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MEDICINES AVAILABILITY - PHILIPPINES

MEDICINES AVAILABILITY - PHILIPPINES. Alexander A. Padilla Undersecretary of Health Vice Chairman, MeTA Philippines. Some Factors Affecting Availability. Archipelago of over 7,000 islands Decentralized health care system under Local Government Code

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MEDICINES AVAILABILITY - PHILIPPINES

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  1. MEDICINES AVAILABILITY -PHILIPPINES Alexander A. Padilla Undersecretary of Health Vice Chairman, MeTA Philippines

  2. Some Factors Affecting Availability Archipelago of over 7,000 islands Decentralized health care system under Local Government Code wide variation & gaps in levels of LGU commitment to ensure availability of essential medicines: share of medicines ranges from 0.8 to 10% of total health budget Compartmentalized procurement among 80 provinces, 1,500 municipalities, 42,000 barangays and 72 national hospitals Bulk procurement not frequently practiced Wide variation in medicines’ selection (essential medicine list not defined by level of health care) Heavily dependent on procurement practices at local levels High purchase prices aggravate budgetary constraints

  3. Availability of key medicines in public & private pharmacies National Median (%) THOUGH ALL KEY MEDICINES CAN BE FOUND IN PRIVATE PHARMACIES, THE MEDIAN AVAILABILITY IS ONLY 53.3% IN PUBLIC FACILITIES. Source: WHO Survey Level II and III 2008

  4. Long stock-out of key medicines in public facilities National Median (# days) MEDIAN STOCK-OUT DURATION IS 4 MOS. IN PUBLIC FACILITIES, NEARLY 1.5 MOS. IN WAREHOUSE Source: WHO Survey Level II and III 2008

  5. Uncompleted dispensing/administration of prescriptions in public facilities National Median (%) ONLY 25% OF PUBLIC FACILITIES CAN PROVIDE MORE THAN 75% OF MEDICINES LISTED IN PRESCRIPTION. Source: WHO Survey Level II and III 2008

  6. Successes P100 Treatment Pack Scheme BotikangBarangay Program Generics promotion Electronic Drug Price Monitoring System (EDPMS) Philippine National Drug Formulary (PNDF) system Price regulation and other cost-containment measures under the Cheaper Medicines Act

  7. Challenges Need to properly document and disseminate information on pricing and availability Instituting good pharmaceutical management processes in LGUs, public and private health facilities Training on pharmaceutical management, governance and best practices for LGU executives Providing incentives for transparency and good governance practices in the public and private sector Development of an e-procurement system for the public sector

  8. Thank you Alexander A. Padilla Email: alexdelasalaspadilla@gmail.com; alpaddy@yahoo.com www.metaphilippines.org.ph

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