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Greetings from

FAPA
Federation of Asian Pharmaceutical Associations

Challenge for Post-Prandial Speakers

Leonila M. Ocampo, RPh, MS President, PPhA

Philippines Pharmacists Association OFFICERS AND COMMITTEE CHAIRS .

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Pharmacy Education Accreditation Panel Malaysian Qualification Authority/Pharmacy Council .

National Patient Safety Council Ministry of Health Malaysia .

Pharmacists must promote Pharmacovigilance .

000 prescriptions found not to be so correct! .50.

In MALAYSIA .

000 = = = = 88 Aircrafts with 500 seats each 1 Air crash every 4 days 196 Aircrafts with 500 seats each 1 Air crash every 2 days .Institute of Medicine (IOM) Report . 1999 “To Err is Human: Building A Safer Health System” MEDICAL/MEDICATION ERRORS FATALITIES 44.000 44.000 98.000 : 98.

Many never get to see their loved ones again! .

FAPA President .Unleashing the Pharmacy Power in Asia Philippines Pharmacist Association Convention Manila – 26 – 28 April. 2012 John C P Chang .

Unleashing the Pharmacist Power in Asia Philippines Pharmacist Association Convention Manila – 26 – 28 April. FAPA President . 2012 John C P Chang .

Power Equation Leader OVERCOMING WEAKNESSES MAXIMISING STRENGTHS POWER = + Recognition Remove Negative Perception .

Skill Pharmacy Institution Level Association. etc National Level (Healthcare System) Advocacy. CPD. Attitude. Knowledge. Leadership. Healthcare Team . Pharmacy Council. Ethical Code. Best Practices.Sources of Pharmacist Power Individual Level Education. Training. Legislations.

With collective action we can achieve better results and in contributing to the betterment of healthcare system nationally and within the Asian Region. a. as an Asian Pharmacist Regional Organisation can help meet these Challenges .Objective Member associations in Asia despite making significant progress in recent decade continue to face challenges in developing and promoting an effective and deservingly recognised pharmacy profession. How Member Associations under FAPA Leadership. Overview on the Issues and Challenges facing Pharmacists in National Associations in Asia b.

Crystal-balling Pharmacist’s Future in Asia .

Trials & Tribulation of Pharmacy .

Pharmacy DNA Ensuring Survival! .

Pharmacy – among the most evolving Profession? Favourite topics of pharmacy gatherings are on changing roles. new roles. etc .

Extending and Expanding A trend for pharmacy practice to move away from its original focus on compounding. medicine supply. towards a more inclusive focus on patient care.” “ Compounder Pre-packed Medicines Selling Counseling Service + Information Patient care Pharmaceutical Care .Evolving Roles Changing.

In 1995 PEW COMISSION IN THE US REPORT “Revitalising the health profession for the 21st Century” A SURPLUS OF 40.000 PHARMACISTS! .

.PHARMACISTS – The third largest healthcare professional group in the world today.

Support from Strong Global Pharmacy Leadership .

Gathering of Thought Leaders sharing with Pharmacists from Around the World .

WHO CONSULTATIVE GROUP REPORT New Delhi. 1988 & WHO MEETING Tokyo 1993 .

WHO Report Says…… “Effective medicine can be practised only where there is efficient drug management” “Only when pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organised with the professionalism that they demand” “ They are able to provide informed advice to patients with minor illnesses and often to those the more chronic conditions who are on established maintenance therapy .

Adherence to long-term therapy for chronic conditions in developed countries averages 50%. with even lower rates for developing countries” . have forced the evolution of the pharmacist’s role into a more patient centred approach (known as pharmaceutical care). pharmacists have been faced with increasing health demands: an ever-growing and complex range of medicines.New tool to enhance role of pharmacists in health care “The traditional role of pharmacists is to manufacture and supply medicines. and poor adherence to prescribed medicines. More recently.

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MEANWHILE ASIA BOOMS .

Emerging Asia .

Dawning of the st 21 Century Asia Pharmacists Reawakening to serve the People of Asia .

.ASIA 46 countries 4 billion people (60% of the world's population) Over US$4 trillion of foreign exchange reserves .more than half of the world's total.

Increase in Demand for Healthcare and Pharmaceuticals .

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living longer  Lifestyle illness. threat from non-communicable diseases  Healthcare and medical technology driven demand  Better healthcare delivery system and governance . huge market potential  Better education and access to healthcare information through Internet  Rising income and affluence. demand for quality care  More healthcare professionals being trained  Growing ageing population.FACTORS INFLUENCING HEALTHCARE POTENTIAL IN ASIA  Population growth.

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PHARMACISTS REAWAKENING DRIVEN BY EXPANDING PHARMACY INSTITUTIONS & NGOS .

