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Class Period #1, 17 January 2007 Prof. Hazel H. Seaba

 Introduction to Course  Global and Local Context for Pharmaceutical Products for Underserved Populations. Class Period #1, 17 January 2007 Prof. Hazel H. Seaba. How to contact me Course time, building Grading: assignments, not examinations.

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Class Period #1, 17 January 2007 Prof. Hazel H. Seaba

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  1.  Introduction to Course Global and Local Context for Pharmaceutical Products for Underserved Populations Class Period #1, 17 January 2007Prof. Hazel H. Seaba 046:127 Pharmaceutical Management for Underserved Populations

  2. How to contact me • Course time, building • Grading: assignments, not examinations 046:127 Pharmaceutical Management for Underserved Populations

  3. Course is new and being offered for the first time • What does a new course mean for the students? • Why is it being taught? • Context for course • Crisis Montage: courtesy of Maureen McCue, MD, PhD,Coordinator Iowa Physicians for Social Responsibility, Adjunct Clin Prof in Public Health and Anthropology • Why is course content important? • World Shrink • World health care worker crisis: WHO [source for following WHO slides] • Unique relationship with Management Sciences for Health (MSH) 046:127 Pharmaceutical Management for Underserved Populations

  4. Crisis Montage Reflection: • How does this montage make you feel? • What does it make you want to learn? 046:127 Pharmaceutical Management for Underserved Populations

  5. Why is this Course Important? • Point 1: In a global society, the health of every human being is relevant to each of us. • Point 2: Prosperity is inextricably linked to health, so it is in our interest to improve the health of underserved populations. • Point 3: By reducing human suffering, improved health can contribute to political stability and, in turn, make other nations more secure. • Point 4: By increasing productivity, improved health can reduce the need for domestic and/or foreign aid and contribute to international prosperity. • Point 5: The world is wealthy enough to be able to afford aid • Point 6: We need to honor commitments we have already made. • Point 7: Local and global health interventions work. • Point 8: Improving the health of all people is the right thing to do. Adapted and taken from: Rx for Survival — A Global Health Challenge, Co-Production of the WGBH/NOVA Science Unit and Vulcan Productions, Inc. http://www.pbs.org/wgbh/rxforsurvival/series/matters/index.html 046:127 Pharmaceutical Management for Underserved Populations

  6. Course is new and being offered for the first time • What does a new course mean for the students? • Why is it being taught? • Context for course • Crisis Montage: courtesy of Maureen McCue, MD, PhD,Coordinator Iowa Physicians for Social Responsibility, Adjunct Clin Prof in Public Health and Anthropology • Why is course content important? • World Shrink • World health care worker crisis: WHO • Unique relationship with Management Sciences for Health (MSH) 046:127 Pharmaceutical Management for Underserved Populations

  7. Framework Provided by: Drug and Health Commodity Management Cycle Access and Potential Barriers 17 week class period schedule in syllabus Textbook: Managing Drug Supply, 2nd Edition Readings Organization of book and chapters Assignments Course Structure 046:127 Pharmaceutical Management for Underserved Populations

  8. “Underserved Populations” International Society for Equity in Health, at its inaugural meeting in Havana in June 2000, adopted the following definition: Equity in health is the absence of systematic and potentially remediable differences in one or more aspects of health across socially, demographically, or geographically defined populations or population subgroups. (Conversely, inequity in health is the presence of such differences.) 046:127 Pharmaceutical Management for Underserved Populations

  9. Equity “Equity refers to the fair distribution of the costs of health services and the benefits obtained from their use among different groups in the population.” • Horizontal equity • Equal treatment of equals • Vertical equity • Individuals who are unequal in society should be treated differently International Public Health, 2nd Ed, p517. 046:127 Pharmaceutical Management for Underserved Populations

  10. Horizontal Equal payment by those with equal ability to pay, e.g. same insurance premium for same income group. Vertical Payment in relation to ability to pa, e.g. progressive income tax rates Equity: Financing 046:127 Pharmaceutical Management for Underserved Populations

