All Hands on Deck: the next generation of Liberia’s leaders on building innovation & responsiveness into government
In “From Response to Recovery in the Ebola Crisis: Revitalizing Health Systems and Economies”, Dalberg Global Development Advisors, March 2015
Link to the original document [Fr] [En]
FRANÇAIS
Lancé en 2009, le programme du Jeune Professionnel du Président (PYP) au Libéria essaye d’encourager le leadership parmi les jeunes fonctionnaires développant leurs aptitudes à résoudre des problèmes et en appuyant leurs initiatives innovantes. Un tel programme devrait être considéré comme une stratégie particulièrement efficace pour construire une administration capable de faire face à des crises comme Ebola.
Afin d’éradiquer complètement l’épidémie actuelle et de renforcer la capacité à contenir de nouvelles flambées, le Libéria doit maintenir et améliorer ses systèmes de santé et d’intervention d’urgence. Développer des ressources humaines capables de gérer les réalités de diverses crises au jour le jour est crucial, particulièrement parmi les fonctionnaires – les composantes de chaque gouvernement. Quand des individus (employés gouvernementaux ou autres) possèdent l’attitude et les compétences nécessaires, l’institution à laquelle ils appartiennent peut s’organiser de manière à multiplier ces talents afin d’atteindre bien plus que la simple somme de ses différents membres.
Le programme du Jeune Professionnel du Président (PYP) au Libéria, lancé par la Présidente Johnson Sirleaf en 2009, représente une initiative qui essaye de construire ce type de leadership. Le programme PYP recrute des récents diplômés de haut niveau dans les Ministères afin d’améliorer le niveau des fonctionnaires libériens. En février 2015, le programme PYP avant déjà placé 73 fellows dans des positions gouvernementales. Il est en cours de transition entre un programme géré par l’Institut de Recherche et de Formation JSI et une institution étatique structurée sous un partenariat public-privé avec le gouvernement du Libéria.
Dalberg a interviewé ces jeunes fonctionnaires afin de mieux comprendre la réponse du gouvernement à Ebola à travers leur perspective sur le terrain. Ci-dessous, les fellows décrivent ce qu’ils ont vu pendant la crise Ebola, comment ils ont aidé et ce qu’ils recommandent pour le futur. Leur expérience constitue un aperçu du travail dans un gouvernement pendant une urgence prolongée.
Tout comme le partage d’information et de connaissances, ils sont d’autant plus efficaces lorsque les employés disposent de l’espace et de la liberté d’identifier et de tester de nouvelles solutions aux problèmes qui se posent. Un danger important lors d’une intervention de crise dans un pays qui dispose de faibles ressources tient à une gestion « de haut en bas » trop restrictive à travers laquelle tout le monde dépend d’un ou deux individus pour trouver des idées, des ressources et des solutions.
Le programme PYP a permis aux fellows d’être en contact avec une communauté qui soutenait leur capacité à prendre des initiatives: des pairs avec qui ils pouvaient résoudre des problèmes pendant et durant la crise Ebola – y compris dans des espaces de travail communs, le bureau PYP – et des mentors professionnels qui leur donnaient des conseils fiables. Collins affirme que ces ressources l’ont convaincu de prendre part au programme. « Le PYP offre des mentors et des superviseurs qui t’aident et t’exposent au gouvernement et au monde professionnel, » elle explique. « Une des raisons qui m’ont poussé à m’inscrire est parce que je pensais que le programme développerait mes capacités. »
Individuellement, plusieurs fellows ont fait usage de la communauté PYP de façon proactive en lançant des initiatives locales pour éduquer le public à propos d’Ebola ou pour combattre la crise. Par exemple, Johnson a essayé de rendre le lavage de mains plus facile, compte tenu de son important pour stopper la propagation du virus. Elle a remarqué qu’au Libéria, le lavage de mains « n’est pas toujours faisable puisque nous avons de trop petits sceaux aux portes ou dans les zones publiques pour se laver les mains et qu’il y a souvent de trop longues queues de personnes qui attendent de pouvoir se nettoyer devant ces sceaux, », ce qui rend le temps d’attente parfois dissuasive.
Johnson a voulu construire des espaces de lavage de mains plus grands, dit-elle, “avec six distributeurs pour que six différentes personnes puissent se laver les mains au même moment. » L’ambassade américaine a sponsorisé son programme d’installation de citernes multiformes dans les zones à forte densité de population afin de réduire les taux de transmissions d’Ebola, y compris dans le quartier de West Point à Monrovia, où vivent plus de 70,000 personnes. Zaizay explique que ces solutions locales sont cruciales, même si elles sont moins visibles : « Ebola ne peut pas être stoppé au niveau du centre de traitement ; Ebola ne peut que être stoppé au niveau des populations locales. »
Néanmoins, de manière plus générale, la crise Ebola constitue une opportunité pour les gouvernements africains d’encourager l’innovation et la créativité dans la résolution de problèmes pour une nouvelle approche de gouvernance. Il y a certaines mesures concrètes que les gouvernements peuvent adopter pour s’assurer que le personnel est constamment équipé pour intervenir – même dans des situations extraordinaires.
