Olumide Akintayo, a member of the National Executive of
Pharmaceutical Society of Nigeria (PSN) and the immediate past President
of the society, in this interview addresses the challenges of
practicing pharmacy, fake drug distribution, among other issues bugging
the sector.
According to media reports, you decried the state of pharmacy
practice in Nigeria during the just concluded annual health week of the
Pharmacy Academy of Nigeria Students (PANS), University of Benin
(UNIBEN). Mention challenges which pharmacy professionals are facing.
Stating that pharmacy has continued to thrive in an atmosphere of
confusion is an understatement. Uncertainties have become the unenviable
cross of the Nigerian Pharmacist. An evaluation of the various sectors
of pharmacy practice shows that some aspects epitomize a mass of
putrefying sores.
Academic pharmacy is marked with unending tales of woes which have
manifested in lack of teaching aids and research grants for the academic
pharmacist. The dearth of chemicals, properly equipped laboratories
and absence of conducive teaching environment characterize the darkness
which has of late enveloped this important sector of the practice.
Even when hospital and administrative pharmacists have enjoyed pay
increases like other health personnel, all is still not well in relative
terms. This is because pharmacists face discriminatory salary wages,
while beautiful packages are unduly skewed in favour of other privileged
group of professionals in the same sector.
Industrial pharmacy is not spared of the rotten basket of fruits
because, sharp practices in the manufacturing and sales of drugs have
destroyed a sector which used to be buoyant .
Community pharmacy practice appears to be hard hit as this sector
which embraces drug distribution from the manufacturer to the consumer
is ravaged to a great extent by the fake drug syndrome. What is your
take on that ?
It is worrisome that a profession which should be a celebration of
excellence sometimes does not live up to this billing. However,
pharmacists still maintain their potentials despite all odds.
You also mentioned that pharmacy practice sometimes derail from
set goals and objectives in Nigeria and that this has ethical
perspective. Can you explain more on that ?
Pharmacy practice has its peculiarities as a profession with
substantial commercial plenitude. This makes it prone to ubiquitous
exploiters both within and outside the profession. This lingered for
many years before we challenged the status-quo. At a time, narcissism
was the order of generations of colleagues who found themselves at the
hierarchy of the profession in the public sector to the detriment of
others.
What do you consider as major challenges in today’s pharmacy practice?
Perhaps, the most fundamental of the problems in contemporary
pharmacy practice in Nigeria is the insanity that pervades drug
distribution in Nigeria. The ‘Frankenstein Monster,’ called
unregistered or illegal premises remains the most challenging affliction
of practitioners and by extension the citizenry, yet it is often
ignored. It all started in the Second Republic when entrepreneurs
motivated by purely profit motives invaded pharmacy in the import
licence era. This invasion marked the advent of sales and manufacturing
of spurious and fake drugs. The leadership of the Pharmaceutical
Society of Nigeria of that era protested this unpalatable situation.
Government had also shown its concern by placing drug matters on the
Exclusive list for legislation and responded by promulgating Decree 21
of 1988 as amended by Decree 17 of 1989. This Decree has since
metamorphosed to Act 25 of 1999. Specifically, Section 2 of Act 25 of
1999 is aimed at ameliorating the problems of illegal drug sales points
which remain the crux of the matter in drug distribution. Listed in
this category are drug markets, kiosks, buses, ferries, train etc.
Section 6 of this same law vests the legal authority to deal with this
retinue of illegal sales points on the Federal Task Forces and its
allies in the 36 States. 28 years after, the first set of laws on
illegal sales points and the establishment of task forces were put in
place; it is a matter of historical importance to document that they
have not succeeded.
The recently amended National Drug Distribution Guidelines (NDDGs)
which now seeks to open legitimate frontiers of practice to operators in
open markets is a reform that must be allowed to work as it gives
genuine indigenous entrepreneurs in these localities another opportunity
to get it right. The Pharmaceutical Council of Nigeria (PCN), National
Agency for Food and Drug Administration and Control (NAFDAC) and their
supervisory ministry, the Federal Ministry of Health (FMOH) must
continue to work together to get it right this time in the public
interest.
Recently, the Pharmacy Technicians in Nigeria went to court over
their struggle not to be regulated by Pharmacists Council of Nigeria
(PCN). What is the situation?
