Indian Pharmaceutical Association (IPA)

1. 51st National Pharmacy Week 25TH November – 2nd December 2012 PHARMACISTS IN PUBLIC HEALTH Indian Pharmaceutical Association (IPA)

2. Public Health is defined as science & art of preventing diseases, prolonging life & promoting health (of individual) through education, promotion of healthy lifestyle & research on disease & injury prevention. Public Health Indian Pharmaceutical Association

3. India has achieved a lot in the medical field.. • India has the largest number of medical colleges in the world. • India produces the largest number of Doctors amongst the developing world. A large number of doctors leave India’s shores & are considered the best in the world. • India gets medical tourists from different countries reflecting high standard of medical skills & expertise. • India is the fourth largest producer of medicines by volume in world & among the largest exporter. Indian Pharmaceutical Association

4. BUT!!!!!!!!!!! • Majority of citizens have limited access to high quality healthcare, & have poor health indicators. • 2/3rd of the population lacks access to essential medicines. • Density of health care workers in the country is a little over 8 per 10,000 population which is very low in comparison to developed countries. Indian Pharmaceutical Association

5. Pharmacists in India • In India, there are around 10 lakh Pharmacists working in various positions, applying their unique knowledge & skills, contributing to the health of the Nation. Indian Pharmaceutical Association

6. WHO recommends a ratio of one pharmacist per 2000 population in order for optimal health care to be delivered. • Current availability of pharmacists in terms of pharmacist to population ratio in India compares favorably with that of the developing country. • If well utilized, Pharmacists can effectively help in achieving the goal of public health in India by overcoming the scarcity of health care professionals. Indian Pharmaceutical Association

7. PHARMACISTS CAN EFFECTIVELY CONTRIBUTE TO PUBLIC HEALTH BY - HEALTH PROMOTION PATIENT COUNSELLING NATIONAL HEALTH PRORAMMES MEDICINE MANAGEMENT DEADDICTION SERVICES COMMUNITY AWARNESS PROFESSIONAL DISPENSING SCREENING SERVICES Indian Pharmaceutical Association

8. Pharmacists are involved in scientific procurement & distribution of medicines. • Pharmacists help in achieving the goal of rational use of medicines. • Pharmacists have through knowledge about medicines and their use and are in a better position to educate other health professionals about the rational use of medicines. Indian Pharmaceutical Association

9. By having access to medicinal records the pharmacists are in a position to, • influence the selection of medicines, • dosage regimens, • to monitor patient compliance and therapeutics • recognize and report adverse drug reactions (Pharmacovigilance). • Pharmacists have more opportunity to interact closely with the prescriber and patient and therefore, to promote the rational prescribing and use of drugs. Indian Pharmaceutical Association

10. Disaster management and emergency care • Many health care providers, mainly doctors and nurses contribute significantly during catastrophe. • Unfortunately the role of Pharmacists remains unclear, so far involvement of pharmacist in this issue seems to be almost none. Indian Pharmaceutical Association

11. Pharmacists services in disaster management • Mobile pharmacy and temporary Pharmacy related services • Distribution of medicines and related medical care • Educate community on health, sanitation, hygiene, nutrition, infectious disease and wellbeing • Provide first aid treatment in cuts, burns, hypothermia, rashes, fractures etc. • Review of medicine supply and dosage used in specific situation – diabetes, cardiac problem, pediatric population etc. Indian Pharmaceutical Association

12. Who is more qualified then a Pharmacists on issues regarding Medicines ? Dosage forms Minimization of adverse effects Adequate dosing Evaluation of potential interactions with other medicines/food etc. Health Education for prevention of disease Optimization of pharmacotherapy Indian Pharmaceutical Association

13. It is estimated that annually around 330,000 Indians die due to TB. (WHO). • The nature of pharmacy profession offers an excellent opportunity to become advocates for TB control.  Indian Pharmaceutical Association

14. Role of Pharmacists in Revised National TB control programme : • Easy access for patients to Government’s free anti-TB medicines i.e DOTS • Early identification of TB suspects ,avoiding diagnostic delays • Rational Use of anti-TB medicines • Patient Counseling & Education • Community Awareness Pharmacists in Mumbai & some other areas of Maharashtra are already acting as DOT providers & are serving the TB patients Indian Pharmaceutical Association

