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China Safe Medicine Pilot Program (Nov.2011 – Oct.2012) Progress Report

This report highlights the achievements and activities of the China Safe Medicine Pilot Program, which aimed to reduce unsafe medicine use by training health service providers and raising public awareness. The program involved partnerships with the Chinese Medical Association and Chinese Pharmaceutical Association, and utilized team-based training approaches. The report includes examples of published articles, details of health service provider training workshops, patient empowerment and education initiatives, and program monitoring and evaluation results.

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China Safe Medicine Pilot Program (Nov.2011 – Oct.2012) Progress Report

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  1. China Safe Medicine Pilot Program (Nov.2011 – Oct.2012) Progress Report Project HOPE Beijing Office Michael D. Maves, MD, MBA

  2. Program Background • Unsafe medicines pose a major public health challenge around the world • There was no NGO-led efforts on addressing the unsafe medicine problems though working with policy makers, health service providers, public media and consumers in China

  3. Program Goals & Objectives: • To contribute to the reduction of unsafe medicine use in China by training health service providers and raising public awareness • To increase knowledge and skills of health service providers who will counsel patients • To increase awareness and knowledge of unsafe medicine and its harmful effects among journalists who will write articles in Chinese media • To increase public and policy makers' awareness of unsafe medicine and its harmful effects

  4. Program Partners • Chinese Medical Association • Chinese Pharmaceutical Association • Health News, MOH affiliated Newspaper with circulation of 300,000/issue

  5. Program Approaches • First NGO-led efforts to bring public and private partners together to address the safe medicine issues in China • Involve public media in program implementation and promotion • Team-based training approach to strengthen health system-- forming a team including a Vice President of the hospital, a Pharmacy Director, Pharmacists, Clinical Doctors, and Nurses to address the safe medicine issue in hospital

  6. Program Activities & Highlights

  7. Major Media Participation in the Training

  8. 18 Published Articles (After Training) Examples 1 : Introduction of Pharmocovigilance ‘Counseling Doctors and Inquiry of Medicine ’Column, Health News March13，2012 Examples 2 : The Safe Use of Medicine Can Help Improve Health Science and Technology Daily March26，2012

  9. Health Service Provider Training Training topics: • Risk Management Practice on Clinical Medication • Transfusion Safety Management • Error Analysis and Prevention on Medication at Hospitals • Rational Medication of Aged People Daxing District, Beijing Dujiangyan city, Sichuan Province

  10. Health Service Provider Training • Second Workshop • Venue: Dujiangyan city,Sichuan Province • Date: July 20,2012 • Participants: 102 health service providers from 33 hospitals in Dujiangyan city (5 city level hospitals; 28 community-based health facilities) • First Workshop • Venue: Daxing District, Beijing • Date: June 14, 2012 • Participants: 54 health service providers from 6 hospitals in Daxing District (2 district level hospitals; 4 community-based health facilities)

  11. Patient Empowerment and Education • Approach: Trained health service providers conduct patient education activities • Material: Patient Education Material on Safe Medicine • Monitoring: Questionnaire (pre-post) on the Awareness of Safe Use of Medicine for Patients

  12. Patient Education Material

  13. Public Awareness - Approach Partnered with Health News to publish articles on regular basis • Some published articles • How to use the medicine warnings appropriately • Can you understand the package insert? • There are four taboos in the use of medicine for the elderly. • Allergic rhinitis medication should be used carefully • How to take medicine safely • The elderly should not take more than four kinds of medicine simultaneously • You should not choose OTC drug by its brand name Example: How to Take Medicine Safely - ‘Counseling Doctors and Inquiry of Medicine’Column, Health News, May3，2012

  14. Program M&E • Pre-post knowledge tests • Training course evaluation forms • Trainee's Survey • Questionnaire for Patients • Internal quarterly reports Reality Identity Creativity Identity Creativity

  15. First Training Test Results -- only 16% participants scored above 60 in pre-test -- 100% participants scored above 60 in post-test

  16. Second Training Test Results -- only 12% participants scored above 60 in pre-test -- 100% participants scored above 60 in post-test

  17. Program Beneficiaries

  18. Work closely with SFDA reporting center • Scale up tested program approach to reach more people • Continue to engage both conventional and online media • Continue to involve health service facilities and grassroots pharmacies • Address both safe use of medicine and use of safe medicine The Way Forward ……

  19. Thank You!

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