Meeting Report: X Annual AMI/RAVREDA and XIX Steering Committee Meetings Panama, Panama March 22 - 25, 2011 Trip Report

Lawrence Evans III, Ph.D., M.P.H. Global Services and Standards Manager Victor Pribluda, Ph.D. Manager, Latin American Programs Joselin Quintana, B.S. Associate Program Manager, Latin America Programs

Promoting the Quality of Medicines Implemented by U.S. Pharmacopeia

12601 Twinbrook Parkway Rockville, MD 20852 USA

Tel: (+1-301-816-8389) Tel: (+1-301-816-8374)

Email: pqm@usp.org and le@usp.org

Cooperative Agreement # GHS-A-00-09-00003-00 Funding Source: USAID Bureau for Latin America and the Caribbean, AMI Grantee: Promoting the Quality of Medicines (PQM) Program Author(s) Name: PQM Staff Language: English Date of Publication: May 5, 2011

This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID), under Cooperative Agreement No. GHS-A-00-09-00003-00. The contents are the responsibility of the Promoting the Quality of Medicines Program, implemented by the U. S. Pharmacopeia, and do not necessarily reflect the views of USAID, or the United States Government.

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 1 -

Executive Summary Country and international partners and stakeholders participated in the X Annual Evaluation Meeting and the XIX Steering Committee Meeting for the Amazon Malaria Initiative/Amazon Network for the Surveillance of Antimalarial Drug Resistance (AMI/RAVREDA) in Panama City, Panama, on March 22-25, 2011. The purpose of the joint meetings was to allow AMI partners to exchange information about achievements, contributions, and lessons learned related to malaria control efforts in the Latin American and Caribbean region, as well as to discuss the visions for the future of AMI PQM staff gave presentations on the following activities:

• DQI/PQM Contributions to AMI • Colombia: Results from the First Part of a Case Study of Malaria Medicine Quality in the

Private and Informal Market • Guyana and Suriname: Case Studies of Malaria Medicine Quality in the Private and

Informal Market • Medicine Quality Virtual Forum • PQM Medicine Quality Database

In addition, PQM staff met with key stakeholders from Guyana and Suriname to discuss next steps to present the malaria medicine quality case study results to the Ministry of Health of each country and discuss ensuing follow up activities.

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 2 -

TABLE OF CONTENTS

Acknowledgements ......................................................................................................... 3 Acronyms ......................................................................................................................... 4 Background ..................................................................................................................... 5 Purpose of Meetings ........................................................................................................ 5

Source of Funding ........................................................................................................... 5 Meeting Highlights ......................................................................................................... 5 Conclusions ............................................................................................................................... 7 Next Steps .................................................................................................................................. 8 Annex 1: X Annual AMI/RAVREDA Meeting Agenda ....................................................... 9 Annex 2: List of Participants ........................................................................................... 12 Annex 3: Presentation––Medicine Quality Virtual Forum ............................................... 20 Annex 4: Presentation––Medicine Quality Database ..................................................... 24 Annex 5: Presentation––DQI/PQM Contributions to AMI/RAVREDA ............................. 26 Annex 6: XIX Steering Committee Meeting Agenda ....................................................... 28

About PQM The Promoting the Quality of Medicines (PQM) program, funded by the U.S. Agency for International Development (USAID), is the successor of the Drug Quality and Information (DQI) program implemented by the United States Pharmacopeia (USP). PQM is USAID’s response to the growing challenge posed by the proliferation of counterfeit and substandard medicines. By providing technical assistance to developing countries, PQM helps build local capacity in medicine quality assurance systems, increase the supply of quality medicines to priority USAID health programs, and ensure the quality and safety of medicines globally. This document does not necessarily represent the views or opinions of USAID or the United States Government. It may be reproduced if credit is given to PQM and USP.

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 3 -

ACKNOWLEDGEMENTS

We would like to thank:

• USAID/Panama • Pan American Health Organization (PAHO) Panama and Headquarters for their coordination

of the X Annual AMI/RAVREDA and XIX Steering Committee Meetings • The staff at the Instituto Especialiazdo de Análisis, in particular, Dr. Nilka Guerrero • Mr. Anthony Boni, Pharmaceutical Management Specialist (PQM Agreement Officer's

Technical Representative • Dr. Maria Miralles, Senior Pharmaceutical Management Advisor, Office of Health,

Infectious Diseases and Nutrition, Health Systems • Dr. Jaime Chang, Project Management Specialist, Office of Health, USAID/Peru • The PQM administrative staff and editors for their assistance with logistical arrangements

and for editing the trip report

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 4 -

ACRONYMS

AMI Amazon Malaria Initiative CA Central America CAPA Corrective and Preventive Action DQI Drug Quality and Information IEA Instituto Especialiazdo de Análisis LAC Latin America and Caribbean MQDB PQM Medicine Quality Database MQM Medicine Quality Monitoring MRA Medicine Regulatory Authority NMCP National Malaria Control Program OMCL Official Medicines Control Laboratory PAHO Pan American Health Organization PQM Promoting the Quality of Medicines QA Quality Assurance QC Quality Control QMS Quality Management System RAVREDA Red Amazónica de Vigilancia de la Resistencia de los Antimaláricos SC Steering Committee TA Technical Assistance USAID United States Agency for International Development USP United States Pharmacopeia WHO World Health Organization

