In Georgia - Hepatitis C can be treated! Timely access to diagnostic and treatment services can save lives of thousands!

1. hepatiti С -
globaluri politika
28 ivlisi, 2011 weli
naTia xarati

2. mizani
Camoyalibdes C hepatitTan
brZolaze mimarTuli mkafio
nacionaluri programa

3. cifrebi
 500 mln adamiani aris inficirebuli C da B
hepatitiT
 weliwadSi 1.5 mln adamiani iRupeba am
virusebiT gamowveuli garTulebebiT – RviZlis
kibo da cirozi
 saqarTveloSi 200 000 adamiani aris
inficirebuli C hepatitiT
 WHO mier 135 qveyana iqna gamokiTxuli da
aqedan 80%-ma aRiara, rom C hepatitis aris
saxelmwifo jandacvis politikis problema

4.  miuxedavad amisa qveynebis
umravlesobaSi ar arsebobs efeqturi politika,
an saWiroebs seriozul gadaxedvas;
 aucilebelia rogorc nacionalur, ise
saerTaSoriso doneze moqmedebebis
strategiuli dagegmareba da koordinacia

5. C hepatiti
warmoadgens sazogadoebrivi jandacvis
glubaluri problemas da saWiroebs
advokatirebas mTavrobebTan da
mosaxleobisaTvis misi aqtualurobis
Cvenebas, raTa xeli Seewyos daavadebis
profilaqtikas, diagnostirebas da
mkurnalobas.

6. 2010 masSi jandacvis msoflio asambleaze WHO
miiRo rezolucia WHA63.18 virusuli hepatitebis
Sesaxeb.
 193 wevri qveyana valdebulila
ganaxorcielos brZola virusul hepatitebTan
 aucilebelia TiToeuli qveynis moqmedeba
iyos globalurad koordinirebuli da
gaZlierebuli socialuri sferodan gamoyofili
resursebiT

7. rezolucia sTavazobs yvela
qveyanas:
 yovel wels aRniSnos hepatitebTan brZolis saerTaSoriso dRe 28
ivlisi;
 gaaZlieros daavadebaTa kontroli;
 moaxdinos C hepatitTan brZolis integrireba jandacvis sxva saxelmwifo
programTan;
 CarTos arasamTavrobo organizaciebi da samoqalaqo seqtori;
 gaaumjobesos profilaqtikuri RonisZiebebi da jansaRi cxovrebis
reklamireba;
 gaaumjobesos diagnostireba;
 gazardos mkurnalobis xelmisawvdomoba;
 gazardos sisxlis komponentebis xarisxis usafrTxoeba;
 moicvas mowyvladi mosaxleoba da migrantebi;
 gazardos ineqciebis usafrTxoeba;
 gaaumjobesos medicinis muSakebis daculoba.

8. rezolucia aseve avaldebulebs
WHO:
 SeimuSaos globaluri strategia, swrafi Sedegebisa da
protokolebis CaTvliT;
 gansazRvros is migneba – Tu ra muSaobs ukeT;
 ganaxorcielos C hepatitis problemis simZimis globaluri
Sefaseba;
 daexmaros SezRuduli resursebis mqone qveynebs;
 gazardos saerTaSoriso investiciebi C hepatitTan brZolis
sakiTxebSi;
 gaaZlieros usafrTxo ineqciebis globaluri qseli;
 iTanamSromlos samkurnalo saSualebebis
xelmisawvdomobaSi dainteresebul qveynebTan;
 akontrolos rezoluciis procesis ganxorcieleba.

9. regionSi arsebuli ZiriTadi
problemebi:
 ar arsebobs srulyofili epidemiologiuri da statistikuri
monacemebi;
 ar arsebobs C hepatitis profilaqtikisa da monitoringis
nacionaluri programa;
 fasebi testirebaze – Zalian maRalia;
 fasebi mkurnalobaze (peligirebuli interferoni) – Zalian
maRalia, rogorc pacientebisaTvis, ise saxlmwifo
biujetisTvisac;
 ar arsebobs C hepatitis diagnostirebisa da mkurnalobis
nacionaluri programa.

