Pharmacy Education and practice in

Ethiopia :

From where to where?

Mohammed A Mohammed

B.pharm, Msc.clinpharm, PhD candidate

mohzum@hotmail.com

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Who I am

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Close to 90m popln

11 regional states

Economy : agriculture

Who I am

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JU Msc clin pharmacy 2012JU , B.pharm 2008

Pharmacy schools in Ethiopia(8/33)

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B.Pharm since 1961M. Pharm prac since 2010

University of Gonder

Addis Ababa university

Mekele university

Jimma universityB.Pharm since 2001M clin pharm since 2009

Haramaya university

Ambo universityWellega universityWollo university

Over view of the old pharmacy educ/practice in Ethiopia?

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Drawbacks of the Old educ /practicein Ethiopia

Pharmacists in practice know more about the productbut have little info about their patients.

Provide meds they know for patients they do not know

Not well trained in clinical sciences/ Pathophysiologycurriculum

Not well trained/lack skills

To collect and interpret patient specific data,

To take medication related histories

To identify drug- therapy related problems./DTPs

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Community pharmacies in Ethiopia

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What has been done towards implementing new Pharmacy educ & Service in Ethiopia

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Initiatives in Ethiopia

• Curricular revision 2008: nationwide

• Pharmacy UG curriculum: more patient oriented (4 years + 1internship)

• Majority of the courses under new patient oriented curriculum areclinical pharmacy courses

• PG advanced clinical oriented pharmacy curriculum

MSC in Clinical Pharmacy JU Since 2009

MSC in Pharmacy practice AAU Since 2010

• Intensive 1mo in-service training for Clinical Pharmacy services.

hospital pharmacists (200). Started at JU, 2012 and then other unis

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Rationale for Shifting pharmacy curriculum

to patient-centered/Clinical in Ethiopia

• Pharmacy profession around the world has made a shift

in terms of education and scope of practice.

Follow Global trend (fit –for-practice curriculum)

• Was also an issue of survival both for the profession &

pharmacists(academics and in other practice area)?

• Pharmacy profession was about to collapse (2008/9 up 12). Employment in Gov institutions, attitude etc

-FMoH legislation (pharmacy educ, employment, licensing etc )

-some pharmacy schools closed their program, transferred students to other

discipline

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Shifting the curriculum …

• Prevalence of medicine-treatable diseases. Infectious

• Increase in non-communicable diseases ( western disease???)

DM, HTN, CVD, RF,Malignancyies, chronic illnesses.

Complexity of the mgt, DDI, ADE, monitoring,, New meds

demand to clinically trained meds expert that ensure quality &rational use

of meds.

opportunities for Ph but

• Upgrading existing ph skills and linking it with practice to cope up

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The Focus of the

New Pharmacy Curriculum

What do students mainly focus on ????

• Clinical Application of Drug Therapy than pharmaceutical sciences

• Disease state management. Minor to complicated cases

• Diagnostic procedures & Monitoring parameters (lab, PE, other

diagnostic tools) to follow safety of drug therapy.

• Critical thinking in Treatment guidelines and literature

evaluations and comparisons for clinical use

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Goal of the new curriculum

1. To make our future Pharmacists, expertise in:

– identifying and solving DTPs

– becoming patient educators within their scope DT management

– selecting the most effective therapy

– monitoring the outcome of drug therapy

2. Provider of patient-centered not product oriented services in all our HC

settings And

3. highly involved in clinical practice and research

make better contribution to patients Rx outcome & HC in

Ethiopia

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Recognition of the professions after the curriculum shift

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• FMoH: EHRIG May 2010

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PC in Ethiopia

Hospitals’ feedback

• Some hospitals(JU) pharmacist medication chart into patients

charts . 2013

• Hospitals directors’ positive feedback of the program and the

benefit of clinical pharmacy in-service training. Data??

• Consultants, medical residents, medical students etc were happyhaving Clinically trained pharmacists in their team.

I have witnessed this.

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Challenges of the new practice pregame

• Implementation of the faced several challenges at the beginning

– Lack of human resource for clinical courses and rotations

fly-in professors & clinicians

this still remained a challenge

– Resistance from some faculty/pharmacist

change the curriculum

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Future directions of educ and Practice in Ethiopia

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Future Direction

• Gradual training all Pharmacists(graduates of old curriculum) to enable them provide

clinical pharmacy services/ advanced patient services:

In hospitals, clinics and community pharmacies

time and financial resource ??? Not sure of the plan

• Launching pharm D program.

Was planed to start 3 years ago

Feasibility? Resource?

• Focus on Bpharm + 2 years PG clin pharmacy

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THANK YOU FOR YOUR

KIND ATTENTION!

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