Pharmaceutical Forum of the Americas Meeting 13 th September 2017 Room 2 – Seoul Convention Center
Executive Committee President: Dr. Eduardo Savio (Uruguay) Vice-President: Dr. Laura Raccagni (Argentina) Treasurer: Q.F. Yolanda Zapata (Ecuador) Director of Education: Dr. Zully Vera (Paraguay) Director of Professional Development:Dr. Joselia Frade (Brazil) Technical Secretariat : Q.F. Carlos Lacava (Uruguay) FIP Liasson Officer Prof. Philip Schneider (USA )
PFA PAHO FEFAS FEPAFAR FIP FFCC
Costa Rica Brasil Paraguay Uruguay Argentina
Observer Organizations • Consejo General de Colegios Oficiales de Farmacéuticos de España • International Pharmaceutical Federation (FIP) • Federación Farmacéutica Sudamericana (FEFAS) • Federación Farmacéutica Panamericana (Fepafar) • Federación Farmacéutica Centroamericana y del Caribe • Pan American Health Organization (PAHO/WHO)
Objective To promote the dialogue and cooperation between the pharmaceuticals organizations of the region, FIP and PAHO/WHO, with the following aims:
Aims • Adoption of PAHO/WHO • To contribute to the policies at pre and health improvement postgraduate levels, as through the CPD of well as continuos pharmacists professional education. • Promotion of the implementation of • Development of policy declarations on health projects related to issues pharmacy practice in the member organizations
Training on Pharmaceutical Services based on Primary Healthcare: Virtual Course on Pharmaceutical Services based on Primary Healthcare for Managers Implementation period: 2015-2017
Course of Pharmaceutical Services in Primary Health Care (PHC) for Managers 2014-2015 Target audience Professionals involved in: § management, § administrative and technical activities in pharmaceutical services, § academic activities in public health careers and health sciences related to pharmacy, § at Ministries of Health, Social Security, universities or research centres working with the issue of pharmaceutical services.
Background • Identifies functions and areas where the participantes will build their projects: Health education and promotion • Sanitary policies • Rational use of drugs • PAHO’s report 2010 Pharmacovigilance • Dispensing • Pharmaceutical care • Selfcare •
GPP Framework A legal framework that: Defines who can practice pharmacy; Defines the scope of pharmacy practice; Ensures the integrity of the supply chain and the quality of medicines. A workforce framework that: Ensures the competence of pharmacy staff through CPD or CE programes, Defines the personnel resources needed to provide GPP. An economic framework that: Provides sufficient resources and incentives that are effectively used to ensure the activities undertaken in GPP.
AIMS AND OBJECTIVES • General objective To promote the development of pharmaceutical services based on primary healthcare, by building capacities on pharmaceutical services providers, leaders and managers. • Specific objectives By the end of the course, participants should be able to: Analyse and apply the acquired knowledge to improve pharmaceutical • services in their country or locality. Identify and be able to develop the capacities required for implementing • pharmaceutical services. Formulate a plan for shifting pharmaceutical services from a medicine- • oriented to a people-oriented focus (Primary Healthcare).
METHODOLOGY • This project started on January 2015 and finished on December 2016. PFA initiated an active participation on this training proposal addressed to pharmacists in the Americas region with the fourth edition of the Virtual Course. Previously PAHO had performed three editions. During project development, the “Virtual Course of Pharmaceutical • Services based on Primary Healthcare to Managers” was offered on two modalities: – With tutor (along three editions) – By self-study, under two options: without or with intervention project (one edition in each case). In both cases, it was used the Virtual Campus for Public Health Platform from PAHO.
METHODOLOGY The three virtual courses with coaching were developed as is described below: • IV edition: 5 months, October 2014 to April 2015 • V edition: 6 months, August 2015 to April 2016 • VI edition: 6 months, June to November 2016 The self-study course without intervention project had three months duration September - December 2016 The self-study course with intervention project had an extra module which took place on 2017.
