Themba Lethu Clinic is situated in Helen Joseph Hospital (Jhb) and deals with HIV, Aids and TB patients. The clinic has started over 23 000 patients on the Anti-Retroviral programme. The staff at the clinic attend to more than 600 patients per day.
Right ePharmacy has built an integrated pharmacy and patient management system to streamline the clinics operations. The programme was implemented, in 2012, to ensure patient and prescription data flowed seamlessly between different platforms and technology systems. The clinic is outfitted with an in-pharmacy automation solution which serves the four dispensing windows at the front of the pharmacy. In addition to this technology, the first PDU was tested at this site and still serves patients on chronic medicines.
The Steve Biko Academic Hospital is a purely tertiary healthcare institution, rendering specialized and highly specialized services to medically referred patients. It is a referral hospital in that patients are referred to the institution by their local clinics.
Right ePharmacy supports the Department of Health’s call to improve medication access efficiency and decrease volumes in state facilities by decanting to other places of convenience to improve access, increase medication scale up and support test and treat initiatives by ensuring ease of medication adherence.
Steve Biko Hospital showcases the largest in-pharmacy automation solution in South Africa with four automated units working together to dispense medicine to the 7 patient windows. This unit enhances staff efficiency and reduces waiting times of the 600-700 patients who visit the hospital daily for medicine collection.
Helen Joseph Hospital is a government public hospital with the sole key responsibility of providing tertiary health care services to the community of Gauteng. In order to achieve this responsibility, the hospital relies heavily on the commitment and competency of its ethical and naturally caring employees. On a daily basis between 900 and 1000 patients visit the Out Patient pharmacy to collect their medicine. An in-pharmacy robotic solution to handle these high patient loads was installed in 2016 and dispenses medicine to the 7 pharmacy windows.
As part of the overall technology solution, the pharmacy dispensing software speaks to scripting software which the doctors use in the consulting rooms. This e-scripting functionality allows the pharmacy to process scripts faster with easy access to all electronic records.
Alexandra, is a township in the Gauteng province of South Africa. It forms part of the city of Johannesburg and is located near the upper-class suburb of Sandton. Alexandra is one of the poorest urban areas in the country.
The PDU solution was introduced to align to NDoH’s Central Chronic Medicine Dispensing and Distribution Programme (CCMDD) to respond to South Africa’s changing epidemiological profile that has led to an over-extension of public sector healthcare facilities including primary health care (PHC) clinics. Which has placed enormous strain on available resources and has contributed towards medicine shortages and declining quality of care.
Alexandra Plaza was chosen as the first PDU pilot site with 8 primary healthcare clinics in the vicinity which can refer patients to collect their medicine from the PDUs. The estimated burden of patients taking chronic medicine on a regular basis in this area was about 30 000 patients in 2015. Alexandra Plaza is conveniently located near a major shopping mall and next to popular banks and a grocery store. The extended hours entertained by the PDU sites allow patients to collect their medicine at a time and place which best suit them with minimum expenditure.
Meadowlands is a suburb of Johannesburg, Gauteng Province, South Africa. Meadowlands suburb was founded in the early 1950s during the apartheid era for black residents from Sophiatown.
Over the past decade, South Africa has experienced an unprecedented growth in patients requiring access to long-term therapies. Not only has South Africa introduced universal access to antiretroviral therapy (ART) for patients living with HIV and AIDS, but there has also been a steady increase in the number of patients with non-communicable diseases (NCDs), requiring chronic therapy.
The PDU solution was introduced to align to NDoH’s Central Chronic Medicine Dispensing and Distribution Programme (CCMDD) to respond to South Africa’s changing epidemiological profile.
The Soweto health district is the most densely populated district in the City of Johannesburg with around 26 facilities in the region and an estimated burden of 70 000 patients who take chronic medicine regularly. The PDUs at Ndo’faya Mall will serve the northern half of the Soweto district with 5 units installed at this site.
The Chris Hani Baragwanath Hospital is the 3rd largest hospital in the world. The hospital is in the Soweto area of Johannesburg, South Africa. (Soweto was a separate municipality from 1983 to 2002, when it was amalgamated to the City of Johannesburg.)Today it not only provides for Soweto, but also serves as a referral hospital for a large part of the country, including surrounding African States.
The PDU site at Bara Mall is closely situated to Chris Hani Baragwanath Hospital with 3 PDUs serving the southern/central part of the Soweto district. This site is also on one of the major taxi routes which ensures ease of accessibility to this site.
In 2011, the City of Johannesburg Health Department piloted the supply of chronic medication to old age homes, retirement villages and the elderly day care centre as a means of improving access to health care for the elderly people of Diepsloot.
The chronic medicines were supplied and delivered to these homes by the City’s pharmacists and health professionals. The medicines were provided only to stable and compliant chronic patients that usually attended the City of Johannesburg clinics.
As the Dieplsoot community and healthcare landscape grew the NDoH saw the need to expand access to medication to other chronic stable patients. The PDU solution has been brought in to respond to the need of accessible medication in convenient places for the benefit of the patient.
There are 12 referral facilities in the Diepsloot district with an estimated 28 000 patients on chronic medications in 2015. One of the main challenges with the Diepsloot district is the location of current healthcare facilities. Patients often have to travel long distances to get to their nearest clinic. The PDU site is planned to alleviate this burden by taking major travel routes and shopping areas into consideration.