Since 2003, Purdue University College of Pharmacy (PUCOP) has been providing pharmaceutical care at AMPATH and Moi Teaching and Referral Hospital. The purpose of this partnership is to provide clinical and community pharmacy services. Our mission is to provide and expand sustainable access to high quality care by providing excellent healthcare for individuals and populations, developing passionate leaders in pharmacy, performing research focused on local needs and global solutions, and establishing critical healthcare infrastructure and systems.
Under the supervision of two full-time on-site faculty members, PUCOP student pharmacists and interns from the University of Nairobi practice on the adult internal medicine inpatient wards (Nyayo wards) medical teams. Through this partnership, PUCOP students are able to participate in a true bilateral exchange experience. The students participate in interdisciplinary patient care rounds, in which they answer pharmaceutical care questions, assist with medication administration record reconciliation, and address medication stock-outs and substitutions. More than 140 students have completed this experience.
In July 2011, Purdue University faculty started a global health pharmacy residency program in conjunction with on-site Kenyan adjunct faculty. The mission of the residency is to educate international pharmacy residents in a diverse, collaborative environment resulting in innovative healthcare enhancement and expansion of clinical pharmacy services. The residency class includes one American and three Kenyans.
The pharmacy team consists of pharmacists, pharmacy technologists, physicians, medical officers, and community health workers. The team has established and continues to grow both a diabetes care program and an anticoagulation management service. The diabetes care program is database driven, has three clinic locations, and uses a cell phone based model of care for immediate needs and home based glucose monitoring for high-risk patients. The program cares for more than 2,000 patients. The anticoagulation clinic serves more than 200 active patients by using point-of-care INR testing, assisting with adherence through medication pillboxes, and utilization of standardized encounter forms.
The Pharmacy team has also partnered with public health facilities and the communities generate innovative ways of sustainably improving access to quality medicines. One of the ways is through the Revolving Fund Pharmacy (RFP) program. The Revolving Fund Pharmacy provides a sustainable back-up to the government pharmacies which many times are out of stock forcing patients to go to private sector pharmacies where the medications can be priced at a much higher cost. The RFPs sell quality drugs at prices slightly higher than the government pharmacies, but far lower than other private outlets. The purpose of the markup on the pharmaceuticals is to encourage patients to go to the governmental pharmacies first, but also the excess money is used to maintain a continuous supply of essential medicines at the Revolving Fund Pharmacies and cover some operating costs. Since 2011, 14 Revolving Fund Pharmacies have been opened at various AMPATH clinical sites, with additional pharmacies already slated to open yet this year. In addition, this model is the one of the pillars of AMPATH's new community health insurance product, Zuri Health. It also supports the CDM program at over 30 dispensaries as well as the group care model currently being piloted at 2 sites. Click here to read more about this concept in a reflection written by a recent Pfizer Global Health Fellow. Additionally, pharmacy has implemented an electronic database in the AMPATH pharmacy. It assists in recording inventory, tracking patient prescriptions and alerting changes in regimens. In addition, pharmacy manages the donations from pharmaceutical industry.
All of this patient-focused care and research is possible due to strong collaborative relationships with amazing Kenyan counterparts. The program has received the following awards:
- 2009 American College of Clinical Pharmacy New Clinical Practitioner Award
- 2010 American Association of Colleges of Pharmacy Student Community Engaged Service Award
- 2010 American Society of Health-System Pharmacists Best Practices Award in Health-System Pharmacy
- Patients First - Excellent patient care is the first priority and the focus of all activities
- Investing in Future Leaders - Develop global health champions in pharmacy through mentoring and training
- Bilateral Collaboration - Work together in a collaborative, supportive, goal oriented environment of trust, encouragement, and accountability
- Sustainable Impact - Establish programs lasting beyond the tenure of any individual and independent of any single funding source
- Sharing Best Practices - Disseminate knowledge and experience through scholarly activities