Paulos Nigussie Alemu

• Coordinated GMP (Good Manufacturing Practice) audit for 8 Pharmaceuticals manufacturing site in Nigeria, and directly participated as an observer in three of manufacturing sites.
• Conducted GSDP (Good Storage and Dispensing Practice) audit two importers and distributors in Lagose state.
• Coordinated intersectional annual waiver process for year 2024 for all six sections in Nigeria, and obtained permit in time before existing one expires on 30th December 2023.
• Coordinated NAFDAC (Nigerian Regulatory Authority) visit to MS-Logestic in Bordeaux. It is a visit which resulted in enhanced relation ship between NAFDAC and MSF in Nigeria.
• Arranged meeting with NAFDAC DG, in collaboration with MSF country representative in Nigeria, MedCo representative and Deputy ISP, and negotiated and obtained special waiver for some ceiling items that can not be imported in to Nigeria.
• Received total of bout 13 quality complaint from six sections, and coordinated communication with manufacturer for CAPA report.
• Successfully tracked 25 importers in Nigeria for their for ceiling items, and built database that will be used for local purchase purpose by pharma and supply team at Mission and HQ level.

• Coordinated 4M, 8M and 12M international order for OCBA, OCA and OCG projects working together as mission for Somalia. Succeeded in submitting order on time as per mission IMO schedule.
• Managed to re-allocate over stock of medical supplies among three section’s and significantly reduced loss due to expiry and reduced ruptures.
• Implemented routine Iystock analysis system OCBA project in Baidoa Strengthened TSR analysis and consumption analysis system for OCA projects in Mudug and Sool.
• Trained Baidoa pharmacy supervisor on Isystock analysis, enabled to do independent stock analysis and empowered for decision making.

• Coordinated team of head of mission, medical coordinator and other section pharmacists in negotiation with PTD (Pharma technical department) under Iraq MOH and achieved to get MSF waiver to importation constraints.
• Coordinated first international medical order for year 2022 for Baghdad medical rehabilitation center and IMO for donation to referral lab called medical city lab
• Trained new pharmacy supervisor for COVID project on MSF pharmacy system and enabled to use tools including Isystock, reporting tools etc
• Coordinated local purchase for two projects in Iraq mission and achieved uninterrupted medical supply process
• Achieved to bring for discussion among medical team irrational prescribing practice of some drugs specially pain killers including Tramadol and agreed on way forward in to rationalizing practices.

• Standardized medical supply chain of mission by creating applicable parameters and developing calendar for medical supply procedures (activities).
• Timely reported one of big quality incidence MSF faced with locally purchased IV – infusion in Nigeria, it has now become famous example across MSF movement for quality problem in local market
• Supported team of head of mission, Medical coordinator and international and national pharmacist in representing and defending MSFs interests before general director of NAFDAC in Abuja.
• Created good network and contacts with other NGO active in Northern - East Nigeria including ALIMA, MDM, ICRC, PUI, UNICEF and WHO
• Lot of experiences were shared regarding quality, availability and importation constraints
• In collaboration with national pharmacy supervisor liaised with NAFDAC for issues related to import waiver and sampling of imported vaccines for laboratory testing purpose
• Coordinated four big international medical order of mission, through good communication with concerned projects and HQ medical and supply team including training of project pharmacy managers on how to use involved tools
• Coordinated four local procurement processes for banned medicines for importation in Nigeria
• Standardized stock management of mission by communicating and convincing management team to have new pharmacy store for two of projects in Pulka and Damaturu
• Managed to nationalize three project pharmacy manager positions in year by planning and implementing capacity-building program for national staff pharmacists
• Lead recruitment, training and induction of two store keepers for central pharmacy in Abuja coordination and supported same kind of process at project sites.

• In collaboration with MedCo and FinCo worked on annual budget and periodically reviewed it as per MSF and mission calendar
• In collaboration with HQ supply team coordinated international medical order of mission and finalized it in time and with good quality
• Liaised with other MSF- Sections to ensure over stock and sleeping stock is shared among sections for efficient use of resources
• Liaised with other NGO including Malaysian Field Hospital, Turkish Hospital, WHO and unicef for issues related to donation and quality assurance
• Represented MSF-Spain in periodic Medical Logistic meeting with all logistic sector partners active in Cox Bazar region
• Coordinated Biweekly supply and pharmacy team meetings for information sharing and effective planning follow up on actions
• Facilitating correct stock management and transport/storage procedures, in order to ensure availability of stock in all projects avoid expires & overstocks and stock/outs.

