EDCTP Alumni Network

Fostering excellence and collaboration in the next generation of researchers

Call Career Development Fellowship (CDF)
Programme EDCTP2
Start Date 2021-02-01
End Date 2023-01-31
Project Code TMA2019CDF-2768
Status Active

Title

Countering the prevalence of substandard and falsified medicines in Malawi (COPSMEDS)

Host Organisation

Institution Country
University of Malawi Malawi

Current Organisation

College of Medicine

Current Job Title

Senior Lecturer

Students Supervised

Type Name Title University Start Date End Date
Davie Kondowe University of Malawi 2020

Memberships

Role Committee/board Start Date End Date
Vice Chairperson Board 2018 2020

Education

Institution Degree Year
College of Medicine-University of Malawi, Malawi PhD 2019-01-26

Areas Of Specialisation

Pharmacy

Publications

Authors:
Newton PN , author
Bond KC , author
53 signatories from 20 countries , author
Date:
2020-04-01
Journal:
The Lancet. Global health
Content:
Identifiers:
Authors:
Felix Khuluza , author
Stephen Kigera , author
Richard W. O. Jähnke , author
Lutz Heide , author
Date:
2016-04-01
Journal:
Malaria Journal
Content:
Identifiers:
Authors:
Ogunleye O , author
Basu D , author
Mueller D , author
Sneddon J , author
Seaton R , author
Yinka-Ogunleye A , author
Wamboga J , author
Miljković N , author
Mwita J , author
Rwegerera G , author
Massele A , author
Patrick O , author
Niba L , author
Godman B , author
Date:
2020-01-01
Journal:
Frontiers in pharmacology
Content:
Identifiers:
PMC: PMC7533592
Authors:
Felix Khuluza , author
Lutz Heide , author
Maarten Postma , editor
Date:
2017-04-01
Journal:
PLOS ONE
Content:
Identifiers:
Authors:
Nhomsai Hagen , author
Girish Sailor , editor
Thomas Bizimana , author
P. Claver Kayumba , author
Felix Khuluza , author
Lutz Heide , author
Date:
2020-09-02
Journal:
PLOS ONE
Content:
Identifiers:
Authors:
Date:
2019-05-15
Journal:
BMC health services research
Content:
BACKGROUND:Despite the increasing frequency of ARV medicines stock-outs in Sub-Saharan Africa, there is little research inquiring into the mitigation strategies devised by frontline health facilities. Many previous studies have focused on 'upstream' or national-level drivers of ARVs stock-outs with less empirical attention devoted 'down-stream' or at the facility-level. The objective of this study was to examine the strategies devised by health facilities in Uganda to respond to the chronic stock-outs of ARVs. METHODS:This was a qualitative research design nested within a larger mixed-methods study. We purposively selected 16 health facilities from across Uganda (to achieve diversity with regard to; level of care (primary/ tertiary), setting (rural/urban) and geographic sub-region (northern/ central/western). We conducted 76 Semi-structured interviews with ART clinic managers, clinicians and pharmacists in the selected health facilities supplemented by on-site observations and documentary reviews. Data were analyzed by coding and thematic analyses. RESULTS:Participants reported that facility-level contributors to stock-outs include untimely orders of drugs from suppliers and inaccurate quantification of ARV medicine needs due to a paucity of ART program data. Internal stock management solutions for mitigating stock-outs which emerged include the substitution of ARV medicines which were out of stock, overstocking selected medicines and the use of recently expired drugs. The external solutions for mitigating stock-outs which were identified include 'borrowing' of ARVs from peer-providers, re-distributing stock across regions and upward referrals of patients. Systemic drivers of stock-outs were identified. These include the supply of drugs with a short shelf life, oversupply and undersupply of ARV medicines and migration pressures on the available ARVs stock at case-study facilities. CONCLUSION:Health facilities devised internal stock management strategies and relied on peer-provider networks for ARV medicines during stock-out events. Our study underscores the importance of devising interventions aimed at improving Uganda's medicines supply chain systems in the quest to reduce the frequency of ARV medicines stock-outs at the front-line level of service delivery. Further research is recommended on the effect of substituting ARV medicines on patient outcomes.
Identifiers:
Authors:
Nhomsai Hagen , author
Felix Khuluza , author
Lutz Heide , author
Date:
2020-03-01
Journal:
BMC Pregnancy and Childbirth
Content:
Identifiers:
Authors:
Nhomsai Hagen , author
Thomas Bizimana , author
P. Claver Kayumba , author
Felix Khuluza , author
Lutz Heide , author
Date:
2020-08-03
Journal:
The American Journal of Tropical Medicine and Hygiene
Content:
Identifiers:
DOI: 10.4269/ajtmh.20-0255
Part of ISSN: 0002-9637
Authors:
Newton PN , author
Bond KC , author
Oxford Statement signatories , author
Date:
2019-12-01
Journal:
The Lancet. Global Health
Content:
Identifiers:
Authors:
Khuluza F , author
Date:
2014-06-01
Journal:
Malawi Medical Journal
Content:
Identifiers:
PMID: 25157315
PMC: PMC4141240
Authors:
Felix Khuluza , author
Christine Haefele-Abah , author
Khin Thet Wai , editor
Date:
2019-02-01
Journal:
PLOS ONE
Content:
Identifiers:
Authors:
Felix Khuluza , author
Stephen Kigera , author
Lutz Heide , author
Date:
2017-02-01
Journal:
The American Journal of Tropical Medicine and Hygiene
Content:
Identifiers:
Authors:
Ogunleye OO , author
Basu D , author
Mueller D , author
Sneddon J , author
Seaton RA , author
Yinka-Ogunleye AF , author
Wamboga J , author
Miljković N , author
Mwita JC , author
Rwegerera GM , author
Massele A , author
Patrick O , author
Godman B , author
Date:
2020-09-01
Journal:
Frontiers in pharmacology
Content:
Identifiers:

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