Community Pharmacy

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Development of Community Pharmacy Hospital
Pharmacy in BangladeshPrepared byMd. Nasser
Shahrear ZahedeePresident, BPS
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There is not a single Pharmacy in Bangladesh
they are all basically medicine shops
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Background Information

• Number of Pharmacies 0
• Number of medicine shops 130,000
• Licensed 64,000
• Members of BCDS 14,000

gt50 medicine shops are without license
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Qualifications

• The academic qualification of the persons
  dispensing medicines vary from primary level to
  the post graduates non-pharmacists.
• Most of them are non-graduates.

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Past Efforts

• Efforts were taken in the past to provide these
  medicine shop operators some basic knowledge on
  drug rules, storage conditions, importance of
  controlled drugs etc. These were done basically
  to generate awareness and also to bring them
  under a regulatory control.

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Past Efforts-1

• 1978 93 Certificate Course of 4 months.
• Response level was very poor.
• No seriousness.
• Non-availability of institutions and faculty.

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Past Efforts-2
1993 Community Pharmacy Committee established
by the Pharmacy Council. 1994 Certificate
Examination introduced.
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Certificate Examination Conducted by the Pharmacy
Council

• MCQ Examinations based on a text book
• published by the Pharmacy Council.
• Editors and authors are teachers of
• Pharmacy in the universities.

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Cover Page of 1st Edition (1994) of the Text Book
for Certificate Examination of Pharmacy Council
Category-C
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Cover Page of 2nd Edition - 2004
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• Certificate Course Tutorial
• Jointly run by BPS Bangladesh Chemist
  Druggist Samity
• to give basic training to the medicine shop
  operators
• intending to sit for Certificate Examination of
  the Pharmacy Council.

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Certificate Course Tutorial

• Tutorial centers set up at districts as and
  where necessary.
• BPS nominates the Tutors from within the
  university teachers. BCDS for local facilities.
• Course fee Tk. 1,500.-

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Certificate Course Tutorial

• Introduced in June 2005 according to a decision
  of Pharmacy Council as a 2 months course.
• Trained until July 08 25,033
• 45 Tutorial Centers all over country.

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Certificate Examination Conducted by Pharmacy
Council

• Persons qualified (till Jul 08) 36, 068
• All of them have obtained pharmacy licenses.
• Significant improvement in regulatory control of
  the retail out-lets.

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Development Issues
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PCB Registrations

• B. Pharm. (A ) 2,897
• Dip. Pharm. (B ) 8,339
• Pharm. Technicians (C ) 36,068

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Universities Offering B.Pharm.

• Public Universities 5
• Private Universities 17
• Total seats per Semester 825

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A Grade Registration Exam Conducted by Pharmacy
Council of Bangladesh
For the first time introduced in January 2005
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Summary of A- Grade Registration Examination
(Batch Wise)
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Summary of A- Grade Reg. Exam (University Wise)
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Development Issues
There is no legal or regulatory impediment for a
Pharmacist to establish a community pharmacy.
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Development Issues

• What is missing is the -
• Will of the pharmacists
• Awareness of the people
• Recognition of the society

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Development Plans BAPA and BPS Joint efforts

• What we need are
• Motivation of Pharmacists to get to community
  pharmacy
• Training for development of skills
• Investment
• Social awareness

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Development Plans BAPA and BPS Joint efforts

• Non-resident Pharmacists-
• Willing to invest in Bangladesh may come forward
  with his knowledge, experience, skills and fund.
• He/she should engage 3-5 young pharmacists as
  partner or employee.

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Development Plans BAPA and BPS Joint efforts

• What we need are
• These young pharmacists should be trained in the
  USA and Bangladesh.
• Then the group should set up single or chain
  pharmacies at the commercially viable locations.

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Development Plans BAPA and BPS Joint efforts
There should be an organized campaign to generate
social awareness on benefits that society as well
as an individual may derive from the community
pharmacies.
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Community Pharmacy Development Plans BAPA and
BPS Joint efforts
BPS will be more than willing to render all
possible cooperation to any serious pharmacist in
this regard.
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Hospital Pharmacy in Bangladesh
BPS would request BAPA to treat the issue with a
pivotal priority.
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Hospital Pharmacy in Bangladesh
1992 - BPS and CPA jointly conducted a
feasibility study on development of hospital
pharmacy system in Bangladesh. Team members were
Mr. Phil Wiffen (UK), Mrs. Sunmonu (Nigeria), Mr.
Salim Khan Mr. Abu Jamil Ferdous. The detailed
reports and action plans were submitted to the
Health Minister on 25th January 1993. The issue
got lost in bureaucratic chaos.
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Hospital Pharmacy in Bangladesh
1993, 13th January BPS and CPA leaders held a
one-hour meeting with the then Prime
Minister. Issues were to (a) appoint a
pharmacist as Director of Drug administration
(b) appoint at least 5 pharmacists at the central
medical stores (c) appoint at least 10 more Drug
Super in the Drug administration and (d) launch
hospital pharmacy system by appointing 10
pharmacists at IPGMR as the first batch. CPA
agreed to organize training of the first batch at
the Churchil Hospital, Oxford, UK. All other
decisions were implemented within the same year
but the hospital pharmacy issue got blocked by
the bureaucracy.
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Hospital Pharmacy in Bangladesh
1993, March BPS and FIP jointly organised a two
day conference in Dhaka to promote the hospital
pharmacy issue. The political turmoil of 1995
96 could not offer a favorable environment to
implement the program.
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Hospital Pharmacy in Bangladesh
2002, June BPS and FIP jointly organised a one
day seminar at Dhaka to promote the community and
hospital pharmacy in Bangladesh. . There was
lack of political will of the government to
introduce hospital pharmacy.
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Hospital Pharmacy in Bangladesh
2002, June BPS and FIP jointly organised a one
day seminar at Dhaka to promote the community and
hospital pharmacy in Bangladesh. . There was
lack of political will of the government to
introduce hospital pharmacy.
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Hospital Pharmacy in Bangladesh
2008 BPS has made some encouraging progress in
this direction. What we need from BAPA is the
training of the inItial batches. The training may
be conducted at both places, Bangladesh
and the USA. BPS proposes to form a joint
committee to pursue the matter to a long
cherished S U C C E S S.
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Hospital Pharmacy in Bangladesh
Few thousand pharmacists could be employed in
the near future
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Prospects of Hospital Pharmacy
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BPS Seminar on Community Hospital Pharmacy
(2002). Mr. Peter Kielgast, President FIP
addressing the seminar.
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BPS Seminar on Community Hospital Pharmacy
(2002). The WHO Representative addressing the
seminar.
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Hospital Pharmacy in Bangladesh
BPS would request BAPA to treat the issue with a
pivotal priority.
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Thank you