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PvPI and ADR monitoring & reporting should be made part of pharmacy curriculum: Dr B Suresh

Peethaambaran Kunnathoor, Chennai
Friday, September 20, 2024, 08:00 Hrs  [IST]

Since the Pharmacovigilance Programme of India (PvPI) is taking momentum in the health sector today, the PvPI and the Adverse Drug Reaction (ADR) monitoring and reporting should be made part of the curriculum of the pharmacy education.
 
For strengthening of the programme and ADR reporting in India, pharmacists can do a lot, because they are an integral part of the healthcare team. Though the PvPI and the ADR reporting is held only in certain pockets of the nation at present, the pharmacy teachers as well as the students can help this mission for a national reach, opines Dr B Suresh, former president of the Pharmacy Council of India and the Pro-Chancellor of the JSS University in Mysuru.
 
He was delivering an online talk in a zoom meeting organised by Alwar College of Pharmacy in Jaipur in Rajasthan, as part of the Pharmacovigilance Week Programme.
 
Once the PvPI and ADR reporting become part of the pharmacy education, the teachers can encourage the students to foster a culture of ADR reporting. They should be trained to report the ADR at the time of their internship itself.
 
“The Drugs and Cosmetics Act (D&C Act) mandates ADR reporting for drug safety. All the healthcare professionals including regulators are legally bound to report the ADR. After starting the programme in India, the improved ADR reporting has reduced medication errors and drug-related harm. The effective reporting of adverse drug reactions will minimize the risks and protect patient health,” he said.

Exhorting the pharmacists to become ADR reporters, Dr. Suresh said the pharmacy professionals must understand the importance of the ADR reporting. We celebrate Pharmacovigilance Week just to remind every healthcare professional that safety of patients is the most significant factor. Fifty years ago, the main concentration of pharmacy professionals was on the quality of medicines in the manufacturing sector. Later it was shifted to healthcare delivery and the pharmacists have become an integral part of the healthcare team.
 
Dr Suresh, who was previously a member for a long term in the Drug Technical Advisory Board (DTAB) under the ministry of health, said building ADR reporting is necessary for patient safety. The pharmacovigilance reporting was earlier existing in the All India Institute of Medical Sciences (AIIMS) in New Delhi. In 2008 the PvPI was shifted to the Indian Pharmacopoeia Commission. The national pharmacovigilance programme was launched by the Government of India in 2010 in collaboration with WHO’s International Drug monitoring programme. However, today the ADR reporting centres are working only in certain pockets in the country. For the strengthening of the PvPI and ADR reporting, we need PvPI centres in all districts in India, because only through a structured reporting system the safety of healthcare can be improved.
 
According to him, the programme of pharmacovigilance and ADR reporting faces certain challenges. Underreporting and lack of awareness are the major challenges the PvPI faces today. If the reporting is not perfect the data will not be accurate. Globally 94 per cent of the ADRs are underreported and it affects the accuracy. Besides, there is limited awareness about ADR reporting among healthcare professionals, teachers and students. The infrastructure for PvPI centres and ADR collection and reporting system needs to be developed and strengthened. He said the government of India allocated Rs. 40 crore in the union budget of 2023-24 for PvPI and ADR reporting.
 
After AIIMS, ADR reporting was started in the JSS Hospital in Mysuru 10 years ago, and over 15,000 ADRs were given to the national database by the hospital in the last one decade. The hospital is now giving training in ADR collection and reporting to students and healthcare professionals. Every month the hospital conducts various programs and seminars on PvPI and ADR as part of awareness and training.

 

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