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Key Areas of Research & Education Relevant to Pharmacy & Public Health Andy Stergachis, PhD, RPh Schools of Public Health and Pharmacy University of Washington stergach@uw.edu
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Commentary Illustrate relevance to academics –Research –Teaching –Service
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Globally, medicines are among the most important health interventions Medicines-Related “Best Buys” in Health: –Vaccinate children –Prevent and treat childhood pneumonia, diarrhea, and malaria –Attack the spread of HIV, including providing antiretroviral medications –Treat persons with tuberculosis Disease Control Priorities Project, www.dcp2.org
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Why do we spend so much to get so little?* Research: U.S. Comparative Effectiveness Research (CER) at the UW: –Pharmaceutical Outcomes Research and Policy Program –Comparative Effectiveness Training Grants –Centers for Comparative and Health Systems Effectiveness (CHASE) Alliance *Murray CJL, Frenk J. Ranking 37th — Measuring the Performance of the U.S. Health Care System NEJM. 2010 Jan 14; 362:98–99 Probability of Death for Boys and Men 15 to 60 Years of Age, 1970–2007
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Substantial, albeit varied, progress has been made towards improving maternal health* *Rajaratnam JK, et al. Worldwide mortality in men and women aged 15–59 years from 1970 to 2010: a systematic analysis. Lancet. 2010 Apr 30; 375:1704–20
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Malaria in Pregnancy Consortium Research: Global Focus: –Prevention –Treatment –Burden assessment –Scale-up 43 Partners; 23 countries Cross-cutting activities include pharmacovigilance
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Global Health Pharmacy Teaching Professional Degree: Overview course –Cross-Listed In-Depth short courses In-country experiences Graduate/Post-Graduate: Risk of anemia associated with HAART in Namibia Factors associated with prevention of pregnancy malaria in Uganda Attrition from HIV clinics in Mozambique Cost-effectiveness of pharmacy refill program at an ARV clinic in Uganda
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Strengthening Pharmaceutical Systems Service 1.Improve governance in the pharmaceutical sector 2.Strengthen pharmaceutical management systems to support public health services 3.Contain the emergence and spread of antimicrobial resistance 4.Expand access to and improved use of essential medicines
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Strengthening Pharmaceutical Systems Service Trainings –Ethiopia, Rwanda, Vietnam, Namibia Concept Papers Protocol Development Technical Assistance Pharmacovigilance Projects
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Global Medicines Policy & Research Program Advance the research methods and the evidence- base for global medicines use, safety, benefits, and pharmacy practice. Provide advanced training in global medicines research and policy, including pharmacovigilance, benefit-risk, pharmaceutical care, and cost- effectiveness analyses. Provide service by widely disseminate global medicines research and policy methods, results, and tools and strengthen such capacities.
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“Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe
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