{"id":3556,"date":"2020-01-20T15:01:28","date_gmt":"2020-01-20T15:01:28","guid":{"rendered":"https:\/\/malmed.gov.mk\/?p=3556"},"modified":"2020-01-25T00:04:01","modified_gmt":"2020-01-25T00:04:01","slug":"%d0%b8%d0%bd%d0%b2%d0%b5%d1%81%d1%82%d0%b8%d1%86%d0%b8%d1%98%d0%b0%d1%82%d0%b0-%d0%b2%d0%be-%d1%87%d0%be%d0%b2%d0%b5%d1%87%d0%ba%d0%b8-%d0%ba%d0%b0%d0%bf%d0%b8%d1%82%d0%b0%d0%bb-%d0%b5-%d0%b2%d1%80","status":"publish","type":"post","link":"https:\/\/malmed.gov.mk\/sq\/%d0%b8%d0%bd%d0%b2%d0%b5%d1%81%d1%82%d0%b8%d1%86%d0%b8%d1%98%d0%b0%d1%82%d0%b0-%d0%b2%d0%be-%d1%87%d0%be%d0%b2%d0%b5%d1%87%d0%ba%d0%b8-%d0%ba%d0%b0%d0%bf%d0%b8%d1%82%d0%b0%d0%bb-%d0%b5-%d0%b2%d1%80\/","title":{"rendered":"INVESTIMI N\u00cb KAPITALIN NJER\u00cbZOR \u00cbSHT\u00cb PRIORITET KRYESOR N\u00cb MALMED"},"content":{"rendered":"

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Intervist\u00eb p\u00ebr revist\u00ebn: Farmacevtski Informator<\/p>\n\n\n\n

Intervist\u00eb p\u00ebr revist\u00ebn: Farmacevtski Informator\/ Koh\u00eb m\u00eb par\u00eb jeni em\u00ebruar n\u00eb pozit\u00ebn prestigjioze drejtore n\u00eb Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore (MALMED). \u00c7\u2019far\u00eb sfide p\u00ebr ju paraqet menaxhimi me nj\u00eb institucion t\u00eb till\u00eb q\u00eb paraqet prioritet t\u00eb lart\u00eb (madhor) p\u00ebr shtetin?<\/strong><\/p>\n\n\n\n

Pozita e Drejtorit n\u00eb Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore (MALMED) \u00ebsht\u00eb svid\u00eb p\u00ebr secilin farmacist. Jam e vet\u00ebdishme p\u00ebr p\u00ebrgjegj\u00ebsin\u00eb e vet\u00eb funksionit dhe kompleksitetin e proceseve q\u00eb jan\u00eb n\u00eb kompetencat e Agjencis\u00eb, po n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb p\u00ebr mua \u00ebsht\u00eb nj\u00eb sfid\u00eb dhe nj\u00eb p\u00ebrvoj\u00eb e shk\u00eblqyer. Duke patur parasysh se e p\u00ebrkohshme \u00ebsht\u00eb gjith\u00e7ka, mund\u00ebsia p\u00ebr t\u00eb kontribuar n\u00eb nj\u00eb zon\u00eb kaq t\u00eb ndjeshme dhe t\u00eb p\u00ebrgjegjshme e cila ndikon drejt\u00ebp\u00ebrdrejt n\u00eb sh\u00ebndetin publik, e t\u00ebra kjo, q\u00eb nj\u00eb dit\u00eb p\u00ebr t\u00eb l\u00ebn\u00eb nj\u00eb trashigimi pas meje, \u00ebsht\u00eb vler\u00eb e pafund.<\/p>\n\n\n\n

Cila \u00ebsht\u00eb strategjia juaj p\u00ebr zhvillimin dhe poromovimin e Agjencis\u00eb? Cilat risi planifikoni t`i sjellni gjat\u00eb mandatit tuaj?<\/strong><\/p>\n\n\n\n

Investimi n\u00eb kapitalin njer\u00ebzor \u00ebsht\u00eb prioritet num\u00ebr nj\u00eb. Procesi i edukimit dhe p\u00ebrmir\u00ebsimit duhet t\u00eb vazhdoj\u00eb t\u00eb zhvillohet n\u00eb vazhdim\u00ebsi dhe mendoj q\u00eb sa m\u00eb shum\u00eb t\u00eb p\u00ebrqendrohemi n\u00eb k\u00ebt\u00eb sfer\u00eb, p\u00ebrfitimet do t\u00eb jen\u00eb m\u00eb t\u00eb m\u00ebdha dhe n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb do t\u00eb reflektoj\u00eb n\u00eb pun\u00ebn ton\u00eb t\u00eb p\u00ebrditshme. N\u00eb periudh\u00ebn e kaluar kemi b\u00ebr\u00eb rrumbullaksimin e gjendjes momentale. S\u00eb bashku, n\u00eb nj\u00eb nivel shum\u00eb t\u00eb lart\u00eb, kemi kryer analiza funksionale, me \u00e7ertifikim ISO e cila na mund\u00ebsoi n\u00eb t\u00ebr\u00ebsi ti kalojm\u00eb t\u00eb gjitha proceset dhe procedurat q\u00eb jan\u00eb baza e pun\u00ebs son\u00eb. E t\u00ebra kjo \u00ebsht\u00eb m\u00eb q\u00ebllim, rritja e aft\u00ebsive administrative p\u00ebr zbatimin e legjislacionit n\u00eb p\u00ebrputhje me praktikat pozitive. K\u00ebtu d\u00ebshiroj t\u00eb theksoj rrolin e t\u00eb pun\u00ebsuarve n\u00eb MALMED, si bart\u00ebs kryesor\u00eb t\u00eb proceseve legjislative n\u00eb vend, por edhe t\u00eb zhvillimit profesional n\u00eb fushat p\u00ebr t\u00eb cilat jan\u00eb p\u00ebrgjegj\u00ebs.
P\u00ebrve\u00e7 fokusit par\u00ebsor, e cila ka p\u00ebrq\u00ebllim harmonizimin e legjislacionit t\u00eb tanish\u00ebm me at\u00eb t\u00eb Bashkimit Evropian, p\u00ebrmes Twinning Light projektit me Agjencin\u00eb e barnave t\u00eb Lituanis\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb ta leht\u00ebsojm\u00eb bashk\u00ebpunimin dhe rrjet\u00ebzimin midis autoriteteve kompetente, organizatat rajonale dhe nd\u00ebrkomb\u00ebtare, duke rritur k\u00ebshtu besimin e nd\u00ebrsjell\u00eb n\u00eb vitin 2020, jan\u00eb planifikuar p\u00ebrgatitjet p\u00ebr p\u00ebrfshirjen e inspektor\u00ebve farmaceutik n\u00eb PIC\/S. Projekti ka p\u00ebr q\u00ebllimt\u00eb harmonizoj\u00ebprocedurat e inspektimit n\u00eb t\u00ebr\u00eb bot\u00ebn p\u00ebrmes zhvillimitt\u00eb standarteve t\u00eb p\u00ebrbashk\u00ebta n\u00eb sferat e praktik\u00eb e mir\u00eb prodhuese (\u0413\u041c\u041f) si dhe mund\u00ebsin\u00eb p\u00ebr trajnim t\u00eb inspektor\u00ebve, nd\u00ebrsa palnifikohet edhe nj\u00eb sistem komb\u00ebtar p\u00ebr moniterimin e barnave dhe p\u00ebrgatitja p\u00ebr benchmarking me Organizat\u00ebn bot\u00ebrore t\u00eb sh\u00ebndet\u00ebsis\u00eb (WHO).<\/p>\n\n\n\n

N\u00eb biografin tuaj theksohet q\u00eb n\u00eb procesin e p\u00ebrsosjes s\u00eb profilit profesional keni specializuar n\u00eb sferat e farmacis\u00eb regulative dhe legjislacionit. Me \u00c7ka n\u00eb pjes\u00ebn ligjore t\u00eb legjislacionit p\u00ebr momentin punohet n\u00eb drejtim t\u00eb p\u00ebrmir\u00ebsimit dhe promovimit t\u00eb saj?<\/strong><\/p>\n\n\n\n

