Del Cacho-Del Cacho María Elena, Lamin-Abdi Mohamed, Masoud-Mohamed Mulay, Luanco-Berdiel Victoria, Cofan-Pujol Montse, Azman-Hosein Salama, Castells-Lao Genis, Codina-Jané Carlos
Department of Pharmacy, Hospital Clínic, Barcelona. Spain. Medicus Mundi Mediterrània (MMMed), Barcelona. Spain..
Embarek Fakal.la Compounding Laboratory. Sahrawi Arab Democratic Republic..
Farm Hosp. 2021 Jun 2;45(5):262-267.
In 1992 Medicus Mundi Mediterrània and the Sahrawi Arab Democratic Republic spearheaded a cooperation project to set up a small drug compounding laboratory in the Sahrawi refugee camps located in the desert town of Rabouni (Algeria's Tindouf province). The goal of the project was to build a drug compounding facility, create a training center for local staff, and ensure local production of medicines in cases of inadequate supply.With the help of external experts and of multiple public and private organizations and institutions, a small compounding laboratory was established with separate work areas, similar to the lines of the laboratories found in Spanish hospitals. The laboratory now has a stable team of 10-12 pharmacy technicians led by a pharmacist. In the last 25 years, 40 Sahrawis have been trained through internships in hospital pharmacy departments abroad, visits to drug compounding labs in other countries, tutoring, and ongoing training programs. Products that can be compounded in the laboratory include capsules, oral solutions, creams and ointments, topical solutions, eye drops, and sterile irrigation and lavage solutions. Over fifty different formulations of varying degrees of complexity have been prepared. One of the most significant challenges, given the political situation and the geographical environment, has been the procurement and transportation of the active ingredients and the packaging materials/equipment required for the compounding process. After 25 years of continuous work, this project is now a reality thanks to the effort and direct involvement of the Sahrawi people. The experience gained in the last few years has shown the importance of coordinating drug preparation with local prescribing physicians, as well as having quality standards and facilities with homologated low complexity basic equipment that allows, in other areas that is required, the replication of this model.
1992年，地中海世界医生组织与阿拉伯撒哈拉民主共和国牵头开展了一个合作项目，在位于沙漠城镇拉布尼（阿尔及利亚廷杜夫省）的撒哈拉难民营建立一个小型药品配制实验室。该项目的目标是建立一个药品配制设施，为当地工作人员创建一个培训中心，并在供应不足的情况下确保药品的本地生产。在外部专家以及多个公共和私人组织及机构的帮助下，一个小型配制实验室得以建立，设有独立的工作区域，类似于西班牙医院里的实验室布局。该实验室目前有一个由一名药剂师带领的10至12名药剂技术员组成的稳定团队。在过去25年里，40名撒哈拉人通过在国外医院药房部门实习、参观其他国家的药品配制实验室、辅导以及持续培训项目接受了培训。该实验室能够配制的产品包括胶囊、口服溶液、乳膏和软膏、外用溶液、眼药水以及无菌冲洗液。已经配制出五十多种不同程度复杂的制剂。鉴于政治局势和地理环境，最重大的挑战之一一直是采购和运输配制过程所需的活性成分以及包装材料/设备。经过25年的持续努力，由于撒哈拉人民的努力和直接参与，这个项目如今成为了现实。过去几年积累的经验表明，与当地开处方的医生协调药品制备以及拥有质量标准和配备经认证的低复杂度基本设备的设施非常重要，这使得在其他需要的地区能够复制这个模式。
