Applying human rights to advocacy campaigns for access to essential medicines in Uganda
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Presentation on applying human rights to advocacy campaigns for access to essential medicines in Uganda by the Executive Director, Action Group for Health, Human Rights and HIV/AIDS (AGHA) Uganda during the MeTA Uganda CSO workshop, April 2009.
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- This is expected to have several benefits like increased financial protection, jobs, productivity, reduced poverty, and improved health outcomes.
- For the pharmaceutical industry, UHC in India means price controls on essential medicines through the National List of Essential Medicines, mandatory generic drug prescribing, and promotion of generic drug usage in
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Towards affordable health care .
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The Good, the Bad, the Ugly: The state of PEPFAR and future advocacy opportun...
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PEPFAR was reauthorized with some key wins but also opportunities for future advocacy. It will provide treatment for 3 million people, prevent 12 million HIV infections, and care for 10 million over 5 years. However, 5 people still become infected for every 2 treated, so $50 billion is needed to meet goals. Future advocacy opportunities include strengthening health systems and the workforce, recognizing the feminization of HIV, and ensuring science-based prevention for at-risk groups like injection drug users and men who have sex with men.M FC 2011 Concept Note
The document discusses moving towards universal access to health care in India. It defines key concepts of universal health care and outlines principles like public funding playing a central role, comprehensive services for all, and no fees at point of access. It examines issues like what services should be covered, how it will be funded through taxes or insurance, and how services will be organized between public and private sectors. Specific challenges in India like the large private sector and funding mechanisms are also discussed.
The Right to Health and Health Workforce Planning
Overview:
Refresher on health workforce crisis
Right to health overview
Value of human rights approach to health workforce planning
Human rights and health workforce planning
What you can do
Day 2 session 3 financing and governance v24_october2016 (1)
The document discusses various aspects of financing for universal health coverage including:
1) Population coverage, health service coverage, and cost coverage are key dimensions of reforms for UHC.
2) In many low and middle income countries, high out-of-pocket expenditures negatively impact equity, access, and use of health services.
3) Reducing out-of-pocket costs requires addressing factors like irrational drug use and insufficient private sector regulation that contribute to cost escalation.
Keynote address: Financing for Universal Coverage - Bart Criel
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Medicines Transparency In Ghana
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Universal Health Coverage
Universal health coverage was established in the WHO constitution of 1948 declaring health a fundamental human right.The goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
Bancroft Research In Action
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Health Exchange: Access to medicines April 2010
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BEVIT
This document discusses a model to universalize access to quality primary healthcare in India. It outlines recommendations in several areas: human resources for health, community participation, access to medicines/vaccines, health financing, management reforms, and social determinants of health. The key recommendations are to increase public spending on health, strengthen primary care infrastructure and workforce, ensure access to essential medicines, implement health financing reforms to achieve universal coverage, and address social factors like education, sanitation, and nutrition that impact health outcomes. The model aims to make primary healthcare services accessible to all Indians through a strengthened public system and community involvement.
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3. 2nd PBBSc - Comty - Unit - 3 - Organization and administration of health s...
2nd Year PBBSc Nursing community Health Nursing
Organization and administration of health services in India
UNIT III:
Organization and administration of health services in India.
National health policy
Health Care Delivery system in India.
Health team concept
Centre, State, district, urban health services, rural health services
System of medicines
Centrally sponsored health schemes
Role of voluntary health organizations and international health agencies
Role of health personnel in the community
Public health legislation.
Important questions:
Different level of health services in india (Centre, State, district, urban health services, rural health services)
Health team
System of medicines / AYUSH
Role of health personnel in the community
National health policy
voluntary health organizations – WHO, UNICEF, Red cross
Public health legislation.
National health policy:
Definition:
Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society”
National health policy 1983:
National health policy in India was not framed and announced in 1983.
The ministry of health and family welfare evolved a National Health Policy in 1983.
The policy focus on the preventive, promotive, public health and rehabilitation aspects of health care.
To attain the objectives “Health for all by 2000 AD”.
KEY ELEMENTS OF NATIONAL HEALTH POLICY 1983:-
Awareness of health problems
Safe drinking water and sanitation
Rural health infrastructure
Health management of information system
Legislative support to health
Combat wide spread of malnutrition
Research in health care
Different system of medicines
Factors interfering with the progress towards health for all:
Insufficient political commitment
Failure to achieve equality
The low status of women.
Slow socio-economic development.
Lack of human resources.
Inadequacy of health promotion activities.
Weak health information system and no baseline data.
Pollution, lack of water supply and sanitation.