2011 .At the Opening Council Meeting FIP Congress. Hyderabad. India 3rd Sept.

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At the Opening Council Meeting FIP Congress. India 3rd Sept. 2011 . Hyderabad.

Progress comes with Challenges MANY CHALLENGES FACED BY PHARMACISTS AT NATIONAL AND INTERNATIONAL SCENE .

REALITY Pharmacy and Pharmacists although have come a long way but we still have more distance to cover! .

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reality sets in when delegates from developing countries spoke out on the gaps in practice against developed nations … .* Pharmacy Practice affected by the divide of advanced vs developing healthcare system Amidst the discussion at FIP Congress.

Challenges are what make life Overcoming them is INTERESTING Mark Twain what makes life meaningful .

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CHALLENGES AT NATIONAL/PROFESSION LEVEL  Pharmacists’ Mindset  Evolving roles of Pharmacists  Acceptance as member of healthcare profession – by others. including consumers  Professionalism & Governance .Image  Adoption of Best Practices in Pharmacy – Advancing Hospital and Community Practice  Dispensing Separation  Quality Pharmacy Education  Pharmacy Advocacy and Leadership  Harness the energy of Young Pharmacists  Strengthening the Pharmacy Organisations .

PHARMACISTS MANPOWER GROWTH TREND Malaysia ‘000 8 7 6 5 4 3 2 1 0 1970 1975 1980 1985 1990 1995 2000 2005 2010 235 265 434 893 1325 2100 3168 4793 8300 .

Pharmacist Densities by Income Economies Pharmacists Population Ratio Still Low .

Huge Demand to become Pharmacists But are we getting the right people to take up Pharmacy? .

Dishonesty. Unethical! “The Lack of Professionalism can affect the image of Pharmacy Practice” .

Threat to Professional Image “Damaging News ” .

MOTIVATION in taking up Pharmacy Studies 75  Money Job issues Altruism Health interest Science % cases (n=1308) 50  25  0            Slovenia Swiss Romania Portugal Nepal Jamaica NL Singapore Australia Malaysia .

Mindset and Attitude .

Pharmacists’ Mindset  A consequence of past and historical development . trapped  Pharmacy – majority not the first choice as a career. rather than institutional centered  Still pursuing a product/logistic based practice  Subservient to the medical profession  Unsure of where their future is or where they are heading? . but things are changing  Seeing pharmacy more as a job rather than a vocation (profession)  Self-centered.

60 pages) WHO Collaborative Study .” The Role of the Pharmacist in the Health Care System (1994.“Only when the pharmacist has been accepted as a vital member of the health care team can the necessary supporting services be organized with the professionalism that they demand.

As Pharmacists. we believe we are members of the Healthcare Team But are we truly being accepted? .

it has been an “unequal” partnership within the healthcare team .In Reality.

Malaysia .Pharmacy with the MoH.

Few pharmacists are pharmacy owners in Brazil. You don't need to be a pharmacist to open a pharmacy. every citizen has the right to own a pharmacy. 2007/04/14 19:22. I'm a pharmacist in Brazil.Pharmacy Practice in Brazil Submitted by Marco Antonio de Freitas (not verified) on Sat. . They are obliged to work for people with absolutely no qualification and earn very low salaries (US$ 9000. In our country. For these reasons many pharmacists abandon the career in Brazil.00 a year). They feel very frustrated because of little recognition of their work and very low earnings. The population don´t respect pharmacists as health professionals and usually treat them like pharmacy clerks(in our country one doesn´t need to be a pharmacy technician to work in a pharmacy side by side with a pharmacist. These unqualified people are like shop clerks in other countries). A pharmacy is considered a simple business like any other. The government do not include pharmacists in the national health programmes.

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don’t act like Pharmacists! .Viewing Pharmacists as Threats! Doctors.

september 2001 . FIP vice-president.Pharmacists and Physicians in the Value Chain COUNSELLING OTC PRESCRIPTION PHARMACISTS SCREENING Referring HEALTH PROMOTION PHYSICIANS DIAGNOSIS TREATMENT MEDICAL CARE VALIDATION + PHARMACEUTICAL CARE Dr Michel BUCHMANN.

The “War” Continues… .

DISPENSING SEPARATION ISSUE IN MALAYSIA 31st March 2008 in the NST .

Pharmacist Earning Respect!

“Pharmacists should move from behind the counter and start serving the public by providing care instead of pills only.

There is no future in the mere act of dispensing.
That activity can and will be taken over by the internet, machines, and/or hardly trained technicians. The fact that pharmacists have an academic training and act as health care professionals puts a burden upon them to better serve the community than they currently do.”

(From: Pharmaceutical care, European developments in concepts,
implementation, and research: a review.1,p.x.)

Are Pharmacists themselves obstacle to their Growth & Development? .

