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Access To Medicine


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Presentation on what are essential medicines and components of access to essential medicines by Denis Kibira, HEPS Uganda and Patrick Mubangizi, HAI-Africa during the MeTA Uganda CSO workshop in April 2009.

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Access To Medicine

  1. 1. Denis Kibira/Patrick Mubangizi HEPS Uganda/HAI-Afica Access to Medicines
  2. 2. Objectives of presentation <ul><li>To understand </li></ul><ul><li>What is meant by Essential Medicines </li></ul><ul><li>Components of access to Essential Medicines </li></ul><ul><li>RUM </li></ul><ul><li>Drug donations and promotions </li></ul><ul><li>Generic Vs Branded </li></ul>Apr-09 MeTA CSO Workshop
  3. 3. Definitions <ul><li>Essential Medicines </li></ul><ul><li>Are medicines that satisfy the needs of the majority of the population and therefore should be available all the time. World Health Organisation </li></ul><ul><li>A selection of these medicines according to the needs and disease burden of the country makes the Essential Medicines List </li></ul>Apr-09
  4. 4. 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
  5. 5. <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>Access Apr-09
  6. 6. <ul><li>Available </li></ul><ul><li>Accessibility </li></ul><ul><li>Acceptability </li></ul><ul><li>Affordability </li></ul>Access Apr-09
  7. 7. 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
  8. 8. 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
  9. 9. Drug donation <ul><li>Core Principles: </li></ul><ul><li>Maximum benefit to the recipient </li></ul><ul><li>Respect for the wishes and authority of the recipient </li></ul><ul><li>No double standards in quality </li></ul><ul><li>Effective communication between donor and recepient </li></ul>
  10. 10. Drug Promotion <ul><li>This is the advertising of medicines through the media (radio, TV, print); use of medical representatives, symposia </li></ul><ul><li>It should be ethical, with useful and unbiased information </li></ul><ul><li>Should conform to WHO criteria: reliable, accurate, truthful, informative, balanced, up to date, capable to substantiation, in good taste </li></ul>
  11. 11. Generic Vs Branded <ul><li>Branded medicine: this is an innovator/originator medicine </li></ul><ul><li>Generic medicine: this is a copy of originator medicine containing exact active ingredients </li></ul><ul><li>Generics are substantially cheaper than brands as there are no costs related to R&D </li></ul>
  12. 12. Counterfeits/Substandard medicines <ul><li>a medicine which is deliberately and fraudulently mislabelled with respect to identity and / or source </li></ul><ul><li>counterfeiting can apply to both branded and generic products and counterfeit products </li></ul><ul><li>may include products with the correct ingredients or with the wrong ingredients, without active ingredients, with insufficient active ingredients, or with fake packaging </li></ul>
  13. 13. <ul><li>over- or under- concentration of ingredients </li></ul><ul><li>contamination </li></ul><ul><li>poor quality ingredients </li></ul><ul><li>poor stability </li></ul><ul><li>inadequate packaging </li></ul><ul><li>Why are there substandard medicines? </li></ul><ul><li>low standards of manufacturing (e.g. for export) </li></ul><ul><li>weak regulatory agencies </li></ul>What are substandard medicines?
  14. 14. Thank you! <ul><li>Questions, comments …???? </li></ul>Apr-09 MeTA Uganda