Uncontrolled population
Advanced technology
Natural and man-made disasters
National Health Policy 2002:
The national health policy 1983 revised in 2002 with new objectives and strategies in order meet the health problems and demand of peoples
Objectives:
To achieve an acceptable standard of good health
To upgrading health infrastructure
To improve equitable health service
To give priority for prevention and first line curative
To promote rational use of drugs.
To increase use of Traditional Medicine (AYUSH)
National Health Policy 2002 - Policy prescriptions:
Equity
Delivery of national health programmes
Extending public health services
Education of health care professionals
Need for specialists in 'public health' & 'family medicine
Nursing personnel
Urban health
Mental health
Information Education and Communication
Health research
Role of private sector
Health statistics
Women's health
Medical ethics
Enforcement of quality standard for food &drug
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Jan to march 2015 quaterly news leter
The document is a quarterly newsletter from HEPS Uganda covering January to March 2015. It discusses several of HEPS' projects over this period including capacity building for advocacy, accountability in health services, addressing stockouts of contraceptives, advocating to extend the TRIPS transition period to improve access to medicines, and orienting new staff. It also notes Uganda's heavy reliance on donors for health funding.
Leveraging Consumer-Facing Technologies to Improve Health Outcomes
The document discusses leveraging consumer-facing technologies to improve health outcomes. It describes how healthcare information technology (HIT) can help reduce medical errors, improve adherence to guidelines, and enable more effective disease management and remote patient monitoring. HIT includes electronic health records, computerized physician order entry, and other integrated data sources. The document also covers benefits of telehealth/telemedicine, which can improve access to care and reduce costs through reduced travel, hospitalizations, and mortality rates. Overall, the document advocates that HIT and telehealth can help improve quality of care while increasing efficiency and reducing costs.
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MeTA and data disclosure
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Presentation by Lazarus Chota, Council Chairman, MeTA Zambia during the countries sharing meeting, London 2009.
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Applying human rights to advocacy campaigns for access to essential medicines in Uganda
- 1. Applying Human Rights to Advocacy Campaigns for Access to Essential Medicines in Uganda Lessons from AGHA Sandra Kiapi Executive Director, Action Group for Health, Human Rights and HIV/AIDS (AGHA) Uganda
Editor's Notes
- The concept of minimum healthcare package has been used as a means of setting priorities for national health budgets. The aim is to identify a set of health services for which the Government can afford free access: this is intended to assist with resource allocation in the face of huge health
- This year, AGHA launched its innovative “Stock Out Survey.” The survey, which took place in three new districts in rural Southwestern Uganda, collected data on the supply of essential malaria and anti-biotic medicines and staffing levels at selected health facilities. The objective of this study was to assess the trends of drug availability in health facilities in three districts, while also exploring the challenges faced by health workers in getting drugs at the health facility level.
- This study found that the drugs being tracked were often out of stock in the facilities visited. Availability of Malaria Medicine : CoArtem, the Ministry of Health mandated first line treatment for malaria was often unavailable in health clinics in all three districts. In Ibanda, 10-30% of clinics experiences CoArtem stock outs over the course of 5 visits. In Isingiro, all clinics had CoArtem at 3 of the 6 data collection visits; the other 3 visits found 10-40% of clinics had no CoArtem in stock. In Lyantonde, CoArtem stock out rates ranges from 10% to 50% at one visit, meaning half of all clinics visited that day did not have the first line treatment for malaria—the leading killer in Uganda. Availability of Antibiotics : The study found high levels of stock outs in antibiotics at health centers in all three districts. For example, for the first month of the study, 60-80% of clinics in Ibanda had no access to the 4 major antibiotics traced by this study. In Isingiro district, access to any of the four antibiotics traced differed significantly, from less than 20% to 85% in stock, but never reached 100% coverage for any medicines during the survey time.
- In September, AGHA held a meeting for members of parliament, ministry of health officials, health professionals, and civil society organizations to launch the results of the survey and to present policy recommendations. These policy recommendations included: Addressing Budget Gaps by scaling up spending to meet the 15% target from the Abuja Declaration and loosening any macroeconomic structures which prevent increased health spending Reforming drug purchasing and distribution by creating more flexible drug purchasing systems and financing mechanisms Improving the monitoring and evaluation of the drug procurement and distribution system Address human resources for health issues by meeting staffing targets, training staff on drug forecasting, and providing incentives for workers to join new districts Build better communication systems between districts, health facilities, and central bodies such as the NMS and the Ministry of Health. AGHA is currently planning follow-up meetings in the districts that participated in this study to continue putting pressure on policy makers to address these issues.