Volume 7 Supplement 1

Proceedings of the 2nd People that Deliver (2nd PtD) Global Conference on Human Resources in Supply Chain Management

Open Access

Combined on- and off-site training contributes to strengthening the unified pharmaceutical system in the Dominican Republic

  • Edgar Barillas1Email author,
  • Claudia Valdez1,
  • Paula Diaz1 and
  • Maria Elena Tapia2
Journal of Pharmaceutical Policy and Practice20147(Suppl 1):O24

DOI: 10.1186/2052-3211-7-S1-O24

Published: 17 December 2014

Background

With support from USAID-funded projects, the Dominican Republic (DR) started organizing a unified pharmaceutical system (SUGEMI) in 2010. Implementing SUGEMI included developing standard operating procedures (SOPs) for all system components, appointing personnel for national and regional pharmaceutical units, and training on-site staff responsible for pharmaceutical supply management. Strengthening and sustaining SUGEMI is now dependent on in-depth training of public health system staff responsible for supply management functions.

Method

SIAPS involved key personnel early in the elaboration of SOPs and training activities and helped design and implement a 12-week on-site/off-site certificate course on pharmaceutical supply. Each of the six program modules includes preparatory activities (reading Management Sciences for Health’s Managing Drug Supply textbook and SUGEMI SOPs); on-site sessions (discussing readings and instructions for on-the-job practice), and on-the-job site practice (situation analysis of the students’ institutions and identification of alternative interventions to address problems).

Results

Rapid capacity building has contributed to a nationwide implementation of SUGEMI in less than three years. Major outcomes were: National and Regional Pharmaceutical Unit staff members were trained to replicate trainings for SUGEMI implementation in 1,105 primary care facilities and 143 hospitals, and two on-site/off-site site courses have been completed (2012/2013 public university course for 35 students, and 2013/2014 private university course for 33 students). All students successfully fulfilled the academic requirements to obtain their certificates. Half of the graduates in the first course and all in the second were employed in a public health facility.

Discussion

Basic training in operational procedures is a necessary first step when implementing a national pharmaceutical system. However, consolidation and sustainability demands professionals with in-depth knowledge of concepts and tools commonly used in supply management. A hybrid on-site/off-site approach directed toward health workers in the public sector assures: reinforcement of the theory through practical experience, implementation of a national pharmaceutical system, and immediate introduction of good pharmaceutical management practices in their particular labour sites. All trainings had an immediate operative purpose–the implementation of particular SUGEMI component—fixing knowledge, through practice.

Lessons learned

Implementing a national pharmaceutical system offers a unique opportunity to consolidate theoretical concepts with practical on-the-job experiences. Involving personnel in the elaboration and training in implementing SOPs, and an on-site/off-site course simultaneously strengthens SUGEMI and builds capacity of personnel in pharmaceutical supply management.

Authors’ Affiliations

(1)
Systems for Improved Access to Pharmaceuticals and Services (SIAPS), Management Sciences for Health (MSH)
(2)
National Pharmaceutical System, Ministry of Health

Copyright

© Barillas et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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