Denis Kibira How to Monitor to Medicines prices

Objectives of presentation Understand to what extent medicine prices impact on the challenges of access to medicines in a country Inform policy makers when selecting alternative policy options to improve accessibility (affordability and availability) of medicines Apr-09 MeTA CSO Workshop

Understand to what extent medicine prices impact on the challenges of access to medicines in a country

Inform policy makers when selecting alternative policy options to improve accessibility (affordability and availability) of medicines

Why do Medicine Prices Matter? Variation for different medicines for the same disease/condition Variation by generic /originator Variation by sectors/outlet type Impact on family income Malaria expenditure up to $25/year Uganda (direct) Apr-09

Variation for different medicines for the same disease/condition

Variation by generic /originator

Variation by sectors/outlet type

Impact on family income

Malaria expenditure up to $25/year Uganda (direct)

What can be Done? Apr-09 WHO and Health Action International Uganda started measuring medicine prices in 2004 11 other countries in Africa

Systematic sampling of medicines outlets Prices of global and country-specific commonly used medicines Predetermined dosage forms and strengths Originator brand and lowest priced generic Local prices compared to international reference price Price Components mapped from manufacturer to patient Affordability assessed for common courses of treatment – acute and chronic WHO/HAI approach Apr-09

Systematic sampling of medicines outlets

Prices of global and country-specific commonly used medicines

Predetermined dosage forms and strengths

Originator brand and lowest priced generic

Local prices compared to international reference price

Price Components mapped from manufacturer to patient

Affordability assessed for common courses of treatment – acute and chronic

Price differs even for the ‘cheapest’ drug SP in Africa: US$0.20 – US$2.75

Findings: Price trends of key antimalarial medicines in the private sector 2007-2008 Apr-09

Price trends of key antimalarial medicines in the private sector 2007-2008

Cont’d Affordability of treatment for diabetes, hypertension and pediatric acute respiratory tract infection Apr-09

Affordability of treatment for diabetes, hypertension and pediatric acute respiratory tract infection

Thank you! Questions, comments …???? Apr-09 MeTA Uganda

Questions, comments …????