L’étude du programme PYP réalisée par Dalberg a conclu que les personnes ayant pris part au PYP disposaient généralement de meilleures compétences professionnelles, d’une plus grande exposition aux responsabilités, et de plus d’expérience dans les postes de prises de décision importantes que leurs collègues qui n’ont pas suivi le PYP. Une des raisons principales pour expliquer que les fonctionnaires PYP étaient capables de réussir malgré d’immenses défis tient au fait qu’ils furent recrutés dans un processus qui a mis l’accent sur leur capacité à réfléchir de manière indépendante et à résoudre activement des problèmes. Les fonctionnaires PYP ont eu des opportunités de déployer ces compétences dans leurs rôles respectifs, et ont pu utiliser des mécanismes de soutien (sous la forme de mentor et de formation) en cas d’échecs suite à une prise de risque.
Une focalisation sur l’action, la détermination et les résultats est ancrée dans la philosophie du programme PYP dès la phase de recrutement. Réformer les politiques de recrutement et de développement du personnel de toutes les agences publiques en mettant l’accent sur la résolution de problèmes et la gestion de base – afin que cela devienne la norme et non pas l’exception – peut être une réelle aubaine pas seulement en temps de crise, mais aussi en temps de force.
Plusieurs fonctionnaires PYP appréciaient la propriété de leur travail et la liberté dans leurs rôles. Ceci leur a permis de sortir de la pensée traditionnelle et d’essayer de nouvelles approches audacieuses – pour lesquelles ils furent récompensés. Créer une culture qui encourage, plutôt que réprimander, la communication, la flexibilité et l’indépendance est vitale pour stimuler l’initiative et le leadership.
Une des raisons fondamentales qui explique pourquoi les fonctionnaires PYP étaient si efficaces tient au fait qu’ils détiennent des connaissances sur le contexte local. Ils étaient capables d’être des ambassadeurs du changement parce que les personnes avec qui ils travaillaient leur faisaient confiance. En comparaison, quelques experts internationaux envoyés pour aider l’intervention au début de la crise paraissaient étrangers aux populations locales. Dans des cas extrêmes, ceci a entrainé des violences, notamment lors de l’attaque brutale et du meurtre de huit volontaires Ebola en Guinée. Envoyer des experts internationaux n’est pas une solution viable, pas seulement à cause du cout élevé, mais aussi parce qu’ils ne connaissent pas forcément bien le contexte culturel. Dans les dix dernières années, les donneurs se sont refocalisé sur le renforcement de capacités – un changement encourageant. Néanmoins, comme le démontre clairement la crise Ebola au Libéria, plus d’efforts peuvent être réalisés pour permettre aux pays d’intervenir localement.
ENGLISH
Launched in 2009, Liberia’s President’s Young Professional (PYP) program seeks to encourage leadership among young civil servants by developing their problem-solving skills and supporting their creative initiatives. Such program should be seen as a particularly effective strategy to build the capacities of an administration able to face crises such as Ebola.
To fully eliminate the current outbreak and build ability to withstand the next shock, Liberia must maintain and expand its health and emergency response systems. Developing human capacity to deal with the day-to-day realities of crises is crucial, particularly among civil servants—the building blocks of any government. When individuals (whether government employees or otherwise) have the necessary skills and mind-set, the institution to which they belong is able to organize and multiply those talents to achieve much more than the sum of its parts.
One program that seeks to build this type of leadership is Liberia’s President’s Young Professional (PYP) program, which President Johnson Sirleaf launched in 2009. The PYP program recruits high-performing recent college graduates into government ministries to improve the calibre of Liberia’s civil servants. As of February 2015, the PYP program has placed 73 fellows in government roles. It is currently transitioning from a program managed by JSI Research & Training Institute, Inc. (JSI) to a Liberian entity structured in a public-private partnership with the Government of Liberia.
Dalberg interviewed these young civil servants to understand the government’s Ebola response through the lens of their first-hand experience. Below, the fellows describe what they saw during the Ebola crisis, how they helped, and what they recommend for the future. Their experience provides a snapshot of what it’s like to work in government during a prolonged emergency.
As important as knowledge and information-sharing are, they are even more potent when workers have the space and freedom to identify and test new solutions to problems. A critical danger of crisis response in a low-capacity environment is a too-restrictive “top-down” management approach in which everyone depends on one or two individuals to provide all of the ideas, resources, and solutions.
The PYP program gave the fellows a community that supported their ability to take initiative: peers with whom they could jointly problem solve before and during the Ebola crisis—including in their shared workspace, the PYP office—and professional mentors whose advice they could rely on. Collins elaborated that these resources drew her to the program. “The PYP offers mentors and supervisors that tutor you and expose you to the government and professional world,” she said. “One of the reasons I joined is because I thought it would strengthen my capacity.”
