Pharmacies: Partners in the Fight Against TB PATH Hara Mihalea CHE, MPH Tuberculosis and Public Health Consultant

Does PPM work?

Why Pharmacies? They are utilized by the majority. They are convenient, operating hours. They are trusted. They are in or close by to the communities. They are less expensive. They offer confidentiality and don’t ask to many questions. Previous experience with RH, CH, and immunization programs.

PATH PPM Model based on the: Fundamentals of: Forging partnerships. Building local capacity and supporting rather than leading. Integration. Flexibility. Sustainability.

The PPM model used ACSM Approaches Advocacy:Policy, PPM guidelines, financial and human resource mobilization. Communication:Increase awareness of TB, change of attitude and practices. Social Mobilization : Increase the involvement of key stakeholders and gain support for TB.

ODs in Phnom Penh Total 4 ODs in Phnom Penh, Sihanouk Ville and Kampong Chan provinces Kandal, Takeo and Kampong Speu province Pursat, kratie, Battambang, Siem Ream, Banthey Meanchey provinces 2011 transition PPM-Pharmacy Referral Model

PPM-Pharmacy con., Capacity building Supportive tools/client materials

Achievements PPM has informed MOH policy and guidelines for registration of private pharmacies. Banned the sales of anti-TB drugs and has supported the establishment of quality control systems that closely monitor and respond to counterfeit and illegal drug activities. It has supported the NTP goals and objectives. It has helped build the capacity of both private and public providers to recognize, refer, and diagnose people with TB-like symptoms using a patient-centered approach.

Achievements cont.,

Lessons Learned The Cambodia PPM has taught us a number of lessons that are currently guiding PPM program planning and implementation in Vietnam, India, and Tanzania. Implementing the PPM strategy is challenging and requires understanding, persistence, coordination and collaboration, and supportive supervision, feedback, and recognition are essential to success.

Lessons Learned cont., 1. the geographic location for PPM. 2. the partnerships created and how to sustain these over time. 3. the human resources that are needed to take up the additional workload. 4. the flexibility and innovative approaches applied. 5. government support. 6. Pharmacies in Cambodia participate and support public health programs for reasons of merit- offering, professional development, and social status.

Thank you for your attention Comments/Questions?