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Impact Assessment of Supervision on Medicines Management

Impact Assessment of Supervision on Medicines Management. Trap B, Todd CH, Moore H, Laing R Euro Health Group, Denmark, University of Zimbabwe Medical School, Zimbabwe; Essential Drugs and Medicines Policy Department, WHO and Boston University School of Public Health, USA.  . Background.

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Impact Assessment of Supervision on Medicines Management

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  1. Impact Assessment of Supervision on Medicines Management Trap B, Todd CH, Moore H, Laing R Euro Health Group, Denmark, University of Zimbabwe Medical School, Zimbabwe; Essential Drugs and Medicines Policy Department, WHO and Boston University School of Public Health, USA.  

  2. Background • Very limited funds available for expenditure on drugs – crucial to ensure optimal utilisation. • Important to ensure appropriate MM (Stock management and appropriate use) • Achievements related to MM gained through training could not be sustained • Little was know about the effectiveness and sustainability of supervision related to MM.

  3. Study Aims The study aimed to evaluate, with a controlled design, the impact of supervision and sustainabilityon: • Stock management systems • Adherence to STG

  4. Method

  5. Intervention facilities ranked on basis of score on SM, paired according to performance. • Each arm of the pair was randomly allocated to group a) or b).

  6. Data Collection Undertaken by: • 10 trained pharmacy staff undertook supervision and data collection. • Different individuals undertook baseline, supervision and final evaluation • Supervisory training included RDU/STG training, SM, communication, planning and survey methodology

  7. Indicators

  8. NS NS NS

  9. The results of the study showed that, following supervision: • Stock management improved significantly when compared to the control and comparison groups • Similar improvements were demonstrated for adherence to STG, although the effect was confounded by other interventions • The study also showed that supervision has a positive effect on improving performance in other areas than those supervised • Pharmacy technicians with limited clinical skills can be trained to influence primary health care workers to positively improve prescribing practices

  10. Summary • Regular supervision has a positive impact on MMperformance of primary care staff detectable six months later • Training of supervisors must be focussed • Techniques similar to those used to train commercial drug representatives can be utilised in the training of supervisors

  11. Conclusion and policy indications Further studies needed on effect and sustainability in regard to MM of: • Regular supervision versus other intervention strategies i.e financial and educational • Cost effectiveness of using specifically trained pharmaceutical supervisors

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