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 5 -

Background The U.S. Agency for International Development (USAID) and U.S. Pharmacopeia (USP) have been providing technical assistance to the Amazon Malaria Initiative (AMI) since 2001, first through the USP Drug Quality and Information (DQI) program and, currently, through the Promoting the Quality of Medicines (PQM) program. AMI offers a multidisciplinary approach with international partners and country stakeholders to provide support to prevent and control malaria in Bolivia, Brazil, Colombia, Ecuador, Guyana, Peru and Suriname. During the last several years, assistance has also been provided to selected countries in Central America. PQM provides assistance to ensure the availability of good quality medicines and strengthen Quality Assurance and Quality Control (QA/QC) systems in the participating countries. AMI international partners and representatives from the countries who participate in AMI and the Amazon Network for the Surveillance of Antimalarial Drug Resistance (RAVREDA, its acronym in Spanish) attend annual meetings to share their activities and accomplishments and to discuss prospective activities. Subsequent to the AMI/RAVREDA meeting, the international partners attend AMI’s semi-annual Steering Committee (SC) meeting to discuss future plans, strategic approaches, and other pertinent issues. In Panama, PQM has been working with the Instituto Especialiazdo de Análisis (IEA) to strengthen its Quality Management System (QMS). In May 2010, PQM evaluated the QMS of Panama’s Official Medicine Control Laboratory. In response to the observations made during the evaluation, a corrective and preventive action (CAPA) plan was developed to assist IEA in implementing a stringent QMS. Purpose of Meeting

• Attend the X Annual AMI/RAVREDA and XIX Steering Committee meetings with in-country partners

• Follow-up on CAPAs from PQM QMS evaluation of IEA performed in May 2010

Source of Funding The trip was funded by the USAID Bureau for Latin America and the Caribbean, AMI. Meeting Highlights X Annual AMI/RAVREDA Meeting

March 22–24, 2011 See Annex 1 for a detailed agenda and Annex 2 for a full list of participants. PQM gave five presentations (see Annexes 3-5) that covered the following topics:

• DQI/PQM contributions to AMI/RAVREDA • Results from the First Part of a Case Study of Malaria Medicine Quality in the Private

and Informal Market (note: this presentation is not included in the annexes as the data is being prepared for journal submission)

• Medicine Quality Virtual Forum: Update on development and capabilities

Trip________

_________

• Pre

• GInjo

Highligh• A

co–

–

–

• QanthF–

– AMI sem

March 25See Anne HighlighSC meeti

• Pprac

• Tbin

p Report to Pan__________

____________

QM Medicinelease of dat

Guyana and Snformal Marournal submi

hts from the XAMI/RAVREontrol of ma

AMI fundhas been sContributinception presentedpartners The scopefuture AMof action w

Quality Assurntimalarial mhrough the Pund:

The PAHmechanismaccess to AmericasPQM will

mi-annual Ste

5, 2010 ex 6 for a de

hts from the sing are: QM and othresented thectivities and

The next AMe held Septen Washingto

nama City, Pan___________

_____________

ne Quality Dtabase Suriname: Crket (note: thission.)

X Annual AMEDA Initiativalaria ding for 2012secured tions from thof AMI wer

d by internati

e of work forMI strategy awas presenterance of medicines prPAHO Strate

O strategic fm to promotquality essen

s l explore opp

eering Comm

etailed agend

semi-annual

her partners status of cu

d future plansMI SC meetinember 13-15on, D.C.

nama: X Annua__________

____________

Database (M

ase Studies his presentati

MI/RAVREve – past ten

2-2015

he re ional

r the and plan ed

rocured egic

fund is a te ntial public h

portunities to

mittee Meeti

da

AMI

urrent s ng will , 2011

al AMI/RAVRE___________

____________

- 6 -

QDB): Upda

of Malaria Mion is not inc

EDA Meetingn years and v

health suppl

o assist PAH

ing

EDA and XIX S__________

_____________

ate on devel

Medicine Qucluded as the

g are: vision for the

lies, includin

HO in suppor

Steering Comm___________

____________

opment, cap

uality in the Pe data is bein

e future in th

ng medicines

rting the stra

mittee Meetings__________

_____________

pabilities and

Private and ng prepared

he prevention

s, in the

ategic fund

_____

_____

d

for

n and

Trip________

_________

Meetings

Guyana:PQM sta(Head Dr(GovernmKaranchato discusand informeeting ithe findinand the r SurinamPQM staDr. RachParamariinformal meeting ithe findin Meeting Ms. Nilkaddress tDuring th

ConclusOverall, band interthe next sfor PQMsignificanoutcomesmalaria s

p Report to Pan__________

____________

s with in-cou

: aff met with irug Control ment Analysand Krisnalas the study trmal sector. in June to fongs. Potentiaegional Hea

me: aff met with ihel Earsel (PAibo)––to discsector. PQMin June to fongs. PQM w

with the Chika Guerrero, the observatihe visit, PQM

sions both meeting

rnational partsteps for key

M and its partnnce of the ins achieved wstrategy will

nama City, Pan___________

_____________

untry partner

in-country pAuthority, G

st Foods andall (Chief Insto evaluate thPQM will se

ormally preseal invitees walthcare Work

in-country pAHO- Surincuss the stud

M will send aormally prese

will need to id

ief of QualitIEA Directo

ions made duM staff also

gs were a sutners and they activities inners to prese

nitiative in rewill provide t

be cast.

nama: X Annua__________

____________

rs

partners––NiGuyana Minid Drugs Depaspector Vecthe quality ofend a letter tent the resul

would come fkers and Mi

partners––Drname), and Ddy of antimala letter to theent the resuldentify poten

ty Assuranceor, updated During the PQhelped resol

uccess. The Pe meetings wn Guyana anent their accoeducing the mthe fundame

al AMI/RAVRE___________

____________

- 7 -

icolas Ceronistry of Healartment, Drutor Control Sf antimalariato the Ministlts of the studfrom the Minners Associa

r. Malti AdhiDr. Stephen Vlarial medicie Ministry olts of the studntial stakeho

e at the IEADr. Evans anQM evaluatiolve some issu

PQM presenwith country nd Surinameomplishmenmalaria burdentals from w

EDA and XIX S__________

_____________

n (PAHO-Gulth), Ms. Allug ChemistryServices, Gual medicines try of Healthdy and devenistry of Heaation.

