UNIT 3.3. Roles of Public Health Pharmacist in LGU Setting

Supply Chain Management (SCM)

Duties and Responsibilities of Public Health Pharmacists:

• Oversees the overall _____________________________ of Public Health Programs of the Department of Health providing medicines in the Primary Healthcare Facilities and identified DOH Retained Hospitals.

technical assistance

Duties and Responsibilities of Public Health Pharmacists:

• Provides __________________ to the local health facilities regarding the Supply Chain Management (SCM) and submit quarterly assessment.

monthly visit and monitoring

Duties and Responsibilities of Public Health Pharmacists:

• Conducts ___________________________ of DOH procured medicines in the assigned Health Centers and identified DOH Retained Hospitals.

Philippine National Formulary (PNF) and Antimicrobial Resistance Updates

Duties and Responsibilities of Public Health Pharmacists:

• Disseminates ______________________________________________ in all health facilities.

education campaigns

Duties and Responsibilities of Public Health Pharmacists:

• Conducts __________________________

Post-Marketing Surveillance (PMS)

Duties and Responsibilities of Public Health Pharmacists:

• Supports _______________________________ of DOH program medicines.

DOH Pharmacovigilance

Duties and Responsibilities of Public Health Pharmacists:

• Strengthens _______________________________

National Drug Policy Compliance Officer (NDPCO)

Duties and Responsibilities of Public Health Pharmacists:

• Liaises with the ____________________________________________ regarding concerns of the health facilities on pharmaceutical programs

Pharmacy Assistant Training

Duties and Responsibilities of Public Health Pharmacists:

• Conduct ____________________________ to all identified LGU staff at the health facility.

data gathering and response

Duties and Responsibilities of Public Health Pharmacists:

• Participate in __________________________________ during health emergencies and disasters.

Medicine Access Program

Implemented by the Pharmaceutical Division pursuant to RA 9502

drug availability

Objective of Medicine Access Program:

• Aims to improve ____________________ in public sector health facilities

Maintenance MAP (MMAP) in Medicine Access Program

includes:

• LOSARTAN 50 MG TAB

• AMLODIPINE 5 MG/10 MG TAB

• METFORMIN 500 MG TAB

• SIMVASTATIN 20 MG TAB/40MG TAB

• GLICLAZIDE 30 MG TAB

Insulin MAP (InMAP) in Medicine Access Program

includes:

• REGULAR INSULIN 100IU/ML, 10 ML VIAL

• ISOPHANE HUMAN INSULIN 100IU/ML, 10ML VIAL

• BIPHASIC ISOPHANE HUMAN INSULIN 70/30 100IU/ML, 10 ML VIAL

National Immunization Program (NIP) in Medicine Access Program

includes:

• BCG VACCINE

• MEASLES, RUBELLA VACCINE

• HEPATITIS B VACCINE

• TETANUS DIPHTHERIA VACCINE DPT-HEPB-HIB (PENTAHIB) VACCINE

• PNEUMOCOCCAL CONJUGATE VACCINE

• BIVALENT ORAL POLIO VACCINE

• POLYSACCHARIDE POLYVALENT VACCINE

• INACTIVATED POLIO VACCINE

• INFLUENZA VACCINE

• MEASLES, MUMPS, RUBELLA VACCINE

• TETANUS TOXOID

National TB Program (NTP) in Medicine Access Program

includes:

• CAT 1 KIT

• CAT 2 KIT

• ISONIAZID PREVENTIVE THERAPY

Family Planning (FP) in Medicine Access Program

includes:

• COMBINED ORAL CONTRACEPTIVE PILLS

• PROGESTIN ONLY PILLS

• INTRAUTERINE DEVICE TCU 380-A

• DEPO MEDROXYPROGESTERONE ACETATE (DMPA)

• MALE LATEX CONDOMS

• PROGESTIN SUBDERMAL IMPLANT

Micronutrients in Medicine Access Program

includes:

• VITAMIN A 100,000 IU

• VITAMIN A 200,000 IU

• FERROUS SULFATE + FOLIC ACID TABLETS

• MICRONUTRIENT POWDER

• READY TO USE THERAPEUTIC FOOD

• ZINC SULFATE 27.5MG/5ML

• FERROUS SULFATE

• CALCIUM CARBONATE 350 MG TAB

Supply chain management

process of integrating supply and demand management, not only within the organization but also a cross all the various members and channels in the supply chain, so they work together most efficiently a nd effectively

Lowered Costs, Increased Revenue, Asset Utilization

Benefits of Supply Chain Management

PLANNING

determine the medicines to be available

needs assessment

PLANNING PROCESS:

