Transcript Making Pharmacovigilance Work for Developing Countries

™
Ra
ID
RaPID Pharmacovigilance Program
Ensuring Safety
in Public Health Programs
Paul Lalvani, Pharmacist, MBA, Executive Director O3i,
RBM Board Meeting Nov 10-12
Percent of Target Achieved in Collecting ADR Reports
100%
95%
90%
85%
80%
75%
70%
65%
60%
% of 55%
Target 50%
Achieved 45%
In collecting 40%
ADR reports
35%
30%
25%
20%
15%
10%
5%
0%
Recommended Target by UMC/WHO
Botswana
Ghana
Sierra Leone
Sudan
Zambia
Zimbabwe
Most countries are operating at
1% to 5% of target
Country
Tunis
Algiers
Casablanca
Oran
Rabat
Marrakech
Mediterranean Sea
Tripoli
Bechar
ALGERIA
El Aaiun
Banghazi
Alexandria
Cairo
LIBYA
WESTERN
SAHARA
EGYPT
Al Jawt
Tamanrasset
MAURITANIA
MALI
Nema
Lombouctou
Aswan
Port
Sudan
Faya-Largeau
NIGER
Nouakchott
Dakar
RaPID Pilot
TUNISIA
Constantine
MOROCCO
Africa for Africa
Red
Sea
ERITREA
Agadez
CHAD
Banjul SENEGAL
Niamey
Zinder
THE
Bamako
BURKINA
GAMBIA
Bissau
Kano Maiduguri
Ouagadougou
GUINEA
GUINEA
BISSAU
BENIN
NIGERIA
Conakry
COTE
TOGO
Freetown
Abuja
DTVOIRE
Porto-Novo
SIERRA
GHANA
Lagos
LEONE
Abidjan
Monrovia
Loma
CAMEROON
Accra
LIBERIA
Yaounde
Malabo
EQUATORIAL
GUINEA
Aggregate data
Preliminary QC
Khartoum
Asmara
Al Fashir
DJIBOUTI
N' Djamena
Djibouti
SUDAN
Waw
CENTRAL
AFRICAN
REPUBLIC
Bangui
Berbera
Addis
Ababa
ETHIOPIA
Juba
SOMALIA
UGANDA
Mogadishu
REP OF
Kisangani
Kampala KENYA
DEMOCRATIC
THE
Nairobi
CONGO
REPUBLIC
Kigali
GABON
Lake
OF THE CONGO
RWANDA
Victoria
(ZAIRE)
Brazzaville
Mombasa
BURUNDI Bujumbura
Lake
Pointe-Noire
Kinshasa
Kalemie Tanganyika
ANGOLA
Zanzibar
Kananga
TANZANIA Dar es Salaam
Luanda
Mbeya
Lake
Malanje
MALAWI
Nyasa
Libreville
Indian
Ocean
ANGOLA
Ndola
Lobito
Lilongwe
Nacala
ZAMBIA
Namibe
Menongue
Lusaka
Harare
NAMIBIA
Bulawayo
Windhoek
SOUTH AFRICA
Walvis Bay
Luderitz
Cape Town
MOZAMBIQUE
MADAGASCAR
ZIMBABWE
Beira
Antananarivo
BOTSWANA
Gaborone
Toliara
Pretoria
Maputo
Johannesburg
Mbabane
SWAZILAND
Maseru
Durban
LESOTHO
SOUTH
AFRICA
Indian
Ocean
Port Elizabeth
CLINIRX
•Data entry
•Causality assessment
MH UNIV •Expectedness
•Severity
•QC
4
1
2
AfricaAsiaAmerica
3
Africa to Uppsala
5
Update global
Vigiflow database
Benefits of Pharmacovigilance—beyond Safety
Safety
Quality
Resistance
Improves
Quality of Care
Improves
Compliance
Reduces Drop
Out Rates