N\u00eb biografin tuaj theksohet q\u00eb n\u00eb procesin e p\u00ebrsosjes s\u00eb profilit profesional keni specializuar n\u00eb sferat e farmacis\u00eb regulative dhe legjislacionit. Me \u00c7ka n\u00eb pjes\u00ebn ligjore t\u00eb legjislacionit p\u00ebr momentin punohet n\u00eb drejtim t\u00eb p\u00ebrmir\u00ebsimit dhe promovimit t\u00eb saj?\nLigjet, standardet dhe praktikat e mirap\u00ebrfaq\u00ebsojn\u00eb materien e gjall\u00eb e cila po m\u00ebrmir\u00ebsohet vazhdimisht me p\u00ebrfshirjen e njohurive dhe praktikave t\u00eb reja shkencore dhe teknologjike. Pas angazhimeve t\u00eb Qeveris\u00eb s\u00eb Republik\u00ebs s\u00eb Maqedonis\u00eb s\u00eb Veriut p\u00ebr integrimin e vendit n\u00eb familjen e shteteve an\u00ebtare t\u00eb Bashkimit Evropian n\u00eb nj\u00ebr\u00ebn an\u00eb, si dhe deklarimi yn\u00eb profesional p\u00ebr moniterimin dhe integrimin e ndryshimeve t\u00eb standarteve dhe praktikat e mira n\u00eb sfer\u00ebn e farmacis\u00eb, e filluam T\u00ebinning Light projektin me Agjencin\u00eb e barnave t\u00eb Lituanis\u00eb. Ky projekt ka p\u00ebr q\u00ebllim harmonizimin e Ligjit p\u00ebr barna dhe pajisjeve mjek\u00ebsore dhe akteve n\u00ebnligjore, udh\u00ebzime dhe metodologji q\u00eb dalin nga ajo me ligjet e Bashkimit Evropian.
Projekti do te zgjas\u00eb 8 muaj dhe n\u00eb t\u00eb, p\u00ebrve\u00e7 punonj\u00ebsve n\u00eb MALMED, do t\u00eb jen\u00eb t\u00eb p\u00ebrfshira t\u00eb gjitha pal\u00ebt e interesuara. K\u00ebtu, para s\u00eb gjithash, mendoj n\u00eb institucionet p\u00ebrkat\u00ebse sh\u00ebndet\u00ebsore t\u00eb cilat jan\u00eb partner\u00eb tan\u00eb n\u00eb pun\u00eb. N\u00eb t\u00eb v\u00ebrtet\u00eb, Ministria e sh\u00ebndet\u00ebsis\u00eb, fakulteti i farmacis\u00eb dhe mjek\u00ebsis\u00eb, Dhoma farmaceutike dhe mjek\u00ebsore etj. Q\u00ebllimi i projektit \u00ebsht\u00eb p\u00ebrmes pun\u00ebs transparente t\u00eb rrumbullaksojm\u00eb harmonizimin e ligjit dhe akteve n\u00ebnligjore dhe t\u00eb sigurojm\u00eb implementimin e saj t\u00eb shpejt\u00eb dhe t\u00eb drejt\u00eb n\u00eb t\u00ebr\u00eb sistemin sh\u00ebndet\u00ebsor. Pastaj, MALMED do t\u00eb jap\u00eb mb\u00ebshtetj\u00ebn e saj si n\u00eb krijimin e politikave sh\u00ebndet\u00ebsore ashtu edhe n\u00eb implementimin aktiv si dhe realizimin e tyre.<\/p>\n\n\n\n

Deri ku ka arritur realizimi i projektit sistemin e integruar informatif si dhe t\u00eb proektit p\u00ebr sistem komb\u00ebtar t\u00eb farmakovigilanc\u00ebs ? Cilat p\u00ebrfitime priten p\u00ebr qytetar\u00ebt dhe p\u00ebr t\u00ebr\u00eb stafin mjek\u00ebsor nga rrumbullaksimi i k\u00ebtyre projekteve?<\/strong><\/p>\n\n\n\n

Jeta e barnave fillon pas v\u00ebnies s\u00eb tyre n\u00eb treg. P\u00ebrskaj procedur\u00ebs p\u00ebr marrje t\u00eb marketing autorizimit (autorizimit p\u00ebr treg\u00ebti). Ndjekja e barnave, si dhe paraqitja e efekteve an\u00ebsore, jan\u00eb mekanizma me t\u00eb cilat autoritetet komb\u00ebtare rregullatore (MALMED) siguron proceset dhe procedurat t\u00eb cilat sigurojn\u00eb sigurin\u00eb, efikasitetin dhe kualitetin e barnave n\u00eb gjith\u00eb teritorin. Instalimi i sistemit p\u00ebr monitorim t\u00eb barnave n\u00eb p\u00ebrditshm\u00ebri me rekomandimet e OBSH (WHO) n\u00eb t\u00eb gjitha nivelet e sigurimit sh\u00ebndet\u00ebsor t\u00eb t\u00eb gjitha barnave pa dallim n\u00eb regjimin e dh\u00ebnies (shitjes), jan\u00eb pjes\u00eb e projektit. Kjo pjes\u00eb e projektit do t\u00eb ket\u00eb ndikim serioz mbi p\u00ebrshkrimin dhe p\u00ebrdorimin racional t\u00eb barnave nga nj\u00ebra an\u00eb, gjithashtu n\u00eb m\u00ebnyr\u00eb indirekte do t\u00eb ndikoj\u00eb n\u00eb p\u00ebrpilimin e list\u00ebs pozitive t\u00eb barnave. N\u00eb t\u00eb v\u00ebrtet\u00eb, kjo do t\u00eb siguroj\u00eb t\u00eb dh\u00ebna p\u00ebr terapi t\u00eb reja dhe do t\u00eb mund\u00ebsoj shp\u00ebrndarje racionale t\u00eb mjeteve t\u00eb destinuara p\u00ebr barna.<\/p>\n\n\n\n

Si e vler\u00ebsoni pozit\u00ebn e farmacist\u00ebve n\u00eb sistemin sh\u00ebndet\u00ebsor? Prej pozit\u00ebs s\u00eb njeriut t\u00eb par\u00eb n\u00eb Agjencin\u00eb e barnave. \u00c7`far\u00eb duhet b\u00ebr\u00eb p\u00ebr ngritjen e nivelit t\u00eb profesionalizmit n\u00eb pun\u00ebn e pun\u00ebtor\u00ebve sh\u00ebndet\u00ebsor \u2013 farmacist\u00ebve?<\/strong><\/p>\n\n\n\n

Vendi dhe pozita e t\u00eb gjith\u00eb pjes\u00ebmarr\u00ebsve n\u00eb sistemin sh\u00ebndet\u00ebsor \u00ebsht\u00eb drejt\u00ebp\u00ebrs\u00ebdrejti e lidhur me klim\u00ebn e p\u00ebrgjithshme dhe gjendjen e shoq\u00ebris\u00eb n\u00eb p\u00ebrgjith\u00ebsi dhe mendoj p\u00ebr avancimin e pozit\u00ebs e p\u00ebrgjithshme secili duhet s\u00ebpari t\u00eb filloj\u00eb nga vetvetja. Dhe p\u00ebrkund\u00ebr situat\u00ebs momentale t\u00eb burokracis\u00eb s\u00eb tep\u00ebrt, t\u00eb st\u00ebrtepruara, t\u00eb ardhura t\u00eb pamjaftueshme mujore dhe faktor\u00eb t\u00eb tjer\u00eb q\u00eb kan\u00eb ndikim duhet t\u00eb mundohemi individualisht t\u00eb b\u00ebjm\u00eb nj\u00eb hap m\u00eb shum\u00eb. Padyshim q\u00eb mb\u00ebshtetja dhe iniciativa duhet t\u00eb vijn\u00eb prej farmacist\u00ebve q\u00eb jan\u00eb n\u00eb pozitat udh\u00ebheq\u00ebse n\u00eb t\u00eb gjitha institucionet e sistemit sh\u00ebndet\u00ebsor. Pas k\u00ebsaj\u00eb faze padyshim tendenca p\u00ebr p\u00ebrmbushjen e standarteve t\u00eb larta dhe praktikat e mira reflektojne\u00eb n\u00eb t\u00eb gjith\u00eb sektorin e farmacis\u00eb.<\/p>\n\n\n\n

\u00c7`far\u00eb hapash duhet nd\u00ebrmarr\u00eb sipas jush, p\u00ebr mbijetes\u00ebn e institutit klinik farmaceutik si pjes\u00eb e stafit sh\u00ebndet\u00ebsor n\u00eb spital?<\/strong><\/p>\n\n\n\n

Farmacisti klinik siguron\u00eb proces konzistent t\u00eb p\u00ebrkujdesit p\u00ebr pacientin duke p\u00ebrdorur njohuri t\u00eb specializuara p\u00ebr p\u00ebrdorimin klinik\u00eb dhe shkencor t\u00eb barnave p\u00ebrfshir\u00eb edhe efektin e barnave, dozimin, efektet negative si dhe interakcionet tek barnat. Gjat\u00eb kryerjes s\u00eb aktiviteteve p\u00ebr p\u00ebrkujdesje t\u00eb pacient\u00ebve, n\u00eb bashk\u00ebpunim me an\u00ebtar\u00ebt e tjer\u00eb t\u00eb t\u00eb stafit p\u00ebr p\u00ebrkujdesje sh\u00ebndet\u00ebsore, farmacist\u00ebt i p\u00ebrmbushin q\u00ebllimet e p\u00ebrgjithshme p\u00ebr p\u00ebrkujdesje t\u00eb pacient\u00ebve, t\u00eb p\u00ebrcaktuara nga i gjith\u00eb stafi i punonj\u00ebsve sh\u00ebndet\u00ebsor\u00eb.
Mbijetesa e institucionit farmacist klinik \u00ebsht\u00eb padyshim e r\u00ebnd\u00ebsishme p\u00ebrshkak se mbi bazat e p\u00ebrvojave personale klinike, i k\u00ebshillon pacient\u00ebt se si m\u00eb mir\u00eb t\u00eb p\u00ebrdoren barnat. Gjithashtu farmacisti klinik p\u00ebrkrah p\u00ebrpjekjet e stafit (ekipit) t\u00eb siguris\u00eb sh\u00ebndet\u00ebsor, edukon pacientin p\u00ebr hapat tjer\u00eb p\u00ebr p\u00ebrmir\u00ebsimin e sh\u00ebndetit. Ato jan\u00eb, ushtrimet, dieta dhe realizimi i hapave preventive, si psh, imunizimi, n\u00eb zgjidhjen e problemeve sh\u00ebndet\u00ebsore me p\u00ebrdorimin racional t\u00eb barnave.<\/p>\n\n\n\n

Koh\u00ebt e fundit \u00ebsht\u00eb evidente se n\u00ebp\u00ebr barnatore \u00ebsht\u00eb m\u00eb v\u00ebshtir\u00eb marrja e barnave pa receta, por me fillimin e sezonit t\u00eb ftohjes dhe gripit sikur rritet presioni i qytetar\u00ebve t\u00eb cil\u00ebt \u201cluajn\u00eb\u201d rrolin e t\u00eb qenurit mjek q\u00eb t\u00eb blejn\u00eb antibiotik pa recept. \u00c7`ka nd\u00ebrmerr\u00eb Agjencioni i barnave n\u00eb k\u00ebt\u00eb drejtim q\u00eb t\u00eb parandaloj\u00eb konsumin e pakontrolluar t\u00eb antibiotik\u00ebve, q\u00eb, si\u00e7 paralajm\u00ebrojn\u00eb ekspert\u00ebt, a mund t\u00eb \u00e7oj\u00eb n\u00eb rezistenc\u00eb?<\/strong><\/p>\n\n\n\n

