Access To Medicine

Denis Kibira/Patrick MubangiziHEPS Uganda/HAI-Afica

Access to Medicines

Objectives of presentation

To understand What is meant by Essential Medicines Components of access to Essential Medicines RUM Drug donations and promotions Generic Vs Branded

Apr-09MeTA CSO Workshop2

Definitions

Essential Medicines

Are medicines that satisfy the needs of the majority of the population and therefore should be available all the time. World Health Organisation

A selection of these medicines according to the needs and disease burden of the country makes the Essential Medicines List

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Access to essential drugsWHO framework for action

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1. Rationalselection

4. Reliablehealth and

supply systems

2. Affordableprices

3. Sustainablefinancing

ACCESS

Essential medicines are intended to be available within the contest of functioning healthcare systems at all times, in adequate amounts, in appropriate dosage forms, with assured quality, and at a price the individual and community can afford.

Access

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Available

Accessibility

Acceptability

Affordability

Access

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4 As

Available – On shelves for dispensing to patients

Accessible – geographical or physical location of medicines

Acceptable – answering need, quality, generic/brand

Affordable by the target group

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Rational Use of Medicines (RUM)

Right medicine, Right time, Right dose, Right cost, Right information

Appropriate indication Appropriate medicine – safe, efficacious, effective

(quality) Appropriate administration, dosage, duration Appropriate patient Appropriate patient information Appropriate evaluation

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Drug donation

Core Principles: Maximum benefit to the recipient Respect for the wishes and authority of the

recipient No double standards in quality Effective communication between donor and

recepient

Drug Promotion

This is the advertising of medicines through the media (radio, TV, print); use of medical representatives, symposia

It should be ethical, with useful and unbiased information

Should conform to WHO criteria: reliable, accurate, truthful, informative, balanced, up to date, capable to substantiation, in good taste

Generic Vs Branded

Branded medicine: this is an innovator/originator medicine

Generic medicine: this is a copy of originator medicine containing exact active ingredients

Generics are substantially cheaper than brands as there are no costs related to R&D

Counterfeits/Substandard medicines

a medicine which is deliberately and fraudulently mislabelled with respect to identity and / or source

counterfeiting can apply to both branded and generic products and counterfeit products

may include products with the correct ingredients or with the wrong ingredients, without active ingredients, with insufficient active ingredients, or with fake packagingwww.who.int/medicines

over- or under- concentration of ingredients contamination poor quality ingredients poor stability inadequate packaging

Why are there substandard medicines? low standards of manufacturing (e.g. for export) weak regulatory agencies

What are substandard medicines?

Thank you!

Questions, comments …????

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