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First Evaluation of Good Governance for Medicines Programme 2004-2012. Brief Summary of Findings. Purpose of the Evaluation. To analyse experiences and lessons learnt after 8 years of implementation. Principal Findings ( 1). In Phase II and III countries:
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First Evaluation of Good Governance for Medicines Programme2004-2012 Brief Summary of Findings
Purpose of the Evaluation • To analyse experiences and lessonslearntafter 8 years of implementation
Principal Findings (1) In Phase II and III countries: • Improvedmedicinesprocurement • Revisedpharmaceuticallawsand regulations • Increasedtransparency in registration and licensing • Improved management of conflict of interest • More public information on medicinespolicy and governance
Principal Findings (2) • Increasedawareness about impact of weakgovernance, includingunethicalbehaviour, on country capacity to achieveuniversalaccess • Increasedcommitment to create and sustaintransparency in key stages of the medicineschain • Increased international awareness • Acknowledged value of 3 phase methodology • Value for money
Observation In some countries GGM processisstrongly country ownedand driven. Othersremaindependent on WHO support. This has implications for WHO skills, capacities and resources.
Lessonslearnt (1) Increasedvulnerability due to: • Inability to control medicines promotion • Weakpolicy base and lack of operationalprocedures on medicines registration • Lack of formalcriteria to guide selection of members of key committeese.g. medicinesselection • Lack of public access to information about medicineslegislation, regulations and writtenprocedures
Lessonslearnt (2) Factorsthatpromote good implementation: • High national priority to tackling corruption includingtangible support athighestpoliticallevels • Intersectoralmechanisms for improving good governance, includingministry of finance • Dedicated GGM management group comprising senior stakeholderrepresentatives • WHO support specificto country context, benchmarkingprogress and sharing lessons
Lessonslearnt (3) • GGM is about strenghtheningsystems and reducingvulnerabilitythroughincreasedtransparency and promotingethicalconduct. • The GGM methodology: • Engages stakeholders • Increasesawareness • Stimulates dialogue • Identifies problems
Towardsnext phase of GGM (1) • GGM experienceshouldinform future WHO work on strengtheningtransparency and institutionalintegrity • It shouldbecome an integral component of WHO action to promoteuniversalcoverage
(2) Implications WHO must: • Complete unfinishedwork, especially to develop impact indicators for monitoring and evaluation • Establishstrong and consistent staff and budgetary support across 3 levels of the organization
(3) Dialogue withpartners • Evaluation showedpartnerinterest in GGM but wanted to know more e.g. throughregular updates • Widen remit to includeprivatesector • Opportunities to use GGM tools more widelye.g. in the widerhealthsector, for riskassessment • More workneeded to measureeffectiveness