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Consulting

The Opportunity for Sharing

Warren Meek

Breakfast in Lisbon Community Pharmacy Section FIP

September 1, 2010

Consulting

62 years ago today, the UN’s World Health Organization was formed, with the belief that health is a global concern and that we must work together to improve the well-being of people in all corners of the Earth.

Consulting

“…….. The world needs all the illumination it can get, and you, my friends, are the sparks that will light our way to a better future.”

Oscar Arias Sanchez

September 1, 2002

BSc (Pharm) Dalhousie 1977

Community Pharmacist 1977-2010

President Canadian Pharmacists Association (CPhA) 2008-2009

Section Executive Committee member

International Pharmaceutical Federation (FIP) 2006-2010

5 medical missions to Tanzania 2007-2009

Warren Meek

Consulting

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Malaria STD HTN Diabetes H.Pylori UTI Diarrhea HIV

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Per Capita Pharmaceutical Expenditure*

Tanzania: $2

Canada: $589

* PPP

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Value of Medicines Distributed

In each of my last 4 missions we distributed ~

$2

worth of medicines per patient –

equivalent to Tanzania one year’s expenditure per patient

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Tuberculosis

Number of working hours required to pay for one full treatment for Tuberculosis:

Tanzania : 500 working hours

Switzerland: 1.4 working hours

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Salary

Salary of a teacher in rural Tanzania

85 cents per DAY

Salary of a pharmacist in rural Canada

85 cents per MINUTE

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Stock-out duration The average stock-out duration for all essential drugs is 28 days (Median 21.2,

Maximum 67.1 days, Minimum 3 days).

Adequacy of drug storage

The average adequacy of storage was found to be 9 for Zonal warehouses and 7 for public pharmacies. This rating is out of an 11 ranking scale indicator.

Patient Knowledge The average patient knowledge about dispensed drugs was 80%

Percentage prescribed drugs dispensed Three out of the four regions had between 80% and 90% of the prescribed

drugs dispensed. One region had very low results ie 47%.

Integrity of Distribution System (1)

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Adequately labelled drugs On average 76% of drugs were labelled adequately. A

similar study conducted in Dar es salaam and Coast in 2001 showed 87%

Percentage of expired drugs There were no drugs in the private facilities shelves with

dates beyond expiry dates. However, in public facilities 13% of key drugs were expired.

Guidelines Availability Only five (5) facilities out of 20 had Standard Treatment

Guidelines in their premises But 98.5% prescriptions were according to Essential Medicine List

Integrity of Distribution System (2)

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Number of Pharmacies

Tanzania ( pop. 40,000,000 )

500

Canada ( pop. 33,000,000 )

8200

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Annual Pharmacist Graduates

Tanzania ( pop. 40,000,000 )

35

Canada ( pop. 33,000,000 )

1050

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Solutions

Continued humanitarian support

Financial support (micro credit)

Policy development and support

Educational support

Cultural understanding

Sharing our knowledge

Volunteer

Support volunteers

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www.cjlu.smugmug.com

[email protected]

Warren Meek

President C7 Consulting Limited

Breakfast in Lisbon Community Pharmacy Section

FIP Congress September 1, 2010

http://www.cjlu.smugmug.com/

mailto:[email protected]

Consulting

“…….. The world needs all the illumination it can get, and you, my friends, are the sparks that will light our way to a better future.”

Oscar Arias Sanchez

September 1, 2002

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