3 rd MeTA PHILIPPINES FORUM MEDICINES TRANSPARENCY: A BASIC HUMAN RIGHTS ISSUE

1. 3rdMeTA PHILIPPINES FORUM MEDICINES TRANSPARENCY: A BASIC HUMAN RIGHTS ISSUE first national awards forgood governance in medicinesTHE ROLE OF META PHILIPPINESROBERTO M. PAGDANGANANChair, technical working group for the ggm awards

2. THE NEED FOR GOOD GOVERNANCE IN MEDICINESSOME STATISTICS US$ 3 TRILLION GLOBAL ANNUAL SPENDING ON HEALTH SERVICES > US$ 600 BILLION VALUE OF GLOBAL PHARMACEUTICAL MARKET UP TO 2/3 VALUE OF HOSPITAL MEDICINE SUPPLIES LOST TO CORRUPTION AND FRAUD 10 – 25% SHARE OF GLOBAL SPENDING ON PUBLIC PROCUREMENT OF MEDICINES LOST TO CORRUPTION

3. WHO GOOD GOVERNANCE IN MEDICINES PROGRAM GOAL “REDUCE CORRUPTION AND IMPROVE THE SYSTEM OF GOVERNANCE ALONG THE MEDICINES CHAIN, PRIMARILY THROUGH THE APPLCATION OF TRANSPARENT, ACCOUNTABLE ADMINISTRATIVE PROCEDURES AND THE PROMOTION OF ETHICAL PRACTICES AMONG HEALTH PROFESSIONALS”

4. WHO GOOD GOVERNANCE IN MEDICINES PROGRAMTHREE KEY AREAS HEALTH • Improve government capacity to provide access to quality essential medicines • Reduce proliferation of counterfeit and substandard medicines ECONOMIC • Prevent corruption losses that impact on about 50% of health care costs IMAGE & TRUST • Improve transparency, trust and credibility of involved institutions • Elicit greater public support

5. PROCUREMENT OF MEDICINES IN THE PUBLIC SECTORTHE PHILIPPINE SCENARIO • Devolution of health services to local government units (RA 7160, Local Government Code) • Decentralized health system, disorganized demand sector, access compromised by poor governance • Findings of a 2006 WHO-commissioned study • Share of medicines to total health budget ranged from .08% (6th class municipality) to 10% (major city) • Procurement cycle between 2-18 months • Availability of core essential medicines around 10-12% • Findings of a 2006 WHO / HAI survey • Prices are between 3.4 to 184 times higher than international reference prices • Availability of core essential medicines is 11.5% in the public sector and 15% in the private sector

6. GOOD GOVERNANCE FOR MEDICINES AWARDSBRIEF DESCRIPTION • Strategic approach for encouraging public and private institutions to instill transparency and good governance in the supply chain • Founded on the principle that transparency and good governance are fundamental in improving access to essential medicines • Recognizes good governance practices which can serve as models for others to follow • Provides incentives for good governance practices

7. GOOD GOVERNANCE FOR MEDICINES AWARDSPRIMARY GOAL “TO INSTITUTIONALIZE TRANSPARENCY AND GOOD GOVERNANCE ALONG THE REGISTRATION, REGULATION, SELECTION AND USE, PROCUREMENT AND OVER-ALL MANAGEMENT OF MEDICINES IN THE PUBLIC AND PRIVATE SECTOR”

8. GOOD GOVERNANCE FOR MEDICINES AWARDSSPECIFIC OBJECTIVES • Promote and develop systems and structures for transparency and good governance • Develop systems that will minimize conflict-of -interest situations • Develop tools to measure transparency and good governance in the private and public sector • Recognize good governance practices and models • Provide incentives for such good practices • Build models and duplicate them

9. GOOD GOVERNANCE FOR MEDICINES AWARDSCATEGORIES GGM AWARDS FOR LOCAL GOVERNMENT UNITS Provinces, Cities and Municipalities GGM AWARDS FOR NATIONAL HEALTH FACILITIES DOH-retained hospitals, specialized facilities, government agencies GGM AWARDS FOR PRIVATE SECTOR FACILITIES Privately-operated health facilities Civil society and non-government organizations

10. GOOD GOVERNANCE FOR MEDICINES AWARDSPRIZES GGM AWARDS FOR LOCAL GOVERNMENT UNITS First Place : PhP 500,000.00 Runner – up : PhP 300,000.00 GGM AWARDS FOR NATIONAL HEALTH FACILITIES First Place : PhP 300,000.00 Runner – up : PhP 150,000.00 GGM AWARDS FOR PRIVATE SECTOR FACILITIES First Place : PhP 300,000.00 Runner – up : PhP 150,000.00

11. GGM ASSESSMENT TOOLEVALUATION CRITERIA • Minimum structural and systems requirements • Transparency and good governance indicators • Technical and program indicators • Selection • Procurement • Management • Regulations • Financing • Rational use • Outcome indicators • Assessment of overall access

12. GOOD GOVERNANCE FOR MEDICINES AWARDSSELECTION AND EVALUATION PROCESS

13. FIRST NATIONAL AWARDS FOR GOOD GOVERNANCE IN MEDICINESLIST OF QUALIFIED ENTRIES LOCAL GOVERNMENT UNITS • Province of Zamboanga del Norte • Province of Oriental Mindoro • Province of Isabela • Province of Capiz • Province of Negros Occidental • City of Pasay • Municipality of Alicia, ZamboangaSibugay • Municipality of Opol, Misamis Oriental NATIONAL HEALTH FACILITIES • Mariano Marcos Memorial Hospital and Medical Center • Davao Medical Center • Dr. Jose Fabella Memorial Hospital PRIVATE SECTOR • National Pharmaceutical Foundation, Inc.

14. FIRST NATIONAL AWARDS FOR GOOD GOVERNANCE IN MEDICINESCHALLENGES • Limited public awareness about transparency and good governance in medicines • Need for information campaign about the GGM program • Need for wider selection of participants, especially in the private sector • Room for improvement in compliance with all GGM evaluation criteria / indicators • Need to strengthen the socialization process and follow-up mechanism • Need to further improve the evaluation process in general, and review the criteria / indicators in particular

15. GOOD GOVERNANCE FOR MEDICINES AWARDSTHE WAY FORWARD • Discussion sessions with participants to obtain feedback and observations • Technical reassessment of program mechanics and procedures • Redefinition of evaluation criteria and indicators • Institution of the socialization approach and monitoring of results • Information materials on GGM and the GGM Awards • Organization of the GGM Committee • Launch of 2nd GGM Awards

16. THANK YOU !