1. Conduct a ________________

2. Create a _________

3. Consider _______________

4. Collaborate with ____________________

5. _________________ the formulary

1 = ?

formulary

PLANNING PROCESS:

1. Conduct a ________________

2. Create a _________

3. Consider _______________

4. Collaborate with ____________________

5. _________________ the formulary

2 = ?

national guidelines

PLANNING PROCESS:

1. Conduct a ________________

2. Create a _________

3. Consider _______________

4. Collaborate with ____________________

5. _________________ the formulary

3 = ?

healthcare providers

PLANNING PROCESS:

1. Conduct a ________________

2. Create a _________

3. Consider _______________

4. Collaborate with ____________________

5. _________________ the formulary

4 = ?

Review and update

PLANNING PROCESS:

1. Conduct a ________________

2. Create a _________

3. Consider _______________

4. Collaborate with ____________________

5. _________________ the formulary

5 = ?

needed medicines

PROCUREMENT PROCESS:

1. identification of the ___________________

2. assessment of the ______________ of the required medicines

3. selection of suppliers through a ___________________________

1 = ?

quantity and quality

PROCUREMENT PROCESS:

1. identification of the ___________________

2. assessment of the ______________ of the required medicines

3. selection of suppliers through a ___________________________

2 = ?

competitive bidding process

PROCUREMENT PROCESS:

1. identification of the ___________________

2. assessment of the ______________ of the required medicines

3. selection of suppliers through a ___________________________

3 = ?

STORAGE

ensure that the facilities for medicines are secure, well-ventilated, and temperature-controlled

DISTRIBUTION

• transportation of medicines from storage facilities to health centers and hospitals

• medicines should be delivered to their intended recipients in a timely and cost-effective manner

MONITORING

• conduct regular inventory checks to ensure that the medicines are not expired or damaged

• supervise the dispensing of medicines to patients to ensure that they are being used appropriately

• identify and report Adverse Drug Reaction

inventory levels

Effective inventory management involves the following:

1. tracking of __________________

2. identification of ______________

3. _____________________ of inventory

1 = ?

potential stockouts

Effective inventory management involves the following:

1. tracking of __________________

2. identification of ______________

3. _____________________ of inventory

2 = ?

timely replenishment

Effective inventory management involves the following:

1. tracking of __________________

2. identification of ______________

3. _____________________ of inventory

3 = ?

inventory control systems

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

1 = ?

inventory counts

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

2 = ?

first-expiry, first-out (FEFO) and first-in, first-out (FIFO) system

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

3 = ?

expiry dates

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

4 = ?

forecasting

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

5 = ?

reordering

Steps in inventory management:

1. Establishing _______________________

2. Conducting regular _______________

3. Implementing a __________________________________________________

4. Monitoring __________________

5. Inventory ______________

6. Establishing ________ levels

6 = ?

Establishing inventory control systems

INVENTORY MANAGEMENT:

• involves keeping an accurate inventory record of each medicine, including information such as the name of the medicine, batch number, expiry date, and quantity

Conducting regular inventory counts

INVENTORY MANAGEMENT

• helps to identify any discrepancies and prevent stockouts

Implementing First-expiry, first-out (FEFO) and first-in, first-out (FIFO) system

INVENTORY MANAGEMENT

• helps to prevent the wastage of expired medicines

Monitoring expiry dates

INVENTORY MANAGEMENT

• these medicines must be removed from the inventory and properly disposed

Inventory forecasting

Key steps:

• Analyzing historical data

• Identifying relevant factors

• Creating a forecast model

• Validating the forecast

• Establishing safety stock levels

• Reviewing and adjusting the forecast

average monthly or daily consumption

Determine the ____________________________ by dividing the total quantity consumed divided by the duration it was consumed

Lead time

time it takes from placing an order to receiving the medicine

safety stock level

• amount of stock kept in reserve to protect against unexpected increases in demand or delays in receiving new orders.

• consider the lead time, average monthly consumption, and desired service level (commonly 95%)

• can be calculated using statistical methods such as the standard deviation of demand during the lead time or by using a formula that takes into account lead time and service level targets

reorder point

• inventory level at which a new order should be placed

• calculated through: (Lead time x Average monthly or daily consumption) + Safety stock level

maximum stock level

• highest amount of stock that the pharmacy should keep on hand

• calculated through: (Lead time x Average monthly consumption) + Safety stock level + Maximum storage capacity

quantity to be purchased

calculated through: Maximum stock level – current inventory (should always be above or equal the reordering point)