Table 5 Selected Results from the Pharmaceutical Leadership Development Program (South Africa) [85]
Priority Areas | Province | Facility | Results |
|---|---|---|---|
Waiting time | Western Cape | Kraaifontein Community Health Centre | Reduced average patient wait time at the pharmacy from 41 to 19Â min over a 6Â 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% |