MALMED me aktivitetet e rregullta nd\u00ebrmerr n\u00ebnkontroll\u00eb p\u00ebr dh\u00ebnien e rregullt t\u00eb antibiotik\u00ebve me revision inspektues t\u00eb rregullt mbi barnatoret, Por q\u00eb t\u00eb ndodhin reformat e v\u00ebrteta mbi p\u00ebrdorimin e antibiotik\u00ebve, individ\u00ebt si dhe autoritetet sh\u00ebndet\u00ebsore duhet q\u00eb ta marrin p\u00ebrgjegj\u00ebsin\u00eb p\u00ebr problemin me q\u00ebllim t\u00eb sigurojn\u00eb lidership q\u00eb t\u00eb ndryshohet kjo kriz\u00eb sh\u00ebndet\u00ebsore.
Futja e antibiotik\u00ebve n\u00eb praktik\u00ebn mjek\u00ebsore n\u00eb vitet 1940-t\u00eb, \u00ebsht\u00eb hap\u00ebrim revolucionar t\u00eb parandalimit t\u00eb s\u00ebmundjeve ngjit\u00ebse tek njer\u00ebzit, kurse sot kaq vite m\u00eb von\u00eb, punonj\u00ebsit sh\u00ebndet\u00ebsor anemban\u00eb bot\u00ebs nuk mund t\u00eb shpresojn\u00eb q\u00eb antibiotiku i p\u00ebrzgjedhur t\u00eb sh\u00ebroj\u00eb s\u00ebmundjen.
Meq\u00eb rezistenca ndaj antibiotik\u00ebve \u00ebsht\u00eb pasoj\u00eb natyrale e p\u00ebrdorimit t\u00eb antibiotik\u00ebve, kjo rezistenc\u00eb n\u00eb praktik\u00ebn klinike, mund t\u00eb parandalohet me rritjen e p\u00ebrkujdesit p\u00ebr pacient\u00ebt. Vitet e fundit \u00ebsht\u00eb paraqitur nj\u00eb skem\u00eb n\u00eb t\u00eb cilin pas fillimit t\u00eb antibiotikut t\u00eb ri ndodh p\u00ebrdorim i pa kontrolluar dhe keqp\u00ebrdorues, e t\u00ebra kjo rezulton me paraqitje t\u00eb p\u00ebrshpejtuar t\u00eb rezistenc\u00ebs. P\u00ebrdorimi i antibiotikut nuk ndikon vet\u00ebm tek individ\u00ebt por edhe tek rrethi i individit.
\u0427\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u043d\u0438\u0442\u0435 \u0441\u043e\u0435\u0432\u0438 \u0441\u0435 \u043e\u0442\u0441\u0442\u0440\u0430\u043d\u0443\u0432\u0430\u0430\u0442 \u0438 \u0433\u0438 \u0437\u0430\u043c\u0435\u043d\u0443\u0432\u0430\u0430\u0442 \u043e\u0442\u043f\u043e\u0440\u043d\u0438 \u0432\u0438\u0434\u043e\u0432\u0438. \u0422\u0430\u043a\u0430, \u0441\u0435\u043a\u043e\u0458\u0430 \u043d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u043d\u0430 \u0438\u043b\u0438 \u043b\u043e\u043a\u0430\u043b\u043d\u0430 \u0441\u0442\u0440\u0430\u0442\u0435\u0433\u0438\u0458\u0430 \u0437\u0430 \u0441\u043f\u0440\u0435\u0447\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043e\u0442\u043f\u043e\u0440\u043d\u043e\u0441\u0442\u0430 \u043a\u043e\u043d \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438 \u0442\u0440\u0435\u0431\u0430 \u0434\u0430 \u0458\u0430 \u0438\u0441\u0442\u0430\u043a\u043d\u0435 \u043f\u0440\u0443\u0434\u0435\u043d\u0442\u043d\u0430\u0442\u0430 \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430 \u043d\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438 \u0437\u0430 \u0434\u0430 \u0441\u0435 \u043e\u0432\u043e\u0437\u043c\u043e\u0436\u0438 \u0440\u0435\u0441\u0442\u0430\u0432\u0440\u0430\u0446\u0438\u0458\u0430 \u043d\u0430 \u043f\u043e\u0434\u043b\u043e\u0436\u043d\u0430\u0442\u0430 \u0444\u043b\u043e\u0440\u0430 \u0432\u043e \u043e\u0434\u0440\u0435\u0434\u0435\u043d\u0430 \u0437\u0430\u0435\u0434\u043d\u0438\u0446\u0430.
\u041f\u0440\u0435\u043f\u043e\u0437\u043d\u0430\u0432\u0430\u045a\u0435\u0442\u043e \u043d\u0430 \u0443\u043b\u043e\u0433\u0430\u0442\u0430 \u0448\u0442\u043e \u0458\u0430 \u0438\u0433\u0440\u0430 \u043c\u0438\u043a\u0440\u043e\u0431\u043d\u0430\u0442\u0430 \u0435\u043a\u043e\u043b\u043e\u0433\u0438\u0458\u0430 \u043f\u0440\u0438 \u0434\u043e\u043c\u0443\u0432\u0430\u045a\u0435 \u0438 \u0440\u0430\u0437\u043c\u043d\u043e\u0436\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043e\u0442\u043f\u043e\u0440\u043d\u0438\u0442\u0435 \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0438 \u0438 \u043a\u043e\u043c\u043f\u0435\u043d\u0437\u0430\u043b\u043d\u0438 \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0438, \u045c\u0435 \u043f\u043e\u043c\u043e\u0433\u043d\u0435 \u043c\u043d\u043e\u0433\u0443 \u0432\u043e \u0443\u043d\u0430\u043f\u0440\u0435\u0434\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u0443\u043f\u0430\u0442\u0441\u0442\u0432\u0430\u0442\u0430 \u0437\u0430\u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430\u043d\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438. \u0412\u043e \u0442\u0430\u0430 \u0441\u043c\u0438\u0441\u043b\u0430, \u0433\u043b\u0430\u0432\u043d\u0438\u0442\u0435 \u043d\u0430\u0441\u043e\u043a\u0438, \u0441\u043e \u0446\u0435\u043b \u0434\u0430 \u0441\u0435 \u0441\u043f\u0440\u0435\u0447\u0438 \u043d\u0435\u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0430\u043d\u043e \u043f\u0440\u0438\u043c\u0430\u045a\u0435 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438\u0442\u0435 \u0442\u0440\u0435\u0431\u0430 \u0434\u0430 \u0431\u0438\u0434\u0430\u0442:
\u2022 \u041f\u043e\u0434\u043e\u0431\u0440\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043d\u0430\u0434\u0437\u043e\u0440\u043e\u0442 \u043d\u0430 \u043e\u0442\u043f\u043e\u0440\u043d\u043e\u0441\u0442 \u043d\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438;
\u2022 \u041f\u043e\u0434\u043e\u0431\u0440\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430\u0442\u0430 \u043d\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438 \u043a\u0430\u0458 \u043b\u0443\u0453\u0435\u0442\u043e;
\u2022 \u0417\u0433\u043e\u043b\u0435\u043c\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u0440\u0435\u0441\u0443\u0440\u0441\u0438\u0442\u0435 \u0437\u0430 \u0441\u043f\u0440\u0435\u0447\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043e\u0442\u043f\u043e\u0440\u043d\u043e\u0441\u0442 \u043a\u043e\u043d \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u0446\u0438 \u0432\u043e \u0437\u0435\u043c\u0458\u0438\u0442\u0435
\u0432\u043e \u0440\u0430\u0437\u0432\u043e\u0458;
\u2022 \u0408\u0430\u043a\u043d\u0435\u045a\u0435 \u043d\u0430 \u0444\u0438\u043d\u0430\u043d\u0441\u0438\u0440\u0430\u045a\u0435\u0442\u043e \u0437\u0430 \u043d\u0430\u0434\u0437\u043e\u0440, \u0438\u0441\u0442\u0440\u0430\u0436\u0443\u0432\u0430\u045a\u0435, \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0438\u0442\u043d.<\/p>\n\n\n\n

