Denis Kibira HEPS Uganda How to assess Access to Medicines
Objective of presentation <ul><li>To equip the participants on how to measure the aspects of access to essential medicines...
What are essential medicines <ul><li>Essential medicines are intended to be  available  within the contest of functioning ...
4 A s <ul><li>A vailable – On shelves for dispensing to patients </li></ul><ul><li>A ccessible – geographical or physical ...
Rational Use of Medicines (RUM) <ul><li>Right medicine, Right time, Right dose, Right cost, Right information </li></ul><u...
Exercise 1 <ul><li>Selecting of a basket of medicines  </li></ul><ul><li>Accessing availability of medicines at a facility...
Tools <ul><li>A list of 100 medicines classified according to their indications (see list) </li></ul>
Methodology <ul><li>Participants in 4 groups are asked to select a basket of 30 medicines (a) to be used for research or s...
Cont’d <ul><li>At the facility the dispensary shelves are checked for availability (b)  of each medicine in the selected b...
<ul><li>Using WHO medicines indicators to assess medicines use at health facilities </li></ul><ul><ul><li>Number of medici...
Tools <ul><li>A list of 30 patients’ prescriptions in which highlights were made on medicines prescribed by brand names, i...
Methodology <ul><li>1. Participants counted the total number of medicines prescribed in all the 30 prescriptions. Determin...
Cont’d <ul><li>Participants counted the total number of injections prescribed in all the 30 prescriptions. Determine the a...
Thank you! <ul><li>Questions, comments …???? </li></ul>Apr-09 MeTA Uganda
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How to assess access to medicines

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Presentation on 'How to assess access to medicines' by Denis Kibira, HEPS Uganda, during MeTA Uganda CSO workshop, April 2009.

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  • Title of presentation 10/06/09 MeTA
  • How to assess access to medicines

    1. 1. Denis Kibira HEPS Uganda How to assess Access to Medicines
    2. 2. Objective of presentation <ul><li>To equip the participants on how to measure the aspects of access to essential medicines in a supply chain and familiarise with the tools used. </li></ul>Apr-09 MeTA CSO Workshop
    3. 3. What are essential medicines <ul><li>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. </li></ul>Apr-09
    4. 4. 4 A s <ul><li>A vailable – On shelves for dispensing to patients </li></ul><ul><li>A ccessible – geographical or physical location of medicines </li></ul><ul><li>A cceptable – answering need, quality, generic/brand </li></ul><ul><li>A ffordable by the target group </li></ul>Apr-09
    5. 5. Rational Use of Medicines (RUM) <ul><li>Right medicine, Right time, Right dose, Right cost, Right information </li></ul><ul><li>Appropriate indication </li></ul><ul><li>Appropriate medicine – safe, efficacious, effective (quality) </li></ul><ul><li>Appropriate administration, dosage, duration </li></ul><ul><li>Appropriate patient </li></ul><ul><li>Appropriate patient information </li></ul><ul><li>Appropriate evaluation </li></ul>Apr-09
    6. 6. Exercise 1 <ul><li>Selecting of a basket of medicines </li></ul><ul><li>Accessing availability of medicines at a facility dispensary </li></ul>
    7. 7. Tools <ul><li>A list of 100 medicines classified according to their indications (see list) </li></ul>
    8. 8. Methodology <ul><li>Participants in 4 groups are asked to select a basket of 30 medicines (a) to be used for research or survey based on: </li></ul><ul><li>Disease patterns in country </li></ul><ul><li>Pick as many medicines in each category depending on the importance or prevalence of the disease in the country </li></ul><ul><li>May not pick medicine in some categories if the disease is not important </li></ul><ul><li>Knowledge of the efficacy of the medicines not important </li></ul>
    9. 9. Cont’d <ul><li>At the facility the dispensary shelves are checked for availability (b) of each medicine in the selected basket (a) </li></ul><ul><li>The percentage of availability of medicines is determined as: </li></ul><ul><li>% availability = b/a x 100 </li></ul>
    10. 10. <ul><li>Using WHO medicines indicators to assess medicines use at health facilities </li></ul><ul><ul><li>Number of medicines per encounter </li></ul></ul><ul><ul><li>Prescribing by generic names </li></ul></ul><ul><ul><li>Use of injections </li></ul></ul><ul><ul><li>Use of antibiotics </li></ul></ul>Lesson 2:
    11. 11. Tools <ul><li>A list of 30 patients’ prescriptions in which highlights were made on medicines prescribed by brand names, injections and antibiotics (see list) </li></ul>
    12. 12. Methodology <ul><li>1. Participants counted the total number of medicines prescribed in all the 30 prescriptions. Determine the number of medicines per encounter. </li></ul><ul><li>Number of medicines per encounter = Total number of prescribed medicines </li></ul><ul><li> 30 </li></ul><ul><li>2. Participants counted the total number of medicines prescribed by generic names in all the 30 prescriptions. Determine the percentage of medicines prescribed by generic names. </li></ul><ul><li>% generic prescribing = Total prescribed by generic name x 100 </li></ul><ul><li> Total number of medicines prescribed </li></ul>
    13. 13. Cont’d <ul><li>Participants counted the total number of injections prescribed in all the 30 prescriptions. Determine the average injection use. </li></ul><ul><li>% injection use = Total number of injections prescribed x 100 </li></ul><ul><li> Total number of medicines prescribed </li></ul><ul><li>Participants counted the total number of antibiotics prescribed in all the 30 prescriptions. Determine the average antibiotic use. </li></ul><ul><li>% antibiotic use = Total number of antibiotics prescribed x 100 </li></ul><ul><li> Total number of medicines prescribed </li></ul>
    14. 14. Thank you! <ul><li>Questions, comments …???? </li></ul>Apr-09 MeTA Uganda

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