  11. Horizontal Services purchased for similar groups, e.g., the elderly, should be the same in different geographic areas Vertical Services purchased should reflect the different needs of different groups, e.g., the elderly versus children Equity: Allocating Resources 046:127 Pharmaceutical Management for Underserved Populations

  12. Horizontal Equal access for equal need, e.g., equal waiting time for treatment for patients with similar conditions Vertical Unequal treatment for unequal need, e.g., unequal treatment of those with trivial versus serious conditions Equity: Providing Services 046:127 Pharmaceutical Management for Underserved Populations

  13. “Underserved Populations” National Institutes of Health definition of healthdisparity: “the differences in the incidence, prevalence, mortality, and burden of disease and other adverse health conditions that exist among specific population groups in the United States.” National Center on Minority Health and Health Disparities (NCMHD) http://ncmhd.nih.gov/ 046:127 Pharmaceutical Management for Underserved Populations

  14. Framework Provided by: Drug and Health Commodity Management Cycle Access and Potential Barriers 17 week class period schedule in syllabus Textbook: Managing Drug Supply, 2nd Edition Readings Organization of book and chapters Assignments Course Structure

  15. Why Manage the Drug Supply? • Essential drugs are critical to the success of health programs • Improving the management of drug supply is a high-leverage opportunity to improve health services • Knowledge and experience concerning effective drug management are spreading rapidly worldwide, but they remain disparate, un-synthesized and frequently unavailable to decisions-makers. MDS-2 p x. 046:127 Pharmaceutical Management for Underserved Populations

  16. Drug and health commoditymanagement cycle Selection Management Support Procurement Use Distribution Policy and Legal Framework 046:127 Pharmaceutical Management for Underserved Populations

  17. Drug and health commoditymanagement cycle • Organization • Financing • Information Mgt • Human Resources Selection Management Support Procurement Use Distribution Policy and Legal Framework 046:127 Pharmaceutical Management for Underserved Populations

  18. BioShield makes little progress four years after creationFour years and $5.6 billion later, the nation's BioShield effort aimed at creating stockpiles of drugs to deal with bioterrorism attacks has made little progress. The program is still months away from releasing its first plan on how it intends to buy drugs, and how many of what types of drugs it plans to stockpile. The Washington Post • http://www.washingtonpost.com/wp-dyn/content/article/2007/01/15/AR2007011501142.html Tuesday, January 16, 2007; Page D01

  19. Framework for access toessential health commodities and services 046:127 Pharmaceutical Management for Underserved Populations

  20. The Special Importance of Drugs • Drugs save lives and improve health • Drugs promote trust and participation in health services • Drugs are costly • Drugs are different from other consumer products • Substantive improvements in the supply and use of drugs are possible 046:127 Pharmaceutical Management for Underserved Populations

  21. http://www.imshealth.com/vgn/images/portal/cit_40000873/3/51/79869408Drug%20Monitor%20August.pdfhttp://www.imshealth.com/vgn/images/portal/cit_40000873/3/51/79869408Drug%20Monitor%20August.pdf

  22. Source: WHO, 2004

  23. Lessons Learned in Drug Management • National drug policy provides a sound foundation for managing drug supply. • Wise drug selection underlies all other improvements. • Effective management saves money and improves performance. • Rational drug use requires more than drug information. • Systematic assessment and monitoring are essential. 046:127 Pharmaceutical Management for Underserved Populations

  24. Assignment #1. Global Health Council The University of Iowa is an institutional member of the Global Health Council and our students are eligible to enroll as Associate Professional members. Please follow this link: http://globalhealthcouncil.biz/ScriptContent/custom/APEnrollment.cfm and sign up to start accessing this wonderful resource. Use your UI HawkID, select The University of Iowa GHSP as the institutional affiliation, and give your UI email address. Once you are a member, sign up for the newsletter. 046:127 Pharmaceutical Management for Underserved Populations

  25. Assignment: #2 Four Questions • Due: send to course ICON drop box by end of Sunday, January 21 046:127 Pharmaceutical Management for Underserved Populations

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