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					Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)

      Focus                Title                             Purpose/Description/Requirements                              Where Used         Languages
Pharmaceutical   Rapid Pharmaceutical     Manual presenting the methodology for conducting indicator-based              More than 12        English
sector           Management               assessments of pharmaceutical systems. Well validated indicators to           countries since     Russian
assessments      Assessment: An           measure efficiencies and effectiveness of pharmaceutical management           1995                Spanish
                 Indicator-based          systems. Sections may be used as needed; has been adapted to a variety of
                 Approach                 contexts.

                 Drug Management for      An indicator-based assessment tool to provide a baseline of availability,     Ecuador (1998)      English
                 Childhood Illness        cost and use of IMCI relevant pharmaceuticals and supplies in the public      Bolivia (1998)      French
                 (DMCI) Assessment        and private sectors. Managers can use the tool to monitor and evaluate the    Uganda (1999)       Spanish
                                          status of drug management as it affects the implementation of IMCI            Zambia (1999)
                 (Manual, Data            programs. Software includes a tool to analyze drug use behavior and cost      Senegal (2001)
                 Collector’s Guide,       implications, and an Epi-Info based program to analyze data and generate      Guinea (2002)
                 software)                key monitoring indicators.
                 Community Drug           A survey tool designed to assist district health managers, program            Senegal (2002)      English
                 Management for           managers, and regional or national policy makers identify problems and        Zambia (2003)       French
                 Childhood Illness        ways to improve drug management and use at the household level. The           Peru (2003)         Spanish
                 (CDMCI)                  assessment targets key conditions for IMCI, including malaria, and            Cambodia (2004)
                                          addresses the public and private providers. Instruments are intended to be
                 (Manual, software)       administered by local community workers (e.g., NGO staff, school teachers,
                                          other non-health workers.

                 Community Malaria        A survey tool designed to assist district health managers, program            Cambodia (2002)     English
                 Drug Use Survey          managers, and regional or national policy makers identify problems and        Thailand (2004)     Khmer
                                          ways to improve drug management and use at the household level relative       Laos (2004, 2005)   Thai
                 (Manual, software)       to malaria.                                                                                       Lao
                 Pharmaceutical           An indicator-based assessment tool for malaria program managers to assist     South Africa        English
                 Management for Malaria   in determining malaria drug needs and identifying improvement                 (2001)              Spanish
                 (PMM)                    strategies/interventions for malaria programs. It can help generate data on   Mozambique
                                          drug availability, prescribing practices in the public and private sectors.   (2003)
                 (Manual, Data                                                                                          Nigeria (2004)
                 Collector’s Guide)       Training for malarial program management below                                Kenya (2004)
                                                                                                                        Ghana (2004)
                                                                                                                        Suriname (2005)
                                                                                                                        Colombia (2005)
                                                                                                                        Bolivia (2005)
                                                                                                                        Ecuador (2006)
                                                                                                                        Venezuela (pilot
                                                                                                                        2006)


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Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
     Focus                Title                                  Purpose/Description/Requirements                                 Where Used           Languages
                  Pharmaceutical              Revised edition of DMTB tool, PMTB assists users, primarily national TB          Ethiopia, Moldova,   English
                  Management for TB           programs (NTPs), in conducting studies that:                                     China, India(Uttar   French
                  Assessment Manual                                                                                            Pradesh),            Russian (parts
                  (PMTB)                           Provide data on TB pharmaceutical management practices                     Cambodia, Congo      of PMTB)
                                                   Identify ways to monitor and improve the NTP pharmaceutical                Brazzaville          Chinese
                                                    management system, thereby promoting an uninterrupted supply of            China
                                                    quality TB medicines
                                                   Build country-based operations research capacity

                  How to Investigate          A rapid assessment tool that can assist users in defining a limited number of    Paraguay (2005)      English
                  Antimicrobial Medicines     indicators to objectively describe the management and use of antimicrobials      Ghana (2000)         Spanish
                  Use in Hospitals:           in hospitals. The tool provides a key set of hospital, prescribing and patient
                  Selected Indicators         care indicators and step-by-step instructions for designing and carrying out
                                              the assessment. The manual supports basic comparisons of antimicrobial
                                              use within a hospital over time as well as between hospitals.
Medicines and     Scaling up HIV/AIDS         A manual for HIV/AIDS program managers for assisting in determining              Worldwide            English
supplies policy   Programs: A Manual for      resource needs for scaling up.
and planning      Multisectoral Planning