Individually, some fellows proactively leveraged the PYP community and training to launch local initiatives to educate the public about Ebola or ease the crisis. For example, Johnson has tried to make hand washing more convenient, as it is crucial to halting the spread of the virus. She noticed that in Liberia hand washing is “not always very feasible because we have small buckets sitting at the doors or public areas for hand washing and there are usually long lines of people waiting to wash their hands at the buckets,” making the wait time a potential deterrent.
Johnson sought to implement larger hand washing spaces, she said, “with six dispensers so you can have six people washing their hands at a time.” The U.S. Embassy sponsored her program to install multi-faucet water tanks in populous areas to reduce Ebola transmission rates, including in Monrovia’s densely populated West Point neighbourhood, which has more than 70,000 inhabitants. Zaizay explained that these grassroots solutions are critical, even if less visible: “Ebola cannot be stopped at the treatment facility level; Ebola can only be stopped at the community level.”
More broadly, however, the Ebola crisis is an opportunity for African governments to welcome innovation and creativity in problem solving for a new approach to governance. There are concrete steps that governments can take to ensure staff are consistently empowered to respond—even in overwhelming situations.
Dalberg’s assessment of the PYP program concluded that PYPs generally have stronger professional skills, greater exposure to responsibilities, and more experience in critical decision-making roles than non-PYP peers. A key reason some of the PYPs were able to succeed despite the immensity of the challenge before them is that they were recruited through a process that prioritized independent thinking and active problem solving. PYPs had opportunities to deploy these skills in their roles, as well as support mechanisms (in the form of mentorship and training) to rely on should they take a risk and then stumble.
A focus on action, commitment, and results pervades the PYP program ethos starting with recruitment. Amending recruitment and staff development policies of all public agencies to focus on problem-solving and basic management—so it becomes the rule rather than the exception—can be a great boon not just in times of crisis, but in times of strength as well.
Many of the PYPs felt ownership over their work and liberty in their roles. This allowed them to break out of standard thinking and try bold new approaches—and they were rewarded for doing so. Building a culture that fosters, rather than reprimands, communication, flexibility, and independence is vital to encouraging initiative and leadership.
A fundamental reason that PYPs were effective is because they had local contextual knowledge. They were able to be ambassadors for change because the people with whom they worked trusted them. In comparison, some of the foreign experts flown in to help support the response at the onset of the crisis appeared as unfamiliar outsiders to communities. In extreme cases this led to violence, such as the brutal attack and murder of eight Ebola aid workers in Guinea.11 Sending foreign experts is not a sustainable solution, not only because of high cost, but also because they may not know the cultural context. In the past decade, donors have renewed focus on capacity building—an encouraging shift. However, as the Ebola crisis in countries like Liberia starkly demonstrates, more can be done to equip countries to respond locally.
360 Commentaires. En écrire un nouveau
электрокарниз недорого http://www.elektrokarniz-nedorogo77.ru .
india online pharmacy: india pharmacy – pharmacy website india
TijuanaMeds: mexico drug stores pharmacies – TijuanaMeds
https://indimedsdirect.shop/# india pharmacy mail order
п»їlegitimate online pharmacies india: top 10 online pharmacy in india – Online medicine home delivery
IndiMeds Direct: IndiMeds Direct – IndiMeds Direct
IndiMeds Direct: IndiMeds Direct – IndiMeds Direct
http://indimedsdirect.com/# reputable indian pharmacies
IndiMeds Direct buy medicines online in india IndiMeds Direct
TijuanaMeds: mexican border pharmacies shipping to usa – TijuanaMeds
Medicijn Punt apotheek aan huis medicatie apotheker review
aptoheek: viata online apotheek – Medicijn Punt
https://medicijnpunt.shop/# medicijnen online bestellen
Pharma Jetzt: PharmaJetzt – apotheke online bestellen
Pharma Connect USA: PharmaConnectUSA – PharmaConnectUSA
ketoconazole sachet: Pharma Confiance – grand tapis d’entrГ©e absorbant
pharmacie cambremer crГЁme solaire caudalie avis grande pharmacie de fleury
express rx pharmacy services: Pharma Connect USA – discount online pharmacy
https://pharmajetzt.com/# Pharma Jetzt
PharmaJetzt: online shop apotheke – PharmaJetzt
PharmaConnectUSA Pharma Connect USA boots online pharmacy doxycycline
doliprane chat forum: Pharma Confiance – pharmacie du marche
PharmaJetzt: apotheken online bestellen – PharmaJetzt
Medicijn Punt apotheken nederland MedicijnPunt
MedicijnPunt: Medicijn Punt – belgische online apotheek
https://pharmajetzt.com/# apotal versandapotheke online
Pharma Jetzt: Pharma Jetzt – apotheke obline
Pharma Confiance: Pharma Confiance – pharmacie des dakkars
Pharma Connect USA effexor online pharmacy PharmaConnectUSA
pokies.net http://www.thepokiesnet101.com .