Who is the Pharmacist? .

Professional Image of Pharmacist .

Pharmacy or Retail Outlet? .

Franchised Logos Pharmacy .

PHARMACY A Pharmacist’s Franchise! .

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Dispensing .

Big Image Problem to Overcome! A Malaysian Study SS Chua et al. .

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Medical Profession is clinical and patient focus What can we unify the Pharmacy Profession? .

Pharmacy – Profession with many options Industrial Community Hospital Marketing Academia R&D .

Marketing CommonPatient GOAL for these Industrial Community Pharmacists Safety & Outcome Academia Hospital R&D .

Pharmacists Across Practice Fields (%) Community Sector Asia Hospital Dominates Hospital Sector .

Pharmacy Today GLOBALLY CONNECTED is .

The Global Pharmacy Leader has been leading the transformation .

Image  Adoption of Best Practices in Pharmacy – Advancing Hospital and Community Practice  Dispensing Separation  Quality Pharmacy Education  Pharmacy Advocacy and Leadership  Harness the energy of Young Pharmacists  Strengthening the Pharmacy Organisations . including consumers  Professionalism & Governance .Because WE share SIMILAR Issues and Problems!  Pharmacists’ Mindset  Evolving roles of Pharmacists  Acceptance as member of healthcare profession – by others.

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Quality Use of Medicines .

Manasse.64(16):1685-1692. And we are coming to need each other as we position our profession for the future. interconnections with our global counterparts is vital. © 2007 American Society of Health-System Pharmacists Global concerns surrounding rational drug therapy. 2007. . the quality of the drug supply. the responsiveness to patient needs around drug information.“Reengineering Pharmacy Practice in a Changing World” Ideals and Idealists: Striving to Achieve Our Societal Imperative Henri R. With the rapid pace of global change affecting our profession daily. As a result. We must begin to work together to tackle these changes and develop universal standards to improve the quality of care and safety we provide our patients. and the structuring of pharmacy practice to meet new governmental and social demands. Jr. our profession is becoming more globally connected.

HOW CAN FAPA SHOW THE WAY? .

As an Asian Regional Pharmacy Organisation FAPA will cooperate with FIP as a global leader and other pharmacy related organisations to address these issues .

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Gaps Still Persist Many challenges faced by pharmacists in member countries in Asia .

Advanced Practice Basic Practice FAPA Leveling the Playing Field. Not Lowering .

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EXCITING ROLE FOR FAPA! Unity in Diversity Within the Pharmacy Community .

November. 5-8.Taipei. 2010 .

INFLUENCING. .Are We Together Again Present at this Workshop/Seminar in Yogyakarta are international pharmacy leaders from no less than 14 countries SHARING. it was the willingness to confront unequivocally the major anxiety of their people in their time. is the essence of leadership. This. and not much else.John Kenneth Galbraith . and BRINGING CHANGE To the Profession All of the great leaders have had one characteristic in common.

FAPA Federation of Asian Pharmaceutical Associations PLATFORM FOR DISCUSSION SHARING OF KNOWLEDGE. SKILL AND EXPERIENCES COMMON ISSUES INSTITUTIONAL SUPPORT DEVELOPING A STRONG NETWORK OF MEMBER ORGANISATIONS .

Countries in Asia HONG KONG AUSTRALIA .

Member Organisations fully aware of the potential of pharmacists contributing to national healthcare system .

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A Young Pharmacist Says: “The pharmacy profession is. It has much potency that still needs to be developed so that we may best meet the needs of the community” . and always should be. a dynamic healthcare profession.

Harnessing the Energy and Dynamism of Young Pharmacist Groups in Asia .

YPG Philippines .

YPG Malaysia .

YPG Taiwan .

FAPA INTERNATIONAL TRAVEL SCHOLARSHIP FOR YPG IN DEVELOPING COUNTRIES .

issues and pharmaceutical care as a whole. Ward Supply Pharmacist at Pusat Perubatan University Kebangsaan Malaysia. .” Mr Ong Aik Liang... technology..We do have the ultimate goal which is to make our profession respectable and recognized in the community.FAPA Travel Scholarships “ In conclusions. FAPA Taipei had successfully met its objective in bringing pharmacists in different segment from all over the world in sharing the latest advancement in term of profession. Representing Malaysia as a young pharmacist has provided me with the sense of where we are now compared to other developed Asia countries. He was one of the recipients of the FAPA Travel Scholarships which enabled him to attend the FAPA2010 conference in Taiwan.. We should have the vision and the goal to improve the current practices so that we will benefit not only in terms of workload relief but also entire health care system. .

Quality PHARMACY EDUCATION is the key driver of PHARMACY DEVELOPMENT .