                  (Manual)
                  HIV/AIDS Commodities        A tool that allows tracking of donor HIV/AIDS commodity procurement              Globally             English
                  Tracking Tool               initiatives. To be used by program managers and policy makers to identify
                                              gaps and duplications in programming. Can be accessed by users in
                  (Web-based tool)            disparate locations who have an Internet connection and appropriate
                                              password/clearance.
                  How to implement            Developed in collaboration with WHO, this tool is to assist drug authorities     Worldwide            English
                  Computer-Assisted Drug      in the computerization of drug registration.
                  Registration: A practical
                  Guide for Drug
                  Regulatory Authorities

                  (Manual)
                  Changing Malaria            Developed in response to Global Fund reprogramming for arteminisin               Used by 15           English
                  Treatment Policy to         combination therapies (ACTs), the purpose of this guide is to assist malaria     countries for        French
                  ACTs – An                   program managers plan for and operationalize the steps for implementation        Global Fund          Spanish
                  Implementation Guide        when changing their policy to ACTs.                                              reprogramming
                                                                                                                               activity (2004)
                                                                                                                               Ecuador (2005)




                                                                                                                                                              2
Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
    Focus                Title                              Purpose/Description/Requirements                                  Where Used            Languages
                Commodity Management      A guide for program managers planning to procure and use commodities for          Worldwide             English
                for VCT Programs: A       their VCT programs. Includes information on test kits and testing
                Planning Guide            algorithms.

                Managing                  A guide for TB managers at central and district levels that provides a step       UNION                 English
                Pharmaceuticals and       by step approach to reviewing core components of TB pharmaceutical                Conference (2006),    Spanish
                Commodities for           management. Makes use of checklists and decision trees to identify and            national and          French
                Tuberculosis: A Guide     address key policy and planning gaps in the system                                regional courses in
                for National                                                                                                Africa and Latin
                Tuberculosis programs                                                                                       America (2006)
                TB Motivations Mapping    This practical, step-by-step guide, field-tested in Bangladesh, facilitates the   Worldwide             English
                Tool                      scientific design of evaluation and operations research studies so that the                             Spanish
                                          findings actually contribute hard evidence on the impact of incentive and                               (abridged)
                                          enabler activities on TB program performance. It provides guidance
                                          primarily on choosing an appropriate study design for the I&E intervention
                                          in question; identifying appropriate, readily measurable key indicators for
                                          measurement; ensuring adequate sample size for scientific validity; and a
                                          basic approach to data analysis and data presentation.

                Practical Guide for       Guide to assist ministries of health of PAHO member countries to                  Latin America and     English
                Procurement Planning      effectively plan for the procurement and management of essential                  Caribbean             Spanish
                and Management of         medicines, in support of the Strategic Fund.
                Strategic Public Health
                Supplies (with PAHO,
                COHAN)
Inventory       ABC/VEN analysis          Windows-based software for analyses of inventories. Preprogrammed for             Worldwide             English
Management      software                  pharmaceuticals and common supplies, but can be adapted to other items as
Tools                                     needed
                Orion@MSH ®               An integrated software program developed specifically for pharmaceutical          OECS                  English
                                          stock management in resource poor settings. Modules include inventory,            St. Lucia,
                (Software)                procurement, vehicle and equipment management, sales, warehouse and               Grenada,
                                          accounting. Available for worldwide use in qualifying countries and               Dominica
                                          institutions.
                Various stock             Several examples of stock cards and requisition/order forms for public            South Africa          English
                management tools          sector health facilities                                                          Senegal               French
                                                                                                                            Mozambique            Portuguese




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Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
     Focus                 Title                                Purpose/Description/Requirements                               Where Used           Languages
                 Managing TB Medicines      A capacity-building tool targeting TB pharmaceutical management issues         Afghanistan and        English
                 at the Primary Level       commonly faced at the primary health care level, where too often little        Pakistan (field test   French (in
                                            formal training has been provided. The guide is designed to improve skills     in progress)           progress)
                                            of treatment center personnel in managing TB commodities, thus ensuring
                                            an uninterrupted supply of quality medicines when patients need them.