10. testi antisxeulebze
qveyana ufaso - saxelmwifo
jandacvis programebis
farglebSi
ufaso - pacientebis
garkveuli
kategoriisaTvis
ukraina ara ki
saqarTvelo ara ara
latvia ki ki
yirgizeTi ara ara
yazaxeTi ara ki
ruseTi ara ki

11. diagnostikuri testireba
ukra
ina
saqarTvel
o
latvia ruseTi yazaxeTi yirgizeTi
PCR Tvisobrivi 18 $ 141,25 $ 21,37 $ 14 $ 20,6 $ 100 $
PCR raodenobrivi 76 $ 211,25 $ 45,8 $ 106 $ 54,9 $ 100 $
genotipireba 44 $ 337 $ 64,3 $ 23 $ 27,5 $ araa
registrire
buli
ufaso
mkurnalobis
damwyebTaTvis
ara ki ki ki ara ara

12. mkurnaloba
fasi aSS
dolarSi
ukrain
a
saqar
Tve
lo
latvia ruse
Ti
yazaxe
Ti
yir
gize
Ti
Pegasys+Copegus
(Roche) – 24 kvira
6000-
8400
9750 7912 12000 9041 6720
Schering
Plough/Merck) – 24
kvira
6000-
8400
8295 13950 12000 8712 6720
Pegasys+Copegus
(Roche) – 48 kvira
12000-
16800*
19500 15820 24000 18082 13440
Schering
Plough/Merck) – 48
kvira
12000-
16800
16590 27900 24000 17424 13440

13. zianis Semcirebis siswore C
hepatitTan mimarTebaSi
qveyana programebi swori
mkurnalobis kuTxiT
programebi C hepatitebis
konsultirebisa da zianis
Semcirebis kuTxiT
ukraina ki ara
saqarTvelo ara ara
latvia ki ara
yirgizeTi ki ara
yazaxeTi ki ara
ruseTi ara ara

14. maRali fasebi, riTia
gamowveuli?
 ZviradRirebuli gamokvlevebi “???”
farmakologiuri biznesi erTerTi yvelaze momgebiania msoflioSi
 ZviradRirebuli warmoeba “???”
yovelTvis xarisxis garanti ar aris
 monopolia – 20 wliani patenti “???”
ar arsebobs sxva generikuli preparatebi
 mxolod mwarmoebeli gansazRvravs fass

15. ratom viTxovT fasebis
Semcirebas?
 metad xelmisawvdomi iqneba saxelmwifo
biujetisaTvis
 metad xelmisawvdomi iqneba donori
organizaciebisaTvis;
 metad xelmisawvdomi iqneba
pacientebisaTvis.
meti pacienti SesZlebs mkurnalobas

16. sami komponenti, romelic aucilebelia
mkurnalobis xelmisawvdomobis
gazrdisaTvis

17. sxva qveynebis gamocdileba
brazilia
 2006-2010 wlebSi hyavda 10 507 inficirebuli pacienti
 pegilirebuli interferoniT mkurnalobis kursi - 10 302 aSS dolari
 2010 wels inicireba gaukeTa hepatitebis rezoluciis miRebas jandacvis msoflio
asambleaze
 424 mln. aSS dolari ukve daxarja mkurnalobaze;
 muSaobs generikuli preparatebis – peg-interferonis miRebis kuTxiT.
maroko
 2010 wlidan aRniSnaven C hepatiTan brZolis msoflio dRes;
 jandacvis saministro – ganixilavs C hepatitis mkurnalobis CarTvas im 41 daavadebis siaSi,
romelTac afinansebs saxelmwifo dazRveva.

18. mezobeli qveynebis
gamocdileba
yirgizeTi:
 muSaobas awarmoebs 3 arasamTavrobo organizacia;
 tardeba kvlevebi mdgomareobis Sesaswavlad;
 miiRes nacionaluri programa 2011;
 SeimuSaves protokolebi da moizides investiciebi donorebis mxridan;
 antisxeulebze testireba 2012 wlidan iqneba ufaso;
 aqtiuradaa CarTuli media
ukraina
 WHO, infeqcionistebisa da samoqalaqo sazogadoebis mobilizacia;
 warmatebulia mcire proeqtebi: informirebulobis donis gazrda risk jgufebsa da
axalgazrdebSi;
 Seiqmna samuSao jgufi adgilobriv doneze (samTavrobo da samoqalaqo seqtorebis
CarTviT);
 muSavdeba nacionaluri programa (monawileobs 2 arasamTavrobo organizacia

19. gmadlobT yuradRebisaTvis