Indian Pharmaceutical Association (IPA)
51st National Pharmacy Week
25TH November – 2nd December 2012
Public Health is defined as science & art of preventing diseases, prolonging life & promoting
health (of individual) through education, promotion of healthy lifestyle & research on
disease & injury prevention.
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India has achieved a lot in the medical field..
• India has the largest number of medical colleges in the world.
• India produces the largest number of Doctors amongst the developing world. A
large number of doctors leave India’s shores & are considered the best in the
world.
• India gets medical tourists from different countries reflecting high standard of
medical skills & expertise.
• India is the fourth largest producer of medicines by volume in world & among
the largest exporter.
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• BUT!!!!!!!!!!!• Majority of citizens have limited access to high quality healthcare,
& have poor health indicators.• 2/3rd of the population lacks access to essential medicines.• Density of health
care workers in the country is a little over 8 per 10,000 population which
is very low in comparison to
developed countries.
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In India, there are around 10 lakh Pharmacists working in various positions, applying their unique
knowledge & skills, contributing to the health of the Nation.
Community
Pharmacy (55%)
Hospital Pharmacy (20%)
Industry & Regulatory (10%)
Academic (2%)
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• Current availability of pharmacists in terms of pharmacist to population ratio in India compares favorably with that of
the developing country.
• If well utilized, Pharmacists can effectively help in achieving the goal of public health in India by overcoming the
scarcity of health care professionals.
WHO recommends a ratio of one pharmacist per 2000 population in order for optimal health care to be delivered.
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PHARMACISTS CAN EFFECTIVELY CONTRIBUTE TO PUBLIC HEALTH BY -
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NATIONAL HEALTH
PRORAMMES
PATIENT COUNSELLING
SCREENING SERVICES
MEDICINE MANAGEMENT
HEALTH PROMOTION
COMMUNITY AWARNESS
PROFESSIONAL DISPENSING
DEADDICTION SERVICES
• Pharmacists have through knowledge about
medicines and their use and are in a better
position to educate other health professionals about
the rational use of medicines.
• Pharmacists help in achieving the goal of
rational use of medicines.
• Pharmacists are involved in scientific procurement & distribution of medicines.
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By having access to medicinal records the pharmacists are in a
position to,• influence the selection of
medicines, • dosage regimens, • to monitor patient compliance and
therapeutics • recognize and report adverse drug
reactions (Pharmacovigilance).
• Pharmacists have more opportunity to interact closely with the prescriber and patient and
therefore, to promote the rational prescribing and use of drugs.
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• Many health care providers, mainly doctors and nurses contribute significantly during catastrophe.
• Unfortunately the role of Pharmacists remains unclear, so far involvement of pharmacist in this issue seems to be almost none.
Disaster management and emergency care
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Pharmacists services in disaster management
• Mobile pharmacy and temporary Pharmacy related services
• Distribution of medicines and related medical care
• Educate community on health, sanitation, hygiene, nutrition,
infectious disease and wellbeing• Provide first aid treatment in cuts, burns, hypothermia, rashes, fractures
etc.• Review of medicine supply and dosage
used in specific situation – diabetes, cardiac problem, pediatric population
etc.
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Adequate dosing
Minimization of
adverse effectsEvaluation of
potential interactions with other
medicines/food etc.
Optimization of pharmacotherapy
Who is more qualified then a Pharmacists on issues regarding Medicines ?
Health Education
for prevention of disease
Dosage forms
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• It is estimated that annually
around 330,000 Indians die due to
TB. (WHO).
• The nature of pharmacy
profession offers an excellent
opportunity to become advocates
for TB control. Indian Pharmaceutical Association
Role of Pharmacists in Revised National TB control programme :
• Easy access for patients to Government’s free anti-TB medicines i.e DOTS
• Early identification of TB suspects ,avoiding diagnostic delays
• Rational Use of anti-TB medicines• Patient Counseling & Education• Community Awareness
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Pharmacists in Mumbai & some other areas of Maharashtra are already acting as DOT providers & are serving the TB
patients
On 27th April 2012 Memorandum of Understanding (MoU) was signed between
Central TB Division & IPA, AIOCD, PCI & SEARPharm Forum, for inclusion of "Pharmacies
in RNTCP (National TB Programme)".