                 ART Dispensing Tool        The ART Dispensing Tool helps maintain basic patient profile information,      South Africa           English
                                            medication history, and other data that are essential for the dispenser to     Kenya                  Vietnamese
                                            know at the time of dispensing. This tool also generates information that is   Lesotho
                                            needed to calculate pharmaceutical needs and to make other management          Swaziland
                                            decisions.                                                                     Vietnam
Quantification   Quantimed                  A drug quantification software that may be used for all health programs.       Ghana                  English
and Needs                                   Includes a scaling-up function that has been used for quantifying needs for    Tanzania
Forecasting      (Software)                 procurement, planning and budgeting.                                           Haiti
                                                                                                                           Kenya
                                            Special chapters for medicines and suppliers for antiretroviral therapy and    Namibia
                                            for malaria programs

Procurement      Requesting USAID           A guide to inform those using US Government fund to procure                    Available              English
                 Approval to Procure HIV    pharmaceuticals and other commodities for HIV programs.                        worldwide and
                 Test Kits and Other                                                                                       used for numerous
                 HIV/AIDS-Related                                                                                          procurements
                 Pharmaceutical
                 Products: Guidance and
                 Sources of Information

                 (Manual)
                 HIV Test Kits Listed in    A guide to serve as an initial reference for identifying manufacturers and     Worldwide                  English
                 the USAID Source and       international suppliers/procurement agencies and for planning for HIV test
                 Origin Waiver:             kits procurement.
                 Procurement Information
                 document

                 International Drug Price   Listing of comparative international prices for essential drugs, including     Worldwide              English, French,
                 Indicator Guide            WHO therapeutic classification and median and average prices                                             Spanish

                 (available on-line and
                 CD)




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Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
     Focus               Title                               Purpose/Description/Requirements                                Where Used     Languages
Standard        Standard Operating        Standard operating procedures detailing roles and responsibilities of           Ethiopia        English
Operating       Procedures for            pharmacy staff in ARV programs.                                                 Kenya
Procedures      Pharmacies in ARV                                                                                         Rwanda
                Programs                                                                                                  Tanzania
                                                                                                                          Zambia
                Standard Operating        Standard operating procedures detailing roles and responsibilities of           Ethipia         English
                Procedures for            laboratory staff in ARV programs.                                               Kenya
                Laboratories in ARV                                                                                       Rwanda
                Programs                                                                                                  Tanzania
                                                                                                                          Zambia
                Procedures for TB Drug    Standard operating procedures. Includes process flowcharts and a                Dominican       Spanish
                Management                description of roles and responsibilities.                                      Republic

                Standard Operating        Standard operating procedures for managing TB medicines, including roles        China           Chinese
                Procedures for            and responsibilities, process flowcharts, sample forms, monitoring, and                         English
                Managing Tuberculosis     indicators. Designed for use at county, prefecture, and provincial levels.
                Medicines and Medical
                Supplies
                (manual)
Selection and   Drugs and Therapeutics    Manual and training materials (including TOT) developed with WHO for            World-wide      English
Rational Drug   Committees: A Practical   members of existing pharmacy and therapeutics committees to learn
Use             Guide and Training        techniques to improve the performance of the committee, at the facility or
                Materials                 national level.

                Guidelines for            A guidance tool for hospital staff to use to establish a drug utilization       Hungary         English
                Implementing Drug         program. A step-wise approach for conducting drug utilization reviews is        Mozambique      Hungarian
                Utilization Review        presented.                                                                      Russia          Portuguese
                Programs in Hospitals                                                                                                     Russian

                (Manual)
                                          Originally developed, validated, and implemented in Brazil; the software        Brazil          Portuguese
                Decentralized
                                          links individual cases, prescriptions/regimen, calculation of drug needs, and   Romania         Romanian/Russi
                Web-based
                                          order placement for second-line medicines. The software is being rolled out     Moldova         an (in progress)
                information
                                          to Romania and Moldova
                system for
                MDR-TB case
                surveillance




                                                                                                                                                    5
Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
     Focus                   Title                                Purpose/Description/Requirements                                Where Used            Languages
                   Drug Utilization Review    A tool for program managers to use to collect data, describe tuberculosis         Uzbekistan            English
                   for Tuberculosis           treatment patterns, and resource utilization. Results may be used to make                               Russian
                                              improvements in treatments to TB patients.
                   (Questionnaire and data
                   collection forms only)

Text books and     Promoting the Rational     Training for clinicians to identify, critically evaluate and systematically       Several countries     English
Training           Drug Use (PRDU) and        address problems with drug use in their facilities (2 weeks course; 1 week        in Asia, Africa and   Spanish
materials          Training of Trainers       TOT).                                                                             Latin America
                   (TOT)
(Various Topics)
                   The Monitoring-            Training materials developed for staff at hospitals, district level facilities,   Bangladesh            English
                   Training-Planning          and health centers in basic concepts for drug management. Based on self-          Ecuador               Spanish
                   (MTP) Guide for            assessments, problem-based learning, and continuous improvement                   Peru                  Portuguese
                   Program Implementation     approach.                                                                         Mozambique
                   (currently being                                                                                             Uganda
                   updated)

