PA00TWSF
PA00TWSF
(FTVET) Agency
Internal Quality Assurance and Improvement Standards for
Pharmacy Program (Level II- IV)
First Edition
June 2015
First Edition
Internal Quality Assurance and Improvement Standards for pharmacy Program iii
ACKNOWLEDGMENT
This Internal Quality Assurance and Improvement Standard for Pharmacy TVET
Program was developed by FTEVET Agency Regional TVET Offices, Regional Health
Bureau and Regional Health Science Colleges in collaboration with Strengthening
Human Resources for Health Project. This document is made possible by the
generous support of the American people through the United States Agency for
International Development (USAID) under the Cooperative Agreement AID-663-A-12-
00008. The contents are the responsibility of TEVET and Regional Health Bureau and
do not necessarily reflect the views of USAID or the United States Government.
TABLE OF CONTENTS
The revised National TVET Strategy (2008) reflects an important paradigm shift which places quality
and relevance of TVET program is as its major priority. According to the strategy there is a call for
efforts to raise the quality of the Ethiopian workforce to international standards, to reverse the
previous marginalization of industrial professions in the TVET system, and to put a substantial focus
on building a culture of entrepreneurship and preparing people for self-employment.
The Education Sector Strategy Program (ESDP) III outlines a comprehensive development vision
for the TVET sector and allocated significant amount of money to improve teaching –learning
process, infrastructure and, strengthen quality assurance, and other quality improvement activities.
The Federal TVET Agency has shown the commitment to improve easy access and quality training
in Technical and Vocational Education and Training. To end this, thus, high quality TVET educational
and training programs that meet standard and performance in accordance with standards are
imperative and the cornerstone of quality assurance.
Increased public expectation for quality and ethical health care is necessitating changes in what
health professionals are taught and how they are taught. On the other hand, the increasing need to
train more health workers, coupled with rapid expansion in medical knowledge, presents a serious
challenge to the quality of education of health professionals, including anesthetists. Despite these
challenges, many HEIs training health care providers do not have well-functioning quality systems
that have been cascaded to the department level.
The ultimate goal of IQA is to have a culture of quality care that ensures that quality is a focus of all
the activities of an institution at all levels and is incorporated into the everyday work of the whole
institutional community. A robust and transparent quality assurance system conveys confidence in
the quality of the provision of a TVET institution to its staff, to students, to employers, and to other
stakeholders.
In response, TVET Agency, in collaboration with the Federal Ministry of Health (FMOH) and Jhpiego
(under the Strengthening Human Resources for Health Project funded by the U.S. Agency for
International Development [USAID]), has developed this quality improvement standards for the
Pharmacy program.
Standards are desirable practices in educating anesthetists, and which incorporating well- recognized
and accepted principles of learning and institutional conditions for educational activities and are based
on scientific evidence, best practice, experts opinion and judgment and National policies, strategies,
guideline and legislation and therefore; there is a need for using and implementing of the standards.
Annotations are used to clarify, amplify, or exemplify expressions in the standards. It should be
strongly emphasized that the content of the annotations should not be seen as prescriptive for
institutions. The annotations do not add new criteria or requirements. The listing of examples in
annotations are in some cases exhaustive, in others not.
STRUCTURE OF STANDARDS
TVET has identified the following 09 areas and 30 sub-areas of operation, which will form the focus
points for a quality audit model at program-level in Ethiopian Health science colleges. They are closely
related to the focus areas the Agency has been using for the past couple of years. These areas are:
Basic Standards
The Pharmacy program must:
Define its program goals and make them known to its constituency (B 1.1.1)
Ensure that the goal of the program is in line with, and supportive of, the vision and
mission of the institutions and Technical Vocational Educational and Training(TVET)/
Regional health bureau (RHB) (B 1.1.2)
Outline in its statement of program goals that the trained pharmacy professionals are:
Annotations
Basic Standards
Ensure that its principal stakeholders participate in formulating program goals and
outcomes (B 1.2.1)
Ensure that the formulation of program goals and outcomes is based also on other
relevant stakeholders (Q 1.2.1)
Annotations
♦ In exploring the use of new appropriate technology and disseminate the output (Q
1.3.2)
Annotations
Basic Standards
Have clearly defined educational and training outcomes that are in line with, and
supportive of, the program goals (B 1.4.1)
Define the intended educational and training outcomes that trainees should exhibit upon
completion of training in relation to:
♦ Their achievements at each level regarding knowledge, skills, and attitudes (KSA)
(B 1.4.2)
♦ The health needs of the community, the needs of the health care system, and other
aspects of social accountability (B 1.4.4)
Ensure appropriate trainees conduct (ethics) with respect to fellow trainees , trainers
other health care personnel, and patients and their relatives (B 1.4.5)
Make the educational and training outcomes of the known to the trainees and trainers
(B 1.4.6)
• Education and training outcomes refers to statements of KSA that trainees are expected
to possess and demonstrate at the end of each training completion.
