Evidence map›Paper›PMID 32239447›Full record

ArticleDrug safety2020

Enhancing Pharmacovigilance in Sub-Saharan Africa Through Training and Mentoring: A GSK Pilot Initiative in Malawi.

Viviane Jusot, Frider Chimimba, Nettie Dzabala, Olga Menang, Joy Cole, Gregory Gardiner, Opokua Ofori-Anyinam, Olakunle Oladehin, Cecilia Sambakunsi, Mphatso Kawaye and 2 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Drug safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Drug Safety Monitoring in Health Programs of Cameroon.Journal of pharmacovigilance · 2022
    Article
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Viviane JusotGSK, Wavre, Belgium. viviane.x.jusot@gsk.com.ORCID http://orcid.org/0000-0002-7747-8788
Frider ChimimbaCollege of Medicine, University of Malawi, Blantyre, Malawi.
Nettie DzabalaCollege of Medicine, University of Malawi, Blantyre, Malawi.ORCID http://orcid.org/0000-0003-3655-0736
Olga MenangPATH, Geneva, Switzerland.
Joy ColeGSK, London, UK.
Gregory GardinerGSK, London, UK.ORCID http://orcid.org/0000-0002-4379-2613
Opokua Ofori-AnyinamGSK, Wavre, Belgium.ORCID http://orcid.org/0000-0001-8099-6837
Olakunle OladehinGSK, Lagos, Nigeria.
Cecilia SambakunsiPharmacy Medicines and Poisons Board, Lilongwe, Malawi.
Mphatso KawayePharmacy Medicines and Poisons Board, Lilongwe, Malawi.
Jens-Ulrich StegmannGSK, Wavre, Belgium.ORCID http://orcid.org/0000-0002-3792-4368
Yolanda Guerra MendozaGSK, Wavre, Belgium.ORCID http://orcid.org/0000-0002-4001-7662
GlaxoSmithKline (Belgium) · BEUniversity of Malawi · MWLagos State Health Service Commission · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPharmacovigilance (PV) systems to monitor drug and vaccine safety are often inadequate in sub-Saharan Africa. In Malawi, a PV enhancement initiative was introduced to address major barriers to PV.

objectiveThe objective of this initiative was to improve reporting of adverse events (AEs) by strengthening passive safety surveillance via PV training and mentoring of local PV stakeholders and healthcare providers (HCPs) at their own healthcare facilities (HCFs).

methodsAn 18-month PV training and mentoring programme was implemented in collaboration with national stakeholders, and in partnership with the Ministry of Health, GSK and PATH. Two-day training was provided to Expanded Programme on Immunisation coordinators, identified as responsible for AE reporting, and four National Regulatory Authority representatives. Abridged PV training and mentoring were provided regularly to HCPs. Support was given in upgrading the national PV system. Key performance indicators included the number of AEs reported, transmission of AE forms, completeness of reports, serious AEs reported and timeliness of recording into VigiFlow.

resultsIn 18 months, 443 HCPs at 61 HCFs were trained. The number of reported AEs increased from 22 (January 2000 to October 2016) to 228 (November 2016 to May 2018), enabling Malawi to become a member of the World Health Organization Programme for International Drug Monitoring. Most (98%) AE report forms contained mandatory information on reporter, event, patient and product, but under 1% were transmitted to the national PV office within 48 h.

conclusionRegular PV training and mentoring of HCPs were effective in enhancing passive safety surveillance in Malawi, but the transmission of reports to the national PV centre requires further improvement.

Indexed as

Adverse Drug Reaction Reporting SystemsPharmacovigilanceAfrica South of the SaharaDrug-Related Side Effects and Adverse ReactionsHealth PersonnelHumansMalawiMentoringPilot Projects

Identifiers

PMID32239447
PMCPMC7235056
OpenAlexW3014234419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.