internetapotheek nederland: netherlands pharmacy online – internetapotheek nederland
appotheke online: apotheke versandkostenfrei ab 10 euro – europa apotheek venlo online
https://pharmaconnectusa.shop/# Pharma Connect USA
mediamarkt in meiner nГ¤he: mycare apotheke online bestellen – internet apotheke selbitz
https://pharmaconnectusa.shop/# Pharma Connect USA
Pharma Confiance quelle est la pharmacie de garde aujourd’hui Г rouen ketoconazole utilisation
MedicijnPunt: MedicijnPunt – huisapotheek online
gГјnstige versandapotheke: Pharma Jetzt – Pharma Jetzt
https://pharmajetzt.shop/# ship apotheke
online apotheke: MedicijnPunt – Medicijn Punt
Pharma Connect USA PharmaConnectUSA permethrin online pharmacy
online apotheek – gratis verzending: MedicijnPunt – Medicijn Punt
https://pharmaconfiance.com/# Pharma Confiance
fleurs de bach transit: Pharma Confiance – monuril efficacitГ©
Pharma Connect USA cheap erectile dysfunction pills online medical mall pharmacy
logo urgo: piscine grГўce de dieu – Pharma Confiance
Precose: PharmaConnectUSA – online pharmacy estradiol valerate
https://pharmaconfiance.com/# Pharma Confiance
https://pharmaconfiance.shop/# offre pharmacien
medikamenten preisvergleich: medikamente online kaufen – PharmaJetzt
MedicijnPunt: online apotheek – beste online apotheek
Medicijn Punt MedicijnPunt netherlands online pharmacy
https://pharmajetzt.shop/# Pharma Jetzt
pharmacy: amoxicilline 500 mg pour chat – quel pharmacie.fr
huile d’olive 50 millions de consommateur: Pharma Confiance – Pharma Confiance
Pharma Confiance avis sur grande pharmacie de rennes Pharma Confiance
pharmacie de garde Г strasbourg aujourd’hui: contacter ghd – Pharma Confiance
online apotheker: Medicijn Punt – apteka online holandia
https://pharmaconnectusa.com/# PharmaConnectUSA
laboratoire paris 16 rue de la pompe: Pharma Confiance – slinda avis
niederlande apotheke MedicijnPunt holandia apteka internetowa
PharmaJetzt: PharmaJetzt – apo med
Pharma Confiance: monuril mycose – Pharma Confiance
PharmaJetzt ahop apotheke online apotheken gГјnstig
http://pharmaconnectusa.com/# PharmaConnectUSA
Какой сегодня праздник topoland.ru .
reputable online pharmacy viagra: PharmaConnectUSA – Pharma Connect USA
Forzest: no prescription pharmacies – PharmaConnectUSA
medicine online apotheker online online pharmacy nl
Pharma Connect USA: elevit online pharmacy – Grifulvin V
schopapoteke: medikamente bestellen – PharmaJetzt
online apotheke ohne versandkosten PharmaJetzt PharmaJetzt
https://medicijnpunt.com/# viata online apotheek
Pharma Confiance: combien de daflon 500 par jour – combien de ketoprofene par jour
cialis pharmacy cost: viagra cialis online pharmacy – Pharma Connect USA
grande boГ®te Г pharmacie pharmacy amoxicilline rhume et toux
medicijnen op recept online bestellen: inloggen apotheek – MedicijnPunt
site caudalie Pharma Confiance tudca france pharmacie
gel douche bleu pharmacie: Pharma Confiance – gcc bordeaux
https://pharmajetzt.shop/# Pharma Jetzt
medikamente online bestellen auf rechnung: europa apotheek – online pharmacy
Pharma Connect USA: viagra prices by pharmacy – PharmaConnectUSA
apotek online: medicine online – Medicijn Punt
MedicijnPunt medicijn recept MedicijnPunt
http://pharmajetzt.com/# PharmaJetzt
Medicijn Punt: europese apotheek – medicijnen kopen met ideal
online pharmacy nl: MedicijnPunt – online recept
Pharma Confiance crГЁme solaire isdin avis Pharma Confiance
apotheken in holland: apotheek winkel 24 review – apotheek producten
Pharma Jetzt: Pharma Jetzt – PharmaJetzt
http://pharmajetzt.com/# medikamente preisvergleich
PharmaJetzt: europa apotheek – PharmaJetzt
Pharma Confiance: monuril 3 g – gel douche humain pour chien
online apotheek 24 medicijn online bestellen apotheek
l’ordre national des pharmaciens: cachet tadalafil – Pharma Confiance
https://pharmajetzt.com/# luitpold apotheke online-shop versandapotheke
ordre national pharmaciens Pharma Confiance Pharma Confiance
Pharma Jetzt: mediherz versandapotheke online shop – Pharma Jetzt
Medicijn Punt: MedicijnPunt – medicijnen online kopen
hГ©morroГЇdes qui piquent chaussures de marche pour diabГ©tiques hommes Pharma Confiance
http://medicijnpunt.com/# online apotheek – gratis verzending
Pharma Confiance: Pharma Confiance – sante discount pharmacie
