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Access to Essential Medicines selection, affordability, financing, supply systems

Access to Essential Medicines selection, affordability, financing, supply systems. Marthe M Everard Policy, Access, and Rational Use (PAR) Medicines Policy and Standards (PSM) World Health Organization (everardm@who.int). 1. Rational selection. 3. Sustainable financing. ACCESS.

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Access to Essential Medicines selection, affordability, financing, supply systems

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  1. Access to Essential Medicines selection, affordability, financing, supply systems Marthe M Everard Policy, Access, and Rational Use (PAR) Medicines Policy and Standards (PSM) World Health Organization (everardm@who.int)

  2. 1. Rational selection 3. Sustainable financing ACCESS 4. Reliable health and supply systems 2. Affordable prices Access to essential medicines - framework for coordinated action

  3. Access to essential medicines- a framework for coordinated action (1) 1. Rational selection- define what is most needed • develop evidence-based treatment guidelines • define EML based on treatment guidelines • regularly update guidelines based on best evidence • use for supply, reimbursement, training 2. Affordable prices- promote competition & reduce costs • price information • generics policies • reduce duties, taxes, markups • differential pricing of new essential medicines • apply WTO/TRIPS safeguards as appropriate

  4. Access to essential medicines - a framework for coordinated action (2) 3. Sustainable financing- increase sustainable funding • increase public funding • expand health insurance • better use of out-of-pocket spending • targeted external funding - grants, loans, donations 4. Reliable health & supply systems- ensure quality & availability • integrate medicines in health sector development • create efficient public-private-NGO mix • assure medicine quality • promote rational use of medicines

  5. Disease patterns should guide medicine selection, supply management, use, training/supervision Disease patterns Clinical guidelines, formularies Medicine development Essential Medicines list Choice of medicine and non-drug treatments Training, supervision of health providers Financing, prices, supply management of medicines Patient Information, use of medicines

  6. WHO Essential Medicines Library- Various information sources together WHO/PSM/PAR WHO clusters BNF Clinical guidelines Summary of clinical guidelines Drug Info: - WHOModel Formulary WHO/ExCee; Cochrane Reference info: - Reasons for inclusion - Systematic reviews - Key references WHO Model List WHO/PSM/QSM Quality info: - Basic quality tests - Int. Pharmacopoeia - Reference standards WCCs Oslo/Uppsala MSH-UNICEF-MSF Price/Cost info: - per unit - per treatment - per month - per case prevented Statistics Info: - ATC - DDD

  7. other priority health problems tuberculosis malaria HIV/AIDS childhood illness Response - One strategy across WHO • Four strategic objectives • 1. Access - selection, financing, pricing, reliable health and supply systems • 2. Quality and safety - standards, effective drug regulation, information • 3. Rational use - health professionals and consumers, public and private • 4. National drug policy - framework for collective action

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