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\u0414\u0435\u043d\u0435\u0441 \u0435\u0434\u0435\u043d \u043e\u0434 \u043f\u0440\u0435\u0434\u0438\u0437\u0432\u0438\u0446\u0438\u0442\u0435 \u0435 \u0434\u0430 \u0441\u0435 \u043f\u0440\u043e\u0438\u0437\u0432\u0435\u0434\u0430\u0442 \u043d\u0430\u0458\u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u0438 \u0431\u0438\u043e\u043b\u043e\u0448\u043a\u0438 \u043b\u0435\u043a\u043e\u0432\u0438. \u041d\u0438\u0435, \u043a\u0430\u043a\u043e \u043d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u043d\u043e \u0440\u0435\u0433\u0443\u043b\u0430\u0442\u043e\u0440\u043d\u043e \u0442\u0435\u043b\u043e, \u0433\u0438 \u0441\u043b\u0435\u0434\u0438\u043c\u0435 \u0430\u043a\u0432\u0438\u0437\u0438\u0446\u0438\u0438\u0442\u0435 \u043d\u0430 \u0433\u043e\u043b\u0435\u043c\u0438\u0442\u0435 \u0438\u043d\u043e\u0432\u0430\u0442\u0438\u0432\u043d\u0438 \u043a\u043e\u043c\u043f\u0430\u043d\u0438\u0438 \u043d\u0430 \u0433\u043b\u043e\u0431\u0430\u043b\u043d\u043e \u043d\u0438\u0432\u043e \u0438 \u043d\u0438\u0432\u043d\u0438\u043e\u0442 \u0444\u043e\u043a\u0443\u0441 \u043a\u043e\u043d \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0441\u0442\u0432\u043e\u0442\u043e \u043d\u0430 \u0431\u0438\u043e\u043b\u043e\u0448\u043a\u0438 \u043c\u043e\u043b\u0435\u043a\u0443\u043b\u0438 \u0438 \u0441\u043c\u0435 \u043f\u043e\u0434\u0433\u043e\u0442\u0432\u0435\u043d\u0438, \u043e\u0434 \u0440\u0435\u0433\u0443\u043b\u0430\u0442\u043e\u0440\u0435\u043d \u0430\u0441\u043f\u0435\u043a\u0442, \u0434\u0430 \u0438\u043c \u043e\u0432\u043e\u0437\u043c\u043e\u0436\u0438\u043c\u0435 \u043a\u043b\u0438\u043c\u0430 \u043d\u0430 \u0438\u0441\u0442\u0438\u0442\u0435, \u043f\u0440\u0435\u043a\u0443 \u043d\u0438\u0432\u043d\u0438\u0442\u0435 \u043f\u0440\u0435\u0442\u0441\u0442\u0430\u0432\u043d\u0438\u0448\u0442\u0432\u0430 \u0437\u0430 \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0458\u0430. \u041d\u0438\u0435 \u0441\u043c\u0435 \u043f\u043e\u0434\u0433\u043e\u0442\u0432\u0435\u043d\u0438 \u0434\u0430 \u0433\u043e \u0441\u043b\u0435\u0434\u0438\u043c\u0435 \u0441\u0432\u0435\u0442\u0441\u043a\u0438\u043e\u0442 \u0442\u0440\u0435\u043d\u0434 \u043d\u0430 \u0432\u043e\u0432\u0435\u0434\u0443\u0432\u0430\u045a\u0435 \u043d\u043e\u0432\u0438 \u043c\u043e\u043b\u0435\u043a\u0443\u043b\u0438, \u043d\u0435 \u0441\u0430\u043c\u043e \u0437\u0430 \u0431\u0438\u043e\u043b\u043e\u0448\u043a\u0438\u0442\u0435 \u0442\u0443\u043a\u0443 \u0438 \u0437\u0430 \u043b\u0435\u043a\u043e\u0432\u0438\u0442\u0435 \u0437\u0430 \u0440\u0435\u0442\u043a\u0438 \u0431\u043e\u043b\u0435\u0441\u0442\u0438, \u043b\u0435\u043a\u043e\u0432\u0438\u0442\u0435 \u043a\u043e\u0438 \u0441\u0435 \u0434\u043e\u0431\u0438\u0432\u0430\u0430\u0442 \u0441\u043e \u0440\u0435\u043a\u043e\u043c\u0431\u0438\u043d\u0430\u0446\u0438\u0458\u0430 \u043d\u0430 \u0433\u0435\u043d\u0438 \u0438 \u0441\u043b\u0438\u0447\u043d\u043e.<\/p>\n\n\n\n

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\u2013 \u0414\u0430 \u0441\u0435 \u043e\u0431\u0435\u0437\u0431\u0435\u0434\u0438 \u0434\u043e\u0441\u0442\u0430\u043f\u043d\u043e\u0441\u0442 \u043d\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0441\u043a\u0438 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438 (\u0431\u0435\u0437 \u043e\u0433\u043b\u0435\u0434 \u0434\u0430\u043b\u0438 \u0441\u0435 \u0443\u0432\u0435\u0437\u0435\u043d\u0438 \u0438\u043b\u0438 \u043f\u0440\u043e\u0438\u0437\u0432\u0435\u0434\u0435\u043d\u0438 \u043b\u043e\u043a\u0430\u043b\u043d\u043e) \u043a\u043e\u0438 \u0441\u0435 \u0441\u043e \u0434\u043e\u0431\u0430\u0440 \u043a\u0432\u0430\u043b\u0438\u0442\u0435\u0442, \u0441\u0438\u0433\u0443\u0440\u043d\u0438 \u0438 \u0435\u0444\u0438\u043a\u0430\u0441\u043d\u0438.
\u0418\u043d\u0441\u0442\u0438\u0442\u0443\u0446\u0438\u0438\u0442\u0435 \u043a\u043e\u0438 \u0441\u0435 \u043e\u0434\u0433\u043e\u0432\u043e\u0440\u043d\u0438 \u0437\u0430 \u043e\u0441\u0438\u0433\u0443\u0440\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043a\u0432\u0430\u043b\u0438\u0442\u0435\u0442\u043e\u0442 \u043d\u0430 \u0432\u0430\u043a\u0446\u0438\u043d\u0438\u0442\u0435 \u0441\u0435 \u041d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u043d\u0430\u0442\u0430 \u0440\u0435\u0433\u0443\u043b\u0430\u0442\u043e\u0440\u043d\u0430 \u0430\u0433\u0435\u043d\u0446\u0438\u0458\u0430 (\u041c\u0410\u041b\u041c\u0415\u0414) \u0438 \u041d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u043d\u0430\u0442\u0430 \u043a\u043e\u043d\u0442\u0440\u043e\u043b\u043d\u0430 \u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u0458\u0430 (\u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u0458\u0430\u0442\u0430 \u043f\u0440\u0438 \u0424\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0441\u043a\u0438\u043e\u0442 \u0444\u0430\u043a\u0443\u043b\u0442\u0435\u0442 \u0438 \u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u0458\u0430\u0442\u0430 \u043f\u0440\u0438 \u0418\u043d\u0441\u0442\u0438\u0442\u0443\u0442 \u0437\u0430 \u0458\u0430\u0432\u043d\u043e \u0437\u0434\u0440\u0430\u0432\u0458\u0435).
\u041c\u0410\u041b\u041c\u0415\u0414 \u0435 \u043e\u0434\u0433\u043e\u0432\u043e\u0440\u0435\u043d \u0437\u0430 \u0432\u043e\u0441\u043f\u043e\u0441\u0442\u0430\u0432\u0443\u0432\u0430\u045a\u0435 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0438 \u043a\u043e\u0438 \u045c\u0435 \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0440\u0430\u0430\u0442 \u0434\u0435\u043a\u0430 \u0431\u0438\u043e\u043b\u043e\u0448\u043a\u0438\u0442\u0435 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438, \u043d\u0430\u043c\u0435\u043d\u0435\u0442\u0438 \u0437\u0430 \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u0430, \u0441\u0435 \u0441\u043e \u0441\u043e\u043e\u0434\u0432\u0435\u0442\u0435\u043d \u043a\u0432\u0430\u043b\u0438\u0442\u0435\u0442, \u0431\u0435\u0437\u0431\u0435\u0434\u043d\u0438 \u0438 \u0435\u0444\u0438\u043a\u0430\u0441\u043d\u0438. \u041e\u0432\u0430\u0430 \u043e\u0434\u0433\u043e\u0432\u043e\u0440\u043d\u043e\u0441\u0442 \u0442\u0440\u0435\u0431\u0430 \u0434\u0430 \u0438\u043c\u0430 \u0446\u0432\u0440\u0441\u0442\u0430 \u0440\u0435\u0433\u0443\u043b\u0430\u0442\u043e\u0440\u043d\u0430 \u043e\u0441\u043d\u043e\u0432\u0430 \u0438 \u0434\u0430 \u0435 \u043f\u043e\u0434\u0434\u0440\u0436\u0430\u043d\u0430 \u0441\u043e \u0437\u0430\u043a\u043e\u043d\u0441\u043a\u0430 \u043b\u0435\u0433\u0438\u0441\u043b\u0430\u0442\u0438\u0432\u0430.
\u041c\u0430\u0440\u043a\u0435\u0442\u0438\u043d\u0433 \u0430\u0432\u0442\u043e\u0440\u0438\u0437\u0430\u0446\u0438\u0458\u0430\u0442\u0430 (\u043b\u0438\u0446\u0435\u043d\u0446\u0438\u0440\u0430\u045a\u0435\u0442\u043e) \u043d\u0430 \u0431\u0438\u043e\u043b\u043e\u0448\u043a\u0438\u0442\u0435 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438 \u0441\u0435 \u043e\u0434\u043e\u0431\u0440\u0443\u0432\u0430 \u043e\u0434 \u041c\u0410\u041b\u041c\u0415\u0414 \u0438 \u0438\u0441\u0442\u0430\u0442\u0430 \u0435 \u043e\u0434\u0433\u043e\u0432\u043e\u0440\u043d\u0430 \u0437\u0430 \u043c\u043e\u043d\u0438\u0442\u043e\u0440\u0438\u0440\u0430\u045a\u0435 \u043d\u0430 \u043f\u0440\u043e\u0438\u0437\u0432\u043e\u0434\u0438\u0442\u0435 \u0438 \u043f\u043e \u043d\u0438\u0432\u043d\u043e\u0442\u043e \u043b\u0438\u0446\u0435\u043d\u0446\u0438\u0440\u0430\u045a\u0435.
\u0421\u043e \u0446\u0435\u043b \u0434\u0430 \u0441\u0435 \u043d\u0430\u043c\u0430\u043b\u0438 \u0432\u0435\u0440\u043e\u0458\u0430\u0442\u043d\u043e\u0441\u0442\u0430 \u0437\u0430 \u043f\u043e\u0458\u0430\u0432\u0430 \u043d\u0430 \u0444\u0430\u043b\u0441\u0438\u0444\u0438\u043a\u0443\u0432\u0430\u043d\u0438 \u043b\u0435\u043a\u043e\u0432\u0438, \u0432\u043e \u043f\u043e\u0434\u0433\u043e\u0442\u043e\u0432\u043a\u0430 \u0441\u043c\u0435 \u043d\u0430 \u0444\u043e\u0440\u043c\u0438\u0440\u0430\u045a\u0435 \u043d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u0435\u043d \u0441\u0438\u0441\u0442\u0435\u043c \u0437\u0430 \u0441\u043b\u0435\u0434\u0435\u045a\u0435 \u043d\u0430 \u0441\u0438\u0442\u0435 \u043b\u0435\u043a\u043e\u0432\u0438 \u043d\u0430 \u0446\u0435\u043b\u0430 \u0442\u0435\u0440\u0438\u0442\u043e\u0440\u0438\u0458\u0430 \u043d\u0430 \u0434\u0440\u0436\u0430\u0432\u0430\u0442\u0430.
\u041f\u043e \u0432\u043e\u0441\u043f\u043e\u0441\u0442\u0430\u0432\u0443\u0432\u0430\u045a\u0435 \u043d\u0430 \u043d\u0430\u0446\u0438\u043e\u043d\u0430\u043b\u043d\u0438\u043e\u0442 \u0441\u0438\u0441\u0442\u0435\u043c \u0437\u0430 \u0441\u043b\u0435\u0434\u0435\u045a\u0435, \u043d\u0438 \u0441\u0435 \u043e\u0442\u0432\u043e\u0440\u0430 \u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0430 \u0437\u0430 \u0432\u043b\u0435\u0433\u0443\u0432\u0430\u045a\u0435 \u0432\u043e \u0435\u0432\u0440\u043e\u043f\u0441\u043a\u0438\u043e\u0442 \u0441\u0438\u0441\u0442\u0435\u043c \u043a\u043e\u0458 \u0438\u0441\u0442\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043e \u045c\u0435 \u043d\u0438 \u043e\u0432\u043e\u0437\u043c\u043e\u0436\u0438 \u0438 \u0438\u043c\u043f\u043b\u0435\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u0458\u0430 \u043d\u0430 \u0414\u0438\u0440\u0435\u043a\u0442\u0438\u0432\u0430\u0442\u0430 \u0437\u0430 \u0444\u0430\u043b\u0441\u0438\u0444\u0438\u043a\u0443\u0432\u0430\u043d\u0438 \u043b\u0435\u043a\u043e\u0432\u0438 Directive 2011\/62\/ \u043d\u0430 \u0415\u0432\u0440\u043e\u043f\u0441\u043a\u0430\u0442\u0430 \u0423\u043d\u0438\u0458\u0430.<\/p>\n\n\n\n

