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Pharmaceutical System Strengthening: Is There a Need for a New Paradigm?

Pharmaceutical System Strengthening: Is There a Need for a New Paradigm?. Perspective of Professional Practice Organization David O fori-Adjei Ghana College of Physicians & Surgeons, Accra, Ghana. Existing Pharmaceutical Systems.

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Pharmaceutical System Strengthening: Is There a Need for a New Paradigm?

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  1. Pharmaceutical System Strengthening: Is There a Need for a New Paradigm? Perspective of Professional Practice Organization David Ofori-Adjei Ghana College of Physicians & Surgeons, Accra, Ghana ICIUM 2011, Antalya, Turkey

  2. Existing Pharmaceutical Systems • Pharmaceutical system and the Health system – a complex relationship • Policy • Management • Regulation • Governance • Key Players • Political interests ICIUM 2011, Antalya, Turkey

  3. Existing Pharmaceutical Systems ..2 • Implementation • Mainly donor-driven • Emphasis on supply side • Delivered through technical assistance • Tend to be product oriented • Projects versus Programs • Limited measurement of effect ICIUM 2011, Antalya, Turkey

  4. Problems, barriers, opportunities • Why do we still have problems of 20 years ago? • Proper scanning of the sector - baseline • Absorption of technical assistance • Too many cooks • Implementation fidelity • Transfer of good/(bad) practices ICIUM 2011, Antalya, Turkey

  5. Problems, barriers, opportunities • Barriers • Technology transfer • Key players interests – private sector • Availability of national resources for the pharmaceutical sector • Transparency and accountability • Opportunities • Accumulating body of evidence for decision making • Tools for reliable data collection and analysis ICIUM 2011, Antalya, Turkey

  6. Improvements to address country needs • Comprehensive scan of the sector • Economic, social and cultural environment • Design interventions using multi-stakeholder working or similar approaches • Develop robust measures of intervention process, outputs and outcomes • Address health outcomes and patient safety issues ICIUM 2011, Antalya, Turkey

  7. Finally.. • Attribution • So what? • No shift but enhance existing paradigm ICIUM 2011, Antalya, Turkey

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