Tools for Monitoring and Evaluation of Medicine
Session 7: Tools for Monitoring and Evaluation of Medicine
Use
Total Session Time: 120 minutes
Prerequisites
Learning Tasks
By the end of this session students are expected to be able to:
Resources Needed:
SESSION OVERVIEW
Activity/
Step Time Content
Method
1 05 minutes Presentation Introduction, Learning Tasks
25 minutes Presentation Tools used in Monitoring and Evaluation of
2
Buzzing Medicine use
80 minutes Presentation Description of Tools used in Monitoring and
3 Small Group Evaluation of Medicines use
Discussion
4 05 minutes Presentation Key Points
5 05 minutes Presentation Evaluation
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SESSION CONTENTS
STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)
READ or ASK students to read the learning task and clarify
ASK students if they have any questions before continuing.
STEP 2: Tools used in Monitoring and Evaluation of Medicine use
(25 minutes)
Activity: Buzzing (5 minutes)
ASK students to pair up and buzz on the following question for 2 minutes
ALLOW few pairs to respond and let other pairs to add on points not mentioned
WRITE their response on the flip chart/board
CLARIFY and SUMMARIZE by using the content below
Pharmaceutical Situations is intended as a useful tool for researchers, policy-makers,
planners and others who need to use standardized measurement tools to gather data
and other information.
levels.
operational package for assessing and monitoring;
o Level I questionnaire.The Level I questionnaire, which is sent to countries once every
four years to update global pharmaceutical data, is included in the annexes. It can also
serve as a rapid assessment and checklist for countries to check current the
pharmaceutical structure and processes of their national pharmaceutical systems.
o Level II survey forms. The annexes contain the technical descriptions of Level II facility
indicators and the sampling process. Survey forms are included, and graphs and tables
can be from the analysis template.
o Medicine use indicators-prescribing indicator form
o A Guide for Coordinators and Data Collectors of the Level II Facility Survey Checklist
for data collectors
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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o Coordinator checklist
o Copies of the National Medicines List.
o Patient records and stock cards.
operational package.
training slides.
STEP 3: Description of Tools used in Monitoring and Evaluation of
Medicines use (80 minutes)
Activity: Small Group Discussion ( 30 minutes)
DIVIDE students into small manageable groups
ASK students to discuss on the following question
ALLOW students to discuss for 20 minutes
ALLOW few groups to present and the rest to add points not mentioned
CLARIFY and SUMMARIZE by using the contents below
o The Level I questionnaire, which is sent to countries once every four years to update
global pharmaceutical data, is included in the annexes. It can also serve as a rapid
assessment and checklist for countries to check current the pharmaceutical structure and
processes of their national pharmaceutical systems
o Level I questionnaire is a questionnaire on theexisting infrastructures and key
processes of each component of the pharmaceutical sector. The completion of the
questionnaire can be accomplished in a relatively short time after identifying sourcesof
accurate information.
o The survey of Level II indicators is a very important part of monitoring the
pharmaceutical sector because these indicators measure the outcome and impact of
pharmaceutical programmes in a country.
data in monitoring and evaluation of medicine use.
o Adequate preparation is needed and data collectors must be trained.
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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o The forms are given below together with their indicators use to monitor and assess
medicine use
o in Public health facility pharmacies/dispensaries
o percentage key medicines available
o percentage medicines expired
o Price of key medicine
o Price of paediatric medicines
o Affordability of treatment for adults and children under 5 years of age
o Average stock out duration
o Adequate record keeping
o Adequate conservation conditions and handling of medicines in the storeroom and
dispensing area
o Average number of medicines per prescription
o percentage medicines dispensed or administered
o percentage medicines adequately labelled
o percentage patients knowing how to take medicines
o Average cost of medicines
o Geographical accessibility of dispensing facilities
indicator form
o prescribed medicines on EML
o percentage patients prescribed antibiotics/injections
o percentage medicines prescribed by generic name
o public health facilities
o survey form 7
Average number of medicines per prescription
Percentage of patients prescribed antibiotics/injection
Percentage ofprescribed medicines on essential medicines list
Percentage of medicines prescribed by generic name (INN)
o Survey form 8
Availability of Standard Treatment Guidelines
Availability of Essential Medicines List
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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o Survey form 9.percentage tracer cases treated according to recommended treatment
protocol/guide
operational procedures to carry out the indicator survey, with step-by-step
procedures on administrative preparation (budget, training plan and schedule)
and technical requirements (training and field-testing, surveying, analysis and
reporting). Training slides are also provided.
Refer students toHandout7.1:Description of tools used in monitoring and evaluation of
medicines use
STEP 4: Key Points(5 minutes)
questionnaire ,checklist for data collectors, coordinator checklist
regulatory systems, medicine financing and national medicine policy.
monitoring and evaluation of medicine use.
operational procedures to carry out the indicator survey, with step-by-stepprocedures on
administrative preparation.
STEP 5: Evaluation (5 minutes)
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References
Quick, J. D. (1997). Managing drug supply the selection, procurement, distribution and use of
pharmaceuticals. West Hartford, CT: KumarianPress.Bartsch, S. (2007).
The Global Fund to Fight AIDS, Tuberculosis and Malaria. Global Health Governance and the
Fight Against HIV/AIDS,146-171. doi:10.1057/9780230591349
WHO Operational package for assessing, monitoring and evaluating country pharmaceutical
situations. (2015, November 20). Retrieved from
https://www.who.int/medicines/publications/WHO_TCM_2007.2/en/
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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Handout 7.1: Description of tools used in monitoring and
evaluation of medicines use
The level one questionnaire have the following components used to monitor and assess
medicine use together with some questions use to gather information
o Is there a National Medicines Policy (NMP) document?
o Has a national assessment/indicator study been conducted?
o Are there legal provisions establishing the powers and
responsibilities of the medicines regulatory authority?
o Is there an existing formal medicines regulatory authority?
o Are there legal provisions for marketing authorization
o Is a list of all registered products publicly accessible?
o Are adverse drug reactions (ADRs) monitored?
o Are there legal provisions for the following Licensing and practice of pharmacy,
Licensing and practice of prescribers
o Who is responsible for public sector medicines procurement and distribution
o Is public sector procurement pooled at the national level (i.e. there is centralized
procurement for the regions/provinces)
o What is the total public or government expenditure for
medicines in US$ for the most recent year for which data are available?
o Is there a national Essential Medicines List (EML)?
o If yes, how many unique medicine formulations does the national
EML contain?
o percentage of key medicines available
o percentage medicines expired
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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o Price of key medicines
o Price of paediatric medicines
(moderate pneumonia with no
hospitalization)
storeroom and dispensing area
o percentage prescription medicine bought without prescription
o percentage medicines adequately labelled
o percentage patients know how to take medicines
o Average cost of medicines
o Geographical accessibility of dispensing facilities
supplying the public sector
o percentage medicines expired
o Availability of key medicines
o Average stock out duration
o Adequate record keeping
o Adequate conservation conditions and handling of medicines
PST 06211 Monitoring and Evaluation of Medicines Use NTA Level 6 Semester 2 Facilitator Guide
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