KENYATTA NATIONAL HOSPITAL
Download
1 / 17

PROM0TING RATIONAL USE OF ANTI-RETROVIRALS ARV AT KNH KENYA ... - PowerPoint PPT Presentation


  • 304 Views
  • Uploaded on

KENYATTA NATIONAL HOSPITAL. PROMOTING RATIONAL USE OF ANTI-RETROVIRALS (ARV) AT KENYATTA NATIONAL HOSPITAL (KNH) IN KENYA. BY OGILE ELIZABETH BPharm Pg Cert EDM & RDU MPSK. Authorized Establishment -6,212 In-post -5,225 KNH has a total of 9 pharmacies.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'PROM0TING RATIONAL USE OF ANTI-RETROVIRALS ARV AT KNH KENYA ...' - thane


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Slide2 l.jpg

PROMOTING RATIONAL USE OF

ANTI-RETROVIRALS (ARV)

AT KENYATTA NATIONAL HOSPITAL (KNH)

IN KENYA

BY

OGILE ELIZABETH

BPharm Pg Cert EDM & RDU MPSK


Slide3 l.jpg

Authorized Establishment -6,212 In-post -5,225

KNH has a total of 9 pharmacies


Introduction and problem statement l.jpg
INTRODUCTION AND PROBLEM STATEMENT

  • HIV/AIDS has been viewed to affect productivity of workers and also to increase health treatment cost. KNH also faced a similar problem. ( Ref Kenya HIV/AIDS business Council Report ) .

  • In Feb1998 the KNH management decided to avail free ARV treatment to staffs as non – scheduled/ Extraformulary drug.

  • In June 1999, the situation was getting out of hand.

  • There were no clear guidelines for prescribing and dispensing the ARVs.

  • There were no proper records. Staff collected drugs from any pharmacy. The buying and supply of ARV was very erratic.

  • Further investigations revealed that ARV prescribing was from other sources, not specialists only. A number of prescriptions were not genuine. There was no monitoring and follow up on the genuine patients.

  • Frequent stock out periods.


Slide5 l.jpg


Overall goal l.jpg
OVERALL GOAL Committee ( MAC) to review the situation and then make recommendations.

  • MAC came up with the following policy interventions to be implemented at prescribing and pharmacy levels.


Setting and population l.jpg
SETTING AND POPULATION Committee ( MAC) to review the situation and then make recommendations.

  • Kenyatta National Hospital.

  • Staffs diagnosed to be HIV/AIDS positive and presented with prescriptions in the pharmacy ( about 100 patients )


Interventions march 2000 l.jpg
INTERVENTIONS ( MARCH 2000 ) Committee ( MAC) to review the situation and then make recommendations.

  • MAC recommendations were implemented at prescribing and dispensing level.

    PRESCRIBING

  • Limiting prescribing to only 3 appropriately trained clinical specialists and ensuring that each patient had a specific file opened.

  • The staffs had to take their prescriptions for countersigning by the Deputy CEO ( Clinical Service ) for verification.


Intervention l.jpg
INTERVENTION Committee ( MAC) to review the situation and then make recommendations.

The following procedures were implemented:-

  • The hospital management decided that prescribing of ARVs be limited to only 3 appropriately trained clinical specialists and based on hospital approved treatment schedules.

  • Introducing a requirement that authority must be sought from deputy Chief Executive Officer (clinical services) before a prescription is dispensed.


Intervention contd l.jpg
INTERVENTION…. Committee ( MAC) to review the situation and then make recommendations.CONTD

DISPENSING

  • Dispensing was centralized to one pharmacy.

  • The dispensers ensured that prescriptions were countersigned and also had the recommended combinations.

  • Patients were required to purchase an item out of stock and bring to the pharmacy to receive available drugs ( Provision for reimbursement ).

  • Computerized record keeping system was introduced in the pharmacy.

  • ARV monitoring form was introduced in march 2001.


Results l.jpg
RESULTS Committee ( MAC) to review the situation and then make recommendations.

  • Preliminary results show that 16% of the ARV prescriptions as at June 1999 were not genuine ( not real patients ).

  • The situation as at March 2001 show that there was still about 2% of ungenuine prescriptions.

  • We have created a database for monitoring ARV therapy and for controls.


Slide12 l.jpg

KENYATTA NATIONAL HOSPITAL ARV THERAPY MONITORING FORM Committee ( MAC) to review the situation and then make recommendations.

Personal Details

Patient Number:

Patient Name: Gender:

Address: Age:

Tel: Weight:

E-mail: BSA:

Clinical Parameters


Slide13 l.jpg

Antiretroviral Therapy Committee ( MAC) to review the situation and then make recommendations.


Slide14 l.jpg

Dispensing Committee ( MAC) to review the situation and then make recommendations.


Lesson learnt l.jpg
LESSON LEARNT Committee ( MAC) to review the situation and then make recommendations.

  • It is difficult to manage ARV treatment of staffs by staffs.

  • Simple policy interventions can be used effectively to promote Rational ARVS usage.

    BUT ……..

    The patients were getting tired ( complaining ).


Conclusion l.jpg
CONCLUSION Committee ( MAC) to review the situation and then make recommendations.

  • Comprehensive care unit was set in October 2002

  • Comprehensive care unit ( CCU ) borrowed the concepts of the policy interventions.

  • In April 2003 the staffs HIV/AIDS management programme was intergrated into CCU program.


Slide17 l.jpg

THANK YOU Committee ( MAC) to review the situation and then make recommendations.

special support

Dr. Mary Ojoo

Mr. Mwangi Maina


ad