in (Institute Vreden (Acaines samplesf Health of Sdy and deveolders to invi

nd Mr. Quinton of the QMues with lab

ntations werepartners we

. The meetinnts over the lden in the regwhich the vis

Steering Comm___________

____________

uyana), Collelison Hinds-Sy Laboratory

uyana Ministsampled fro

h of Guyana lop an actionalth, the Min

for Biomediademic Hosps from the prSuriname reqlop an actionite to the me

tana on the lMS of IEA in

oratory equi

e well receivere importantngs were alsolast 10 yearsgion. The tosion of the fu

mittee Meetings__________

_____________

ette GouveiaSemple y), and try of Healthom the privarequesting an plan to addning Associa

ical Sciencespital rivate and questing a n plan to addeeting.

ab’s progresn May 2010.ipment.

ed by countrt in developio the ideal fo of AMI andols created a

future AMI

_____

_____

a

h)––te a dress ation,

s),

dress

ss to

ry ing

forum d the and

Trip Report to Panama City, Panama: X Annual AMI/RAVREDA and XIX Steering Committee Meetings ______________________________________________________________________________

_____________________________________________________________________________________________

- 8 -

Next Steps • Finalize the PQM AMI (2012-2015) objectives and begin formulating activities, with the

assistance of international partners, to address malaria (low and high transmission), as related to medicine quality

• PQM will meet with PAHO in May to identify potential areas of support for ensuring the quality of medicines procured through the Strategic Fund to program in FY12 work plan

• PQM will finalize plans for the June visits to Suriname and Guyana

 

AGENDA   

Tuesday, 22 March 2011 08:30 – 09:00 Registration 09:00 - 09:30 Welcome and Introduction to Meeting

Representative, Ministry of Health of Panama USAID Mission Representative / Panama PAHO / WHO Representative Panama

09:30 – 09:45 General Aspects of the Meeting / Presentation of Participants K. Carter/J. Chang

09:45 – 10:10 SESSION 1: 10 Years of the Initiative and Vision for the Future - A Look at 10 years of AMI / RAVREDA in the prevention and control of malaria in the Region K. Carter (:15) -AMI Perspectives for 2011-2015 J Chang (:10)

10:10 – 10:40 Relevant contributions from the partners during their involvement with AMI / RAVREDA CDC (:5) LinksMedia (:5) MSH (:5) OPS (:5) RTI (:5) USP (:5)

10:40 - 10:55 Coffee break 10:55 – 12:30 Discussion (:20)

- Progress in defining the lines of work in the Strategy and Plan of Action for Malaria in the Americas 2011-2015 and vision of AMI as catalyst in its implementation K. Carter (:20) - Progress in the definition of AMI 2011-2015 (:20) - External Evaluation - Ad PAHO / USAID (:05) Discussion (: 30)

12:30 - 14:00 Lunch 14:00 – 16:30 SESSION 2: Analysis of country situations and challenges in the prevention

and control of malaria - Challenges to sustain the gains achieved in reducing the disease burden ECU (:20) - Suspected causative factors and response to outbreaks and / or increasing the burden of malaria Experiences of HON (:20) y GUY (:20) Discussion (:30) - Focus on malaria in the Guyana Shield (BRA-SUR-GUY-F. GUI) Stephen Vreden (:20) Discussion (:30)

16:30 - 16:45 Coffee break

msmText Box

msmText BoxANNEX 1

msmText Box

msmText Box9

16:45 - 17:45 - Extension of use of tools developed through the AMI / RAVREDA framework with the support of Colombia malaria project funded by the Global Fund E. Soto (:10) - Lessons Learned in Africa and Southeast Asia through PMI on vector surveillance and control – J. Williams (:20) - Focusing malaria prevention and control efforts towards elimination OPS (:10) Discussion (:20)

Wednesday, 23 March 2011 09:00 - 10:30 SESSION 3: ACCESSIBILITY AND QUALITY OF DIAGNOSIS

- Program Design for External Evaluation of Performance for microscopic diagnosis of malaria MP Ade (:15) - Implementation of the SEDP coordinated by Peru and Honduras, advances in diagnosis and capabilities created in the Region (:20) PER, HON - Challenges and responses to accessibility of microscopic diagnosis for malaria PAN (:10) - Quality management of malaria diagnosis and certification of competencies of microscopists in Colombia. M. Mendoza (:10) - Strategic Guidance: Presentation and discussion (:15) Discussion (:20)

10:30 – 10:45 Coffee break 10:45 – 12:30 SESSION 4: MONITORING Antimalarial Drug Resistance

- Contributions of RAVREDA and results obtained in the last 10 years K. Carter(:20) - The global situation and strategies for containment of resistance to ACTs M. Warsame (:20) - Using molecular markers and results of studies of gene deletion - HRP2 V. Kumar (:20) - Strategic Guidance: Presentation and discussion (:20) Discussion (:20)

12:30 - 14:00 Lunch 14:00 – 16:20 SESSION 5: ACCESS AND USE OF ANTIMALARIAL

- Preparedness and response to cases from areas with P. falciparum resistance DOR (:20) Implications and Impact Monitoring Studies in the introduction of ACTs - Summary of results of the study in AMI countries and gap analysis and proposed responses W. Flores (:25) Discussion (:15) Standardization of treatment regimens for P. falciparum Background and Technical Support - Recent problems in the subministry, availability of suppliers, prices, etc E. Barillas (:20) - Update on the joint purchase of antimalarials through the Strategic Fund (EF) of OPS (FE) de OPS N. Giron (:20) - Alternatives for the standardization of treatment regiments K. Carter (:20) Discussion (:20)

