Access To Medicine

Denis Kibira/Patrick Mubangizi HEPS 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-09 MeTA CSO Workshop

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
Apr-09

Access to essential drugs WHO framework for action Apr-09 1. Rational selection 4. Reliable health and supply systems 2. Affordable prices 3. Sustainable financing 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 Apr-09

Available
Accessibility
Acceptability
Affordability
Access Apr-09

4 A s
A vailable – On shelves for dispensing to patients
A ccessible – geographical or physical location of medicines
A cceptable – answering need, quality, generic/brand
A ffordable by the target group
Apr-09

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
Apr-09

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 packaging www.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 …????
Apr-09 MeTA Uganda

Access To Medicine

by MeTApresents on May 14, 2009

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Access To Medicine — Presentation Transcript