15. Pharmacies in RNTCP - • A new era for Indian Pharmacies in National TB Programme : On 27th April 2012 Memorandum of Understanding (MoU) was signed between Central TB Division & IPA, AIOCD, PCI & SEARPharm Forum, for inclusion of "Pharmacies in RNTCP (National TB Programme)". It is a historic development for the profession. Indian Pharmaceutical Association

16. Successful outcomes in delivery of ART is possible by co-ordination & follow up by different professionals of the health care team. • Thus pharmacists can play a very important role in prevention, treatment & diagnosis of HIV/AIDS. • An estimated 33.4 million people worldwide are living with HIV (2008). • There is acute shortage of manpower in many communities where Antiretroviral Therapy (ART) is necessary. Indian Pharmaceutical Association

17. Higher level of adherence to therapy can be achieved by proper patient counselling by pharmacists. • Pharmacists should be involved in procurement, storage & distribution of quality Antiretroviral (ARV) medicines. • They can monitor ARV therapy, ensure proper use of medicines. • Pharmacists can get involved in various HIV preventive programmes of NACO like; • Blood safety • STD control • Condom promotion • IEC & social mobilization • Care, support & treatment of patient living with HIV/AIDS Indian Pharmaceutical Association

18. In 1997 the role of pharmacists in effort to combat HIV/AIDS was acknowledged by a join Declaration by FIP & WHO. • In 2004 FIP launched a international network of pharmacists on HIV/AIDS (www.fip.org/hivaids) which focuses on three main areas; training, documentation & exchange of experience. • It includes training modules, policy documents, useful publications, links to relevant national & international organizations, an event calendar to which additional events can be added & a mailing list to allow pharmacists to exchange point of view & experience. Indian Pharmaceutical Association

19. Pharmacists are located in every nook and corner of the country • In rural areas there are common issues of availability of medicines, doctor, prevention of ill health, promotion of good health & environment. • Public sector involvement is poor & unreliable & private sector facilities are beyond reach. Indian Pharmaceutical Association

20. In such situations pharmacists can act as first port of call & create window of connectivity in medicine supply, advice on its proper use & become a link between community & health and help in, • Ensuring safe use of medicines • Decrease wastage of scarce resource. • Logistic procurement, storage & distribution of medicines. • Provide information on medicines. • Respond to the symptoms. Indian Pharmaceutical Association

21. National Programme for Control of Vector Borne Diseases (NVBDCP) The Lancet on 20thNovember 2010 has reported that malaria causes 205 000 deaths per year in India. • Role of pharmacists; • Early detection & prompt referral for treatment by; • Identifying symptomatic cases • Referring to diagnostic center, Drug Distribution Center (DDC), Fever Treatment Depots (FTDs) etc. Indian Pharmaceutical Association

22. Ensuring rational use of prescribed medicines • Sensitizing people about various vector control measures. • Counseling on malaria/travelers malaria • Providing consumer health information & other IEC materials. • Pharmacists can effectively help in Prevention of Malaria through provision of consumer information. • Pharmacists can act as medicine provider for Malaria National Programme for Control of Vector Borne Disease Indian Pharmaceutical Association

23. Spreading the message of small family norm and its advantages, • Providing a reservoir of knowledge on family planning methods, • Helping clients in making an informed choice. Pharmacists can play an important role in Family Welfare programme by ; • Distributing family planning literature freely so that the customer can carry it home, • Being counsellors next door, Indian Pharmaceutical Association

24. DEADDICTION SERVICES BY PHARMACISTS De-addiction services • Alcohol deaddiction • Tobacco deaddiction • Counselling patient on de-addiction Indian Pharmaceutical Association

25. SENSITIZING AND CREATING AWARNESS AMONG THE PUBLIC • Carrying out seminars, exhibitions, consumer awareness programme etc. • Publishing books, pamphlets, Patient Information leaflets etc. • Patient information and counselling Indian Pharmaceutical Association

26. AUXILLARY SERVICES Blood sugar check B.P. Check Weight check Height check Indian Pharmaceutical Association

27. Wishing you all a “Happy National Pharmacy Week” Created and distributed in public interest by Indian Pharmaceutical Association (IPA) On 51st National Pharmacy Week