Impact
of National pharmacovigilance week: A masterstroke by IPC-PvPI
Shiva Murthy Nanjundappa a, *, Chinmaya Mahapatra b
a Associate Professor,
Pharmacology Department, Dr. Chandramma Dayananda Sagar
Institute of Medical Education and Research (CDSIMER), Devarakaggalahalli, Harohalli,
Ramanagara District, Karnataka, India
b Pharmacovigilance Associate, Department of Pharmacology, MKCG Medical
College, Berhampur, Odisha.
Introduction
National
Pharmacovigilance Week (NPW) is being celebrated every year in India in
September. World Health Organization (WHO) Collaboration Center, IPC celebrates
this week with pride for patient safety. Indian Pharmacopoeia Commission (IPC)
celebrated this national Pharmacovigilance week all over India the year 2021
from 17th-23rd September through an official
notification. Around 395 ADR Monitoring Centers across the country celebrated
this occasion with the theme "Pharmacovigilance: A step towards Patient
Safety". NPW will go a long way in reaching the common masses about the
importance of reporting Adverse Drug reactions (IPC, 2021).
Brief History of PvPI
Pharmacovigilance
activities such as identification, assessment, and monitoring of adverse drug
reactions (ADRs) were initiated in India in 1986 under the supervision of DCGI
(drug controller general of India).
In 1998, India was included under World Health Organization (WHO)
Programme as a part of International Drug Monitoring activities steered by WHO.
The response then was not so favorable. To improve the pharmacovigilance
activities in India, the Government of India launched the NPPV (National
Programme of Pharmacovigilance) in 2005. This program was renamed in 2010, as
the PvPI (Pharmacovigilance Programme of India).
Later, the national coordination center from the All India Institute of Medical
Sciences (AIIMS, New Delhi) was shifted to the Indian Pharmacopoeia Commission
(IPC) in Ghaziabad to bring more effective pharmacovigilance systems in India.
The main objective of PvPI remained to identify the
risks related to medications and safeguard the health of the Indian population
(Kalaiselvan et al.,
2019).
Current Status
Considering
the need for indigenous data for policy decisions, the PVPI successfully
established 395 Adverse Drug Reaction Monitoring centers (AMC) across the
country. IPC continued to intensify the pharmacovigilance activities in India
by upgrading the capacity building and initiating training activities to
sensitize the stakeholders. All the programs were directed to hospitals,
individuals, and civil society and encouraged them to participate in PVPI
activities. Currently, IPC functions as the National Coordination Centre and
has been striving hard in collaboration with national and international
stakeholders, ensuring patient safety by monitoring ADRs. In recognition of the
strengths and progressive journey of PVPI, World Health Organization (WHO) in
2017 bestowed IPC as a WHO-Collaborating Centre for Pharmacovigilance in Public
Health Programmes and Regulatory Services. As a
result of these initiatives, India achieved the worldwide 9th rank
in reporting of ICSRs to WHO-UMC (WHO-Uppsala Monitoring Center) (IPC, 2021).
Healthcare
professionals are considered the backbone of the healthcare system. They
contribute to patient safety by reporting ADRs. Hence, IPC initiated this
ÒPharmacovigilance weekÓ on the occasion of "World Patient safety
day" to make the public and healthcare professionals aware of the
importance of ADR reporting to improve patient safety. IPC encouraged different
organizations such as academic institutions, hospitals, pharmaceutical
industries, state pharmacy councils, pharmacy professional organizations, and
all healthcare professionals to conduct activities that promote and advocate
reporting of adverse drug reactions across the country. IPC advocated
promotional campaigns connecting to media and most notably interaction with patients
and the public as the key ways in which the best use of ÒPharmacovigilance week
CelebrationÓ can be made in the interest of patient safety (IPC, 2021).
In
addition to the above, IPC intended to create awareness and educate the public
and other healthcare professionals about the importance of Pharmacovigilance
and to sensitize the general public about the role of healthcare professionals
in carrying out Pharmacovigilance related activities. It was also to create
occasions to recognize and honor the Healthcare professionals like physicians,
nurses, pharmacists, students, academicians in reporting adverse drug reactions
as they are an integral part of the healthcare system and drug safety (IPC, 2021).
