Transcript pharmacist in public health - Indian Pharmaceutical Association

51st National Pharmacy
Week
25TH November – 2nd
December 2012
Indian Pharmaceutical
Association (IPA)
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.
Indian Pharmaceutical Association
• 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.
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• 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.
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Academic
(2%)
Industry &
Regulatory
(10%)
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Community
Pharmacy
(55%)
Hospital
Pharmacy
(20%)
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.
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HEALTH
PROMOTION
PATIENT
COUNSELLING
NATIONAL
HEALTH
PRORAMMES
MEDICINE
MANAGEMENT
DEADDICTION
SERVICES
COMMUNITY
AWARNESS
PROFESSIONAL
DISPENSING
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SCREENING
SERVICES
• 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.
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•
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•
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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.
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• 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.
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Disaster
management
and
emergency
care
• 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.
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Minimization
Adequate
of adverse
effects
dosing
Evaluation of
Health
Optimization of
potential
Education for
pharmacotherapy interactions with
prevention of
other medicines/food
disease
etc.
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• 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.
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• 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
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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.
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• 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.
• 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.
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• 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
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• 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.
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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.
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• 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.
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The Lancet on 20th
November 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.
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 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
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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,
• 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.
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• Alcohol deaddiction
• Tobacco deaddiction
• Counselling patient on deaddiction
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• Carrying out seminars, exhibitions, consumer awareness
programme etc.
• Publishing books, pamphlets, Patient Information leaflets
etc.
• Patient information and counselling
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Wishing you all a
Created and distributed in public
interest by
Indian Pharmaceutical Association
(IPA)
On 51st National Pharmacy Week