Improving Pharmaceutical Service in the Primary Healthcare Sector Through the Training of Pharmacist Assistants
South Africa (SA) has 5.63 million people living with HIV/AIDS (PLWHA), 0.4 – 0.59million estimated TB cases reported per annum (according to the SA National Strategic plan 2012)1 and 800 HIV related deaths per day. In order to scale up the roll out of Antiretroviral (ARV) services, President Zuma announced on 1 December 2009 called for action so that “all health institutions in the country are ready to receive and assist (HIV+) patients and not just a few accredited ARV centres”2.
KI, in order to improve the quality of Pharmaceutical services, developed a model of care where Post Basic Pharmacist Assistants (PBPA) are employed and up-skilled. Once up-skilled, this Indirectly Supervised Pharmacist Assistants (ISPA) provide and strengthen pharmaceutical service at PHC level under the indirect supervision of a Designated Supervisory Pharmacist (DSP).
The ISPA model of pharmaceutical care demonstrates robust patient outcomes with regard to Patients Remaining in Care, Viral Load Suppression and Lost to Follow up when compared to pharmacy supported services at baseline in the PHCs (for more information see: Improved Access to ART at the PHC level through indirectly Supervised Pharmacist Assistants)
Tutors often lack time and capacity to adequately support learners with training – learners benefit from additional support as provided in weekly workshops in the Kheth’Impilo program.
For the project to succeed we recommend appropriate screening, the selection of a high quality accredited service provider, appropriate training material and constant monitoring and evaluation of the project.
To watch a short video about this work, please click the link below.
Kheth'Impilo: Improving Pharmaceutical Services in the Primary Healthcare Sector through Training of Pharmacist Assistants fromImproving Health Care on Vimeo.