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Table 5 Selected Results from the Pharmaceutical Leadership Development Program (South Africa) [85]

From: Individual capacity-building approaches in a global pharmaceutical systems strengthening program: a selected review

Priority Areas Province Facility Results
Waiting time Western Cape Kraaifontein Community Health Centre Reduced average patient wait time at the pharmacy from 41 to 19 min over a 6 month period
Ensuring medicine accessibility KwaZulu-Natal Umzinto Primary Healthcare Clinic Reduced the defaulter rate of patients collecting pre-dispensed chronic medicine from 28 to 23%
Eastern Cape Midlands Hospital and nearby clinics Developed referral system which facilitated delivery of chronic diseases medicines from Midlands Hospital to feeder clinics
Improving medicine supply management Eastern Cape Cecilia Makiwane Hospital Implemented a batch management system that cut the percentage of money wasted due to expired stock from 3.8% (as a percentage of expenditure) in April 2012 to 0.7% in June 2012, which is in keeping with international norms
KwaZulu-Natal Multiple clinics Reduced the quantity of expired stock from 3.4% to less than 0.5% of stock holding
Ensuring compliance with standards KwaZulu-Natal Stanger, Montebello hospitals and Sundumbili CHC Improved compliance with standard treatment guidelines for prescribing non-steroidal anti-inflammatory agents from 57 to 94%, 60 to 68%, and 37 to 67%, respectively
North West 10 primary health care facilities Increased compliance with national core standards from 33 to 77% by developing SOPs, distributing reference manuals, and building capacity in good pharmacy practice and medicine supply management
Ensuring rational use of medicines North West Joe Morolong Memorial Hospital Average number of patients initiated on isoniazid preventive therapy increased from 3 to 8 per month
North West Four facilities in Bojanala District Increased reporting of adverse drug events from 26 to 45%
KwaZulu-Natal Imbalenhle Community Health Centre Reduced inappropriate prescriptions by 53%