• Coordinated and initiated monthly intersectional pharmacists’ meeting in Abuja and it is still going strong liked for three years since
• Created good network and contacts with other NGO active in Northern - East Nigeria including ALIMA, MDM, ICRC, PUI, UNICEF and WHO
• Lot of experiences were shared regarding quality, availability and importation constraints
• Coordinated four big international medical order of mission, through good communication with concerned projects and HQ medical and supply team including training of project pharmacy managers on how to use involved tools
• Coordinated four local procurement processes for banned medicines for importation in Nigeria
• Standardized medical supply chain of mission by creating applicable parameters and developing calendar for medical supply procedures (activities)
• Standardized stock management of mission by communicating and convincing management team to have new pharmacy store for two of projects in Pulka and Damaturu
• Managed to nationalize three project pharmacy manager positions in year by planning and implementing capacity-building program for national staff pharmacists
• Involved in recruitment, training and induction of two storekeepers for central pharmacy in Abuja coordination and supported same kind of process at project sites
• Coordinated and liaised with NAFDAC to dispose huge stock of expired drugs as per national protocol.

• Supported HOM and CHD (country health director) in representing MSF in meeting with and reporting to Global Fund who funded MSF- OCA for TB and HIV medication procurement
• Acted as key person linking between medical and logistic department for all issues regarding pharmacy and medical supply
• Coordinated about four international medical order process for TB, HIV and other opportunistic infection drugs enough for more than 35,000 patients on ARV treatment
• In collaboration with section pharmacist worked on Pharmacovigilance for newly used TB medication Delamanid and Bedaquiline at time
• Recruited, trained, coached according to MSF standard and nationalized mission pharmacy position at end of mission
• In close collaboration with my logistic team improved stock management indicators (ruptures, expires before consumption, overstocks & etc...)
• It was possible to see the indicators improving in a graph over more than one year during my stay
• In collaboration with the Medical coordinators and advisors improved rational use of drugs
• Supported the mission Watsan manager in the process of disposal of medical items according to national regulation and MSF standards
• Supported field teams in the recruitment, briefing and training of all relevant national and international staff (medical supply responsible, dispensers
• Nurses, doctors, project medical coordinators and supply logs)

• Conducted mentorship for the new mission pharmacist Supported the new mission pharmacist in implementing the recommendations of the all technical advisors
• Trained the mission pharmacist in setting up a clear system of managing supplies
• Trained the mission pharmacist in planning mission pharmacy activities
• Trained the mission pharmacist in reporting.

Collected and prepared accurate data on inventory, consumption data that later on was used for internal and international medical orders

• Ensured that all hygiene and security procedures are followed in project pharmacies by cleaning, controlling pets and rodents, etc..
• Tracked movements of drugs and medical devises (entry, exit, destinations) ensured quality and assessed their conditions, as well as reported problems
• Reported on drug consumption and medical devices dispensed according to protocols, informed unusual patterns
• Ensured all pharmacy staff knew color and normal aspect of all drugs in order to identity eventual deterioration
• In cooperation with project logistic manager ensured storage conditions (e.g
• Humidity, temperature, light exposure, cleanliness, pest and rodents control, etc..), and that classification and organization of medicines and medical material meet MSF protocols
• Supervised functioning and organization of project central pharmacy and other peripheral units, set protocols and procedures to be followed by all staff, in order to ensure quality of service given to population and accurate handling of products and equipment in terms of hygiene and security.

• Monthly reported pharmacy activity for section pharmacist and pharmacist in charge of supply
• Assessed implemented improvements and monitored medical supply systems of the mission
• Reviewed monthly consumption figures with medical and logistic teams in the field and communicated issues to the medical coordinator and logistic coordinator
• Compared monthly consumption figures with medical data and provided overall analysis to the field team and to the Medical Coordinator
• Prepared tools for forecasting for intentional medical order and coordinated the field team during the international medical order process
• Assessed dispensing practices in health facilities and provided guidance and training to staff on good dispensing practices
• Assessed storage conditions in health facilities, provided guidance, and training to staff on good distraction practices for expired drugs and medical supplies
• Provided technical support to the field teams on pharmaceutical issues by responding to queries and providing trainings and updates on pharmaceutical issues
• Provided technical support to coordination on pharmaceutical issues by responding to queries and advising on rational drug regulation (in communication with the regional pharmacist in Nairobi)
• Assessed rational prescribing in projects and ensured implemented MSF protocols
• Assisted LogCo/MedCo in supply issues as required in close collaboration with the supply team in Lokichogio.

• Liaised with EFDA on all issues related to importation including pre/clearance approval for international medical supplies
• Ensured all changes in importation procedures are communicated to MedCo, LogCo and Section pharmacist in time
• Facilitated local purchase for drugs and medical materials by identifying availability of items from distributors in accordance with prepared database and communicating with Amsterdam for validation
• Liaised with FMHACA for appropriate documentation & process for destruction of expired drugs
• Liaised with FMOH, PFS, RHB, SCMS and EHNRI for supply and programmatic related issues
• Liaised with Amsterdam procurement unit and section pharmacist to update all changes in importation procedures and requirements
• Closely collaborated with intersectional and other national and international pharmacists in other section to facilitate importation in Ethiopia
• Organized quarterly meeting for expat and national, medical and logistic staffs concerned with supply and monitored pipeline; planed procurement: did quantification and reviewed budget for pharmaceutical