E-drug: Improving medicines management. What works best? (cont'd)
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Hi David
I work as Pharmacist in a pediatric Hospital in Kenya. I agree with
you that in most developing countries the aspect of Pharmaceutical
care and clinical pharmacy practice at the ward level is not
pronounced and in most cases is completely absent. From our
experience the initiative of the local pharmacist to go in this
direction is quite important. There will be a lot of hurdles being a
novel thing in the third world but with determination and document
proof of benefits it is a possibility. Just to mention that we have a
very functional DTC, we have treatment guidelines for specific
conditions, we have an hospital formulary, we have audits to monitor
prescribing, dispensing with good results. These may not be adequate
but the point is that it can be done. I know one referral hospital in
the country where the pharmacist is a must in a ward round.
Two quick suggestions. We need a collaborative effort between
Pharmacists in the third world and those in the developed countries.
Exchange training programs, scholarships, online communication etc.
Two, for those that have trained, there is need to retain the skill
in the third world, more often what would happen is that this trained
Pharmacist will go fill shortage in the developed countries.
Dr. Robert Orina Nyarango
Acting Chief Pharmacist
Gertrude's Garden Children's Hospital
P.O. BOX 42325 - 00100, Nairobi, Kenya
Tel: +254-20-3763474-7, Ext.239/240
Cell: +254-722-325211
Fax: +254-20-3763281
e-mail: rnyarango@gerties.org; nyarangoron@yahoo.com
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