jcm pharmacy tadacip: Pharma Connect USA – PharmaConnectUSA
MedicijnPunt MedicijnPunt MedicijnPunt
apotheek bestellen: MedicijnPunt – MedicijnPunt
Pharma Jetzt: Pharma Jetzt – PharmaJetzt
versandapotheke deutschland apotheke onlin apotheke online
http://pharmaconfiance.com/# pharmacie de garde toulouse aujourd’hui
Cialis Oral Jelly (Orange): klonopin online pharmacy no prescription – Pharma Connect USA
Medicijn Punt: medicijnen op recept online bestellen – MedicijnPunt
farmacie medicijn: medicijnen zonder recept – apotheken in holland
http://pharmaconfiance.com/# sirop avec pompe
Pharma Jetzt: apotheke ohne versandkosten – luitpold apotheke wГјrzburg
Pharma Confiance: Pharma Confiance – Pharma Confiance
MedicijnPunt: MedicijnPunt – pharma apotheek
Pharma Confiance prix tadalafil 10mg Pharma Confiance
https://pharmaconfiance.com/# collagГЁne homГ©opathie
apotheke billig: PharmaJetzt – medikamente bestellen sofort
PharmaJetzt Pharma Jetzt Pharma Jetzt
hydroxyzine online pharmacy: Pharma Connect USA – Pharma Connect USA
olux schiuma come si usa: EFarmaciaIt – EFarmaciaIt
https://svenskapharma.shop/# Svenska Pharma
onaka fiale prezzo: cialis 20 mg 2 compresse prezzo – EFarmaciaIt
Rask Apotek tranebær apotek vitamin a syre krem apotek
EFarmaciaIt: EFarmaciaIt – dr max numero verde
a cosa serve il luvion: alfatex pomata – EFarmaciaIt
klaira prezzo farmacia farmacie online spedizione gratuita EFarmaciaIt
https://raskapotek.shop/# nellikolje apotek
precio de citrafleet: Papa Farma – Papa Farma
Rask Apotek apotek 24/7 vitamin c serum apotek
forum al femminile sintomi gravidanza: EFarmaciaIt – gentamicina pensa a cosa serve
https://efarmaciait.com/# EFarmaciaIt
Rask Apotek: Rask Apotek – brekningsmiddel hund apotek
krem til tatovering apotek Rask Apotek Rask Apotek
pipetter apotek: Rask Apotek – Rask Apotek
https://efarmaciait.shop/# klaira 28 compresse prezzo
parmacia: Papa Farma – crema diprogenta precio
farmacia espana la farmacia.es opiniones Papa Farma
1000 farmacie.it: EFarmaciaIt – EFarmaciaIt
stora bindor: Svenska Pharma – apoteker
Rask Apotek apotek glidemiddel apotek yrke
EFarmaciaIt: gliatilin 600 flaconcini prezzo – EFarmaciaIt
http://raskapotek.com/# koronatester apotek
Rask Apotek: Rask Apotek – Rask Apotek
salicylic acid apotek laxative apotek Svenska Pharma
Svenska Pharma: Svenska Pharma – nackkrage apotek
hormonspiral pris apotek: Svenska Pharma – Svenska Pharma
http://papafarma.com/# Papa Farma
finns medicinen pГҐ apoteket: saltinhalator apotek – aceton apotek
EFarmaciaIt: EFarmaciaIt – prezzo levitra
EFarmaciaIt EFarmaciaIt detrusitol 2 mg e mutuabile
zeaforce recensioni negative: EFarmaciaIt – a cosa serve mycostatin
http://papafarma.com/# Papa Farma
rask levering apotek: apotek logoer – Rask Apotek
clГnica veterinaria europa reseГ±as: bentran crema – Papa Farma
https://svenskapharma.com/# Svenska Pharma
canadian compounding pharmacy: Canada Pharm Global – canadian pharmacy ltd
canadian pharmacy online: escrow pharmacy canada – canadian pharmacy in canada
canadian discount pharmacy onlinepharmaciescanada com canada drugs online
canada pharmacy online: Canada Pharm Global – online canadian pharmacy
online shopping pharmacy india: indian pharmacy – best online pharmacy india
http://canadapharmglobal.com/# legitimate canadian pharmacy
best online pharmacies in mexico Meds From Mexico Meds From Mexico
canadian neighbor pharmacy: Canada Pharm Global – canadian pharmacy world
India Pharm Global: top 10 online pharmacy in india – India Pharm Global
India Pharm Global mail order pharmacy india indian pharmacies safe
canadian pharmacy online reviews: Canada Pharm Global – best canadian pharmacy online
http://canadapharmglobal.com/# legitimate canadian online pharmacies
https://medsfrommexico.shop/# Meds From Mexico
canadian pharmacy prices canadian pharmacy prices canadian pharmacy oxycodone
safe canadian pharmacies: Canada Pharm Global – best canadian pharmacy online
buy prescription drugs from india: india pharmacy – top online pharmacy india
https://medsfrommexico.shop/# mexican border pharmacies shipping to usa
canadian online drugstore: reliable canadian pharmacy – canadian world pharmacy
best online pharmacy india: India Pharm Global – indian pharmacies safe