Programme • Module 1: Social determinants of health and primary healthcare • Module 2: Pharmaceutical services and their components • Module 3: Pharmacists and change managament • Final interventional project
ORGANIZATION • Academic coordination as well as a teaching and IT support. In the three virtual courses with tutor, each group was integrated by 12 to • 15 participants from the same country if possible. Each group was guided by one tutor. Three to five participants worked • together to develop the final intervention project. They identified and developed a proposal with the aim of promoting or developing or strengthening the insertion of PS based on PHC in the health system at country level. In the self-study course with intervention project participants came from • different countries, under the supervision of one tutor, sharing the same aim as above described. Approval with 70% or higher in each module. • The final intervention project was presented by webEx as a closing activity •
Call and selection of partipants Open call with limited places for all the editions with tutor. In some • national organizations the call was internally processed. Selection process was carried out under the responsibility of the national • organization in agreement with the national office of PAHO. An open call with no limit of places was performed in the case of the self- • study course without intervention project. There was no selection done and all the registered participants were able to follow the activity. There was a closed call carried out through national offices of PAHO in the • self-study course with final intervention project because a limited number of places were available. As a pre requirement the participant should have approved the self-study course.
INDICATORS Number of selected pharmacists, 135 115 107 discriminated by country: - Argentina 37 41 25 - Chile 1 30 0 0 - Colombia 0 17 17 - Costa Rica 0 17 30 - Ecuador 27 9 03 - Paraguay 14 21 15 - Uruguay 27 10 16 - Venezuela 2 0 0 01 Number of final intervention 22 20 19 projects elaborated by country: - Argentina 5 7 3 - Argentina-Venezuela 0 0 1 - Chile 5 0 0 - Colombia 0 2 2 - Costa Rica 0 3 6 - Ecuador 5 2 1 - Paraguay 2 4 3 - Uruguay 5 2 3 Electronic publication of final Yes Yes Yes intervention projects Number of final intervention 8 final projects were 7 final projects were 8 final projects were projects presented in a selected; 7 were selected and presented at selected to be presented at Symposium organized by the presented at the 18° the Argentinean national or regional PFA Congress of South Pharmaceutical congresses: American Pharmaceutical Congress/76 FIP Congress, 4 at Peru (FEFAS, Lima, Federation (FEFAS) held held in Buenos Aires October 2017) in Rio de Janeiro, October (Argentina) August 2016. 4 at Brazil (Conselho 2015. Federal de Farmácia, November 2017) Source : Data from final reports of the IV, V and VI Virtual Courses, elaborated by the academic coordination.
GOALS Goal 1 400 places were proposed to train pharmacists through this methodology, according to the following distribution: 135 places for the fourth edition • 120 places for the fifth edition. • 145 places for the sixth edition • Achievement : • Virtual course with coaching Proposed Implemented Achieved IV edition 135 130 96% V edition 120 115 96% VI edition 145 96 66% Total 400 341 85%
GOALS Goal 2 One electronic publication including all the final integration projects already implemented in each edition (2015, 2016 and 2017)
Examples of Final projects 2016 • Learning how to use your medicines (Argentine) • Development of strategies to improve adherence in patient with respiratory diseases in a primary health center (Costa Rica) • Pharmacovigilance: research study. Why is there underreported in Uruguay? (Uruguay)
Grant given by the FIP Education and Research Foundation Expenses Budget: US $12.000,00 $500,00 2 registration fees at RioPharma Congress/FEFAS Congress, Río de Janeiro (Brazil), October 2015 to participants who presented their final intervention projects at the Symposium organized by the Forum $6000,00 Support to national member organizations to pay 8 tutors, V edition. $3000,00 Support to academic coordinator, VI edition. $2500,00 IT support, VI edition. $12000,00 Total
TOTAL BUDGET • National organizations (NMO): 80.000 • PAHO: 20.000 • FIP Foundation: 12.000 • Forum (PFA): 5.000 Total budget: 117.000 NMO PAHO FIP PFA
CONCLUSIONS Outcome 1 The implementation of this project enabled the training of 577 pharmacists from the region of the Americas (including pharmacists from 7 countries which national pharmaceutical organizations are PFA’s members)
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