• Refer to annotations in 1.1 for lifelong learning
• Refer to annotations in 1.2 for principal stakeholders.
Basic Standards
The Pharmacy program must:
Define its program structure and functions including its relationships within the
institution (B 2.1.1)
In its program structures, set out the committee structure and reflect representation
from:
♦ Trainers (Q 2.1.1)
♦ Trainees (Q 2.1.2)
Annotation
• Governance means the act and/or the structure of governing the program. Governance
is primarily concerned with participating in policy making process and implementing
policy, the processes of establishing general institutional and program policies, and also
with control of the implementation of the policies. The institutional and program policies
would normally encompass decisions on the mission of the pharmacy program,
curriculum, staff recruitment and selection policy, and decisions on interaction and
linkage with pharmaceutical practice and the health sector as well as other external
relations.
• IDP sometimes called strategic plan or long range plan, is document that guides the
institutions achievement, growth and allocation of the resource.
Basic Standards
The Pharmacy program must:
Have a designated coordinator (trainer who has better performance, is at least TWO
level Higher than respective level and 1 years of experience in the related training
area) (B 2.2.1)
Describe the responsibilities of its leadership for definition and management of the
pharmacy educational and training program (B 2.2.2)
Annotation
• Program leadership refers to the positions and persons within the governance and
management structures being responsible for decisions on matters in education and
training of the program and would include program coordinator, , successors and other
committees.
Basic Standards
The Pharmacy program must:
Have adequate support of administrative staff from the institution that are appropriate
to:
♦ Support implementation of its education and training program and related activities
(B 2.3.1)
• Administrative staff in this document refers to the positions and persons within the
governance and management structures being responsible for the administrative support
to implementation of policies and plans and would—depending on the organizational
structure of the administration.
• Management means the act and/or the structure concerned primarily with the
implementation of the institutional and program policies including the economic and
organizational implications, i.e., the actual allocation and use of resources within the
program.
Basic Standards
The Pharmacy program must:
Have a clear line of responsibility and authority for resourcing the program, including a
dedicated educational and training budget (B 2.4.1)
Allocate and use the resources necessary for the implementation of the curriculum and
distribute the educational and training resources in relation to educational and training
needs (B 2.4.2)
Ensure that the budget allocation matches with trainees enrollment (B 2.4.3)
Have autonomy to direct/control the budget and resources in order to achieve its
program goals and the intended educational outcomes of the curriculum (Q 2.4.1)
Have constructive interaction with the health and health-related sectors of society and
government (B 2.5.1)
Formalize its collaboration (entering into formal agreements, stating content and forms
of collaboration, and/or establishing joint contact and coordination committees as well
as joint projects), including engagement of trainer and trainees , with partners in the
health sector (B 2.5.2)
Periodically review its interaction with the health and health-related sectors (Q 2.5.1)
Interact with health and health-related sectors based on principles of mutual benefit and
shared governance (Q 2.5.2)
Annotations
Basic Standards
The Pharmacy program must:
Have training halls/classrooms for group, tutorial, and seminar activities with adequate
♦ Sufficient and comfortable chairs and tables (movable armchairs and/or chairs with
tables (B 3.1.2)
♦ Writing board with different colors of marker and board cleaner (B 3.1.4)
Ensure that the rooms are well-illuminated (words written in pencil can be read from
any corner of the room, and screen-projected words, pictures, and videos seen clearly
without reflection from every corner) (B 3.1.5)
Ensure that the rooms have adequate ventilation (open windows and /or AC, fans) (B
3.1.6)
Have functional toilets separate for males and females near the classroom (B 3.1.7)
Have regular cleaning schedule and follow-up for the facility (B 3.1.8)
Have a built-in overhead projector and/or LCD (liquid crystal display) with computer (B
3.1.9)
Have a water source around /near the classroom (B 3.1.10)
Annotation
• A DVD/VHS combo
• Network connectivity
Basic Standards
The Pharmacy program must have
Have an office for teaching and administration staffs with adequate space
(2.0m2/person) (B 3.2.4)
Basic Standards
