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Ensuring medicines save lives: Facilitating access

Ensuring medicines save lives: Facilitating access. Defeating Malaria Together. Jaya Banerji Director, Communications & Advocacy MMV. Scientists have passed on the new medicine. We have to ensure it reaches the vulnerable. child dies every. seconds from malaria.

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Ensuring medicines save lives: Facilitating access

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  1. Ensuring medicines save lives: Facilitating access Defeating Malaria Together Jaya Banerji Director, Communications & Advocacy MMV

  2. Scientists have passed on the new medicine We have to ensure it reaches the vulnerable

  3. child dies every seconds from malaria

  4. Getting medicines to the most vulnerable …is almost as challenging as drug development!

  5. The road to access is not smooth Hurdles • Stringent regulatory and WHO approval? • National registration? • Supported by KOLs? • Packaging • Training health workers Potholes Price Funding Availability Stockouts

  6. Let’s take the example of Coartem Dispersible Steps leading to acceptance User-friendly, culturally adapted packaging worked best

  7. Medicines are available and affordable Available: 65 million treatments for children in 18 months Affordable: $0.37-0.74 in the public sector.

  8. Niger Nigeria Uganda Ghana Kenya Tanzania Madagascar A subsidy drives prices even lower • Affordable Medicines Facility for malaria (AMFm) • Saving lives and delaying resistance: co-payment ensures uptake • Pilot phase 2010 – 2012: so far • 122 million courses of treatment ordered • 97% of are fixed-dose combinations • Importer price for Coartem D: $0.005 -$0.01 + Cambodia

  9. Surgipharm THE REPUBLIC OF UGANDA Pilot in Uganda: key supporting evidence Align the policy: Over the Counter (OTC) Training in dispensing and use Adequate margin to maintain supply chain Community mobilisation Umbrella Brand (ACT-leaf)

  10. Result: ACTs replace Chloroquine for the under 5s 12%

  11. Availability in remote areas is challenging

  12. Frequent stock-outs plague all channels

  13. Why are they bare? – The Information Gap Unknown Quantities Unanalyzed Flows No view on mix Public / Private Importation Uni-directional blind push Products A-Z Different Manufacturers 13

  14. Mobile networks to the rescue SMS-for-Life allows real-life tracking of stock in pharmacies

  15. Future: Monitored flows, nationally and at point of care IMS Import Flow Analysis Govt Accord w/ IMS & MMV SMS for Life at POC (point of care)* * SMS for Life data flow Weekly data from POC to district HQ Weekly re-allocation of stock Products A-Z Different Manufacturers 15

  16. MMV’s Vision Discover, develop and deliver innovative antimalarials to cure and protect the vulnerable and help ultimately eradicate this terrible disease

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