Action plan of NCC-PvPI
The
Campaign was initiated by circulating posters, stickers, banners, hoardings,
email messages, SMS, using social networking groups such as Whatsapp,
Facebook, Twitter, Instagram and pamphlets, brochures, PowerPoint
presentations, articles for magazines, Advocacy letters to various authorities,
associations, consumer organizations, health groups on the occasion of the
National Pharmacovigilance Week. IPC also provided financial support for
conducting these activities at each AMC level (IPC, 2021).
Activities suggested
For common public
To carry out Community level
Sensitization or Awareness measures, regarding the safe use of medicines,
reporting suspected ADR, and tools to report by ADR Monitoring Centres.
Professional organizations and institutions
To arrange an Educational
or Training program including poster competition, quiz, essay writing, and fun
games for students and academicians to sensitize the budding professional's
young leaders about the importance of pharmacovigilance. Advised to give a
certificate of appreciation from the institution to the participants.
Students and fellow health professionals
To take a picture of a
sensitizing program at the community level, and share it on social media
platforms like Facebook, Twitter, LinkedIn.
Execution of NPW programs
PVPI
informed all the AMCs to submit the programs designed locally at each center.
In addition, published NCC-PVPI's program and list of competitions and their
rules of participation. They included Essay competition, e-Poster competition,
and Video-Animation movie competition and same were conducted at the national
level. Informed participants to submit their entries to IPC from all over the
country. This fueled the energy to all professionals associated with IPC and
energized all to participate at national level activities and also conduct the
programs at the institutional level at all the centers throughout. IPC and all
the centers conducted the activities as per the schedule submitted by them. IPC
announced the results of the competitions held and recognized the talents of
the participants. Similarly, centers also conducted the activities and
submitted the report IPC in the format supplied to them (IPC, 2021).
Results
Through
NPW activities, NCC-IPC reached out to all the stakeholders all over the
country. All the centers conducted programs and raised awareness at root
levels. Various newspaper publications were generated in different languages.
This also created a tsunami of awareness waves on NCC-IPC-related
pharmacovigilance activities in India. This is exemplified by the astonishing
search results on Google. Surprisingly on Google search with the term
"National Pharmacovigilance Week 2021 India", a total of 12,20,000
results were obtained. Among these, news articles were 1780 as on 25th October
2021 at 3.35 pm. At least 300-500 participants were involved through each AMC
and estimated to have trained/sensitized at least 1,18,500 to 2,00,000 persons
on identification and reporting of ADRs. In addition, pharmacovigilance
engagement activities turned into more appealing/enjoyable activities by
conducting competitions like pencil art/painting, reflective writing/creative
writing, video-animation movie-making, quizzes, writing songs/poems, etc.
Through these activities, pharmacovigilance awareness week turned out to be a
pleasing and memorable event for many young minds. Hope this will yield better
results in accepting the IPC's pharmacovigilance activities.
Conclusions
The
National Pharmacovigilance Week initiative will play a major role in raising
awareness about activities conducted by National Coordination Center-Indian
Pharmacopoeia Commission on yearly basis. The benefits of such initiatives will
go beyond estimation. Through this initiative, reporting of ADRs is expected to
improve and will add momentum in raising the world ranking of India at the WHO
level. Being a country with a 1.39 billion population,
India can play a major role in the identification of unknown risks of drugs and
help in the identification of signals and contribute to better health care
worldwide.
References
IPC.
(2021). NCC-PVPI invites all stakeholders to celebrate the National
Pharmacovigilance Week from September 17-23, 2021. News & Highlights. 16
September 2021.
Kalaiselvan, V., Srivastava, S., Singh, A., Gupta, S., K. (2019). Pharmacovigilance
in India: Present Scenario and Future Challenges. Drug Saf. 42(3), 339-346.