16:20 - 16:35 Coffee break 16:35 – 18:00 SESSION 6: QUALITY OF ANTIMALARIALS

- Status of quality assurance of antimalarial drugs in purchases through the Strategic Fund JM Parisi (:15) - Update on Quality Assurance and Quality Control (QA / QC) of antimalarials drugs in the AMI countries VS Pribluda (:10) - QC-studies of antimalarials in the private and informal sectors in Colombia, Guyana and Suriname L Evans & VS Pribluda (:15) -Demonstration of the use of Virtual Forum for quality control laboratories and the

msmText Box10

Database on the Quality of Medicines (MQDB) which is publicly accessible on the Internet. L Evans & VS Pribluda (:15) -Strategic guidance document on access, use and quality of antimalarials Presentation and discussion (:20)

Thursday, 24 March 2011 09:00 -10:30 SESION 7: VECTOR SURVEILLANCE AND CONTROL

- Advances in surveillance and vector control in the Region J. Escobar (:20) - Results of insecticide resistance in the region: we have and we need N. Padilla (:20) - IVM update and suggestions for implementation in countries J. Williams (:20) Discussion (:20)

10:30 – 10:45 Coffee break 10:45 – 12:30 - Using the tools available to combat vectors during an outbreak in remote areas

and community participation Wampusirpi HON (:20) - Evidence necessary for decision-making on the use of different vector control tools BRA (:20) - Certification of job skills of technicians in entomology and vector control G. Rey (:20) - Strategic Guidance document: Presentation and discussion (:20) Discussion (:20)

12:30 - 14:00 Lunch 14:00 - 14:30 Coordination of Actors

- Mesoamerican Initiative, elimination focus and proponed activities E. Iriarte (:20) Questions (:10)

14:30 - 15:45 SESSION 8: Information Dissemination LinksMedia

15:45 - 16:00 Conclusions and Closing

16:00 – 16:15 Cocktail - Terraza de Corotú

msmText Box11

1

X Reunión Técnica AMI/RAVREDA,

XIX Reunión del Comité AMI/RAVREDA Ciudad de Panamá, Panamá

22 al 25 de marzo del 2011

Lista de Participantes Belice: José Marenco Technical Advisor, Environmental Health Ministry of Health East Block Building Belmopan, Belize Tel: (501) 822 2363 Email: jmarenco@health.gov.bz José Pérez PAHO/WHO- Belize 4792 Coney Drive Coney Drive Business Plaza, 3rd Floor Belize City, Belize Tel: (501)2-244-885 Fax: (501) 2-230-917 Email: perezjos@blz.paho.org Bolivia Arletta Añez OPS/OMS, Bolivia Calle Víctor Sanjinéz No. 2678 Edificio Torre Barcelona Pisos 1, 6 y 7 Zona Sopocachi, La Paz, Bolivia Tel: (591-2) 241-1323 Fax: (591-2) 241-2598 Cel: (591) 730-08844 Email: aanez@bol.ops-oms.org Brasil: Oscar Martin Mesones Lapouble Programa Nacional de Controle da Malária Secretaria de Vigilancia em Saúde Ministério da Saúde Ed. Sede, Bloco G, sobreloja sala 151 Brasília, Brasil, 70058-9000 Tel: (55-61) 3315-3353/8134-6478 Fax: (55-61) 3315-3277 Email: oscar.lapouble@saude.gov.br

Soraya Oliveira dos Santos Unidade Técnica de Doenças Transmissíveis e não Transmissíveis Área de Prevenção e Controle de Doenças e Desenvolvimento Sustentável OPAS/OMS - Brasil Setor de Embaixadas Norte, Lote 19 70800-400 - Brasilia, D.F., Brazil Tel: (55-61) 3251-9584 Fax: (55-61) 3251-9591 Email: santosso@bra.ops-oms.org Camila Pinto Damasceno Programa Nacional de Controle da Malária Ministério da Saúde Esplanada dos Ministérios, Bloco G Ed. Sede, Sala 143 sobreloja Brasília, Brasil Tel: (55-61) 3315-3353 Fax: (55-61) 3326-6682 Email: camila.damasceno@saude.gov.br

camilapdamasceno@gmail.com Colombia José Pablo Escobar OPS/OMS - Colombia Carrera 7 Nr. 74-21, Piso 9 Edificio Seguros Aurora Bogotá, D.C., Colombia Tel: (57-1) 314-4141 Fax: (57-1) 254-7070 Cel: (57) 315-35-65-193 Email: pescobar@col.ops-oms.org pablo1257@yahoo.es Marcela Mendoza Fundación Universitaria del Area Andina Calle 71 #13-21 Bogotá, Colombia Tel: (57) 346-6600 Ext. 163/151 Email:

mailto:jmarenco@health.gov.bz�mailto:perezjos@blz.paho.org�mailto:aanez@bol.ops-oms.org�mailto:oscar.lapouble@saude.gov.br�mailto:santosso@bra.ops-oms.org�mailto:camila.damasceno@saude.gov.br�mailto:camilapdamasceno@gmail.com�mailto:pescobar@col.ops-oms.org�mailto:pablo1257@yahoo.es�msmText BoxANNEX 2