PHARMACY EDUCATION HAS NOW COME UNDER THE RADAR SCREEN OF WORLD THOUGHT LEADERS AND ORGANISATIONS .

a Ian Bates. PhD. MComm. BPharm. PhD. Further consultation and research is needed in addition to the establishment of an effective global sharing platform. EdD. changes in the roles of pharmacists and growing health challenges.e Hugo Mercer. Pharm D.g Tana Wuliji. .h and Akemi Yonemura.d Billy Futter. BPharm.The WHO UNESCO FIP Pharmacy Education Taskforce: Enabling Concerted and Collective Global Action Claire Anderson. EdDi Vision Against the background of complex pharmacy workforce trends. an essential need exists to have a clear and shared vision for professional pharmacy education as well as a process for building collective action and momentum to develop quality pharmacy education.b Diane Beck. Plans are also currently in the advanced stages of development for the establishment of a global pharmacy education network.c Tina Brock.MSc.f Mike Rouse. of pharmacy schools through the UNESCO UNITWIN (university twinning) programme. GPhEd.

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FAPA-AASP WORKSHOP ON PHARMACY EDUCATION .

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payers rightfully expect and deserve to receive validation that pharmacists are qualified to provide such services. other health providers. employers.IMPORTANCE OF CREDENTIALS IN PHARMACY A pharmacist’s credentials are indicators that he or she holds the qualifications needed to practice the profession of pharmacy and is therefore worthy of the trust of patients. payers. of other health care professionals. and other pharmacists that practitioners are competent no matter where they are in their careers and where they practice. . Similarly. In the profession of pharmacy. * Fourth. more specifically. * First among them are the pace of change and the increasing complexity of health care. can help provide the documentation that Medicare and Medicaid. * Second factor is the pharmacist’s expanding patient-centered role. Pharmacists who are providing cognitive services or specialized care should be compensated for the services they provide. economic realities enter the picture. the interest in credentials has been catalyzed in recent years by several factors. and in many cases. Interest in credentialing has likewise been stimulated by the growing trend toward specialization in pharmacy practice and by the need to document the pharmacist’s ability to provide specialty care. and of society as a whole. * Third factor has been the need to assure the public. Credentials. certification. managed care organizations. and other third-party payers require of pharmacists today and in the future.

INTERACTING WITH OTHE INTERNATIONAL/REGIONAL ORGANISATIONS WHO FIP ACCP AASP AFPS .

Essential Elements to Advancing the Pharmacy Profession .

Power Triangle POWER Communication Hill & Knowlton CEO .

MPS appealed against shortening Pharmacy Course .

PHARMACY TRAINING INSTITUTIONS IN MALAYSIA Public USM UKM UM IIU UiTM Private IMU UCSI AIMST NOTTINGHAM CYBERJAYA MASTERSKILL MSU MAHSA SEGI –SUNDERLAND MONASH \ .

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Taiwan (2010) .FAPA Forum on Community Pharmacy Accreditation Taipei.

The Bill was finally passed What is the Impact on Pharmacists performing Screening Tests? .

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Asian Community Needs Help .

Image  Adoption of Best Practices in Pharmacy – Advancing Hospital and Community Practice  Promoting Quality Pharmacy Education  Pharmacy Advocacy and Leadership  Strengthening management of member organisations .CONCLUSION  Pharmacy Profession has evolved over time to meet the changing healthcare needs of the people and nations  However there are still many issues and challenges confronting the profession.  Asia as a region has enjoyed unprecedented socio-economic growth leading to huge demand for pharmaceuticals and healthcare services  Demand for pharmacists is expected to grow at fast pace  Promoting the evolving roles of pharmacists  Developing a strong Young Pharmacist Group to energize the profession  Enhancing Professionalism & Governance .

SKILL AND EXPERIENCES COMMON ISSUES INSTITUTIONAL SUPPORT DEVELOPING A STRONG NETWORK OF MEMBER ORGANISATIONS .FAPA Federation of Asian Pharmaceutical Associations PLATFORM FOR DISCUSSION SHARING OF KNOWLEDGE.

and with other international pharmacy organisations  Creating opportunities for sharing of knowledge and information  Identifying common areas of concern and sharing experiences  Improving the perception on pharmacist’s role and image  Promoting the evolving roles of pharmacists  Developing a strong Young Pharmacist Group to energize the profession  Enhancing Professionalism & Governance .HOW CAN FAPA CONTRIBUTE TO THE DEVELOPMENT OF PHARMACY IN ASIA?  Creating strong networking amongst pharmacist community.Image  Adoption of Best Practices in Pharmacy – Advancing Hospital and Community Practice  Promoting Quality Pharmacy Education  Pharmacy Advocacy and Leadership  Strengthening management of member organisations . within Asia and outside it.

Thank You For Your Kind Attention! .