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Pharmacist Jurdas SEZIRAHIGA
From:
Kigali-Rwanda
FIP Member
Volunteer: FIP Pharmabridge
Contact person/Eastern African Country:
Farmacie Mondiaal
Pharmacist in Charge: MULTIPHAR RWANDA
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
1
Preliminary
• By the end of 2011: Came across with Farmacie Mondiaal
(FM) via Pharmabridge.
• Through the message, I made clear that there are many needs
in ameliorating the pharmaceutical care in Rwanda, both in a
practical way as in a more abstract and structural way.
• To get a better picture in which way FM could be of any help,
FM board member undertook some kind of investigation and
fact finding mission.
• Period: 08-02-2012 until 20-02-2012, by Richard van Slobbe,
pharmacist, board member FM.
• Mr. Jurdas Sezirahiga functioned during this period as an
important key figure in realising meetings with different
persons and institutions.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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INTRODUCTION
• Due to a strong government, return of many (educated)
Rwandan refugees and external aid Rwanda shows very
good progress in fighting poverty, illiteracy and health
care challenges.
• The country is developing fast ........ focus on ICT....... Fast
internet and a mobile phone network are widely
available
Political stability and external aid really work in getting
ahead.
• Rwanda is strongly looking for contacts with Anglophone
countries. There is a great desire to get in contact and
learn from abroad.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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Pharmaceutical Aspects:
Pharmacists: about 450 pharmacists in all
of Rwanda.
Pharmacy education: National University of
Rwanda (NUR), Huye.
The program: 5 years leading to the BSc-degree. There
MSc-program : No real Master’s program
National Health Insurance: over 85%
Pharmaceutical firm: No
Medicines: 98% of the medicines are imported
Counterfeit medicines is the main challenge
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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...
The pharmaceutical sector is under strong
government attention and regulation (by the Pharmacy
Task Force) as it sees that it is an important area for
realising better health care and avoiding problems and
risks.
The Rwandan Biomedical Centre (Former Camerwa)
functions as the National Wholesale firm.
Whereas RAMA: It is in the way to be privatized.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
5
WORKING CONDITIONS
• About 2/3 of the pharmacies visited used some kind of
stand alone software to keep track of stock, to produce
order forms and to make the paper bills necessary for the
insurance company.
• However, With this program no patient files with the
patients medication history are recorded.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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VISITS
1-NATIONAL UNIVERSITY OF RWANDA (NUR)
Meeting in Butare with Dr. Patrick Kyamanywa (Head of
Medicine Faculty) and Dr. Egide Kayitare (head of
Pharmacy department) , brougt into contact with Dr.
Herman Woerdenbag of the University of Groningen.
2- LADAMET
LADAMET coordinator Dr. Charles Karangwa,
Pharmacist and toxicologist. LADAMET is an NUR
related laboratory. Brought into contact with Dr. Oscar
Smeets of the Dutch Pharmacists Laboratory.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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…
3-HOSPITAL KIBOGORA:
Meeting with Eugene Kayitesi being the hospital
Pharmacist and Sheila , the former director of the
hospital and still active on the management team.
-Software: MSAcces, but no real knowledge of that
System.
4-HOSPITAL KIBUNGO: meeting with hospital director
and the central pharmacy. Not hospital pharmacist. No
computer programme was used to keep track of stock.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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…
5-District pharmacy:
We spoke with Fiacre Rutaganda, District Pharmacy
Director in NGOMA District.
6- Ministry of Health (MOH):
Meeting with John Patrick Mwesige (Head of Pharmacy
Task Force) and Joseph Katabende (Head of
Inspectorate of Pharmacy).
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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MoH of Rwanda…
• The MOH welcomed FM’s initiative. Help was needed for
National Quality Assurance Lab. I brought Joseph into contact
with Oscar Smeets.
• Furthermore Joseph was interested in regulatory affairs and
legislation concerning pharmaceutical matters. FM is trying to
realize a contact between Joseph and the Dutch inspectorate.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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…
7-Different pharmacies:
About 6 different private pharmacies were visited.
8-ISHYIGA SOFTWARE:
Meeting with the director of Ishyiga : Mr. Aimable
Kimenyi.
- Made clear that at that moment Ishyiga had no
operational patient files.
-Developing new features such as an central product
database in the cloud.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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…
• February 19th there was a meeting with the Minister of ICT,
Ishyiga-users, officials from insurance companies to talk
about to future plans.
• FM was able to tell about the importance of having a
central product database (with for each item the necessary
pharmaceutical relevant properties) and thus enhancing
the level of pharmaceutical care because the computer
helps.
• We tried to realise contacts between Rwanda and
institutes like Z-index and HealthBase in Holland.
• ISHYIGA tool has the advantage that it is produced in
Rwanda and that Rwanda:
the Pharmacist
implementation
and after sales
Jurdas SEZIRAHIGA/
4/6/2015
12
are a lot easier Pharmabrdge and Farmacie Mondiaal
…
• The mission resulted in getting a good picture of the
Rwandan pharmaceutical landscape and were the needs.
• For direct aid projects (in hospitals): Ishyiga in test.
• With success: It will be implemented in Ruhango
Hospital and DP of Ruhango.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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CONCLUSION
• Rwanda is a beautiful and safe country where
a lot of positive energy is put into the further
development. It was a very useful mission
where lot of contacts were made.
• Hopefully the seed of the contacts will grow
prosperously.
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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...
KINDLY THANK YOU!!!
GOD BLESS YOU.
MURAKOZE!!
4/6/2015
Rwanda: Pharmacist Jurdas SEZIRAHIGA/
Pharmabrdge and Farmacie Mondiaal
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