top 10 online pharmacy in india India Pharm Global India Pharm Global
https://medsfrommexico.shop/# medication from mexico pharmacy
India Pharm Global: India Pharm Global – best india pharmacy
Predni Pharm: prednisone online australia – Predni Pharm
CrestorPharm Online statin therapy without RX can i drink coffee with rosuvastatin
http://semaglupharm.com/# Semaglu Pharm
Lipi Pharm: Lipi Pharm – Lipi Pharm
LipiPharm Lipi Pharm Lipi Pharm
п»їBuy Lipitor without prescription USA: LipiPharm – LipiPharm
prednisone online sale PredniPharm Predni Pharm
http://prednipharm.com/# Predni Pharm
reviews on crestor: CrestorPharm – Buy statins online discreet shipping
CrestorPharm Buy cholesterol medicine online cheap Crestor Pharm
LipiPharm: Cheap Lipitor 10mg / 20mg / 40mg – what is lipitor
amlodipine-atorvastatin LipiPharm No RX Lipitor online
SemagluPharm: Order Rybelsus discreetly – is rybelsus safe
https://lipipharm.shop/# Lipi Pharm
Predni Pharm: prednisone buy cheap – prednisone for sale without a prescription
Crestor home delivery USA Crestor Pharm switching from simvastatin to rosuvastatin
Lipi Pharm: LipiPharm – lipitor high blood pressure
Safe atorvastatin purchase without RX: Lipi Pharm – LipiPharm
PredniPharm: prednisone purchase canada – prednisone 40mg
https://lipipharm.com/# lipitor 10
Rybelsus online pharmacy reviews: Order Rybelsus discreetly – No prescription diabetes meds online
CrestorPharm CrestorPharm Crestor Pharm
Crestor Pharm: Crestor Pharm – does rosuvastatin cause fatigue
LipiPharm: LipiPharm – LipiPharm
https://prednipharm.shop/# 40 mg prednisone pill
prednisone buy online nz PredniPharm PredniPharm
Predni Pharm: prednisone 10 – Predni Pharm
can rosuvastatin cause fatigue Crestor Pharm CrestorPharm
Predni Pharm: Predni Pharm – 1250 mg prednisone
https://semaglupharm.shop/# Semaglu Pharm
п»їBuy Lipitor without prescription USA Lipi Pharm Lipi Pharm
LipiPharm: Affordable Lipitor alternatives USA – LipiPharm
atorvastatin calcium 20 mg: does atorvastatin contain calcium – does atorvastatin affect erectile dysfunction
CrestorPharm Crestor Pharm does crestor cause brain fog
http://lipipharm.com/# does lipitor cause nightmares
PredniPharm: prednisone buy – PredniPharm
crestor and heat intolerance CrestorPharm Affordable cholesterol-lowering pills
Rosuvastatin tablets without doctor approval: crestor skutki uboczne – rosuvastatin 5 mg reviews
CrestorPharm crestor stomach pain Crestor Pharm
CrestorPharm: Crestor home delivery USA – Crestor Pharm
why is crestor taken at night Crestor Pharm CrestorPharm
http://lipipharm.com/# atorvastatin rash pictures
prednisone 40 mg prednisone 100 mg Predni Pharm
lipitor and grapefruit juice: lipitor and xanax – No RX Lipitor online
LipiPharm LipiPharm Lipi Pharm
https://lipipharm.com/# No RX Lipitor online
Predni Pharm: PredniPharm – Predni Pharm
atorvastatin vs crestor: Generic Lipitor fast delivery – LipiPharm
No RX Lipitor online FDA-approved generic statins online can i stop taking lipitor cold turkey
Crestor 10mg / 20mg / 40mg online: what is the best time to take rosuvastatin 20 mg – Buy cholesterol medicine online cheap
can i order prednisone: Predni Pharm – PredniPharm
SemagluPharm Rybelsus side effects and dosage how much does rybelsus lower a1c
https://prednipharm.com/# PredniPharm
Lipi Pharm: lipitor structure – what is lipitor used to treat
rybelsus medication is rybelsus used for weight loss rybelsus medication side effects
CrestorPharm: lipitor and crestor – Crestor Pharm
Crestor Pharm crestor vs lipitor side effects Crestor home delivery USA
https://lipipharm.com/# LipiPharm
how long does it take lipitor to work: LipiPharm – Cheap Lipitor 10mg / 20mg / 40mg
Where to buy Semaglutide legally: rybelsus 7mg price – Semaglu Pharm
Generic Lipitor fast delivery atorvastatin and dizziness Order cholesterol medication online
CrestorPharm: CrestorPharm – Crestor Pharm
is it better to take crestor in the morning or at night: Safe online pharmacy for Crestor – Affordable cholesterol-lowering pills
https://crestorpharm.shop/# difference between rosuvastatin and atorvastatin
Semaglu Pharm: SemagluPharm – Semaglu Pharm
rosuvastatin dosage range Crestor Pharm CrestorPharm
SemagluPharm: Where to buy Semaglutide legally – Rybelsus online pharmacy reviews
