Development and Implementation of Good Pharmacy Practice in Developing Countries

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Development and Implementation of Good Pharmacy
Practice in Developing Countries Mrs. Bente
Frokjaer Secretary Community Pharmacy Section
of FIP
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International Pharmaceutical Federation - FIP

• FIP is a world-wide federation of national
  pharmaceutical associations
• FIPs mission is to represent and serve pharmacy
  and pharmaceutical sciences around the globe
• Through its member associations, FIP connects,
  represents and serves more than one million
  pharmacists and pharmaceutical scientists around
  the world.

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FIP Community Pharmacy Section

• The aims of the Section are
• to improve professional standards of the
  profession and encourage the realisation of the
  social aims of the profession
• to plan and be responsible for the activities of
  FIP in the field of community pharmacy in
  particular.

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Health is a human right

• . Health is a fundamental human right and the
  attainment of the highest possible level of
  health is a most important world-wide social
  goal.
• Adequate pharmaceutical service, ideally provided
  by pharmacists, is a vital component of Primary
  Health Care.
• Both FIP and WHO believe that national
  pharmaceutical associations in individual
  countries are best able to decide what can be
  achieved in terms of Good Pharmacy Practice and
  within what timescale.

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AIMS

• To help developing countries achieve Good
  Pharmacy Practice by devising a set of guidelines
  that can be adapted by stepwise implementation.
• The overall aim is the striving towards
  ever-higher standards of practice for the benefit
  of the patients and the community being served
• by achieving better outcomes
• by developing the profession

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Method

• A questionnaire was distributed to 171 developing
  countries. The questionnaire should give an
  overview of
• availability of pharmacies, pharmacists and
  support staff or health workers
• education and training of pharmacists and of
  pharmacy support staff
• existing standards for pharmacy practice
• legislation on distribution and dispensing of
  medicine.

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Results

• The Working Group received responses from a wide
  range of countries. Replies were received from
  countries in South and Central America, Europe,
  Middle East, Africa, Asia and Oceania.
• The replies showed big differences in levels of
  practice, availability of pharmacies and
  pharmacists, in level of education and in
  regulation of medicine distribution and
  dispensing.

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Recommendations

• Recognizing differences in levels of practice the
  Working Group recommends a step-wise
  implementation of Good Pharmacy Practice. Each
  association and person can identify the step on
  which they are currently operating and work
  towards reaching the next step, thereby
  continually improving the quality of
  pharmaceutical service offered to their
  community.
• The step-wise implementation can be applied to a
  number of different components of pharmaceutical
  services.

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Recommendations

• The recommendations focus on four areas
• Personnel
• Training
• Standards
• Legislation and national drug policy

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Stepwise implementation

• PERSONNEL
• Aim all people should have access to a qualified
  pharmacist
• Step 1 Access to a community health care worker
  with appropriate pharmaceutical training
• Step 2 Access to a person trained to a higher
  level than community health care worker
• Step 3 Access to a qualified pharmacy technician
  with appropriate training
• Step 4 Direct access to a pharmacist.

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NATIONAL DRUG POLICY- stepwise

• NATIONAL DRUG POLICY
• Aim Ensuring equitable access to safe
  andeffective drugs of good quality by
  establishing a National Drug Policy.
• Pharmacists must be involved in all policy
  decisions that effect distribution and use of
  medicines and related products.
• Step 1 Establish a National Drug Policy based
  upon WHO Guidelines
• Step 2 Create a suitable Essential Drug List.

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Manual for Health Care Workers
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Implementation

• The guidelines have been sent to all developing
  countries and are available on www.fip.org.
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• At present the guidelines are being followed in
  Ghana as a support in step-wise implementation of
  Good Pharmacy Practice.

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Ghanese Pharmacy

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Chemical seller in Ghana

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What can we Iearn?

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