Journal article
Description and analysis of hospital pharmacies in Madagascar.
- Ratsimbazafimahefa HR School of Pharmacy, University of Antananarivo, Antananarivo Madagascar; Campus Ambohitsaina, BP 375, Antananarivo 101, Madagascar. Electronic address: hanitraravelojaona@yahoo.fr.
- Sadeghipour F Pharmacy Department of University Hospitals of Lausanne, 1211 Lausanne, Switzerland; School of Pharmaceutical Sciences, University of Geneva and University of Lausanne, 1211 Geneva, Switzerland. Electronic address: Farshid.Sadeghipour@chuv.ch.
- Trouiller P Grenoble Alpes University Hospital, 38043 Grenoble, France; School of Pharmacy of Grenoble, 38043 Grenoble, France. Electronic address: ptrouiller@chu-grenoble.fr.
- Pannatier A School of Pharmaceutical Sciences, University of Geneva and University of Lausanne, 1211 Geneva, Switzerland. Electronic address: Andre.pannatier@chuv.ch.
- Allenet B Grenoble Alpes University Hospital, 38043 Grenoble, France; School of Pharmacy of Grenoble Alpes, 38043 Grenoble, France; Techniques for Evaluation and Modeling of Health Actions (ThEMAS), Techniques for biomedical engineering and complexity management-informatics, mathematics and applications (TIMC-IMAG), National Institute of Sciences of the Universe-Research Unit 5525 (UMR CNRS), Grenoble Alpes University, 38043 Grenoble, France. Electronic address: ballenet@chu-grenoble.fr.
- 2018-01-21
Published in:
- Annales pharmaceutiques francaises. - 2018
Circuit du médicament
Drug supply chain
Hospital pharmacy
Madagascar
Organisation et fonctionnement
Organization and functioning
Pharmacie hospitalière
Public health
Santé publique
Community Pharmacy Services
Humans
Madagascar
Pharmacists
Pharmacy Service, Hospital
Surveys and Questionnaires
English
OBJECTIVE
Madagascar's health care system has operated without formal hospital pharmacies for more than two decades. The gradual integration of pharmacists in public hospitals since 2012 will allow the structuring of this field. This study was conducted to characterize the current situation regarding all aspects relating to the general functioning of hospital pharmacies and the services provided.
METHODS
This qualitative research used semi-structured interviews. Interviewees' perceptions about the general organization and functioning of hospital pharmacies and details on services provided were collected. The 16 interviewees were Ministry of Health staff members involved in hospital pharmacy, hospital directors, medical staff members and hospital pharmacy managers. Interviews were recorded, translated into French if conducted in Malagasy, and fully transcribed. Verbatim transcripts were coded according to the themes of hospital pharmacy and topical content analysis was performed.
RESULTS
The principal issue perceived by interviewees was the heterogeneity of the system in terms of technical and financing management, with a main impact on the restocking of pharmaceutical products. The drug supply chain is not under control: no internal procedure has been established for the selection of pharmaceutical products, the quantification of needs is complex, stock management is difficult to supervise, a standard prescription protocol is lacking, dispensing is performed by unqualified staff, no pharmaceutical preparation is manufactured in the hospitals and administration occurs without pharmaceutical support.
CONCLUSIONS
Progressive structuring of efficient hospital pharmacy services using the Basel statements for the future of hospital pharmacy is urgently needed to improve health care in Madagascar.
Madagascar's health care system has operated without formal hospital pharmacies for more than two decades. The gradual integration of pharmacists in public hospitals since 2012 will allow the structuring of this field. This study was conducted to characterize the current situation regarding all aspects relating to the general functioning of hospital pharmacies and the services provided.
METHODS
This qualitative research used semi-structured interviews. Interviewees' perceptions about the general organization and functioning of hospital pharmacies and details on services provided were collected. The 16 interviewees were Ministry of Health staff members involved in hospital pharmacy, hospital directors, medical staff members and hospital pharmacy managers. Interviews were recorded, translated into French if conducted in Malagasy, and fully transcribed. Verbatim transcripts were coded according to the themes of hospital pharmacy and topical content analysis was performed.
RESULTS
The principal issue perceived by interviewees was the heterogeneity of the system in terms of technical and financing management, with a main impact on the restocking of pharmaceutical products. The drug supply chain is not under control: no internal procedure has been established for the selection of pharmaceutical products, the quantification of needs is complex, stock management is difficult to supervise, a standard prescription protocol is lacking, dispensing is performed by unqualified staff, no pharmaceutical preparation is manufactured in the hospitals and administration occurs without pharmaceutical support.
CONCLUSIONS
Progressive structuring of efficient hospital pharmacy services using the Basel statements for the future of hospital pharmacy is urgently needed to improve health care in Madagascar.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.pharma.2017.12.003
- PMID 29352583
- Persistent URL
- https://sonar.ch/global/documents/232641
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