ICIUM 2011 conference introductory presentation. Submission of abstracts: 7 December!

1. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 1
Third International Conference for Improving Use of
Medicines (ICIUM2011):
Informed Strategies, Effective Policies, Lasting Solutions
Bibliotheca Alexandrina
April 10th-14th 2011

2. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 2
WHO Eastern Mediterranean Region
22 countries

3. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 3
Introduction
 The diversity in the region hinders any regional generalization.
 Contexts are markedly different and so are the priorities.
 A low income country – Pakistan – has a sizeable pharmaceutical
industrial base.
 A highest income country – Qatar – does not have any
pharmaceutical company.
 A lower middle income country – Jordan – has an FDA with a more
than 400 staff.
 An upper middle income country – Libya – has almost negligible
regulatory capacity
Pharmaceutical Context & Priorities

4. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 4
Classification of EMR countries by income
(World bank 2009)
High-income Upper-middle-income
Bahrain
Kuwait
Oman
Qatar
Saudi Arabia
UAE
Lebanon
Libya
Lower-middle-income Low-income
Djibouti
Egypt
Iran, Islamic Republic
Iraq
Jordan
Morocco
Pakistan
Palestine
Sudan
Syrian Arab Republic
Tunisia
Afghanistan
Somalia
Yemen

5. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 5
Analytical Matrix
W M S
Medicine Policy
Access
Quality -
Regulation
Rational Use
Pharmaceutical Context & Priorities
Low
Income
Countries
Lower M
Income
Countries
Upper M
Income
Countries
High
Income
Countries

6. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 6
Expenditure on medicines
from 9 NHA studies in the Region
■ 40% of total health expenditure is on medicines
■ Up to 30% of the budget of ministries of health is spent on
medicines
■ Out-of-pocket expenditure is high
 Egypt: 53% of all medicines are purchased directly by
households
 Morocco: 74%
Pharmaceutical Context & Priorities

7. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 7
ICIUM Conferences
Goals:
•Assemble the state-of-the-art knowledge about
ways to improve medicines use and health,
especially for the most vulnerable populations
•Recommend evidence-based strategies for
improving use at different levels in the health
care system
•Identify ways to monitor and evaluate policy
impacts
•Develop a research agenda to further knowledge
about how to improve medicines use

8. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 8
ICIUM conferences are unique
 They focus on use of medicines in low and middle income countries
 They are highly interactive
 They produce actionable results
 ICIUM 1997 and 2004 proceedings available at www.icium.org

9. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 9
Partners Supporting ICIUM 2011
•International Network for Rational Use of Drugs
•World Health Organization
•Eastern Mediterranean Regional Office
•Department of Essential Medicines and
Pharmaceutical Policies
•Harvard Medical School and Boston University
School of Public Health: WHO Collaborating Center in
Pharmaceutical Policy
•Karloniska Institute, Division of Global Health
•Management Sciences for Health, Strengthening
Pharmaceutical Systems
•University of Alexandria
•Bibliotheca Alexandrina

10. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 10
Conference Structure: Focus Areas
 Conference discussions will focus on each on the following
levels in health care systems where changes to improve
medicines use take place:
Global
National
Institutional and
Individual (health care providers and consumers, including
community systems)

11. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 11
Conference Structure: Topic Track Objectives
•To cover major areas of clinical and programmatic interest related
to pharmaceuticals in low and middle income countries
• To encourage cross-fertilization of ideas by having participants
from different topic areas

12. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 12
Conference Structure: Provisional Topic Tracks
 Access (policy, regulation, governance)
 HIV/AIDS, TB
 Malaria
 Maternal and child health (IMCI, pediatric medicines)
 Chronic care (diabetes, hypertension, mental health,
information technology for adherence)
 Drug resistance (surveillance, containment strategies, drug
development)
 Economics, financing, insurance systems (cost, affordability,
incentives, medicines coverage, policy options, impacts)

13. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 13
ICIUM 2011 Participants
 Each of the 500 or so participant of ICIUM2011 will be
expected to play an active role in the conference.
 Those with submitted abstracts are much more likely to
be accepted.
 ICIUM 2004 had 472 participants from 70 countries.
There were 299 presentations and 326 posters.

14. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 14
ICIUM 2011 Registration and Abstract Submission
 Details of how to register and how to submit abstracts
are posted on the ICIUM 2011 website www.icium.org
 Abstracts must be submitted by 7 December 2010.
 Each abstract will be peer reviewed. If improvements
are needed authors will be mentored.

15. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 15

16. Essential Medicines and Pharmaceutical Policies Unit
Sept 2010– ICIUM 2011 16
Thank you
See you April 10th-14th 2011 in the Bibliotheca Alexandria
Watch www.icium.org for more information