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The Medicines Transparency Alliance. Saul Walker Senior Policy Advisor, Access to Medicines Health Services Team. Pharmaceutical markets. Public and private International and local interactions Information asymmetry Manufacturer/(regulator)/purchaser Wholesaler/Retailer
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The Medicines Transparency Alliance Saul Walker Senior Policy Advisor, Access to Medicines Health Services Team
Pharmaceutical markets • Public and private • International and local interactions • Information asymmetry • Manufacturer/(regulator)/purchaser • Wholesaler/Retailer • Prescriber/(Dispenser)/Patient • Lack of information • Irrational – unaligned incentives
Efficiency (public/private) Mutual Accountability Transparency Better policies, improved business practice & stronger implementation Validated Information & Appropriate Disclosure The hypothesis … Multi-stakeholder disclosure & scrutiny
Medicines Transparency Alliance 7 countries committed to work across government, private sector and civil society to disclose data on medicines price, quality, availability and promotion
Country Priorities • Commit to disclosure and multi-stakeholder approach • Must include CSOs and private sector • Decide where to locate secretariat and stakeholder group • Agree priority areas and work plan • Guidance on disclosure from International Secretariat • Methodologies and technical support
New validated Changes in drug data on prices, pharmaceutical availability, sector quality and/or promotion Policy research, shared learning Sector plans, domestic and CPs ££, toolkit & technical support The Pilot Pilot Disclosure of Disclosure of New validated New validated Changes in drug Changes in drug data and data and data on data on Policy change Policy change prices, prices, scrutiny by scrutiny by Development of Development of pharmaceutical pharmaceutical and and availability, availability, multi multi - - policy options policy options sector sector implementation implementation quality and/or quality and/or stakeholder stakeholder promotion promotion group group . . Improved information for Improved information for Improved processes Improved processes management management
Data disclosure (in addition to baseline) • Pricing (Peru and Uganda) • Availability and promotion (Jordan and Zambia); • Transparency and accountability (Philippines - GGM) • Quality (Kyrgyzstan and Ghana); • Health insurance data mining (Ghana) • RUM (Uganda and Jordan)
Progress and Next Steps • All countries have agreed work plans – took longer than we expected • Implementation now underway – focus on newly disclosing & using information • Baseline surveys underway • Sector scan, availability, multi-stakeholder working – significant new data resources • Process evaluation 1Q10 – inform decisions and design for post-pilot
Questions • Disclosure – what, when and to whom? • Multi-stakeholder approach or multi-stakeholder analysis? • Catalysing support from others? • Adding value or adding confusion?