This document discusses the evolution of pharmacy education and practice in Ethiopia. It describes how the traditional curriculum focused more on products than patients, lacking clinical training. Reforms were implemented in 2008 to make the curriculum more patient-centered, with additional clinical pharmacy courses and master's programs. This shift was needed to address Ethiopia's disease burden and meet global pharmacy standards. The new curriculum focuses on applying drug therapy clinically and monitoring treatment. Pharmacists trained this way are now recognized members of healthcare teams. While challenges remain, future plans include training all pharmacists clinically and potentially launching a PharmD program.

1. Pharmacy Education and practice in
Ethiopia :
From where to where?
Mohammed A Mohammed
B.pharm, Msc.clinpharm, PhD candidate
mohzum@hotmail.com
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2. Who I am
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Close to 90m popln
11 regional states
Economy : agriculture

3. Who I am
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JU Msc clin pharmacy 2012
JU , B.pharm 2008

4. Pharmacy schools in Ethiopia(8/33)
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B.Pharm since 1961
M. Pharm prac since 2010
University of Gonder
Addis Ababa university
Mekele university
Jimma university
B.Pharm since 2001
M clin pharm since 2009
Haramaya university
Ambo universityWellega universityWollo university

5. Over view of the old pharmacy
educ/practice in Ethiopia?
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6. Drawbacks of the Old educ /practice
in Ethiopia
 Pharmacists in practice know more about the product
but have little info about their patients.
Provide meds they know for patients they do not know
Not well trained in clinical sciences/ Pathophysiology
curriculum
Not well trained/lack skills
To collect and interpret patient specific data,
 To take medication related histories
To identify drug- therapy related problems./DTPs
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7. Community pharmacies in Ethiopia
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8. What has been done towards implementing
new Pharmacy educ & Service in Ethiopia
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9. Initiatives in Ethiopia
• Curricular revision 2008: nationwide
• Pharmacy UG curriculum: more patient oriented (4 years + 1
internship)
• Majority of the courses under new patient oriented curriculum are
clinical pharmacy courses
• PG advanced clinical oriented pharmacy curriculum
MSC in Clinical Pharmacy JU Since 2009
MSC in Pharmacy practice AAU Since 2010
• Intensive 1mo in-service training for Clinical Pharmacy services.
hospital pharmacists (200). Started at JU, 2012 and then other unis
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15. Rationale for Shifting pharmacy curriculum
to patient-centered/Clinical in Ethiopia
• Pharmacy profession around the world has made a shift
in terms of education and scope of practice.
Follow Global trend (fit –for-practice curriculum)
• Was also an issue of survival both for the profession &
pharmacists(academics and in other practice area)?
• Pharmacy profession was about to collapse (2008/9 up 12). Employment in Gov institutions, attitude etc
-FMoH legislation (pharmacy educ, employment, licensing etc )
-some pharmacy schools closed their program, transferred students to other
discipline
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16. Shifting the curriculum …
• Prevalence of medicine-treatable diseases. Infectious
• Increase in non-communicable diseases ( western disease???)
 DM, HTN, CVD, RF,Malignancyies, chronic illnesses.
Complexity of the mgt, DDI, ADE, monitoring,, New meds
 demand to clinically trained meds expert that ensure quality &rational use
of meds.
opportunities for Ph but
• Upgrading existing ph skills and linking it with practice to cope up
with demand was necessary
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17. The Focus of the
New Pharmacy Curriculum
What do students mainly focus on ????
• Clinical Application of Drug Therapy than pharmaceutical sciences
• Disease state management. Minor to complicated cases
• Diagnostic procedures & Monitoring parameters (lab, PE, other
diagnostic tools) to follow safety of drug therapy.
• Critical thinking in Treatment guidelines and literature
evaluations and comparisons for clinical use
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18. Goal of the new curriculum
1. To make our future Pharmacists, expertise in:
– identifying and solving DTPs
– becoming patient educators within their scope DT management
– selecting the most effective therapy
– monitoring the outcome of drug therapy
2. Provider of patient-centered not product oriented services in all our HC
settings And
3. highly involved in clinical practice and research
make better contribution to patients Rx outcome & HC in
Ethiopia
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19. Recognition of the professions
after the curriculum shift
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20. • FMoH: EHRIG May 2010
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PC in Ethiopia

21. Hospitals’ feedback
• Some hospitals(JU) pharmacist medication chart into patients
charts . 2013
• Hospitals directors’ positive feedback of the program and the
benefit of clinical pharmacy in-service training. Data??
• Consultants, medical residents, medical students etc were happy
having Clinically trained pharmacists in their team.
I have witnessed this.
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22. Challenges of the new practice pregame
• Implementation of the faced several challenges at the beginning
– Lack of human resource for clinical courses and rotations
 fly-in professors & clinicians
 this still remained a challenge
– Resistance from some faculty/pharmacist
change the curriculum
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23. Future directions of educ and
Practice in Ethiopia
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24. Future Direction
• Gradual training all Pharmacists(graduates of old curriculum) to enable them provide
clinical pharmacy services/ advanced patient services:
 In hospitals, clinics and community pharmacies
 time and financial resource ??? Not sure of the plan
• Launching pharm D program.
Was planed to start 3 years ago
Feasibility? Resource?
• Focus on Bpharm + 2 years PG clin pharmacy
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25. THANK YOU FOR YOUR
KIND ATTENTION!
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