Creating clinical pharmacy capacity in Namibia: a collaboration to establish a post-graduate pharmacy degree programme

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COMMENTARY

Creating clinical pharmacy capacity in Namibia: a collaboration to establish a post‑graduate pharmacy degree programme Nicola L. Corkhill1 · Jennie Lates1 · Mwangana Mubita1 · Dan Kibuule1 · Lauren J. Jonkman2 · David Hachey3 · Christian John Hunter4 · Ian Bates5 · Timothy W. Rennie6  Received: 16 October 2019 / Accepted: 21 May 2020 © Springer Nature Switzerland AG 2020

Abstract Namibia has previously relied on external training of pharmacists but began in-country training in 2011. In response to an identified need for postgraduate clinical pharmacy development and training in the country, a Master’s degree was set up at the University of Namibia in 2016. The country has a considerable health burden of HIV and TB as well as a shortage of healthcare professionals. A UK clinical diploma model was adapted to meet the specific needs of the country and wider region, ensuring students could access the course over a sparsely populated, but large geographical spread, in addition to providing work-based learning, embedding research skills for future development, and focusing on the health needs of Namibia. The course uses online learning platforms and contact sessions to cover both knowledge and skill acquisition throughout the 3 years of the course. UK and US clinical pharmacists are utilised to provide specialist input, both remotely and within student workplaces, and further support has come from collaborations, including cross-site visits, with the UK-based pharmacy school whose diploma model was adapted. Challenges have included a shortage of clinical mentors, also compounding the students’ difficulty in visualising their future roles, as well as lone practitioners finding it hard to attend all contact sessions. The initial dropout rates of earlier cohorts have since reduced with greater understanding of the programme, and enthusiasm for the course remains high. The aim for the Master’s is to train students to become competent clinical pharmacists, thus having the knowledge and skills to mentor future cohorts of the course, as well as expanding the specialty within the country. Keywords  Africa · Clinical pharmacy · Namibia · Postgraduate

Impacts on practice • A new clinical pharmacy programme in Namibia was

* Timothy W. Rennie [email protected] 1



University of Namibia, Windhoek, Namibia

2



Department of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, USA

3

Department of Family Medicine, Idaho State University, Pocatello, USA

4

School of Medicine, University of Namibia, Windhoek, Namibia

5

School of Pharmacy, University College London, London, UK

6

School of Pharmacy, University of Namibia, Windhoek, Namibia



created to develop clinical practice for the first graduates of pharmacy. • Flexible collaborative networks can help to fast-track clinical pharmacy programmes in low-resource settings and where clinical pharmacy practice is in its infancy. • New programmes in settings where clinical pharmacy is not developed rely heavily on collaboration to bui