msmText Box12

2

Julio Padilla Ministerio de la Protección Social Carrera 13 # 32-76 Bogotá, Colombia Tel: (57) 330-5000 Ext. 1296/1297 Email: jpadilla@minproteccionsocial.gov.co Gabriela Rey Instituto Nacional de Salud Av. Calle 26 #51-20 CAN Bogotá, Colombia Tel : (57) 220-7700 Ext. 1341 Email: reyveo@hotmail.com Ecuador Gustavo Bretas Asesor en Vigilancia Sanitaria y Control de Enfermedades OPS/OMS- Ecuador, Subsede Guayaquil Av. Olmedo entre Chile y Chimborazo Edif.. de Postgrado de la U. de Guayaquil Guayaquil, Ecuador Tel: (593-4) 2511-707/2511-711 Cel: (593) 9832-9995 Email: bretasg@ecu.ops-oms.org José Sucre Dávila Vásquez Ministerio de Salud Pública Servicio Nacional de Control de Enfermedades Transmitidas por Vectores Artrópodos (SNEM) Calle 10 y av. 6 frente a Cdla. Naval Norte Guayaquil, Ecuador Tel: (593-4) 2397551 – 2392212 Email: sucredavilav@yahoo.com César Eduardo Díaz Cortéz Ministerio de Salud Pública Direccion Provincial de Salud de Esmeraldas Calle Colon entre Venezuela y Ecuador Esmeraldas, Ecuador Telefax: (593-6) 272-7807 / 271 2594 Email: diazcortezert@gmail.com

diazcortez0329@yahoo.com.br Raúl Veloz Pérez Ministerio de Salud Pública Servicio Nacional de Control de la Malaria (SNEM) Calle José Mascote y Julián Coronel, s/n Guayaquil, Ecuador Telefax: (593-4) 228-9874 Email: rvelozpe@hotmail.com

Estados Unidos María de la Paz Adé Programa Regional de Malaria Organización Panamericana de la Salud Prevención y Control de Enfermedades Transmisibles 525 23rd St. N.W. Washington, D.C., 20037, USA Tel: (202) 974-3271 Email: ademarap@paho.org Keith Carter Asesor Regional en Malaria Organización Panamericana de la Salud Prevención y Control de Enfermedades Transmisibles 525 23rd St. N.W. Washington, D.C., 20037, USA Tel: (202) 974-3843 Email: carterke@paho.org María M. Claure Programa Regional de Malaria Organización Panamericana de la Salud Prevención y Control de Enfermedades Transmisibles 525 23rd St. N.W., Washington, D.C., 20037 Tel: (202) 974-3381 Email: claurema@paho.org José Maria Parisi Essential Medicines and Biologicals Pan American Health Organization 525 23rd Street NW Washington, DC 20037 Tel: (202) 974-3496 Fax: (202) 974-3610 Email: parisijo@paho.org Guatemala Jaime Juárez OPS/OMS-Guatemala Oficina Sanitaria Panamericana Edificio Etisa, Plazuela España 7a. Avenida 12-23, Zona 9 Guatemala, Guatemala Tel: (502) 2332-2032 Email: juarezja@gut.ops-oms.org

mailto:jpadilla@minproteccionsocial.gov.co�mailto:celriera@ecu.ops-oms.org�mailto:sucredavilav@yahoo.com�mailto:diazcortezert@gmail.com�mailto:diazcortez0329@yahoo.com.br�mailto:rvelozpe@hotmail.com�mailto:ademarap@paho.org�mailto:carterke@paho.org�mailto:claurema@paho.org�mailto:parisijo@paho.org�mailto:juarezja@gut.ops-oms.org�msmText Box13

3

Adolfo Miranda Centro Nacional de Epidemiología (CNE) Dirección: 6ª. Va. 3-45, zona 11 Guatemala, Guatemala Tel: (502) 2445-4040 Email: adolfomiranda2003@yahoo.com Arturo Sánchez Lopez Coordinador Prog. Nacional de Vectores Ministerio de Salud Publica y Asistencia Social Direccion: 5ª. Av. 11-40, zona 11, Col. El Progreso Guatemala, Guatemala Tel: (502) 2472-3924 Email: artusalo2004@yahoo.es Rodolfo Zeissig Coordinador Sub-Programa Nacional de Malaria Ministerio de Salud Publica y Asistencia Social Direccion: 5ª. Av. 11-40, zona 11, Col. El Progreso Guatemala, Guatemala Tel: (502) 2472-3924 Email: rzeissigb@yahoo.es Guyana Nicolás Cerón PAHO/WHO, Guyana Lot 8 Brickdam Stabroek Georgetown, Guyana Tel: (59) 225-3000 Fax: (59) 226-6654 Email: ceronnic@guy.paho.org Collette Gouveia Ministry of Health Head Drug Control Authority Blood Transfusion Services, East & Lamaha St. Georgetown, Guyana Tel: (592) 227-5262 (M) 616-3320 email: Alison Hinds-Semple Government Analyst Food and Drugs Department Drug Chemistry Laboratory IAST Building, University of Guyana Campus UG road Turkeyen, Guyana Tel: (592) 222-8861 Cell: (592)691-5649 Email: alisonhinds@yahoo.com

Karanchand Krishnalall Chief Inspector, V.C.S. Ministry of Health Lot 8 Brickdam Stabroek Georgetown, Guyana Tel: (592) 227-4752 Email: krish.moh.vcs.@gmail.com Guyana Francesa Eric Legrand Institut Pasteur of Cayenne Parasitology Unit 23 Avenue Pasteur, P.O. Box 6010 Cayenne, cedex 97306, Guyane Francaise Tel: (594-594) 29 26 12 Fax : (594-594) 31 80 83 Email: elegrand@pasteur-cayenne.fr Jean-Marc Fischer L’Agence Regionale de Sante de Guyane 16, Rue Schoelcher, BP 696 97306 Cayenne Cedex, Guyane Francaise Cel: (594-694) 22 74 48 Fax: (594-594) 31 80 83 Email: jmfischer@msn.com Honduras María de los Ángeles Fúnez Unidad Técnica de Suministro de Medicamentos Secretaría de Salud Centro de Salud Alonso Suazo, Barrio El Morazán Tegucigalpa-Honduras Tel: (504) 2237-7600  Fax: (504) 2237-7600 Email: marielos1007@yahoo.com Nora Girón OPS/OMS, Honduras  Asesora Regional Fondo Estratégico Oficina Sanitaria Panamericana Edificio Imperial 6o.y 7o.piso Avenida República de Panamá Tegucigalpa, M.D.C., Honduras Tel: (504) 221-6091 Fax: (504) 221-6098 Email: gironn@hon.ops-oms.org

mailto:adolfomiranda2003@yahoo.com�mailto:artusalo2004@yahoo.es�mailto:rzeissigb@yahoo.es�mailto:ceronnic@guy.paho.org�mailto:alisonhinds@yahoo.com�mailto:krish.moh.vcs.@gmail.com�mailto:elegrand@pasteur-cayenne.fr�mailto:jmfischer@msn.com�mailto:marielos1007@yahoo.com�mailto:gironn@hon.ops-oms.org�msmText Box14

