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The PAHO Prequalification System External Quality Control Program of Official Drug Quality Control Laboratories (EQCP). José M. Parisi PAHO/WHO Costa Rica Meeting, November 8, 2005.
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The PAHO Prequalification SystemExternal Quality Control Program of Official Drug Quality Control Laboratories (EQCP) José M. Parisi PAHO/WHO Costa Rica Meeting, November 8, 2005
The PAHO Prequalification System • Set upin 2000 • Objective:to assure the quality of medicines purchased by PAHO on behalf of the Member States. • Useful tool:for the Member States purchasing medicines by themselves or through PAHO in compliance with WHO recommended procedures • How it works:Any supplier or manufacturer wishing to participate at the bidder process, have to be included in the prequalified supplier list. Costa Rica 2005
Criteria in the Source Selection of Product: 2 groups • For single or limited-source pharmaceuticals including HIV/AIDS antiretroviral (innovator products, manufactured /registered in USA, EU) • Multi-source products (generic). manufacturers and distributors • CPF (Company Profile Form) • Evidence of having been evaluated, by an International Organization when appropriate • Questionnaire including: • Site Master File • GMP certificate • Marketing Authorization of Pharmaceutical Products with special Reference to Multisource • Batch certificate, when the product is shipped Costa Rica 2005
Procedure • Steps of the Procedure 1. Invitation for pre-qualification 2. Receiving submissions (dossiers) 3. Screening of dossiers and dossier evaluation 4. Site inspection (in the region) 5. Pre-qualification results Costa Rica 2005
Product Quality Control • At the origin • Statement of Licensing Status of Pharmaceutical Product • Certificate of Pharmaceutical Product • Batch certificate of Pharmaceutical Product • In the recipient countries • Batch certificate. • Quality testing at the Official Lab. of drug quality control Costa Rica 2005
Achievements • List of prequalified manufacturers and suppliers (Oct 2005) • 65 manufacturers and 8 secondary suppliers • 59 manufacturers evaluated not pre-qualified • Network of Drug Quality Control Laboratories Costa Rica 2005
Network of Drug QC Laboratories • A network of Official Drug Q.C. Laboratories has been established since 2000, with the assistance of the USP (U.S. Pharmacopeia) • to improve the performance of laboratories • to harmonize methodologies • to increase communication to promote the quality surveillance of pharmaceutical markets • External Quality Control Program (EQCP) Costa Rica 2005
The EQCP is composed of three Phases PHASE I Diagnostic study of the laboratories PHASE II Performanceevaluation PHASE III Training of human resources Costa Rica 2005
Phase I: 23 Official Drug QC Lab. From 21 countries Phase II: 5 steps of performance evaluation with: • Acetyl salicylic acid • Ibuprofen • Acyclovir • Acetaminophen • Streptomycin • Zidovudine Phase III:5 training workshops in HPLC and Disolution test with Zidovudine, Lamivudine, Quinine, Mefloquine, and Artesunate, in: • Guatemala and Central America countries • Panama and the Caribean countries • Ecuador and the Andean countries • Bolivia and the Amazonic countries • Guyana Costa Rica 2005