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Pharmacist Jurdas SEZIRAHIGA From : Kigali-Rwanda FIP Member Volunteer: FIP Pharmabridge

Pharmacist Jurdas SEZIRAHIGA From : Kigali-Rwanda FIP Member Volunteer: FIP Pharmabridge Contact person/Eastern African Country: Farmacie Mondiaal Pharmacist in Charge: MULTIPHAR RWANDA. Preliminary. By the end of 2011: Came across with Farmacie Mondiaal (FM) via Pharmabridge .

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Pharmacist Jurdas SEZIRAHIGA From : Kigali-Rwanda FIP Member Volunteer: FIP Pharmabridge

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  1. Pharmacist Jurdas SEZIRAHIGA From: Kigali-Rwanda FIP Member Volunteer: FIP Pharmabridge Contact person/Eastern African Country: FarmacieMondiaal Pharmacist in Charge: MULTIPHAR RWANDA Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  2. Preliminary • By the end of 2011: Came across with FarmacieMondiaal (FM) via Pharmabridge. • Through the message, I made clear that there are many needs in ameliorating the pharmaceutical care in Rwanda, both in a practical way as in a more abstract and structural way. • To get a better picture in which way FM could be of any help, FM board member undertook some kind of investigation and fact finding mission. • Period: 08-02-2012 until 20-02-2012, by Richard van Slobbe, pharmacist, board member FM. • Mr. JurdasSezirahiga functioned during this period as an important key figure in realising meetings with different persons and institutions. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  3. INTRODUCTION • Due to a strong government, return of many (educated) Rwandan refugees and external aid Rwanda shows very good progress in fighting poverty, illiteracy and health care challenges. • The country is developing fast ........ focus on ICT....... Fast internet and a mobile phone network are widely available Political stability and external aid really work in getting ahead. • Rwanda is strongly looking for contacts with Anglophone countries. There is a great desire to get in contact and learn from abroad. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  4. PharmaceuticalAspects: Pharmacists: about 450 pharmacists in all of Rwanda. Pharmacy education: National University of Rwanda (NUR), Huye. The program: 5 years leading to the BSc-degree. There MSc-program : No real Master’s program National Health Insurance: over 85% Pharmaceutical firm: No Medicines: 98% of the medicines are imported Counterfeit medicines is the main challenge Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  5. ... The pharmaceutical sector is under strong government attention and regulation (by the Pharmacy Task Force) as it sees that it is an important area for realising better health care and avoiding problems and risks. The Rwandan Biomedical Centre (Former Camerwa) functions as the National Wholesale firm. Whereas RAMA: It is in the way to be privatized. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  6. WORKING CONDITIONS • About 2/3 of the pharmacies visited used some kind of stand alone software to keep track of stock, to produce order forms and to make the paper bills necessary for the insurance company. • However, With this program no patient files with the patients medication history are recorded. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  7. VISITS 1-NATIONAL UNIVERSITY OF RWANDA (NUR) Meeting in Butare with Dr. Patrick Kyamanywa (Head of Medicine Faculty) and Dr. EgideKayitare (head of Pharmacy department) , brougt into contact with Dr. Herman Woerdenbag of the University of Groningen. 2- LADAMET LADAMET coordinator Dr. Charles Karangwa, Pharmacist and toxicologist. LADAMET is an NUR related laboratory. Brought into contact with Dr. Oscar Smeets of the Dutch Pharmacists Laboratory. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and FarmacieMondiaal

  8. … 3-HOSPITAL KIBOGORA: Meeting with Eugene Kayitesi being the hospital Pharmacist and Sheila , the former director of the hospital and still active on the management team. -Software: MSAcces, but no real knowledge of that System. 4-HOSPITAL KIBUNGO: meeting with hospital director and the central pharmacy. Not hospital pharmacist. No computer programme was used to keep track of stock. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  9. … 5-District pharmacy: We spoke with Fiacre Rutaganda, District Pharmacy Director in NGOMA District. 6- Ministry of Health (MOH): Meeting with John Patrick Mwesige (Head of Pharmacy Task Force) and Joseph Katabende (Head of Inspectorate of Pharmacy). Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  10. MoH of Rwanda… • The MOH welcomed FM’s initiative. Help was needed for National Quality Assurance Lab. I brought Joseph into contact with Oscar Smeets. • Furthermore Joseph was interested in regulatory affairs and legislation concerning pharmaceutical matters. FM is trying to realize a contact between Joseph and the Dutch inspectorate. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  11. … 7-Different pharmacies: About 6 different private pharmacies were visited. 8-ISHYIGA SOFTWARE: Meeting with the director of Ishyiga : Mr. Aimable Kimenyi. • Made clear that at that moment Ishyiga had no operational patient files. -Developing new features such as an central product database in the cloud. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  12. … • February 19th there was a meeting with the Minister of ICT, Ishyiga-users, officials from insurance companies to talk about to future plans. • FM was able to tell about the importance of having a central product database (with for each item the necessary pharmaceutical relevant properties) and thus enhancing the level of pharmaceutical care because the computer helps. • We tried to realise contacts between Rwanda and institutes like Z-index and HealthBase in Holland. • ISHYIGA tool has the advantage that it is produced in Rwanda and that the implementation and after sales are a lot easier Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  13. … • The mission resulted in getting a good picture of the Rwandan pharmaceutical landscape and were the needs. • For direct aid projects (in hospitals): Ishyiga in test. • With success: It will be implemented in Ruhango Hospital and DP of Ruhango. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  14. CONCLUSION • Rwanda is a beautiful and safe country where a lot of positive energy is put into the further development. It was a very useful mission where lot of contacts were made. • Hopefully the seed of the contacts will grow prosperously. Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

  15. ... KINDLY THANK YOU!!! GOD BLESS YOU. MURAKOZE!! Rwanda: Pharmacist Jurdas SEZIRAHIGA/ Pharmabrdge and Farmacie Mondiaal

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