4

José Orlinder Nicolás Zambrano Programa Nacional Malaria Secretaría de Salud de Honduras Anexo SSH, Edificio BANMA, esq. opuesta de la Farmacia Regis Tegucigalpa, Honduras Telefax: (504) 237-8503 Email: jnicolaszambra@yahoo.es malariahonduras@yahoo.com Nicaragua Sandra Judith Pérez Sánchez Supervisora, Dirección General de Insumos Médicos Ministerio de Salud- Nicaragua Entrada Colonia 1ro de Mayo Managua, Nicaragua Tel: (505) 22890433 Fax: 505-22890433 Cel.: (505) 8372-0278 Email: dais07@minsa.gob.ni Julio César Rosales Caballero Programa de Malaria Ministerio de Salud- Nicaragua Entrada Colonia 1ro de Mayo Managua, Nicaragua Telefax: (505) 2289-4160 Cel: (505) 8851-6309 Email: malaria@minsa.gob.ni jcrclll@hotmail.com Aída Mercedes Soto Bravo OPS/OMS-Nicaragua Enf. Transmisibles- Enf. Vectoriales Oficina Sanitaria Panamericana Complejo Nacional de Salud, Camino a la Sabana Apartado Postal 1309, Managua, Nicaragua Tel: (505) 2289-4200 ext. 260 Fax: (505) 2289-4999 Email: sotoa@nic.ops-oms.org Naxalia Zamora Federación Red NicaSalud en Nicaragua 4 ½ Carretera a Masaya. No.29 Managua Nicaragua Tel: (505) 2270-0099/ (505) 8391-9384 Fax: (505) 2277-0855 Email: nzamora@nicasalud.org.ni

Panamá Olivia Brathwaite OPS/OMS- Panamá Ministerio de Salud de Panamá Ancon, Avenida Gorgas, Edif. 261, 2 piso Panamá, Panamá Tel: (507) 262-0030 Fax: (507) 262-4052 Email: brathwao@pan.ops-oms.org Lorenzo Cáceres ICGES Departamento o Area Ministerio de Salud Dirección (institución) Teléfono (institución) Email: José Calzada ICGES Departamento o Area Ministerio de Salud Dirección (institución) Teléfono (institución) Email: Mayra Gonzáles OPS/OMS - Panamá Ministerio de Salud de Panamá Ancón, Avenida Gorgas, Edif. 261, 2 piso Panamá, Panamá Tel: (507) 262-0030 Fax: (507) 262-4052 Email: gonzalem@pan.ops-oms.org Nestor Sosa ICGES Departamento o Area Ministerio de Salud Dirección (institución) Teléfono (institución) Email: Fernando Viscaíno Departamento o Area Ministerio de Salud Dirección (institución) Teléfono (institución) Email:

mailto:jnicolaszambra@yahoo.es�mailto:malariahonduras@yahoo.com�mailto:dais07@minsa.gob.ni�mailto:malaria@minsa.gob.ni�mailto:jcrclll@hotmail.com�mailto:sotoa@nic.ops-oms.org�mailto:nzamora@nicasalud.org.ni�mailto:brathwao@pan.ops-oms.org�mailto:gonzalem@pan.ops-oms.org�msmText Box15

5

Perú Marlene Flores Ching Departamento o Area Dirección General de Salud Ambiental (DIGESA) Ministerio de Salud Las Amapolas 350 - Urb. San Eugenio, Lince Lima, Perú Teléfono (institución) Fax (institución) Email: Guillermo Gonzálvez OPS/OMS- Perú Calle Los Pinos #251 La Molina, Lima, Perú Tel: (51-1) 319-5700 Email: ggonzalv@per.ops-oms.org Yeni Otilia Herrera Hurtado Coordinadora Nacional Ministerio de Salud del Perú Dirección General de Salud de las Personas Ave. Salaverry 801, Jesús Maria, Lima, Perú Tel: (51-1) 315-6600 Ext. 2506 Fax: (51-1) 315-6600 Ext. 2553 E-mail: yherrerah@minsa.gob.pe yherrerah@gmail.com Gisely Hijar Guerra Departamento o Área: Instituto Nacional de Salud Dirección (institución) Teléfono (institución) Email: Rep. Dominicana José Manuel Puello Montero Director, Centro Nacional de Control de

Enfermedades Tropicales (CENCET) Av. Duarte #269, Villa Maria Santo Domingo, Rep. Dominicana Tel: (809) 536-9604 Ext. 200 Fax: (809) 536-2281 Cel: 809-729-1716 Email: jmpuello@hotmail.com jmpuello@yahoo.com

