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The CAP/CHART connection. 2004-2007. Bringing Caribbean Pharmacists into the HIV/AIDS care loop. ESTB 1976 Individual members 800 Pharmacists from the Caribbean National Associations & Councils. Associate members Annual meeting in August each year Leadership elected every 2 years
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The CAP/CHART connection 2004-2007 Bringing Caribbean Pharmacists into the HIV/AIDS care loop
ESTB 1976 Individual members 800 Pharmacists from the Caribbean National Associations & Councils Associate members Annual meeting in August each year Leadership elected every 2 years Regional and international linkages ABOUT CAP
Our vision • Developing and Empowering the Pharmacists of the Caribbean toward excellence in the provision of all aspects of pharmacy practice
Broad aims of CAP/CHART initiatives • Improved patient/client care • Increased access and seamless care • Achieving equity • Initiate mainstreaming • Integrate HIV/AIDS training into the Continuing Professional Development (CPD) framework • Research outputs • Health promotion and prevention initiatives • Enhanced pre-service training • Strengthen internal CPD structures • Harmonization and Standardization
Selected findingsCAP Baseline Survey 2002 Training required • Knowledge levels unacceptable to pharmacists Pharmacists willing • Pharmacists willing to expand access to ARTs • Pharmacists willing to participate in the care process Attitude shift indicated • Need for positive shifts in attitude identified • Caribbean Association of Pharmacists KABP (2002)
Diffusion approach Diffusion A special type of communication process in which participants create and share information with one another to reach mutual understanding Everett, Rogers. Diffusion of Innovation (1995)
CAPMay 2004 • St. Vincent & the Grenadines • Trainer of Trainers (Innovators & opinion leaders) • The pharmacology of ARTs (basic) • Adherence to treatment • Treatment of HIV/AIDS 50 participants
CAP/CHART August 2004 • Belize • Early majority (peer respected) • Treatment of HIV/AIDS • Side effect management 200 participants
CAP/CHARTMay 2005 • Nassau , Bahamas • Trainer of Trainers (Innovators , opinion leaders) • Antiretrovirals and Adverse Drug Interactions. • Drug/Herbal interactions 50 participants
CAP/CHART August 2005 • Guyana • Early majority HIV/AIDS:Emerging co-infections and comorbidities Works shop (30 persons) Pharmacoeconomic considerations and rational drug procurement 250 participants
CAP/CHART December 2005 • Tobago • Nutritional aspects (CFNI) • Orientation to laboratory values (CAREC) • Communication for concordance • 50 participants Sponsors: Tobago House of Assembly, Ministry of Health, Trinidad and Tobago
CAP/CHART March 20-April 1, 2006 • Jamaica-Kingston and Montego Bay Trainer of trainers • Basic pharmacoeconomics and rational drug procurement • Caribbean drug treatment guidelines 45 participants • Sponsors: National Health Fund (Jamaica): Ministries of Health- Trinidad and Tobago, St. Vincent, Guyana, St. Lucia, Bahamas. Corporate sponsors-CARIMED, Bayer pharmaceuticals, CARPIN
CAP/CHART May 2006 • Suriname • Trainer of trainers • Mainstreaming Dialogue 1 • Psychosocial aspects of HIV/AIDS care 30 participants
CAP/CHART August 2006 • St. Kitts Nevis Early majority Mainstreaming Dialogue 2 • Children and HIV/AIDS • HIV/AIDS and Substance Abuse • Taking care of PLWHAs (workshop)-PLWHA facilitated • 200 participants
CAP December 2006 • Dominica • Early majority • Basic pharmacoeconomics • Advanced pharmacoeconomics ( 2 completing) • Caribbean HIV/AIDS treatment guidelines 22 participants • Partners: Pharmacists of Dominica and Trinidad and Tobago
Overview of country involvement • Beneficiaries • Jamaica, Trinidad and Tobago, St. Vincent & the Grenadines, St. Kitts Nevis, Turks and Caicos, Anguilla, Cuba, Belize, Bahamas, Dominica, Guyana, Suriname, Curacao, St. Lucia. • Targetted: • Barbados, Haiti, Cayman, Grenada, Antigua and Barbuda
Plans 2007 • Pre-service training • Lecturers and curricula • June 2007, August 2007 • Late majority • Collaboration with PPS in St. Lucia • Comprehensive HIV/AIDS training • May 14-19, 2007 • Workshop - Role of the Caribbean pharmacist in HIV/AIDS care • Advanced pharmacoeconomics • Pharmacology of ARTs • August 2007 • Cayman Islands • KABP report 2007
Challenges • Harmonization and standardization • Regional cost reduction strategies for ARVs • Improving and expanding service delivery • Funding
Thank you www.cap.org.jm