CHAPTER 3

Pharmaceutical Care and Drug Supply

Service Management

By: D.B
May 2022
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 Session outlines

• pharmaceutical care services

• Drug supply service

• Drug related problems

• Cause of drug/medication Error

• Ensuring Rational Drug Use

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• pharmaceutical care means :giving
safe ,efficacies and stable drug to clients
accordingly drug indication ,age specification
,gender affairs( female px…) and any inter
action with adequate information .

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• pharmaceutical care include:
* dispense safe drug
* dispense drug with full information (drug
name ,indication drug-drug and food
interaction…)
* indentify and solve 7 drug related problems
at dispensary unit and clinicals wards
* delivery drug information to other health
professional for new drugs(DIC)

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7 DRUG RELATED PROBLEMS
1-Inappropriate indication
– The patient requires additional drug therapy
– The patient is taking unnecessary drug therapy
– Patient is taking duplicated drug therapy
2-Ineffective drug therapy
– The patient is taking a drug that is not effective for his/her situation
– The medication dose is too low
– Drug interaction that reduces plasma concentration

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3-Unsafe drug therapy
– The patient is experiencing an adverse drug
reaction
– The medication dose is too high
4-Inappropriate adherence or compliance
– The patient is unable or unwilling to take the
medication as prescribed
– The drug product is not available/expensive for
the patient

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5-Inadequate labeling
• Unsanitary procedures
6-Packaging problem
– Poor-quality packaging materials – Odd
package size, which may require
repackaging repackaging – Unappealing
package

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7-Patient adherence:
• Poor labeling
• Inadequate verbal instructions
• Inadequate counseling to encourage
adherence adherence
• Inadequate follow-up/support of patients
• Treatments or instructions that do not
consider the consider the patient’s beliefs,
environment, or culture or culture

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 Cause of drug/medication Error
1-Diagnosis
* Inadequate examination of patient
* Incomplete communication between
patient and doctor doctor •
* Lack of documented medical history
*Inadequate laboratory Resources

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2-prescription error

*Extravagant prescribing
* Over-prescribing
*Incorrect prescribing
*Under-prescribing
* Multiple prescribing/ers

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3-Dispensing error
*Incorrect interpretation of the prescription
-Retrieval of wrong ingredients •
*Inaccurate counting, compounding, or
pouring
* incorrect information convey during
dispensing to clients

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 Ensuring Rational Drug Use
1 promote Pharmaceutical Management Cycle

1-Selection 2-Quantification
Management
3-Procurement 4- Distribution
Policy, Regulations, Law

5-Use 12
• Policy, Regulations, Law should regulates
correct pharmaceutical managements
2-Providers and patients should Manage
closely and monitors timely
3-Guide clinical practice – accordgly procedure
and sets and updates timely
4-enhance Information systems ex. Establish
drug information center ,patients education
accordgly schedules

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5-Regulates drug safety affordability stable
and efficacy
6-control drug and medicine market and
practice
7-Pharmacist and druggists involve pharmacy
service awarely

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 Roles and Responsibilities
1. Federal Ministry of Health (FMOH
Participate in pharmaceuticals forecasting with
PFSA
Advocate for financial support for
pharmaceuticals
Monitor stock levels and program supply
performance
Communicate program plans and donor activities
that affect demand for pharmaceuticals
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2. PFSA (pharmaceutical fund supply
agency)
•As an agency with a prime responsibility of
managing the pharmaceutical logistics
system of the country, PFSA has
indispensable roles and responsibilities in
the implementation of theIts responsibilities
include forecasting, procurement, storage
and distribution of products

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3-Regional Health Bureaus/Zonal Health
Department
Provide technical assistance and supervision in
logistics management including stock
management, ordering, and reporting functions
of Hospitals and WHOs
Monitor pharmaceutical budget and
pharmaceutical availability
Ensure adequate funds for procurement of
essential pharmaceuticals at each hospital
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4-Woreda Health Offices
Provide proof of delivery for products received
from PFSA based on STV
• Send catchment health center logistics data
to zonal health departments.
• Ensure the right pharmaceuticals are
provided at Health Centre's and Health Posts
-Supervise
stock management, ordering, and reporting
functions of health posts and health centers
•
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5-Monitor pharmaceutical budget and
pharmaceutical availability
•FMHACA :control drug ,medicine crude drug
and food safety efficacy legality and stability
•FMHACA have branch at region ,zone and
wereda allover the country

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THANK YOU

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