Surinam Malti Adhin Institute for Biomedical Sciences Kernkampweg 5 Paramaribo, Suriname Tel: (597) 441-007 Fax: (597) 441-080 Email: m.adhin@uvs.edu / adhinmr@sr.net adhinmr@yahoo.com Rachel Eersel Public Health Advisor on CDS, HIV/STI PAHO/WHO Suriname Burenstraat 33 Paramaribo, Suriname Tel:(597)-471676, ext 235 Email: eerselra@sur.paho.org Dayanand Panchoe Antimalaria and Bilharzia Campaign Ministry of Health Bureau of Public Health (BOG) Rode Kruis Laan #22 Paramaribo, Suriname Tel: (597) 498-598 Email: dayanandpanchoe@bog.sr Stephen Vreden Academic Hospital Paramaribo Van Brussellaan 23 Paramaribo, Suriname Tel: (597) 442-222 Fax: (597) 449-224 Cel: (597) 880-7151 Email: stephenvreden@yahoo.com SOCIOS: CDC: Ray Beach Entomology Branch, DPD Center for Global Health Centers for Disease Control and Prevention 1600 Clifton Road G-49 Bldg 23, Floor 11, Room 159 Atlanta, GA 30329 Tel: (1-404) 718 4302 Email: rfb1@cdc.gov

mailto:yherrerah@minsa.gob.pe�mailto:yherrerah@gmail.com�mailto:jmpuello@hotmail.com�mailto:jmpuello@yahoo.com�mailto:m.adhin@uvs.edu�mailto:adhinmr@sr.net�mailto:adhinmr@yahoo.com�mailto:eerselra@sur.paho.org�mailto:dayanandpanchoe@bog.sr�mailto:stephenvreden@yahoo.com�mailto:rfb1@cdc.gov�msmText Box16

6

Alexandre Macedo de Oliveira Malaria Branch, Division of Parasitic Diseases Centers for Disease Control and Prevention 4770 Buford Hwy, MS F-22 Building 102, Room 1507 Atlanta, GA 30341 Tel: (1-770) 488-7747 Fax: (1-770) 488 7761 Email: acq7@cdc.gov Norma Padilla Unidad de Malaria y Biología de Vectores Centro de Estudios en Salud Universidad del Valle de Guatemala 18 Avenida 11-95, Zona 15 Vista Hermosa III Ciudad de Guatemala, Guatemala Tel: (502) 2329-8451 Fax: (502) 2369-7539 Email: npadilla@ces.uvg.edu.gt. Gabriel F. Ponce de León Centers for Disease Control and Prevention Malaria Branch 4770 Buford Highway MS F-22 Atlanta, GA 30341 Tel: (1-770) 488-7141 Fax: (1-770) 488-7761 Email: gcp1@cdc.go Venkatachalam Udhayakumar Genetics and Immunology Lab/ Malaria Branch Centers for Disease Control and Prevention Malaria Branch, Division of Parasitic Diseases 4770 Buford Highway Atlanta, GA 30341, USA Tel: (1-770) 488-4047 Fax: (1-770) 488-4454 Email: vxu0@cdc.gov Links Media: Marisabel Sánchez Links Media 707 Conservation Lane, Suite 300 Gaithersburg, MD 20878 Tel: (1-301) 987-5497 Fax: (1-301) 987-5498 Email: msanchez@linksmedia.net

MSH: Edgar Barillas Senior Program Associate Strengthening Pharmaceutical Systems (MSH/SPS) Management Sciences for Health 4301 N. Fairfax Dr. Suite 400 Arlington, VA 22203 Tel: (1-703) 248-1611 Fax: (1-703) 524-7898 Email: ebarillas@msh.org Henrry Espinoza Strengthening Pharmaceutical Systems (MSH/SPS) Gonzales Prado 350 Miraflores Lima, Perú Tel: (51-1) 9881-87017 Email: hespinoza@msh.org Walter Flores Strengthening Pharmaceutical Systems (MSH/SPS) 6a avenida 11-77 zona 10, Ed. Punto Diez, of. 1F Ciudad de Guatemala, Guatemala Tel: (502) 403-41393 Fax: (502)233-17437 Email: wflores@worldwidedialup.net   Yenifer Hinestroza Cuesta Strengthening Pharmaceutical Systems (MSH/SPS) Carrera 31 # 29-71, Bosques de San Diego 2, Medellín, Antioquia, Colombia Tel: (57-53) 367-7158- Cel: (57- 311) 782-6257 Email: yeniferhc@hotmail.com John Marmion Program Associate Strengthening Pharmaceutical Systems (MSH/SPS) Management Sciences for Health 4301 N. Fairfax Dr. Suite 400 Arlington, VA 22203 Tel: (1-703) 840-3830 Fax: (1-703) 524-7898 Email: jmarmion@msh.org PQM: Lawrence Evans Promoting the Quality of Medicines Program (PQM) 12601 Twinbrook Parkway Rockville, MD 20852-1790, USA Tel: (1-301) 816-8389 Fax: (1-301) 816-8374 Email: le@usp.org

mailto:acq7@cdc.gov�mailto:npadilla@ces.uvg.edu.gt�mailto:gcp1@cdc.go�mailto:vxu0@cdc.gov�mailto:msanchez@linksmedia.net�mailto:ebarillas@msh.org�mailto:hespinoza@msh.org�mailto:wflores@worldwidedialup.net�mailto:yeniferhc@hotmail.com�mailto:jmarmion@msh.org�mailto:le@usp.org�msmText Box17

7

Victor S. Pribluda Manager, Latin American Programs Promoting the Quality of Medicines Program (PQM) 12601 Twinbrook Parkway Rockville, MD 20852-1790, USA Rockville, MD, 20852 Tel: (1-301) 816-8258 Fax: (1-301) 816-8374 Email: vsp@usp.org Joselin Quintana Promoting the Quality of Medicines Program (PQM) 12601 Twinbrook Parkway Rockville, MD 20852-1790, USA Tel: (1-301) 230-3243 Fax: (1-301) 816-8374 Email: jaq@usp.org RTI: Kathryn Welter Project Coordinator Integrated Vector Management RTI International 805 15th Street, NW, Ste 601 Washington, D.C. 20005-2207 Tel: (1-202)728-2081 Email: kwelter@rti.org Jacob Williams RTI International 805 15th Street, NW, Ste 601 Washington, DC 20005-3967 Tel: (1-202) 728-2080 Fax: (1-202)728-2095 Email: jacobwilliams@rti.org USAID: Jaime Chang Neyra USAID/Perú Oficina de Salud Av. La Encalada cuadra 17 s/n, Lima 33, Perú Tel: (51-1) 618-1266 Fax: (51-1) 618-1350 Email: jachang@usaid.gov