                   Training for Effective     Eleven sessions covering the role and function of DTCs and specific               Several countries     English
                   Drugs and Therapeutics     methodologies for DTCs to use to identify and address potential problems          in Asia and Africa
                   Committees (DTCs) and      with drug use in their facilities. (2 weeks course; 1 week TOT).
                   Training of Trainers
                   (TOT)

                   Managing Drug Supply,      Manual for policy makers and managers at all levels.                              Worldwide             English
                   2nd Edition, Revised and                                                                                                           Spanish
                   Expanded. Management
                   Sciences for Health in                                                                                                             Some sessions
                   collaboration with WHO.                                                                                                            available in
                   West Hartford,                                                                                                                     French
                   Connecticut: Kumarian                                                                                                              Portuguese
                   Press, 1997.               16 core sessions covering key topics in pharmaceutical management.                                      Spanish
                                              Modules may be “mixed and matched” to develop short courses targeting                                   Russian
                   Managing Drug Supplies     specific topics and audiences. Developed for use by personnel with some
                   (Trainer’s guide and       expertise in the field to adapt and update as needed, for participants working
                   participant guide)         in a pharmaceutical management capacity.




                                                                                                                                                                6
Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
    Focus               Title                                  Purpose/Description/Requirements                           Where Used            Languages
                The Manager                The Manager is published quarterly in English, French, and Spanish. It       Worldwide             English
                                           presents in-depth discussions of management strategies for improving                               Spanish
                                           health and family planning services. Full text versions of The Manager are                         French
                                           available on-line as part of The Manager’s Electronic Resource Center
                                           (www.erc.msh.org). Each issue focuses on a specific management topic and
                                           includes “working solutions” from the field, practical tools, and a case
                                           scenario designed for use in staff development and training

                                           Recent issues specific to drug management:

                                              Improving Drug Management to Control Tuberculosis, 2001 Vol 10 (4)
                                              Addressing Barriers in Malaria Control Through Pharmaceutical and
                                               Commodity Management, 2002 Vol. 12 (1)
                                              Achieving Functional HIV/AIDS Services Through Strong Community
                                               and Management Support, 2002 Vol. 11(4)

                Pharmaceutical                                                                                          Amazon Region         English
                Management for Malaria                                                                                  (2004)                Spanish
                Training materials                                                                                      East Africa Region    French
                                                                                                                        (2005?)
                                                                                                                        West Africa
                                                                                                                        Region (2005?)
                                                                                                                        Asia-Near East
                                                                                                                        Region (2006?)
                Pharmaceutical             This week-long course includes interactive presentations, practical          Indonesia, Kenya,     English,
                Procurement for            exercises, and context-specific TB information presented by local health     Romania, South        Romanian,
                Tuberculosis:              personnel.                                                                   Africa, Uzbekistan,   Russian, and
                                                                                                                        and Vietnam           Spanish,
                Pharmaceutical             RPM Plus expanded the content of the TB procurement course to include        Honduras,             English
                Management for             modules on pharmaceutical management information systems, distribution,      South Africa          Spanish
                Tuberculosis (first-line   inventory management, and monitoring and evaluation.
                medicines):




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Management Sciences for Health/Rational Pharmaceutical Plus Program/Illustrative List of Tools for Improving Medicines
Management (available on http://www.msh.org/what_MSH_does/cpm/index.html)
    Focus                 Title                              Purpose/Description/Requirements                              Where Used          Languages
                Pharmaceutical            RPM Plus adapted course modules from the Pharmaceutical Management             Russia,             English
                Management for            for Tuberculosis course to address management of second-line TB drugs.         Mexico,             Russian
                Multidrug Resistant                                                                                      Romania,            Spanish
                Tuberculosis (second-                                                                                    Moldova             Romanian
                line medicines):


                Managing Medicines and    RPM Plus combined instructional materials, practical exercises, and field      Georgia (for the    English
                Pharmaceutical Supplies   visits, addressing aspects of pharmaceutical management for both first-line    Caucus region),     Russian
                for Tuberculosis:         and second-line TB medicines to be used at workshops conducted in              Egypt (for the
                                                                                                                         WHO Eastern
                                                                                                                         Mediterranean
                                                                                                                         Region).
                Pharmaceutical            This course aims at training international consultants to conduct monitoring   Regional courses:   English
                Management for Global     missions for the GDF.                                                          Africa              French
                TB Drug Facility (GDF)                                                                                   (Anglophone)
                Consultants:                                                                                             Africa
                                                                                                                         (francophone)
                                                                                                                         Asia
                                                                                                                         Eastern Europe




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