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\u0412\u043e \u0442\u0430\u0430 \u043d\u0430\u0441\u043e\u043a\u0430 \u0441\u0435\u043a\u043e\u0433\u0430\u0448 \u0438\u043c\u0430 \u043f\u0440\u043e\u0441\u0442\u043e\u0440 \u0437\u0430 \u0437\u0430\u0458\u0430\u043a\u043d\u0443\u0432\u0430\u045a\u0430 \u043d\u0430 \u043d\u0430\u0448\u0430\u0442\u0430 \u0441\u043e\u0440\u0430\u0431\u043e\u0442\u043a\u0430 \u0432\u043e \u0434\u0435\u043b\u043e\u0442 \u043d\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0441\u043a\u0438\u0442\u0435 \u043f\u043e\u043b\u0438\u0442\u0438\u043a\u0438 \u043a\u043e\u0438 \u0458\u0430 \u043e\u043f\u0444\u0430\u045c\u0430\u0430\u0442 \u043f\u043e\u043b\u043e\u0436\u0431\u0430\u0442\u0430 \u043d\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0438\u0442\u0435 \u0432\u043e \u0437\u0434\u0440\u0430\u0432\u0441\u0442\u0432\u0435\u043d\u0438\u043e\u0442 \u0441\u0438\u0441\u0442\u0435\u043c \u043d\u0430 \u0420\u0421\u041c, \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u045a\u0435\u0442\u043e \u043d\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0441\u043a\u0430\u0442\u0430 \u043f\u0440\u0430\u043a\u0441\u0430, \u043a\u0430\u043a\u043e \u0438 \u043a\u043e\u043d\u0442\u0438\u043d\u0443\u0438\u0440\u0430\u043d\u0430\u0442\u0430 \u0444\u0430\u0440\u043c\u0430\u0446\u0435\u0432\u0442\u0441\u043a\u0430 \u0435\u0434\u0443\u043a\u0430\u0446\u0438\u0458\u0430.<\/p>\n\n\n\n

\n\n\n\n

INVESTIMI N\u00cb KAPITALIN NJER\u00cbZOR \u00cbSHT\u00cb PRIORITET KRYESOR N\u00cb MALMED<\/strong><\/p>\n\n\n\n

Intervist\u00eb p\u00ebr revist\u00ebn: Farmacevtski Informator<\/strong><\/p>\n\n\n\n

Koh\u00eb m\u00eb par\u00eb jeni em\u00ebruar n\u00eb pozit\u00ebn prestigjioze drejtore n\u00eb Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore (MALMED). \u00c7\u2019far\u00eb sfide p\u00ebr ju paraqet menaxhimi me nj\u00eb institucion t\u00eb till\u00eb q\u00eb paraqet prioritet t\u00eb lart\u00eb (madhor) p\u00ebr shtetin?<\/strong><\/p>\n\n\n\n

Pozita e Drejtorit n\u00eb Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore (MALMED) \u00ebsht\u00eb svid\u00eb p\u00ebr secilin farmacist. Jam e vet\u00ebdishme p\u00ebr p\u00ebrgjegj\u00ebsin\u00eb e vet\u00eb funksionit dhe kompleksitetin e proceseve q\u00eb jan\u00eb n\u00eb kompetencat e Agjencis\u00eb, po n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb p\u00ebr mua \u00ebsht\u00eb nj\u00eb sfid\u00eb dhe nj\u00eb p\u00ebrvoj\u00eb e shk\u00eblqyer. Duke patur parasysh se e p\u00ebrkohshme \u00ebsht\u00eb gjith\u00e7ka, mund\u00ebsia p\u00ebr t\u00eb kontribuar n\u00eb nj\u00eb zon\u00eb kaq t\u00eb ndjeshme dhe t\u00eb p\u00ebrgjegjshme e cila ndikon drejt\u00ebp\u00ebrdrejt n\u00eb sh\u00ebndetin publik, e t\u00ebra kjo, q\u00eb nj\u00eb dit\u00eb p\u00ebr t\u00eb l\u00ebn\u00eb nj\u00eb trashigimi pas meje, \u00ebsht\u00eb vler\u00eb e pa\u00e7mueshme (e pamohueshme).<\/p>\n\n\n\n

Cila \u00ebsht\u00eb strategjia juaj p\u00ebr zhvillimin dhe poromovimin e Agjencis\u00eb? Cilat risi planifikoni t`i sjellni gjat\u00eb mandatit tuaj?<\/strong><\/p>\n\n\n\n

Investimi n\u00eb kapitalin njer\u00ebzor \u00ebsht\u00eb prioritet num\u00ebr nj\u00eb. Procesi i edukimit dhe p\u00ebrmir\u00ebsimit duhet t\u00eb vazhdoj\u00eb t\u00eb zhvillohet n\u00eb vazhdim\u00ebsi dhe mendoj q\u00eb sa m\u00eb shum\u00eb t\u00eb p\u00ebrqendrohemi n\u00eb k\u00ebt\u00eb sfer\u00eb, p\u00ebrfitimet do t\u00eb jen\u00eb m\u00eb t\u00eb m\u00ebdha dhe n\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb do t\u00eb reflektoj\u00eb n\u00eb pun\u00ebn ton\u00eb t\u00eb p\u00ebrditshme. N\u00eb periudh\u00ebn e kaluar kemi b\u00ebr\u00eb rrumbullaksimin e gjendjes momentale. S\u00eb bashku, n\u00eb nj\u00eb nivel shum\u00eb t\u00eb lart\u00eb, kemi kryer analiza funksionale, me \u00e7ertifikim ISO e cila na mund\u00ebsoi n\u00eb t\u00ebr\u00ebsi ti kalojm\u00eb t\u00eb gjitha proceset dhe procedurat q\u00eb jan\u00eb baza e pun\u00ebs son\u00eb. E t\u00ebra kjo \u00ebsht\u00eb m\u00eb q\u00ebllim, rritja e aft\u00ebsive administrative p\u00ebr zbatimin e legjislacionit n\u00eb p\u00ebrputhje me praktikat pozitive. K\u00ebtu d\u00ebshiroj t\u00eb theksoj rrolin e t\u00eb pun\u00ebsuarve n\u00eb MALMED, si bart\u00ebs kryesor\u00eb t\u00eb proceseve legjislative n\u00eb vend, por edhe t\u00eb zhvillimit profesional n\u00eb fushat p\u00ebr t\u00eb cilat jan\u00eb p\u00ebrgjegj\u00ebs. P\u00ebrve\u00e7 fokusit par\u00ebsor, e cila ka p\u00ebrq\u00ebllim harmonizimin e legjislacionit t\u00eb tanish\u00ebm me at\u00eb t\u00eb Bashkimit Evropian, p\u00ebrmes T\u00ebinning Light projektit me Agjencin\u00eb e barnave t\u00eb Lituanis\u00eb, n\u00eb m\u00ebnyr\u00eb q\u00eb ta leht\u00ebsojm\u00eb bashk\u00ebpunimin dhe rrjet\u00ebzimin midis autoriteteve kompetente, organizatat rajonale dhe nd\u00ebrkomb\u00ebtare, duke rritur k\u00ebshtu besimin e nd\u00ebrsjell\u00eb n\u00eb vitin 2020, jan\u00eb planifikuar p\u00ebrgatitjet p\u00ebr p\u00ebrfshirjen e inspektor\u00ebve farmaceutik n\u00eb PIC\/S. <\/strong>Projekti ka p\u00ebr q\u00ebllimt\u00eb harmonizoj\u00ebprocedurat e inspektimit n\u00eb t\u00ebr\u00eb bot\u00ebn p\u00ebrmes zhvillimitt\u00eb standarteve t\u00eb p\u00ebrbashk\u00ebta n\u00eb sferat e praktik\u00eb e mir\u00eb prodhuese (\u0413\u041c\u041f) si dhe mund\u00ebsin\u00eb p\u00ebr trajnim t\u00eb inspektor\u00ebve, nd\u00ebrsa palnifikohet edhe nj\u00eb sistem komb\u00ebtar p\u00ebr moniterimin e barnave dhe p\u00ebrgatitja p\u00ebr benchmarking me Organizat\u00ebn bot\u00ebrore t\u00eb sh\u00ebndet\u00ebsis\u00eb (WHO).<\/p>\n\n\n\n

