Chege (@cjohul) header
Chege (@cjohul) profile picture

Dreamer||Entrepreneur||Spiritual||Sage Unmessed Up!

Kiambu County, Kenya.
Joined July 2009
Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)Photo by Chege (@cjohul)
Pinned Tweet
Article 47 of the Constitution of Kenya guarantees every person the right to administrative action that is lawful, reasonable, and procedurally fair. @MOH_Kenya @ppbkenya @WHOKenya @muchiri_uri @NUrimuchiri @cjohul @elo_mapelu @EGichane @psmuthoni @HonAdenDuale @steveoyaya
14
7
10
295
Chege retweeted
Replying to @muciirimugi
Wapi huko? 😂
1
1
1
560
Replying to @doc_ovic
Bachelor of Science in Pharmacology.
1
1
9
2,746
Chege retweeted
Doctors tweeting about nurses. Nurses tweeting about doctors. Doctors vs COs. COs vs doctors. COs vs nurses. Nurses vs COs. Almost forgot ; pharmacists too. Only dental guys seem to be safe. Then there’s the Dip vs Degree intercadre war. Everyone has something to say about how “inferior” the other cadre is. And before we dismiss it as “just online banter,” hata kwa ground, the same toxicity exists. We’re being foolish. Healthcare is a team sport. Every cadre complements another. When we turn colleagues into competitors, we don’t elevate the profession—we weaken it. We don’t need to win against each other. We need to work with each other.
17
40
4
129
7,915
I would look at it this way: what makes it a valid medication error, and who certified it as an error? Because we must be true to ourselves that, in the medical field, the person standing next to a mortality case is almost always the one held responsible, even when there may be other reasons. I am not ignoring the possibility, but you know that even with a pharmacist or MPharm qualification, or even consultant status, errors happen. Consider the Aga Khan case where a pediatric consultant failed to diagnose meningitis and instead opted for psychosis: kenyalaw.org/akn/ke/judgment…. Restrictions play a role in patient safety; however, training and apprenticeships would make healthcare more accessible and affordable. We are in a tech-crowded era, and depending largely on human qualifications alone is not only archaic but also eluding reality. Using technology, pharmtechs would do a fantastic job as long as they are trained to use technology in their work. This does not necessarily mean replacing pharmacists. It means creating a system where different levels of healthcare workers can perform different tasks based on their training, competence, technology available to them, and the level of risk involved. Not every pharmaceutical task requires the same level of expertise. Routine and well-defined tasks can be supported by technology and handled by appropriately trained pharmtechs, while pharmacists can concentrate on more sophisticated clinical decisions, high-risk medicines, unusual cases, drug interactions and situations that genuinely require their expertise. Not a blanket application in the name of "New policies". The question therefore should not simply be who has the highest qualification, but who is competent to perform a particular task safely, what technology is available to support that task, and where professional supervision is actually necessary. This means pharmacists and above would also have to be trained on more sophisticated technology to handle the even more sophisticated duties, rather than simply developing policies around who is allowed to do what. The result of excessive restriction is that we may create human resource gaps that we cannot fill. And that makes it even more difficult to say we are saving people when more people cannot access the basic services that an average pharmtech would provide. Qualifications are important, but qualifications are not a guarantee that an error will never happen. Equally, having a lower qualification does not automatically mean that someone cannot safely perform a defined task, especially where there is proper training, technology, protocols and supervision. At what point does restricting who can provide a basic service in the name of safety itself become a patient-safety problem, when the result is that the service is no longer accessible to the people who need it?
Last night when the debate on Good Pharmacy Practice guidelines was raging on, someone sent me a message. A patient who had lost a child to a medication error. He says he has read through the guidelines and he is confident that if implemented, many lives will be saved.
2
4
8
821
Replying to @HonAdenDuale
It's is funny how Pharmacist fight for space in lower facilities yet there counter parts who are MOs can never work in a level 3 or 2 . facilities . Very hilarious 🤣
1
2
220
One of the biggest problems in Kenyan healthcare isn't simply a shortage of healthcare workers. It is how we deploy, remunerate, retain and manage the workforce we already have. You can train more professionals and still have a dysfunctional health system if the system cannot effectively utilise them. We need a Health Service Commission ASAP. And perhaps it's time to seriously reconsider the devolution of healthcare. Return healthcare to the national government. @kmpdu @KenyaMedics_KMA @MOH_Kenya @HonAdenDuale
3
6
415
Chege retweeted
Some people are very ignorant to think pharmTechs did not pass KCSE. Majority got B but chose dip. pharmacy. Ispokua ni vile wazazi hawakua na uwezo we could have gone to para for that degree you have of mku na kemu.pharmtechs are not paraproffesionals.
12
12
6
81
10,209
Because the real enemy isn't the pharmacist. And it isn't the pharm tech. It's a system where professional standards can exist on paper while poor practice survives on the ground. GPP should make that harder. Much harder.
1
2
2
151
Open sesame, I just want to congratulate the team 😂😂
FALSE: The Good Pharmacy Practice Guidelines exclude some qualified pharmaceutical professionals. TRUE: The Guidelines recognise pharmacists, pharmaceutical technologists, pharmacy specialists and other healthcare professionals providing pharmaceutical services. Different roles. One shared responsibility: safer patient care. #KnowPPB #GoodPharmacyPractice #PatientSafety
2
2
6
622
CAP 244 is SUPREME to GPP. Fight QUACKS, not Pharmaceutical Technologists. Those, 🫵🏾are POISONOUS Guidelines, PPB. ⚖️! VIVA COMRADES VIVA ✊🏾! UBUNTU INNIT! ALUTA CONTINUA.
7
25
1
51
2,166
The walk to Lenana Rd 🛣️. 📌 Pharmacy & Poisons Board. Adui ni QUACKS bana jooh! Not PHARMACEUTICAL TECHNOLOGISTS. ALUTA! ✊🏾!
1
9
24
1,154
We demand a clearly defined, competency-based Scope of Practice for Pharmaceutical Technologists, developed with meaningful participation of Pharmaceutical Technologist, and aligned with their approved curriculum, assessed competencies, experience and career progression.
1
3
153
We say no to pharmacistcentric GPP #RejectGPP
6
114