Ensure a learning environment that is safe for staff, students, and patients (B 3.3.3)
♦ An adequate number of movable chairs, tables for each station, a labeled shelf with
locks, dust bins in all the stations, and storage (B 3.3.10)
♦ Audiovisual aids including video sets (B 3.3.11)
♦ Adequate and up-to-date learning materials (reference books, checklists for all
skills, standard operating procedures [SOPs], wall charts, posters, flow charts, and
electronic learning resources) (See Annexes I and III) (B 3.3.13)
Ensure that the skills lab is properly organized and managed by a dedicated skills lab
manager (Q3.3.1)
Have a system for tracking all materials and equipment after each practice (B 3.3.3)
Have a central research lab (core lab) where the staff and trainees, undertake research
activities (B 3.3.4)
Have a facility to house animals for the courses offered by the program and for research
(B 3.3.5)
Have a regular maintenance schedule for the laboratory facility and equipment (B 3.3.6)
Basic Standards
The Pharmacy program must:
Define appropriate clinical/practicum sites selection criteria that encompass but are not
limited to:
♦ Having an adequate client caseload and case mix as per the core competencies (B
3.4.2)
♦ A practice standard of practical training facilities that matches what is taught in the
school (B 3.4.5)
Ensure the availability of necessary resources for giving the trainees adequate clinical
experience, including national service delivery guidelines, personal protective
equipment, learning tools (log books, checklists, SOPs), and other essential equipment
(B 3.4.14)
Ensure easy accessibility of clinical practice sites including transport facilities to distant
sites (B 3.4.15)
Periodically assess the quality of sites and preceptors in light of achieving curricular
needs and identify potential additional sites when needed (Q 3.4.1)
Discontinue relationships with the sites that do not maintain the preset quality criteria
and are unable to do so after implementation of a remediation plan (Q 3.4.2)
Ensure that the clinical practice sites have discussion rooms (Q 3.4.3)
Ensure that the clinical practice site have a mini-library with essential reference books
and guidelines in the clinical practice site (Q 3.4.4)
Use accredited clinical practice sites (Q 3.4.5)
Ensure trainees have access to computers with internet connectivity; one computer for
three trainees (B 3.5.1)
Formulate and implement a policy that addresses effective use and evaluation of
appropriate information and communication technology (ICT) for education (B 3.5.3)
Ensure that the IT center is accessible for trainees independent learning (outside of
working hours) (Q 3.5.2)
Have regular/scheduled IT facility inspection and maintenance services (Q 3.5.3)
Establish e-library (Q 3.5.4)
3.6. LIBRARY
Basic Standards
The Pharmacy program must
♦ A catalogue system, adequate illumination and ventilation and be free from sound
pollution (B 3.6.4)
♦ Signs posted for appropriate behaviors (silence, no food and drinks, no smoking)
(B 3.6.6)
♦ A schedule showing library working hours posted at the entry point (B 3.6.7)
♦ Copies of relevant and updated national service delivery guidelines and protocols
on priority health issues in the country (See Annex III) (B 3.6.10)
Have an automated library system (system for recording and cataloging material and
for ensuring the security of materials) (Q 3.6.1)
Have a system to take feedback from users and update its services on a regular basis
(Q 3.6.2)
Have 24/7 access to library services (Q 3.6.3)
Annotations
• Catalogue system is a search and discovery tool that provides results from the library's
online and print collections in a single search. It includes titles of printed books, journals,
manuscripts, letters, and other material available at the library as well as links to the full
text of millions of journal articles and digital images of graphics/illustrations and
manuscripts.
• Automated library system: Library automation is the application of ICTs to library
operations and services. The functions that may be automated are any or all of the
following: acquisition, cataloging, public access, indexing and abstracting, circulation,
serials management, and reference.
Basic Standards
The Pharmacy program must:
Ensure safe and adequate trainees facilities including lounges, catering, trainees
housing (if possible), and sports and recreational facilities (B 3.7.2)
Ensure the availability of a trainees clinic, counseling, and social support units at
institution level (B 3.7.4)
Ensure that the different facilities on campus are accessible to trainees with disabilities
(B 3.7.5)
Annotation
• Addressing social, financial, and personal needs would mean support in relation to social
and personal problems and events, health problems, and financial matters and would
include access to health clinics, immunization programs, and health/disability insurance
as well as financial aid services in the form of bursaries, scholarships, and loans.