Armando Cotrina USAID/Perú Oficina de Salud Av. La Encalada cuadra 17 s/n Lima 33, Perú Tel: (51-1) 618-1274 Fax: (51-1) 618-1350 Email: acotrina@usaid.gov Nancy Hardy USAID-Panama Embassy of the United States of America Demetrio Basilio Lakas Avenue, Building 783 Clayton, Panama Tel: (507) 207-7165 Email: nhardy@usaid.gov Natalia Machuca Infectious Disease & Emerging Pandemic Threats Advisor USAID LAC/RSD-PHN 5.9-110 1300 Pennsylvania Ave. NW Washington, D.C. 20523-5900, USA Tel: (1-202) 712-0188 Email: nmachuca@usaid.gov Nilka de Varela USAID-Panama Embassy of the United States of America Demetrio Basilio Lakas Avenue, Building 783 Clayton, Panama Tel: (507) 207-7151 Email: nvarela@usaid.gov OTROS Erico Daemon De Oliveira Farmanguinhos/FIOCRUZ VDOP (Vicerrectoría de Operaciones) Av. Comandante Guaranis 447, Jacarapaguá Rio de Janeiro, Brasil, 22775-610 Tel: (55-21) 3348-5316 Email: edaemon@far.fiocruz.br Emma Iriarte Banco Interamericano de Desarrollo Avenida Samuel Lewis, Obarrio Torre HSBC, Piso 14 Apartado postal: 0816-02900 zona 5 Ciudad de Panamá, Panamá Tel: (507) 206-0930 Fax: (507) 206-0999. Email: emmai@iadb.org

mailto:kwelter@rti.org�mailto:jacobwilliams@rti.org�mailto:jachang@usaid.gov�mailto:acotrina@usaid.gov�mailto:nhardy@usaid.gov�mailto:nmachuca@usaid.gov�mailto:nvarela@usaid.gov�mailto:edaemon@far.fiocruz.br�mailto:emmai@iadb.org�msmText Box18

8

Daniel Mechali Drugs for Neglected Diseases – DNDi Coordinador Regional de Acceso Regional Office - Latin America Rua Santa Heloisa 5 22460-080 - Rio de Janeiro - Brasil Tel: (55- 21) 2215 2941 Email: dmechali@dndi.org.br Mariam Warsame Medical Officer Organization: World Health Organization Global Malaria Programme, WHO/HQ UNAIDS/WHO Building (DRC/GMP/HTM Cluster), Avenue Appia 20, CH-1211 Geneva 27, Switzerland Tel: (41-22) 791 5076 Email: warsamem@who.int

mailto:dmechali@dndi.org.br�mailto:warsamem@who.int�msmText Box19

5/2/2011

20

Th M di i Q lit F

Annual AMI-RAVEDRA MeetingPanama City, Panama March 22-24, 2011

The Medicine Quality Forum

Lawrence Evans III, Ph.D., M.P.H.Promoting the Quality of Medicines Program

Develop a web-based forum to encourage collaboration, information exchange and networking among:

Laboratory scientists of Official Medicines Control Laboratories (OMCLs)

Objective

Public health officialsRegulatory authorities

in countries supported by the Promoting the Quality of Medicines (PQM) Program.

Serve as a communication tool allowing users to:Post and respond to questions and comments Share documentsGain access to documents directly or via a web-link.

Purpose

Strengthen collaborations regionally and globallyImprove medicine quality worldwide

Mission: Facilitate knowledge and information-sharing that will assist institutions in ensuring the quality of medicines globally.

Vision: The PQM Virtual Forum will become a primary portal for sharing knowledge and

Mission and Vision

p y p g ginformation to help ensure the quality of medicines, strengthening existing collaborations and leading to the formation of new partnerships.

Web address: http://medqualityforum.org/en/

Homepage

Click here to register

Email address and password login after registering

Registration Page

All of fields are required except “areas of specialization”

Users must accept the “Terms and Conditions” to register

msmText BoxANNEX 3

5/2/2011

21

Registration Page

Submit registration information via registration pageOpen email generated from registrationFollow link provided in email to confirm your email address

Registration Process

addressRegistration will be processed once email address is confirmedOnce approved, “Welcome” email provides authorization for login

Registration Confirmation Email Forum – Home Tab

Forum – Primary location for communication postingsNews & Updates – New and relevant informationFile Repository – Documents available for download, e.g., Ensuring the Quality of Medicines in Resources Limited Countries: An Operational Guide

Main Menu

Online Resources – Links to useful online tools, such as PVT, Dissolution toolkit, Uniformity of Dosage Units, Column Equivalency

Training – Videos, webinars, and Power Point presentations on topics related to medicine quality

Forum – Recent Topics Tab

5/2/2011

22

Forum - New Topics Tab

Select category from drop box

Attach files for posting

Message is typed here

Forum – My Topics Tab

Forum - Profile Tab Forum – Rules Tab

Forum – Search Tab Forum – User List Tab

5/2/2011

23

File Repository Online Resources

Training

Spanish http://medqualityforum.org/es/

Englishhttp://medqualityforum.org/en/

ANNEX 4  

       

       

        

24   

       

                    

25  

ANNEX 5  

       

       

        

26  

  

       

 

                  

27  

Report no Annexes.pdfAnnex 1-6.pdfAnnex 1-3.pdfAnnex 4.pdfAnnex 5 Aportes.pdfAnnex 6.pdfAnnex 6-1.pdfAnnex 6-2.pdf