It is a historic development for the profession.
Pharmacies in RNTCP - A new era for Indian
Pharmacies in National TB Programme :
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• Successful outcomes in delivery of ART is possible by co-ordination & follow up by different professionals of the health care team.
• Thus pharmacists can play a very important role in prevention, treatment & diagnosis of HIV/AIDS.
• An estimated 33.4 million people worldwide are living with HIV (2008).
• There is acute shortage of manpower in many communities where Antiretroviral Therapy (ART) is necessary.
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• Higher level of adherence to therapy can be achieved by proper patient counselling by pharmacists.
• Pharmacists should be involved in procurement, storage & distribution of quality Antiretroviral (ARV) medicines.
• They can monitor ARV therapy, ensure proper use of medicines.
• Pharmacists can get involved in various HIV preventive programmes of NACO like;
• Blood safety• STD control
• Condom promotion• IEC & social mobilization
• Care, support & treatment of patient living with HIV/AIDS
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• In 1997 the role of pharmacists in effort to combat HIV/AIDS was acknowledged
by a join Declaration by FIP & WHO.• In 2004 FIP launched a international network of pharmacists on HIV/AIDS (www.fip.org/hivaids) which focuses on
three main areas; training, documentation & exchange of
experience.• It includes training modules, policy
documents, useful publications, links to relevant national & international
organizations, an event calendar to which additional events can be added & a mailing list to allow pharmacists to
exchange point of view & experience.
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• In rural areas there are common issues of
availability of medicines, doctor, prevention of ill health, promotion of
good health & environment. • Public sector involvement is poor &
unreliable & private sector facilities are beyond reach.
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Pharmacists are located in every nook and corner of the country
• Ensuring safe use of medicines• Decrease wastage of scarce
resource.• Logistic procurement, storage &
distribution of medicines.• Provide information on medicines.• Respond to the symptoms.
• In such situations pharmacists can act as first port of call & create window of connectivity in medicine supply, advice on its proper use & become a link between community & health and help in,
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National Programme for Control of Vector Borne Diseases (NVBDCP)
The Lancet on 20th November 2010 has reported that malaria
causes 205 000 deaths per year in India.
Role of pharmacists; Early detection & prompt referral for
treatment by;• Identifying symptomatic cases • Referring to diagnostic center, Drug
Distribution Center (DDC), Fever Treatment Depots (FTDs) etc.Indian Pharmaceutical Association
Ensuring rational use of prescribed medicines
Sensitizing people about various vector control measures.
Counseling on malaria/travelers malaria
Providing consumer health information & other IEC materials.
Pharmacists can effectively help in Prevention of Malaria through provision of consumer information.
Pharmacists can act as medicine provider for MalariaIndian Pharmaceutical Association
National Programme for Control of Vector Borne Disease
• Spreading the message of small family norm and its advantages,
• Providing a reservoir of knowledge on family planning methods,
• Helping clients in making an informed choice.
Pharmacists can play an important role in
Family Welfare programme by ;• Distributing family planning literature freely so that the customer can carry it home,
• Being counsellors next door,
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DEADDICTION SERVICES BY PHARMACISTS
• Alcohol deaddiction• Tobacco deaddiction• Counselling patient on
de-addiction
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SENSITIZING AND CREATING AWARNESS AMONG THE PUBLIC• Carrying out seminars, exhibitions, consumer awareness programme etc.• Publishing books, pamphlets, Patient
Information leaflets etc.• Patient information and counselling
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AUXILLARY
SERVICES
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Wishing you all a
Created and distributed in public interest by
Indian Pharmaceutical Association (IPA)
On 51st National Pharmacy Week