Training course on the Pharmacovigilance of antiretroviral medicines

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Training course on the Pharmacovigilance of antiretroviral medicines 23 – 28 November 2009 Rationale,

Training course on the Pharmacovigilance of antiretroviral medicines 23 – 28 November 2009 Rationale, Objectives and Expected Outcomes

Why do we need this course l Significant safety issues exist with ARVs l

Why do we need this course l Significant safety issues exist with ARVs l Both short and long-term effects l Good experience in above issues in industrialised world l Insufficient / little information in RLS l Important to address safety issues as relevant to RLS: with characteristic co-morbidities etc l New tools to share 2| TITLE from VIEW and SLIDE MASTER | 19 January 2022

Who is organizing this l WHO HQ Regions Countries – HIV AIDS Department –

Who is organizing this l WHO HQ Regions Countries – HIV AIDS Department – Essential Medicines Department l With funds from BMGF, EC – HIV PV project – EC malaria project 3| TITLE from VIEW and SLIDE MASTER | 19 January 2022

How do we approach this l Modelling on WHO structure Public health programmes Treatment

How do we approach this l Modelling on WHO structure Public health programmes Treatment norms policies; patient monitoring and care 4| Norms, Standards, Techniques for Safety of Medicines PV HIV AIDS, Malaria, TB TITLE from VIEW and SLIDE MASTER | 19 January 2022 Essential medicines programme

In countries Regional Office AFRO WHO CC Ghana Other collaborations National PV Centre NACP,

In countries Regional Office AFRO WHO CC Ghana Other collaborations National PV Centre NACP, NMCP Others PV Evidence, Information Implement Joint Activities 5| TITLE from VIEW and SLIDE MASTER | 19 January 2022

Objectives Major: to agree upon a common approach to PV l To build capacity

Objectives Major: to agree upon a common approach to PV l To build capacity for ARV-PV (in NPVCs & NACP) l To introduce the principles of – PV in HIV programmes – Cohort Event Monitoring for ARVs – The clinical management of adverse reactions with ARVs – PV/HIV training modules l To initiate plans for early implementation of pilot projects 6| TITLE from VIEW and SLIDE MASTER | 19 January 2022

Audience and perspectives Expected outcomes

Audience and perspectives Expected outcomes

Audience: Who are we? l PV and HIV experts l From WHO HQ, regions

Audience: Who are we? l PV and HIV experts l From WHO HQ, regions and countries, UMC and UMC -A l 8 Countries invited based on specific strengths and criteria: – "Teams" from members countries of the drug monitoring programme – With experience to share, commitment in HIV and PV – Readiness to implement 8| TITLE from VIEW and SLIDE MASTER | 19 January 2022

A tripartite programme WHO Collaborating Centres, Uppsala Ghana WHO HQ + 6 Regional offices

A tripartite programme WHO Collaborating Centres, Uppsala Ghana WHO HQ + 6 Regional offices National Programmes & Centres 9| TITLE from VIEW and SLIDE MASTER | 19 January 2022

What do we look at? Norms, Standards, Techniques for Safety of Medicines Public health

What do we look at? Norms, Standards, Techniques for Safety of Medicines Public health programmes PV Essential medicines programme HIV AIDS, ? ? Treatment norms policies; Patient monitoring and care ? 10 | TITLE from VIEW and SLIDE MASTER | 19 January 2022 Methods and Tools Strategies Training Plans

Key questions How best could we: l Prevent the HIV "verticalism and exceptionalism": l

Key questions How best could we: l Prevent the HIV "verticalism and exceptionalism": l Integrate – passive and active monitoring – cohorts collaborations – promote cross countries collaborations 11 | TITLE from VIEW and SLIDE MASTER | 19 January 2022

What do we expect? l A critical look at needs and means to address

What do we expect? l A critical look at needs and means to address these 12 | TITLE from VIEW and SLIDE MASTER | 19 January 2022

What to bring back? l A proposed plan for modelling PV for ARVs l

What to bring back? l A proposed plan for modelling PV for ARVs l A training package to be rolled on in countries 13 | TITLE from VIEW and SLIDE MASTER | 19 January 2022