prednisone pills 10 mg: Predni Pharm – cost of prednisone tablets
common side effects of atorvastatin Discreet shipping for Lipitor Safe atorvastatin purchase without RX
https://vgrsources.com/# viagra pill cost
viagra canadian pharmacy generic: VGR Sources – viagra rx online
generic sildenafil 50mg: VGR Sources – buy sildenafil no rx
buy sildenafil online usa cheap generic viagra india 30 mg sildenafil
order no prescription viagra: VGR Sources – where can i buy sildenafil
female viagra tablets in india VGR Sources generic viagra buy online india
https://vgrsources.com/# viagra over the counter in usa
generic sildenafil buy: viagra 100mg tablet buy online – discount viagra usa
otc viagra united states: viagra 10 mg tablet – viagra for men
how can i get a prescription for viagra viagra kaufen viagra uk paypal
best price viagra 25mg: VGR Sources – how much is viagra generic
viagra for women over the counter: female viagra online pharmacy – buy viagra cheap online uk
generic viagra 100mg cheap viagra best price for viagra 100 mg
how to order viagra without a prescription: viagra for female online india – over the counter viagra united states
https://vgrsources.com/# viagra 25 mg no prescription
genuine viagra for sale: VGR Sources – buy cheap viagra online without prescription
sildenafil 25 VGR Sources female viagra sale
order generic viagra from canada: over the counter female viagra pill – buy viagra online cheap
cheap viagra soft tabs: VGR Sources – how to purchase viagra in india
125 mg viagra: VGR Sources – viagra pills online india
buy viagra online in us VGR Sources how do i get viagra online
https://vgrsources.com/# lowest price viagra
viagra cream price in india: buy 1 viagra pill – viagra 800mg
where to buy women viagra: VGR Sources – sildenafil pharmacy
viagra in india viagra 50mg coupon viagra 100mg canada
generic viagra online europe: buy female viagra canada – viagra pharmacy prices
cheap sildenafil online no prescription: viagra purchase online – generic viagra cost
how can i get viagra over the counter VGR Sources viagra 200 mg online
cheap viagra australia: VGR Sources – sildenafil 100mg online uk
viagra 100mg online uk: viagra pills for sale uk – online generic viagra prescription
https://vgrsources.com/# viagra pills over the counter canada
genuine viagra canada VGR Sources sildenafil 100mg free shipping
buy viagra online uk paypal: australia viagra – female viagra pills price
viagra price in india online: brand viagra australia – best viagra capsule
where can i buy viagra pills over the counter VGR Sources viagra for sale uk
buy viagra cheap: VGR Sources – viagra for sale canadian pharmacy
viagra discount prices: how much is sildenafil from canada – cheap sildenafil 20 mg
https://vgrsources.com/# sildenafil 20 mg discount coupon
pharmacy price comparison viagra VGR Sources pfizer viagra for sale
viagra 100mg tablet price in india: price of 50mg viagra – lowest prices online pharmacy sildenafil
buy 150 mg viagra online: VGR Sources – viagra 20 mg coupon
where to buy cheap viagra in usa 100mg sildenafil prices real viagra online canada
where to buy cheap generic viagra: VGR Sources – best price for sildenafil
https://vgrsources.com/# sildenafil tablet usa
cipla viagra: where to buy sildenafil – sildenafil canada where to buy
buy viagra for female online: viagra online ordering – cost of generic viagra in mexico
order female viagra online VGR Sources sildenafil 100 mg tablet
sildenafil tablets where to buy: cheap generic viagra no prescription – female viagra singapore
cheap viagra in usa: where can i buy viagra over the counter in usa – buy viagra in singapore
order sildenafil from canada over the counter female viagra pills buy discount viagra online
https://vgrsources.com/# buy generic viagra online in usa
ordering antibiotics online: Pharm Mex – online pharmacy in mexico
mexico pharmacy price list mexican pharmacy that ships to us can i buy antibiotics in mexico
cheap online pharmacy india: when first pharmacy course was started in india – online medicine delivery in india
united pharmacy finasteride: Pharm Express 24 – diplomat pharmacy
best pharmacy in india InPharm24 online pharmacy india ship to usa
