The Opportunity for · PDF fileThe Opportunity for Sharing ... Community Pharmacy Section FIP...
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Consulting The Opportunity for Sharing Warren Meek Breakfast in Lisbon Community Pharmacy Section FIP September 1, 2010
Transcript of The Opportunity for · PDF fileThe Opportunity for Sharing ... Community Pharmacy Section FIP...
Consulting
The Opportunity for Sharing
Warren Meek
Breakfast in Lisbon Community Pharmacy Section FIP
September 1, 2010
Consulting
62 years ago today, the UN’s World Health Organization was formed, with the belief that health is a global concern and that we must work together to improve the well-being of people in all corners of the Earth.
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“…….. The world needs all the illumination it can get, and you, my friends, are the sparks that will light our way to a better future.”
Oscar Arias Sanchez
September 1, 2002
BSc (Pharm) Dalhousie 1977
Community Pharmacist 1977-2010
President Canadian Pharmacists Association (CPhA) 2008-2009
Section Executive Committee member
International Pharmaceutical Federation (FIP) 2006-2010
5 medical missions to Tanzania 2007-2009
Warren Meek
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Malaria STD HTN Diabetes H.Pylori UTI Diarrhea HIV
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Per Capita Pharmaceutical Expenditure*
Tanzania: $2
Canada: $589
* PPP
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Value of Medicines Distributed
In each of my last 4 missions we distributed ~
$2
worth of medicines per patient –
equivalent to Tanzania one year’s expenditure per patient
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Tuberculosis
Number of working hours required to pay for one full treatment for Tuberculosis:
Tanzania : 500 working hours
Switzerland: 1.4 working hours
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Salary
Salary of a teacher in rural Tanzania
85 cents per DAY
Salary of a pharmacist in rural Canada
85 cents per MINUTE
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Stock-out duration The average stock-out duration for all essential drugs is 28 days (Median 21.2,
Maximum 67.1 days, Minimum 3 days).
Adequacy of drug storage
The average adequacy of storage was found to be 9 for Zonal warehouses and 7 for public pharmacies. This rating is out of an 11 ranking scale indicator.
Patient Knowledge The average patient knowledge about dispensed drugs was 80%
Percentage prescribed drugs dispensed Three out of the four regions had between 80% and 90% of the prescribed
drugs dispensed. One region had very low results ie 47%.
Integrity of Distribution System (1)
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Adequately labelled drugs On average 76% of drugs were labelled adequately. A
similar study conducted in Dar es salaam and Coast in 2001 showed 87%
Percentage of expired drugs There were no drugs in the private facilities shelves with
dates beyond expiry dates. However, in public facilities 13% of key drugs were expired.
Guidelines Availability Only five (5) facilities out of 20 had Standard Treatment
Guidelines in their premises But 98.5% prescriptions were according to Essential Medicine List
Integrity of Distribution System (2)
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Number of Pharmacies
Tanzania ( pop. 40,000,000 )
500
Canada ( pop. 33,000,000 )
8200
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Annual Pharmacist Graduates
Tanzania ( pop. 40,000,000 )
35
Canada ( pop. 33,000,000 )
1050
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Solutions
Continued humanitarian support
Financial support (micro credit)
Policy development and support
Educational support
Cultural understanding
Sharing our knowledge
Volunteer
Support volunteers
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www.cjlu.smugmug.com
Warren Meek
President C7 Consulting Limited
Breakfast in Lisbon Community Pharmacy Section
FIP Congress September 1, 2010
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“…….. The world needs all the illumination it can get, and you, my friends, are the sparks that will light our way to a better future.”
Oscar Arias Sanchez
September 1, 2002
