PHARMACY AND SUPPLY CHAIN MANAGEMENT OF HEALTH COMMODITIES

Vaccine Management


Through funding from UNICEF, in collaboration with NPHCDA and other stakeholders, Centre for Clinical Care and Clinical Research (CCCRN) conducted an independent physical stock count and audit of vaccines and devices in all the functional Cold & Dry stores in Abia, Anambra, Ebonyi, Enugu and Imo states. The exercise was conducted in the Zonal cold store, State and Local Government Cold and dry stores (SCS) across the 5 states and 926 Health facilities. The activity included training of field enumerators and Cluster Supervisor on inventory management for cold chain commodities in accordance with the time lines stipulated by the National Logistics Working Group (NLWG).

The project provided evidence for forecasting requirements at National, Zonal, State LGA and Facility disaggregated by programmatic areas for 2020.

Tuberculosis and Antiretroviral commodity Management


From 2010 till date, CCCRN has actively managed the end-to-end supply chain of TB and HIV commodities in the SEEDS, CHARIS, APIN iCARES grants. These include commodity quantification, forecasting, procurement, warehousing/storage, distribution and inventory management. CCCRN ensures the right commodities, in the right quantities and right condition, are delivered to the right place, at the right time and for the right cost to over 100,000 clients across 800 health facilities.

Notable achievements include: capacity of the staff in assigned SDPs on pharmacovigilance, Adverse Drug Reaction (ADR) reporting, Logistics management of Health Commodities and use of Logistics Management Information System (LMIS) tools; quality logistics records, ensuring commodity security and effecting best practices in storage/warehousing

Product and Supply Management Technical Working Group (PSM TWG)


CCCRN played a pivotal role in the establishment of PSM TWG and Logistics Management Coordinating Unit (LMCU) in many states, focused on capacity building and increasing supply chain ownership by State governments.

CCCRN supported these states in development of PSM TWG and LMCU TOR, developing integrated monitoring and supportive supervisory visits (iMSVs) checklist and conducting iMSV in health facilities to ensure smooth implementation of supply chain activities; address supply chain bottle necks at the state level Program level and ensure commodity security in the States by facilitate inter-IP commodity transfers.

Maturity Model Assessment


As a drive towards continuous improvement, the Pharmacy and Supply Chain Management Unit periodically performs end-to-end supply chain self-diagnosis of their operations using the Global Health Maturity Model Assessment Tool to assess supply chain needs. This is done in collaboration with Association for Supply Chain Management (ASCM) through funding from Bill and Melinda Gates Foundation.

This tool highlights the most problematic constraint or weakest link to achieving supply-chain goals. Therefore, focusing efforts on; and removing this weakest link is a fast and effective way to improve performance.

Pharmacovigilance and Adverse Drug Reaction Reporting


CCCRN places high importance on Pharmacovigilance by promoting regular screening of patients for adverse drug reactions (ADRs) and ensuring proper monitoring, management, documentation and reporting of all identified adverse drug reactions.

Clinicians, Pharmacy focal persons and adherence counsellors are routinely trained and mentored onsite on ADR screening, monitoring and reporting. We deployed ADR monitoring tools (adverse drug reaction screening forms and Pharmacovigilance yellow forms) across all supported facilities to ensure proper documentation of ADRs.

All newly initiated patients on ART or INH and patients transitioned to the new molecules (TLD, LPV/r pellets and ABC/3TC) are particularly monitored for ADRs.

To further to strengthen the process of monitoring of ADRs, CCCRN provide technical support and facilitates bimonthly Pharmacovigilance meeting in all the facilities.

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