propecia pharmacy2u: testosterone cream online pharmacy – first medicine online pharmacy store discount code
https://pharmmex.shop/# medicine to buy in mexico
medicine delivery in vadodara online pharmacy company in india medlife pharmacy
online pharmacy india: india mart pharmacy – order medicines online
order ozempic from mexico: Pharm Mex – buy pain killer online
medicine online india buy viagra online india pharmacy education in india
pharmacy viagra cialis: isotretinoin pharmacy price – my pharmacy online
finpecia swiss pharmacy: Pharm Express 24 – periactin online pharmacy no prescription
Super Kamagra: Pharm Express 24 – community rx pharmacy warren mi
india pharmacy cialis: pharmacy council of india – e pharmacy in india
inderal pharmacy: Pharm Express 24 – micardis online pharmacy
online pharmacy meds legit canadian pharmacy prozac in mexico
https://pharmexpress24.com/# sam’s club pharmacy propecia
mexican diazepam brands: buy pharmaceuticals – pain management pharmacy near me
Aggrenox caps: pharmacy online clomid – sumatriptan pharmacy uk
is mounjaro mexico pharmacy legit pharmacy nogales mexico pharmacy near mexican border
india pharmacy market: indian pharmacies – india pharmacy market outlook
is mexicanrxpharm legit: Pharm Mex – salsalate mexican pharmacy
http://pharmexpress24.com/# online pharmacy denmark
online medicine india: india mail order pharmacy – india pharmacy of the world
buy online medicine pharmacy online india online pharmacy in india
apotheke academy: medlife pharmacy – india pharmacy of the world
pharmacy online store malaysia: Pharm Express 24 – peoples pharmacy austin store hours
us pharmacy ambien no prescription rx unlimited pharmacy Mobic
https://inpharm24.com/# ex officio member of pharmacy council of india
buy generic viagra online: aygestin online pharmacy – international pharmacy
tetracycline pharmacy: target pharmacy finasteride – kamagra oral jelly
how much does cialis cost at pharmacy Pharm Express 24 generic rx online pharmacy
viagra prices pharmacy: Pharm Express 24 – Grifulvin V
https://pharmexpress24.shop/# smiths pharmacy
india pharmacy percocet online pharmacy overnight shipping concerta online pharmacy
what can i buy over the counter in mexico: Pharm Mex – mexican pharmacies near me
sam’s club pharmacy propecia: Pharm Express 24 – rite aid pharmacy online
what can i buy in mexican pharmacy: tirzepatide cost in mexico – ozempic in mexican pharmacy
mexican farmacia Pharm Mex zepbound mexico
ozempic mexican brand: Pharm Mex – legitimate mexican pharmacy online
https://pharmmex.shop/# pharmacy to buy
https://pharmmex.shop/# mexican medicine cream
riopan compresse: test farmacia online – testoviron 250 fiale compra online
collyre chat pharmacie sans ordonnance: cialis 5 mg prix – tadalafil 20 mg boГ®te de 28 prix
farmacia online sin gastos de envio yodocefol farmacia online farmacia online aciclovir
livraison medicament avec ordonnance: Pharmacie Express – viagra sans ordonnance en pharmacie en france
vitamine pour tomber enceinte pharmacie sans ordonnance: generique jasmine – spedra 100
compralgyl sans ordonnance Pharmacie Express brossette inava bleu
http://confiapharma.com/# comprar tryptizol sin receta
finasteride se puede comprar sin receta: farmacia online en cГЎdiz – como montar una farmacia online
viagra sans ordonnance pharmacie france: pharmacie en ligne sans ordonnance avis – ou commander du viagra
somnifГЁres sans ordonnance acheter tadalafil en ligne sans ordonnance orviax sans ordonnance en pharmacie
finastГ©ride en ligne: prorhinel rhume unidose – scalpel pharmacie sans ordonnance
auradol prezzo Farmacia Subito cipralex prezzo senza ricetta
http://confiapharma.com/# se puede comprar viagra sin receta en una farmacia
avis pharmacie en ligne sans ordonnance: nerisone sans ordonnance – kamagra sans ordonnance en pharmacie
minoxidil sans ordonnance pharmacie Pharmacie Express sildenafil ordonnance
farmacia online test rapido covid: misoprostol se puede comprar sin receta – donde comprar zolpidem sin receta
farmacia online prezzi bassi: augmentin bustine adulti prezzo – telefil 10 mg
naomi pillola prezzo brintellix compresse farmacia online per animali
pharmacie en ligne france livraison internationale: Kamagra oral jelly pas cher – kamagra 100mg prix