N\u00eb biografin tuaj theksohet q\u00eb n\u00eb procesin e p\u00ebrsosjes s\u00eb profilit profesional keni specializuar n\u00eb sferat e farmacis\u00eb regulative dhe legjislacionit. Me \u00c7ka n\u00eb pjes\u00ebn ligjore t\u00eb legjislacionit p\u00ebr momentin punohet n\u00eb drejtim t\u00eb p\u00ebrmir\u00ebsimit dhe promovimit t\u00eb saj?<\/strong><\/p>\n\n\n\n

Ligjet, standardet dhe praktikat e mirap\u00ebrfaq\u00ebsojn\u00eb materien e gjall\u00eb e cila po m\u00ebrmir\u00ebsohet vazhdimisht me p\u00ebrfshirjen e njohurive dhe praktikave t\u00eb reja shkencore dhe teknologjike. Pas angazhimeve t\u00eb Qeveris\u00eb s\u00eb Republik\u00ebs s\u00eb Maqedonis\u00eb s\u00eb Veriut p\u00ebr integrimin e vendit n\u00eb familjen e shteteve an\u00ebtare t\u00eb Bashkimit Evropian n\u00eb nj\u00ebr\u00ebn an\u00eb, si dhe deklarimi yn\u00eb profesional p\u00ebr moniterimin dhe integrimin e ndryshimeve t\u00eb standarteve dhe praktikat e mira n\u00eb sfer\u00ebn e farmacis\u00eb, e filluam T\u00ebinning Light projektin me Agjencin\u00eb e barnave t\u00eb Lituanis\u00eb. Ky projekt ka p\u00ebr q\u00ebllim harmonizimin e Ligjit p\u00ebr barna dhe pajisjeve mjek\u00ebsore dhe akteve n\u00ebnligjore, udh\u00ebzime dhe metodologji q\u00eb dalin nga ajo me ligjet e Bashkimit Evropian. Projekti do te zgjas\u00eb 8 muaj dhe n\u00eb t\u00eb, p\u00ebrve\u00e7 punonj\u00ebsve n\u00eb MALMED, do t\u00eb jen\u00eb t\u00eb p\u00ebrfshira t\u00eb gjitha pal\u00ebt e interesuara. K\u00ebtu, para s\u00eb gjithash, mendoj n\u00eb institucionet p\u00ebrkat\u00ebse sh\u00ebndet\u00ebsore t\u00eb cilat jan\u00eb partner\u00eb tan\u00eb n\u00eb pun\u00eb. N\u00eb t\u00eb v\u00ebrtet\u00eb, Ministria e sh\u00ebndet\u00ebsis\u00eb, fakulteti i farmacis\u00eb dhe mjek\u00ebsis\u00eb, Dhoma farmaceutike dhe mjek\u00ebsore etj. Q\u00ebllimi i projektit \u00ebsht\u00eb p\u00ebrmes pun\u00ebs transparente t\u00eb rrumbullaksojm\u00eb harmonizimin e ligjit dhe akteve n\u00ebnligjore dhe t\u00eb sigurojm\u00eb implementimin e saj t\u00eb shpejt\u00eb dhe t\u00eb drejt\u00eb n\u00eb t\u00ebr\u00eb sistemin sh\u00ebndet\u00ebsor. Pastaj, MALMED do t\u00eb jap\u00eb mb\u00ebshtetj\u00ebn e saj si n\u00eb krijimin e politikave sh\u00ebndet\u00ebsore ashtu edhe n\u00eb implementimin aktiv si dhe realizimin e tyre.<\/p>\n\n\n\n

Deri ku ka arritur realizimi i projektit sistemin e integruar informatif si dhe t\u00eb proektit p\u00ebr sistem komb\u00ebtar t\u00eb farmakovigilanc\u00ebs ? Cilat p\u00ebrfitime priten p\u00ebr qytetar\u00ebt dhe p\u00ebr t\u00ebr\u00eb stafin mjek\u00ebsor nga rrumbullaksimi i k\u00ebtyre projekteve?<\/strong><\/p>\n\n\n\n

Jeta e barnave fillon pas v\u00ebnies s\u00eb tyre n\u00eb treg. P\u00ebrskaj procedur\u00ebs p\u00ebr marrje t\u00eb marketing autorizimit (autorizimit p\u00ebr treg\u00ebti). Ndjekja e barnave, si dhe paraqitja e efekteve an\u00ebsore, jan\u00eb mekanizma me t\u00eb cilat autoritetet komb\u00ebtare rregullatore (MALMED) siguron proceset dhe procedurat t\u00eb cilat sigurojn\u00eb sigurin\u00eb, efikasitetin dhe kualitetin e barnave n\u00eb gjith\u00eb teritorin. Instalimi i sistemit p\u00ebr monitorim t\u00eb barnave n\u00eb p\u00ebrditshm\u00ebri me rekomandimet e OBSH (WHO) n\u00eb t\u00eb gjitha nivelet e sigurimit sh\u00ebndet\u00ebsor t\u00eb t\u00eb gjitha barnave pa dallim n\u00eb regjimin e dh\u00ebnies (shitjes), jan\u00eb pjes\u00eb e projektit. Kjo pjes\u00eb e projektit do t\u00eb ket\u00eb ndikim serioz mbi p\u00ebrshkrimin dhe p\u00ebrdorimin racional t\u00eb barnave nga nj\u00ebra an\u00eb, gjithashtu n\u00eb m\u00ebnyr\u00eb indirekte do t\u00eb ndikoj\u00eb n\u00eb p\u00ebrpilimin e list\u00ebs pozitive t\u00eb barnave. N\u00eb t\u00eb v\u00ebrtet\u00eb, kjo do t\u00eb siguroj\u00eb t\u00eb dh\u00ebna p\u00ebr terapi t\u00eb reja dhe do t\u00eb mund\u00ebsoj shp\u00ebrndarje racionale t\u00eb mjeteve t\u00eb destinuara p\u00ebr barna.<\/p>\n\n\n\n

Si e vler\u00ebsoni pozit\u00ebn e farmacist\u00ebve n\u00eb sistemin sh\u00ebndet\u00ebsor? Prej pozit\u00ebs s\u00eb njeriut t\u00eb par\u00eb n\u00eb Agjencin\u00eb e barnave. \u00c7`far\u00eb duhet b\u00ebr\u00eb p\u00ebr ngritjen e nivelit t\u00eb profesionalizmit n\u00eb pun\u00ebn e pun\u00ebtor\u00ebve sh\u00ebndet\u00ebsor \u2013 farmacist\u00ebve?<\/strong><\/p>\n\n\n\n

Vendi dhe pozita e t\u00eb gjith\u00eb pjes\u00ebmarr\u00ebsve n\u00eb sistemin sh\u00ebndet\u00ebsor \u00ebsht\u00eb drejt\u00ebp\u00ebrs\u00ebdrejti e lidhur me klim\u00ebn e p\u00ebrgjithshme dhe gjendjen e shoq\u00ebris\u00eb n\u00eb p\u00ebrgjith\u00ebsi dhe mendoj p\u00ebr avancimin e pozit\u00ebs e p\u00ebrgjithshme secili duhet s\u00ebpari t\u00eb filloj\u00eb nga vetvetja. Dhe p\u00ebrkund\u00ebr situat\u00ebs momentale t\u00eb burokracis\u00eb s\u00eb tep\u00ebrt, t\u00eb st\u00ebrtepruara, t\u00eb ardhura t\u00eb pamjaftueshme mujore dhe faktor\u00eb t\u00eb tjer\u00eb q\u00eb kan\u00eb ndikim duhet t\u00eb mundohemi individualisht t\u00eb b\u00ebjm\u00eb nj\u00eb hap m\u00eb shum\u00eb. Padyshim q\u00eb mb\u00ebshtetja dhe iniciativa duhet t\u00eb vijn\u00eb prej farmacist\u00ebve q\u00eb jan\u00eb n\u00eb pozitat udh\u00ebheq\u00ebse n\u00eb t\u00eb gjitha institucionet e sistemit sh\u00ebndet\u00ebsor. Pas k\u00ebsaj\u00eb faze padyshim tendenca p\u00ebr p\u00ebrmbushjen e standarteve t\u00eb larta dhe praktikat e mira reflektojne\u00eb n\u00eb t\u00eb gjith\u00eb sektorin e farmacis\u00eb.<\/p>\n\n\n\n

\u00c7`far\u00eb hapash duhet nd\u00ebrmarr\u00eb sipas jush, p\u00ebr mbijetes\u00ebn e institutit klinik farmaceutik si pjes\u00eb e stafit sh\u00ebndet\u00ebsor n\u00eb spital?<\/strong><\/p>\n\n\n\n