Basic Standards
The Pharmacy program must:
♦ Support all aspects of the goals and strategic plan and ensure stability in the delivery
of the program (B 3.8.1)
♦ Allow effective faculty and support staff recruitment, retention, and development (B
3.8.2)
♦ Maintain and improve physical facilities, equipment, and other educational and
research resources (B 3.8.3)
Develop and maintain a broad base of financial support, including a program to acquire
extracurricular funds through endowment income, consultancy services, grants,
provision of continuing education, and other fundraising mechanisms (Q 3.8.1)
Secure a budget for innovation in education, research, and other scholarly activities (Q
3.8.2)
Ensure that the number of trainers assigned for skills labs and cooperative training is
in line with the specific profession requirements and local context (B 4.1.3)
♦ C- level and above trainer - to train level I & III training (B 4.1.4)
♦ B –level (Bachelor degree) and above trainer- to train level I to IV training (B 4.1.5)
♦ A- level (Master’s degree) trainer- to train level I to V training (B 4.1.6)
Ensure Trainers implement Health sector extension service and technology transfer
(B 4.1.8)
Implement a ratio of full-time and part-time teaching trainers (80% and 20%,
respectively) (B 4.1.9)
Ensure that availability of contract document for each part-time trainer (B 4.1.10)
Ensure that each trainer has a t technical update training in the field of instruction (30
CEU/year) (B 4.1.11)
Assign a trainer for skills lab assistant with Level IV and above. (B 4.1.12)
♦ Are at least equivalent to the level of training with minimum of 2 years of service in
the specific area(B 4.2.4)
• C- level and above trainer - to train level I & III training (B 4.2.5)
• B –level (Bachelor degree) and above trainer- to train level I to IV training (B
4.2.6)
• A- level (Master’s degree) trainer- to train level I to V training (B 4.2.7)
Ensure that the Clinical Trainer (Clinical instructor/ preceptor -to-trainees, ratio for
the practice experience is sufficient (1:20) to provide individualized instruction,
guidance, and supervision. (B 4.2.8)
Ensure that the enrollment policy/guideline is in line with the national and regional
enrollment decision and cut off point (B 5.1.1)
Implement additional enrollment criteria to enroll trainees according to the program
and health sector needs (B 5.1.2)
♦ Existence of an entity responsible for trainees, selection and admission that ensures
transparency and fairness (B 5.1.4)
♦ The process and criteria for enrollment of students with specials needs (B 5.1.5)
♦ The size of trainees intake in relation to its capacity and resource at all stages of
the program (B 5.1.7)
Ensure that trainees enrollment process is transparent, free from discrimination, and
in accordance with institutional polices and all applicable codes of laws (B 5.1.10)
State the relationship between trainees, selection, the mission of the educational and
training program, and desired qualities of training completers (Q 5.1.1)
Periodically review the enrollment policy/guideline and trainees, intake in line with
academic success of the trainees, and the needs of the society(Q 5.1.2)
Annotations
♦ Counseling on training , health, and social issues that could otherwise affect their
success in the program (B 5.2.1)
♦ Trainees support addressing the training (e.g., remedial support and peer-assisted
learning. (B 5.2.2)
Provide career guidance and advice on progression after completing the program (Q
5.2.1)
Basic Standards
The Pharmacy program must:
Annotations
Basic Standards
The Pharmacy Program curriculum must:
• Communicate and ensure that the curriculum is available to staff, students, and
other stakeholders (B 6.1.32)
Annotation
Basic Standards
The Pharmacy program institutional training must:
Cooperative training of Pharmacy program must fulfill the following implementation phases
• Inspection of cooperative training sites and identify the available site appropriate
to the training
• Create awareness about cooperative training among institutions, practice sites
and other concerned bodies
• Create partnership and preparing joint action plan addressing training concerns
• Signing of MoU
• Assessing and capacitating clinical trainers/ preceptors and TVET Trainers by
fulfilling their skill gap
• Conducting Methodology training for clinical trainers/ preceptors
• Prepare training plan by both TVET trainer and clinical preceptors
Basic Standards
Allocate an adequate budget to the quality assurance unit to carry out its responsibilities
(B 8.2)
Conduct quality assessment using the internal quality standard tool (at least Bi-
annually) and develop and implement clear strategies/work plans to fill the gaps
identified (B 8.4)
Have a system for regular curriculum evaluation and review (at least every year) (B
8.5)
Seek external quality audit and verification by TVET /RHB or peer institutions and work
on the recommendations given to ensure continual quality (B 8.6)
Ensure duties and responsibilities within cluster institutions according to the clustering