Recently, there have been challenges with the regulation of Patent
& Proprietary Medicines Vendors Licence (PPMVL) holders and Pharmacy
Technicians in Nigeria. Pharmacy Technicians in Nigeria do not want to
be regulated by Pharmacists Council of Nigeria (PCN) and went to court.
The ineptitude of a former Registrar of Pharmacists Council of Nigeria
(PCN) which did not make representation in court made it possible for
the court to grant reliefs to the Technicians. This curious judgment has
been bandied and circulated in government circles causing some
structural aberration in the relationship of key segments in hospital
pharmacy.
The PPMVL matter has also been a major albatross in our practice as
untrained hands were legally empowered to dabble into drugs sales,
distribution and dispensing. The many years of resistance hopefully will
now be rested following the recent triumph of the PCN over National
Association of Patent and Proprietary Medicine Dealers (NAPPMED) vis a
vis Federal High Court Kaduna verdict that the PCN has an approbation in
law to regulate PPMVL holders in Nigeria.
Leadership must therefore be proactive and sometimes forceful
especially in professions in the throes of degeneration that we find
ourselves in pharmacy.
Internal bickering among different health worker professionals has
continued to worsen effective delivery in the volatile health sector.
The issue recently played up in the appointment of CEO for a National
Cancer Center. How do you assess the situation ?
At its recent public hearing on the draft bill for a National Cancer
Center, sections of the bill provided that only a medical doctor could
be Chief Executive Officer (CEO) of the centre.
This is inconsistent with the 1999 constitution and the rules of the
appropriate arm of the National Assembly (NASS) guide the public
hearings and its’ Section 42 which gives an inalienable right to freedom
from discrimination to citizens.
I therefore submit that it is revoltingly illogical and
unconstitutional for the National Assembly to take a discriminatory
position of entrenching in a statute in these modern times that only a
doctor can be CEO of a cancer research center. We often mouth global
best practices when it suits us and it is a reality today that some of
the most prolific researchers in the medical sciences are not doctors.
Recall with some passion that even 60 per cent of the contemporary
winners of the Nobel Prize in medicine are not doctors.
At a time of great advancements in the dynamic value chain the
sciences offer, it will be too destructive to enact a highly defective
statute of this magnitude in Nigeria today. We therefore call on NASS to
immediately amend that proviso of exclusive rights to doctors in a
multidisciplinary health sector.
What is the expected role of pharmacy students and new generation pharmacists?
Today’s pharmacists must ensure steadfastness, forthrightness and positive radicalism, which must be balanced with maturity.
It would amount to a comedy of errors if I do not paint the picture
of pharmacy and Nigeria today. However, this is not to discourage those
who are prospecting pharmacy as a chosen career. The theme for this
year’s seminar, “Advancement of pharmacy profession – Role of young
pharmacist,” is special and best addresses the industry needs. The theme
marked a departure from the previous ones which focused on drug
distribution endeavours. As professionals, ethical considerations
relevant in pharmacy practice and this should remain the focus for every
practitioner. For those at the helm of affairs of our noble society,
they should provide good leadership and an output that borders on
excellence, ethics must remain the watchword.
Pharmacy Marred By Lack Of Teaching Aids, Research Grants
By -Chioma Umeha
November 02, 2016
0
Chioma Umeha
Chioma Umeha is an investigative journalist and editor with decades of experience in reporting health, science, business, education, politics, women and gender issues in Africa.
She is a multiple award winning journalist and has attended several local and international workshops/trainings.
Chioma is a member of the International Center for Journalists (ICFJ), International AIDS Society (IAS)
Nigerian Union of Journalist (NUJ), Journalists' Alliance for PMTCT in Nigeria, Health Writers Association of Nigeria (HEWAN),
Chartered Institute of Logistics & Transport among others.
She is also Chairman, Society for Media Advocacy on Health in Nigeria, a body of health journalists that largely uses advocacy, statistics and analytical research to secure the health and wellbeing of the people through development journalism.
Chioma holds a M.A. degree in International Relations and Strategic Studies from Lagos State University, B.Sc. degree in Mass Communication from Enugu State University of Science and Technology.
In the religious circle, she is a Sunday School Teacher and a Counsellor. She is happily married to Don Umeha and blessed with three lovely children.
You Might Like
Show morerecent