Farmacisti klinik siguron\u00eb proces konzistent t\u00eb p\u00ebrkujdesit p\u00ebr pacientin duke p\u00ebrdorur njohuri t\u00eb specializuara p\u00ebr p\u00ebrdorimin klinik\u00eb dhe shkencor t\u00eb barnave p\u00ebrfshir\u00eb edhe efektin e barnave, dozimin, efektet negative si dhe interakcionet tek barnat. Gjat\u00eb kryerjes s\u00eb aktiviteteve p\u00ebr p\u00ebrkujdesje t\u00eb pacient\u00ebve, n\u00eb bashk\u00ebpunim me an\u00ebtar\u00ebt e tjer\u00eb t\u00eb t\u00eb stafit p\u00ebr p\u00ebrkujdesje sh\u00ebndet\u00ebsore, farmacist\u00ebt i p\u00ebrmbushin q\u00ebllimet e p\u00ebrgjithshme p\u00ebr p\u00ebrkujdesje t\u00eb pacient\u00ebve, t\u00eb p\u00ebrcaktuara nga i gjith\u00eb stafi i punonj\u00ebsve sh\u00ebndet\u00ebsor\u00eb.<\/p>\n\n\n\n

Mbijetesa e institucionit farmacist klinik \u00ebsht\u00eb padyshim e r\u00ebnd\u00ebsishme p\u00ebrshkak se mbi bazat e p\u00ebrvojave personale klinike, i k\u00ebshillon pacient\u00ebt se si m\u00eb mir\u00eb t\u00eb p\u00ebrdoren barnat. Gjithashtu farmacisti klinik p\u00ebrkrah p\u00ebrpjekjet e stafit (ekipit) t\u00eb siguris\u00eb sh\u00ebndet\u00ebsor, edukon pacientin p\u00ebr hapat tjer\u00eb p\u00ebr p\u00ebrmir\u00ebsimin e sh\u00ebndetit. Ato jan\u00eb, ushtrimet, dieta dhe realizimi i hapave preventive, si psh, imunizimi, n\u00eb zgjidhjen e problemeve sh\u00ebndet\u00ebsore me p\u00ebrdorimin racional t\u00eb barnave.<\/p>\n\n\n\n

Koh\u00ebt e fundit \u00ebsht\u00eb evidente se n\u00ebp\u00ebr barnatore \u00ebsht\u00eb m\u00eb v\u00ebshtir\u00eb marrja e barnave pa receta, por me fillimin e sezonit t\u00eb ftohjes dhe gripit sikur rritet presioni i qytetar\u00ebve t\u00eb cil\u00ebt \u201cluajn\u00eb\u201d rrolin e t\u00eb qenurit mjek q\u00eb t\u00eb blejn\u00eb antibiotik pa recept. \u00c7`ka nd\u00ebrmerr\u00eb Agjencioni i barnave n\u00eb k\u00ebt\u00eb drejtim q\u00eb t\u00eb parandaloj\u00eb konsumin e pakontrolluar t\u00eb antibiotik\u00ebve<\/strong>, q\u00eb, <\/strong>si\u00e7 paralajm\u00ebrojn\u00eb ekspert\u00ebt, a mund t\u00eb \u00e7oj\u00eb n\u00eb rezistenc\u00eb?<\/strong><\/p>\n\n\n\n

MALMED me aktivitetet e rregullta nd\u00ebrmerr n\u00ebnkontroll\u00eb p\u00ebr dh\u00ebnien e rregullt t\u00eb antibiotik\u00ebve me revision inspektues t\u00eb rregullt mbi barnatoret, Por q\u00eb t\u00eb ndodhin reformat e v\u00ebrteta mbi p\u00ebrdorimin e antibiotik\u00ebve, individ\u00ebt si dhe autoritetet sh\u00ebndet\u00ebsore duhet q\u00eb ta marrin p\u00ebrgjegj\u00ebsin\u00eb p\u00ebr problemin me q\u00ebllim t\u00eb sigurojn\u00eb lidership q\u00eb t\u00eb ndryshohet kjo kriz\u00eb sh\u00ebndet\u00ebsore.
Futja e antibiotik\u00ebve n\u00eb praktik\u00ebn mjek\u00ebsore n\u00eb vitet 1940-t\u00eb, \u00ebsht\u00eb hap\u00ebrim revolucionar t\u00eb parandalimit t\u00eb s\u00ebmundjeve ngjit\u00ebse tek njer\u00ebzit, kurse sot kaq vite m\u00eb von\u00eb, punonj\u00ebsit sh\u00ebndet\u00ebsor anemban\u00eb bot\u00ebs nuk mund t\u00eb shpresojn\u00eb q\u00eb antibiotiku i p\u00ebrzgjedhur t\u00eb sh\u00ebroj\u00eb s\u00ebmundjen. Meq\u00eb rezistenca ndaj antibiotik\u00ebve \u00ebsht\u00eb pasoj\u00eb natyrale e p\u00ebrdorimit t\u00eb antibiotik\u00ebve, kjo rezistenc\u00eb n\u00eb praktik\u00ebn klinike, mund t\u00eb parandalohet me rritjen e p\u00ebrkujdesit p\u00ebr pacient\u00ebt. Vitet e fundit \u00ebsht\u00eb paraqitur nj\u00eb skem\u00eb n\u00eb t\u00eb cilin pas fillimit t\u00eb antibiotikut t\u00eb ri ndodh p\u00ebrdorim i pa kontrolluar dhe keqp\u00ebrdorues, e t\u00ebra kjo rezulton me paraqitje t\u00eb p\u00ebrshpejtuar t\u00eb rezistenc\u00ebs. P\u00ebrdorimi i antibiotikut nuk ndikon vet\u00ebm tek individ\u00ebt por edhe tek rrethi i individit.<\/p>\n\n\n\n

Llojet e ndjeshme eliminohen dhe z\u00ebvend\u00ebsohen me llojet rezistente. K\u00ebshtu q\u00eb \u00e7do strategji komb\u00ebtare apo lokale p\u00ebr parandalimin e rezistenc\u00ebs ndaj antibiotik\u00ebve duhet patjet\u00ebr ta theksoj p\u00ebrdorimin racional t\u00eb antibiotik\u00ebve me q\u00ebllim q\u00eb t\u00eb mund\u00ebsohet rip\u00ebrt\u00ebrirja e flor\u00ebs s\u00eb prekur. Njohja e funksionit q\u00eb luan ekologjia mikrobiale mbi popull\u00ebzimin dhe shumimin e patogjen\u00ebve rezistente dhe t\u00eb organizmave komenzal, do t\u00eb ndihmoj\u00eb shum\u00eb n\u00eb rritjen e njohurive dhe udh\u00ebzimeve p\u00ebr p\u00ebrdorimin e antibiotik\u00ebve. N\u00eb k\u00ebt\u00eb kontekst, pikat kryesore me q\u00ebllim t\u00eb parandalimit t\u00eb p\u00ebrdorimit t\u00eb pakontrolluar t\u00eb antibiotik\u00ebve duhet t\u00eb jen\u00eb:<\/p>\n\n\n\n

\u2013 P\u00ebrmir\u00ebsimi i kontrollit mbi llojet e rezistenc\u00ebs ndaj antibiotik\u00ebve;<\/p>\n\n\n\n

\u2013 P\u00ebrmir\u00ebsimi i p\u00ebrdorimit t\u00eb antibiotik\u00ebve tek njer\u00ebzit;<\/p>\n\n\n\n

\u2013 Rritja e resurseve p\u00ebr parandalim t\u00eb rezistenc\u00ebs ndaj antibiotik\u00ebve n\u00eb venedet me zhvilllim;<\/p>\n\n\n\n

\u2013 P\u00ebrdorimi i finansimit p\u00ebr mbikqyrje, k\u00ebrkime shkencore, arsimim etj.<\/p>\n\n\n\n

K\u00ebtyre dit\u00ebve n\u00eb mediumet u shp\u00ebrnda lajmi q\u00eb n\u00eb klinik\u00ebn Universitare p\u00ebr onkologji p\u00ebrdoret terapi m\u00eb e avancuar biologjike, n\u00ebp\u00ebrmjet s\u00eb cil\u00ebs disa s\u00ebmundje malinje (kancerogjene) mund t\u00eb trajtohen si kronike. Sa arrin\u00eb shteti jon\u00eb t\u00eb ndjek hapin edhe n\u00eb segmentet tjera t\u00eb mjek\u00ebsis\u00eb me p\u00ebrdorimin e barnave m\u00eb t\u00eb reja q\u00eb p\u00ebrdoren n\u00eb vendet evropiane dhe n\u00eb bot\u00eb?<\/strong><\/p>\n\n\n\n

Industria farmaceutike ka evoluar ndjesh\u00ebm n\u00eb dekadat e fundit. N\u00eb vitet e 80-ta sprova m\u00eb e madhe ishte furnizimi i industris\u00eb me produkte farmaceutike t\u00eb cilat p\u00ebrmbushin k\u00ebrkesa t\u00eb specifikacionit. Gjat\u00eb fundit t\u00eb viteve t\u00eb 90-ta dhe fillimi i vitit 2000 me zhvillimin e prodhimtaris\u00eb API (Active pharmaceutical ingredient) ne Kin\u00eb dhe n\u00eb Indi, shtyt\u00ebs kryesor\u00eb n\u00eb vendimmarrje ishte konkurrenca n\u00eb \u00e7mime. Pas asaj periudhe v\u00ebmendja dhe fokusi kryesor\u00eb kaloi nevoj\u00ebn e patjete\u00ebrsueshme q\u00eb t\u00eb gjitha proceset n\u00eb prodhimin e barnave t\u00eb jen\u00eb n\u00eb p\u00ebrputhshm\u00ebri me praktik\u00ebn e mir\u00eb prodhuese (GMPC). Sot nj\u00eb prej sfidave \u00ebsht\u00eb prodhimi I barnave biologjik modern. Ne, si trup komb\u00ebtar regulator\u00eb , i ndjekim blerjet e kompanive t\u00eb m\u00ebdha inovative n\u00eb nivel global dhe fokusimin e tyre n\u00eb prodhimin e molekulave biologjike dhe jemi gati prej aspektik regulator, t\u2019ju mund\u00ebsojm\u00eb klim\u00eb t\u00eb p\u00ebrshtatshme t\u00eb gjithave, n\u00ebp\u00ebrmjet p\u00ebrfaq\u00ebsive t\u00eb tyre p\u00ebr regjistrim. Ne jemi t\u00eb p\u00ebrgatitur ta ndjekim trendin bot\u00ebror\u00eb. Futjen e molekulave t\u00eb reja, jo ve\u00e7 p\u00ebr barna biologjike por edhe p\u00ebr barna p\u00ebr s\u00ebmundje t\u00eb rralla, barna q\u00eb fitohen me rikombinim t\u00eb gjeneve dhe ngjash\u00ebm.<\/p>\n\n\n\n

