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Accessibility and financing of essential medicines for the poor

Accessibility and financing of essential medicines for the poor. 3 presentations. Botika ng Barangay evaluation (Pablo Alcocer-Vera) 90% of sites with BnB has no private pharmacies Proxy that BnB are making drugs geographically accesible Health Plus version of BnB doing good volume (65K)

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Accessibility and financing of essential medicines for the poor

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  1. Accessibility and financing of essential medicines for the poor

  2. 3 presentations • Botika ng Barangay evaluation (Pablo Alcocer-Vera) • 90% of sites with BnB has no private pharmacies • Proxy that BnB are making drugs geographically accesible • Health Plus version of BnB doing good volume (65K) • Less than a day’s wage for minimum wage earner for antibiotics/ one month metorpolol • Funds not revolving enough • not supervised well • problems with re-supply

  3. 3 presentations • P100 experience in Mindoro (Mandy Legaspi) • Drug treatment packages • RATIONAL DRUG USE • Less than 100 pesos • PRICE INFORMATION • Excellent sales • Market acceptance • INCREASING BRAND EQUITY • Limited drugs (only 26) • weak follow-up deliveries by PITC

  4. 3 presentations • PhilHealth vision, strategies and options to provide better benefits for essential medicines (Gigi Domingo) • Move towards Contracting/ pay for performance • initial outpatient drug benefits for the poor • Inpatient focus of benefit may it difficult to leverage current more than 6 billion worth of benefits going to drugs and benefits

  5. Discussions • Design • Can benefit from more integration • Can the supply-side interventions (P100/BnB) actually make a difference in a fragmented health care system • Does government have enough purchasing power through supply-side • Is demand-side (through PhilHealth benefits) purchasing power a better option? • Monitoring and Evaluation • Need for outcome indicators • Are the poor benefitting? • Any improvements in health outcomes?

  6. Discussions • Relationship with other reforms • Income retention • Universal coverage with PhilHealth • Targeted approach for new PhilHealth benefits • Possibly outpatient benefits for HPN for the poor aged ____? • Implicit decision that improving access to essential medicines for the poor is NOT to provide FREE MEDICINES to them • Need to Integrate the three schemes • A possibility that PhilHealth can cover the p100 drugs (since current volume is around 100 million pesos worth) • Make P100 as drugs that BnB can sell

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