guideline
Have a well-organized, functional, and vibrant internal quality assurance system that is
responsible for monitoring and evaluation of input, process, output, outcome and impact
of the educational and training program (Q 8.1)
Internal Quality Assurance and Improvement Standards for pharmacy Program 33
Systematically seek, analyze, and respond to trainers and trainees, feedback (Collect
trainees, and trainer comments using structured questionnaire or suggestion book, take
corrective action, and document) (Q 8.2)
Conduct review meetings with representatives from practice sites, industries, and
professional bodies annually to evaluate the effectiveness of learning experiences (Q
8.4)
Develop the structure, governance, and management of the organization to cope with
changing circumstances and needs and, over time, accommodate the interests of the
different groups of stakeholders (Q 8.5)
Basic standards
• Fill the identified skill gaps based on the four Industry extension packages
(KAIZEN, Technical skill, Technology and Entrepreneurship) to improve
service delivery and competiveness (B.9.1.3)
6. Disintegration apparatus 1 h l
7. Dissolution apparatus 1
8. Distillation apparatus At least 2
9. Erlenmeyer flask 5 100 ml
10. Evaporating dish At least 5 each porcelain/glass
11. Filter papers Different pore size
12. Funnel At least 5
13. Funnels 8 Different size
14. Glass rods 10
15. Hot air oven 1
16. Hot plates 2
17. Iodine flask 2
18. Measuring cylinder of At least 10 of 10ml, 50 ml/100 ml/250 ml/1,000 ml
different size each
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Internal Quality Assurance and Improvement Standards for pharmacy Program
28. Suppository molds At least 5 each 1 g/2 g/4 g
29. Tablet machine 1
30. Test tube rack 5
31. Test tubes 50
32. Thermometer 5
33. Thermostatic oven 1
34. Volumetric flasks At least 2 of 50 ml/100 ml/250 ml/1,000 ml
35. Water bath 1
36. Water distiller 1
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Internal Quality Assurance and Improvement Standards for pharmacy Program
ANNEX II: LIST OF PHARMACY LABORATORY MANUALS FOR TVET PHARMACY
PROGRAM
No. Manuals
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Internal Quality Assurance and Improvement Standards for pharmacy Program
ANNEX III: LIST OF TEXTBOOKS AND REFERENCE BOOKS FOR TVET PHARMACY
PROGRAM
No. Course List List of Reference Books Required for the Year of
Course Publication
1 Compounding • United States Pharmacopoeia (USP) Most recent
• British Pharmacopoeia (BP) edition
• Connors (A Textbook of
Pharmaceutical Analysis)
• Scherimer RE. (Modern Methods of
Pharmaceutical Analysis)
• Pharmaceutics: The Science of
Dosage Form Design (Aulton)
• Handbook of Pharmaceutical
Excipients (Kibb
• Pharmaceutical Dosage Forms and
Drug Delivery Systems(Ansel’s)
2 Enhancing rational use of • Ali M. (Text Book of Most recent
traditional medicine and Pharmacognosy) edition
operating its dispensary • Wallis (Text Book of Pharmacognosy
and Phytochemistry)
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Internal Quality Assurance and Improvement Standards for pharmacy Program
4 Procuring and storing • Pharmacy Management – Essentials
pharmaceutical products , for All Practice Settings (Desselle Most recent
Distributing and Zgarrick) edition
pharmaceutical products • Principles of Accounting National
Maintaining Drug and Health Policies of Ethiopia
pharmaceutical ward stock • Managing Access to Medicines and
and Dispensary stock Health Technologies
control • Managing Drug Supply (Management
Sciences for Health/WHO)
40
Internal Quality Assurance and Improvement Standards for pharmacy Program
10. Leading workplace • Communication Skills for Most recent
communication Pharmacists (Berger) edition
• Drug Information: A Guide for
Pharmacists (Malone)
• Health Care Informatics (Bill)
11. Health and Nutritional • Modern Nutrition in Health & Most recent
Products and Services Disease (Shils) edition
• Krause’s Food, Nutrition and Diet
Therapy
12. Complying with infection • Occupational health and safety
control policies encyclopaedia, volume 2. ILO,
Geneva,.
• World Health Organization.
Managing medical wastes in
developing countries: a report of
consultation on medical wastes Most recent
management in developing countries, edition
WHO,
• WHO/PEP/RUD/94.1. WHO,
• World Health Organization.
Management of Hazardous waste.
Wh R i l bli i E
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Internal Quality Assurance and Improvement Standards for pharmacy Program
ANNEX IV. DICTIONARIES AND ENCYCLOPEDIAS
A. PROGRAM/SUBJECT-SPECIFIC DICTIONARIES
Year of Number of
No List of Dictionaries Remarks
Publication Copies per 50
.
Students or 1
Class
1. Medical dictionary Latest 2
2. Pharmaceutical dictionary Latest 2
B. PROGRAM/SUBJECT-SPECIFIC ENCYCLOPEDIAS
1. Martindale Latest 5
2. Encyclopedia on general Latest 1
matters
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Internal Quality Assurance and Improvement Standards for pharmacy Program
43