Nga ana tjet\u00ebr, n\u00eb publik koh\u00eb -pas kohe plasohen informata q\u00eb n\u00eb shtetin ton\u00eb p\u00ebrdoren citostatika jokualitative, vaksina, insulin dhe ngjash\u00ebm. A garanton Agjensioni kualitetin e barnave n\u00eb shtetin ton\u00eb, dhe si ballafaqohet me barna q\u00eb mund t\u00eb jen\u00eb t\u00eb fasifikuar?<\/strong><\/p>\n\n\n\n

Detyr\u00eb e autoriteteve komb\u00ebtare sh\u00ebndet\u00ebsore \u00ebsht\u00eb:<\/p>\n\n\n\n

-T\u00eb sigurohen prodhime farmaceutike (pa marr\u00eb parasysh a jan\u00eb t\u00eb importuara apo jan\u00eb prodhime lokale) q\u00eb jan\u00eb m\u00eb kualitet t\u00eb mir\u00eb, t\u00eb sigurt\u00eb dhe efikas.<\/p>\n\n\n\n

Institucionet q\u00eb jan\u00eb p\u00ebrgjegj\u00ebse p\u00ebr sigurin\u00eb e kualitetit te vaksinave jane agjencioni komb\u00ebtar rregulator\u00eb (MALMED) dhe laboratori komb\u00ebtar p\u00ebr kontroll (laboratori i fakultetit t\u00eb farmacis\u00eb si dhe laboratori i institutit p\u00ebr sh\u00ebndet publik).<\/p>\n\n\n\n

MALMED \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr p\u00ebrpilimin-zbatimin e procedurave t\u00eb cilat do t\u00eb garantojn\u00eb se barnat biologjik, p\u00ebr p\u00ebrdorim human, jan\u00eb me kualitet t\u00eb duhur, t\u00eb sigurt\u00eb dhe efikas. Kjo p\u00ebrgjegj\u00ebsi duhet t\u00eb ket\u00eb baz\u00eb t\u00eb fort\u00eb regulative dhe t\u00eb jet\u00eb e p\u00ebrkrahur me legjislativ ligjor.<\/p>\n\n\n\n

Marketing autorizimi (li\u00e7encimi) i produkteve biologjike miratohet n\u00eb MALMED dhe e njejta \u00ebsht\u00eb p\u00ebrgjegj\u00ebse p\u00ebr monitorimin e barnave edhe pas licencimit t\u00eb tyre.<\/p>\n\n\n\n

Me q\u00ebllim t\u00eb uljes s\u00eb mund\u00ebsis\u00eb t\u00eb paraqitjes s\u00eb barnave t\u00eb falsifikuara, jemi n\u00eb p\u00ebrgatitje t\u00eb sistemit komb\u00ebtar p\u00ebr ndjekje t\u00eb barnave n\u00eb t\u00ebr\u00eb territorin e shtetit.<\/p>\n\n\n\n

Pas implementimit t\u00eb sistemit komb\u00ebtar\u00eb t\u00eb ndjekjes, na hapet mund\u00ebsia e hyrjes n\u00eb sistemit europian e cila n\u00eb t\u00eb njejt\u00ebn koh\u00eb do t\u00eb na mund\u00ebsoj\u00eb implementimin e Direktiv\u00ebs p\u00ebr barnat e falsifikuar Direktive 2011\/62\/ t\u00eb Bashkimit Europian.<\/p>\n\n\n\n

N\u00ebse dhe sa farmacist\u00ebt raportojn\u00eb reaksionet an\u00ebsore t\u00eb barnave? Cilat hapa ka nd\u00ebrmarr\u00eb Agjencia n\u00eb pjes\u00ebn p\u00ebr t\u00eb thjesht\u00ebzuar raportimin e efekteve an\u00ebsore prej barnave?<\/strong><\/p>\n\n\n\n

Informacionet mbi sigurin\u00eb e barnave, t\u00eb marra nga studimet klinike, jan\u00eb t\u00eb kufizuara sepse nga p\u00ebrdorimi i saj n\u00eb kushte specifike dhe rrept\u00ebsisht\u00eb t\u00eb kontrolluara t\u00eb definuara n\u00eb protokolin e studimeve klinike n\u00eb periudh\u00ebn e pas-marketingut. MALMED \u00ebsht\u00eb p\u00ebrgjegj\u00ebse p\u00ebr moniterimin e reaksioneve an\u00ebsore prej barnave n\u00eb Republik\u00ebn e Maqedonis\u00eb s\u00eb Veriut dhe k\u00ebto aktivitete MALMED i siguron\u00eb Qendr\u00ebs komb\u00ebtare t\u00eb Farmakovigilanc\u00ebs e cila \u00ebsht\u00eb pjes\u00eb p\u00ebrb\u00ebr\u00ebse e saj. Agjencia e vendos at\u00eb, vazhdimisht shp\u00ebrblen\u00eb dhe promovon sistemin komb\u00ebtar t\u00eb farmakovigilanc\u00ebs. N\u00eb rrethana leht\u00ebsuese \u00ebsht\u00eb mund\u00ebsia e raportimit t\u00eb efekteve an\u00ebsore n\u00eb m\u00ebnyr\u00eb elektronike, me \u00e7ka mund\u00ebson zbulim m\u00eb t\u00eb shpejt\u00eb t\u00eb sinjaleve t\u00eb siguris\u00eb, identifikimin e rreziqeve prej p\u00ebrdorimit t\u00eb barnave, kategorizimi i tyre, vler\u00ebsimi, minimizimi, komunikimi dhe parandalimin duke siguruar marr\u00ebdh\u00ebnien m\u00eb t\u00eb mir\u00eb t\u00eb mundshme t\u00eb p\u00ebrfitimit\/rreziku p\u00ebr barnat n\u00eb p\u00ebrditshm\u00ebrin\u00eb praktike dhe promovimi racional dhe p\u00ebrshkrim t\u00eb sigurt\u00eb t\u00eb barnave.<\/p>\n\n\n\n

MALMED, tradicionalisht ka realcion t\u00eb mir\u00eb me Dhom\u00ebn farmaceutike t\u00eb Maqedonis\u00eb. N\u00eb cilin drejtim, sipas jush duhet t\u00eb zhvillohet bashk\u00ebpunimi i m\u00ebtejsh\u00ebm i Agjencis\u00eb s\u00eb barnave me organizat\u00ebn e repartit (esnaf\u00ebsh) q\u00eb ajo t\u00eb ngritet n\u00eb nivel edhe m\u00eb t\u00eb lart\u00eb?<\/strong><\/p>\n\n\n\n

Q\u00ebllimi strategjik i MALMED por edhe i Dhom\u00ebs farmaceutike, si organizat\u00eb e repartit (esnaf\u00ebsh) , gjithsesi se promovon sh\u00ebndetin publik. P\u00ebr t\u00eb arritur k\u00ebt\u00eb q\u00ebllim t\u00eb p\u00ebrbashk\u00ebt, ne gjithsesi duhet s\u00eb bashku t\u00eb punojm\u00eb n\u00eb t\u00eb gjitha segmented n\u00eb sektorin farmaceutik, si pal\u00eb e r\u00ebnd\u00ebsishme e sistemit sh\u00ebndet\u00ebsor n\u00eb vendin ton\u00eb. N\u00eb praktik\u00eb do t\u00eb thot\u00eb jo vet\u00ebm sigurimi i cil\u00ebsis\u00eb, barna efikas dhe t\u00eb sigurt\u00eb. K\u00ebtu para s\u00eb gjithash, mendoj n\u00eb profesionin farmaceutik e cila \u00ebsht\u00eb e p\u00ebrfshir\u00eb me barna n\u00eb pakic\u00eb dhe shumic\u00eb dhe pajisje mjek\u00ebsore si dhe pacient\u00ebt. N\u00eb k\u00ebt\u00eb drejtim, gjithmon\u00eb ka vend p\u00ebr forcimin e bashk\u00ebpunimit n\u00eb pjes\u00ebn e politikave farmaceutike, si dhe edukimin e vazhduesh\u00ebm farmaceutik.<\/p>\n\n\n\n

N\u00eb k\u00ebt\u00eb drejtim, gjithmon\u00eb ka hapsir\u00eb p\u00ebr forcimin e bashk\u00ebpunimit ton\u00eb n\u00eb pjes\u00ebn e politikave farmaceutike, pozit\u00ebn e farmacist\u00ebve n\u00eb sistemin sh\u00ebndet\u00ebsor\u00eb t\u00eb RMV, zhvillimi i praktik\u00ebs farmaceutike, q\u00eb mbulojn\u00eb pozit\u00ebn e farmacist\u00ebve n\u00eb sistemin sh\u00ebndet\u00ebsor n\u00eb RMV, zhvillimin e praktik\u00ebs farmaceutike, si\u00e7 \u00ebsht\u00eb edukimi i vazhduesh\u00ebm n\u00eb farmaci.<\/p>\n\n\n\n

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