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WHO -EDM. National Medicines Policies. Richard Laing EDM/PAR. Objectives. Review the history of NDPs Discuss the background to NDP’s List the Components of a NDP Review actors involved in the NDP process Debate characteristics of an NDP Discuss the Global Pharmaceutical Market.
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WHO -EDM National Medicines Policies Richard Laing EDM/PAR
Objectives • Review the history of NDPs • Discuss the background to NDP’s • List the Components of a NDP • Review actors involved in the NDP process • Debate characteristics of an NDP • Discuss the Global Pharmaceutical Market
History of National Drug Policies • 1985 Nairobi Conference of Experts on rational Use of Drugs • 1987 Working group of Experts to draft guidelines for NDP’s • 1988 Guidelines for NDP’s released • 1995 Expert Committee on NDPs met report issued • 2002 New Guidelines published
Background to NDP’s • Need for common framework to coordinate many different actors in the pharmaceutical field: • These include regulators (quality, safety and efficacy), producers (local & international), users (prescribers & consumers), health planners & managers, health finance authorities and researchers. • Each have valid interests in the field which may be contradictory or supportive • Involves both public & private sectors
Components of a NDP • Legislation, Regulation and Guidelines • Selection of Drugs • Supply (incl. procurement & production issues) • Quality Assurance • Rational Drug Use • Economic Strategies for Drugs • Monitoring & Evaluation of NDP’s • Research • Human Resources Development • Technical Cooperation among Countries
Overview of Components • Each component has a crucial part in the overall policy! • Emphasizing one component at the expense of others, weakens the entire policy • Many different actors are involved. Some are outside MoH, some outside government, some outside country • Means that NDP planners need to be aware, though not expert, in all areas!
Many Actors Involved! Some pro, some against! • Doctors, specialists, public/private • Pharmacists retail and manufacturing • Local and international producers, importers • Consumers/Patients • Media • Regulators • Insurance Companies • Etc, Etc,
Characteristics of a National Medicines Policy • Essential part of health policy, must fit within the framework of a particular health care system. • Goals should be consistent with broader health objectives • Health policy and the level of service provision in a particular country are important determinants of drug policy and define the range of choices and options. • Implementation of an effective drug policy promotes confidence in and use of health services.
Global Pharmaceutical Market 2002 $406 billion 5% US, Europe & Japan 78% 1.3% Market projected to grow 7.8% annually Source www.ims-global.com/insight/report/global/report.htm