK Working FRIDAY Needs Servicing
BIABOU New Installation AC on 12.4.10
MONDAY
DIAMOND Not working WEDNESDAY Shelves to be refurbished
PARK HILL Not working FRIDAY Needs a bigger clinic, roof is
leaking, can see the sky.
L0WMANS WD. No AC (Fan) TUESDAY New clinic is being built
OWIA Not working, the fan support rotting. 76.
MONDAY Counter & Cupboards need to be
removed and replace with shelves.
Needs a condenser 9000 BTU.
FANCY New installation AC 13.9.10
TUESDAY Not working due to a fault in the
electricity wiring.
SANDY BAY
Not working. A
ladder is needed
to access the AC
WEDNESDAY Holes in blocks in this clinic needs
to be filled in for proper functioning
of the AC.
29
OVERLAND Working, service 29.6.10 Needs servicing soon
THURSDAY Holes in blocks to be filled in for
proper functioning of the AC.
The condenser Unit to change soon
due to rotting & the stand also.
Roof is also leaking.
GEORGETOWN
Not working, needs a new AC
MONDAY
Louvers need changing. Brand
Pioneer< Product type ASW-
12A1/HS outdoor type AS -
12A1/HS power 220v/50HS
BYERA New Installation on 14.4.10
WEDNESDAY There is a large space between roof
and wall partition so this needs
enclosing for proper functioning of
the AC. The cement came on site
and should be hard by now.
SOUTH RIVERS
Needs servicing THURSDAY Clinic has too much droppings from
roof on a daily basis and cleaning is
a problem still. Total renovation.
COLONARIE Not working TUESDAY Needs an AC. Brand Pioneer 10000
BTU, Model WAP0109T P-L power
220v/50HS
CAMPDEN PARK
working Needs servicing soon
MONDAY
Holes in blocks in this clinic needs
to be filled in for proper functioning
of AC.
RETREAT Working, serviced on 24.6.10
TUESDAY
LAYOU Not working WEDNESDAY Has an electrical problem
BARROUALLIE Working, serviced on 3.6.10
THURSDAY Droppings from roof
CLARE VALLEY Needs servicing FRIDAY
CHATEAUBELAIR
working THURSDAY Needs booth for patients.
ROSEHALL working Needs servicing soon
TUESDAY Lock wants to change same as Post
Office and Nurse clinic
COULLS HILL
Not working, needs a circuit board
TUESDAY
Prescription is filled and dispense
through louvers to patient
30
SPRING VILLAGE
Not working
MONDAY
Needs a capacitor
TROUMACA Working, needs servicing
WEDNESDAY
PAGET FARM Working, Needs servicing
TUESDAY
BEQUIA
Not Working,
MONDAY
Needs a 12,000 BTU A.C split unit
CLIFTON pharmacy Working, Needs servicing
THURSDAY Louvers of pharmacy needs
changing for proper functioning of
the AC.
ASHTON Working, needs servicing
TUESDAY
MAYREAU No Air-Condition MONDAY Needs an Air conditioner
CANOUAN CLIN Needs servicing WEDNESDAY
M. H.C Needs servicing MON-FRI
L.P.H Needs servicing
K/TOWN New installation on 9.4.10 Needs servicing
MON-FRI chairs are needed
Hospital Pharmacy
Not working properly
MON-FRI
Chairs are needed.
31
APPENDIX 7: SVG PV & DIC Quarterly Report - August 2010
Objectives Activities Comments
To educate all healthcare professionals in
S.V.G. on the importance of
pharmacovigilance
Conduct presentations on
pharmacovigilance for all healthcare
professionals
Sessions held and handouts distributed to:
MCMH physicians – 18
MCMH Staff Nurses – 27
MCMH Nursing Supervisors – 9
Community Nursing Supervisors – 10
Community Staff Nurses – 29
Community Nursing Assistants – 32
District Medical Officers – 8
Family Nurse Practitioners – 5
Pharmacists & Pharmacy Students – 16
Promote and encourage monitoring of
adverse drug reactions (ADRs) by
healthcare professionals
Publication and distribution of
informational leaflets, fliers and
posters
200 leaflets and fliers distributed to healthcare
professionals, posters issued to wards at MCMH.
Lack of funding prohibits publication and
distribution of posters to other health centres.
Facilitate reporting of ADRs by health
professionals
Distribute ADR report forms to all
government health centre’s, private
physicians and pharmacies
ADR report forms distributed to some district
clinics, wards at MCMH and private pharmacies.
Printing & distribution of report forms is hampered
by the absence of a photocopier at the centre.
Document all ADRs occurring within the
population
Collect ADR reports from healthcare
providers
13 ADR reports submitted to date. Persons wishing
to submit reports via fax are unable to do so
because the centre does not have a fax machine.
Establish and maintain contact with all
healthcare providers in SVG
Obtain e-mail addresses and other
contact details
E-mail information obtained for 235 healthcare
providers
Provide drug information to healthcare
professionals
Disseminate drug information and
respond to queries
W.H.O. Pharmaceuticals Newsletter, F.D.A. Alerts,
Product Recalls and other drug information
supplied to health providers via e-mail. The centre
does not have a photocopy machine therefore
printed copies cannot be provided to persons who
do not have email addresses
32