Facilitators and Barriers to Implementation of the Pharmacy DOTS Initiative in Selected Project Sites in the Philippines

Authors

  • Jonathan P. Guevarra Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, Manila, Philippines, College of Development Communication, University of the Philippines Los Baños, Laguna, Philippines
  • Carl Abelardo T. Antonio Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, Manila, Philippines, Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
  • Amiel Nazer C. Bermudez Department of Epidemiology and Biostatistics, College of Public Health, University of the Philippines Manila, Manila, Philippines, Department of Epidemiology, School of Public Health, Brown University, Rhode Island, United States of America
  • Kim L. Cochon JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
  • Azar G. Agbon College of Public Health, University of the Philippines Manila, Manila, Philippines
  • Michelle D. Avelino College of Public Health, University of the Philippines Manila, Manila, Philippines
  • Jorel A. Manalo Human Resource Development Office, University of the Philippines Manila, Manila, Philippines
  • Diana Dalisay A. Orolfo College of Public Health, University of the Philippines Manila, Manila, Philippines
  • Eden C. Mendoza Philippine Business for Social Progress, Manila, Philippines
  • Ronald Allan M. Fabella Philippine Business for Social Progress, Manila, Philippines

DOI:

https://doi.org/10.47895/amp.vi0.3106

Keywords:

barriers, facilitators, tuberculosis, directly observed therapy, program evaluation, pharmacy

Abstract

Objectives. The Pharmacy DOTS Initiative (PDI) was relaunched on a larger scale in 2014 through the Innovations and Multi-Sectoral Partnerships to Achieve Control of Tuberculosis (IMPACT) project. This paper aimed to assess the PDI program through IMPACT by identifying the facilitating and hindering factors in its implementation. The identified factors are classified as to the affected stakeholders or processes.

Methodology. Semi-structured interviews were conducted with the PDI Program Manager and four NTP coordinators from selected project sites. Thematic analysis was done to determine the recurring facilitating and hindering factors as identified by the key informants.

Results. Facilitating factors identified include cooperation of the stakeholders, capability-building and a good referral system. The barriers to the implementation were grouped into patient-related, pharmacy-related, health center related, program-related as well as external factors.

Conclusion. The referral system created through PDI facilitated the flow of referrals starting from the pharmacy. This enabled presumptive patients to have access to health facilities for TB. Hindering factors contributed to the inability of the engaged pharmacies to sustain their consistency and commitment in conducting the PDI interventions.

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Published

2022-03-03

Issue

Vol. 56 No. 3 (2022)

Section

Articles

How to Cite

1.
Facilitators and Barriers to Implementation of the Pharmacy DOTS Initiative in Selected Project Sites in the Philippines. Acta Med Philipp [Internet]. 2022 Mar. 3 [cited 2025 Apr. 24];56(3). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/3106

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