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Progress on Good Governance in the pharmaceutical sector in Thailand

Progress on Good Governance in the pharmaceutical sector in Thailand. Dr.Chanvit Tharathep MD., FRCST, Fam. Med., Prev. Med. Universal Health Coverage inThailand. Health Care Environment in Thailand. Activities Before WHO GGM. 1997 Economic Crisis,. 1981, 1993 :National Drug Policy

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Progress on Good Governance in the pharmaceutical sector in Thailand

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  1. Progress on Good Governance in the pharmaceutical sector in Thailand Dr.Chanvit Tharathep MD., FRCST, Fam. Med., Prev. Med.

  2. Universal Health Coverage inThailand

  3. Health Care Environment in Thailand

  4. Activities Before WHO GGM 1997 Economic Crisis, • 1981, 1993 :National Drug Policy • Safety, Quality, Appropriate Price, Access • 1981-2005 : Essential Drugs list, Standard Price • 2004 : Public Good Governance Law • 1997-2005 Drug management Reform in MoPH 1997 Drug Scandal 2004 GGM introduced to improve and enhance process of Drug Management

  5. PHASE I PHASE II PHASE III WHO GGM Program: Changes and Impacts Output Outcome Impacts Increased Awareness More Transparency More Efficiency Networking Learning Process Assessment GGM Flamework GGM Implementation 2004-2005 2005-2006 Oct 2006-209 Situation Analysis Thai GGM Strategy More Transparency By Information Existing GGM Infrastructure strengthening Available Practices, Guidelines Registration, Selection, Procurement Improvement GGM Networking Forms, Procedures Socialization, Education. Strengthening Anti-Corruption Laws, Agency and Mechanism, Moral Value and Ethical Principles

  6. Phase III: Strategy and implementation 2006-2009 • Develop Policy Guidelines • National Networking • Strengthen Information • Database • Dissemination of Ethical • Practice Information • Assessment • GGM Framework, legislation, Policy • Practice Guidelines, Medicine Promotion Practice criteria • Standard of Practice (SOP) • Declare Consent form, Conflict of interest form (ED, SP) • FDA, DHSS, DMS, Universities, Professional Councils • Hospital Pharmacy Association • Community Pharmacy Association • PReMA, • Thai Pharmaceutical Manufacturer Association • NGOs • Selection, Registration • Procurement • Drug Price, Drug Promotion Practice • Research, Study and cases • Public accessible Pharmacy Information Center • Meeting • Newsletter, Webpage of Good Governance • Best Practice • Interested Working Group • KPI for Health Inspector • Self Assessment, Assessment New tool • (Promotion Practice, Inspection, Distribution?)

  7. Publications/medias provided(cont’d) • News Letter, Electronic data and information on CDs, Website: http://dmsic.moph.go.th

  8. Code of Conduct for Sales and Marketing

  9. Meeting 2009 GGM Leadership training MoPH hospital pharmacists

  10. GGM head of MoPH hospital pharmacists Meeting 2010 group discussion

  11. Key achievements 2005-2013

  12. Key achievements 2011-2013 • GGM Framework :Subset :The National Ethical Framework on Drug Promotion : (National Drug Policy B.E.2554 (2011) on March 14, 2011) • Rational Use of Drugs : Glucosamine, Antimicrobial Guideline • Corruption Control, Socialization Pharmacy Information Center strengthening (Pseudoephedrine case 14 hospitals : 5 Hospital Pharmacists were fired 2012) • Monopoly Drug Management (continuing) Single Price policy • Pharmaceutical Logistic Improvement: Regional Stock for all hospitals (ongoing process) • 3 Health Security Schemes Harmonization : Emergency Service Integration, ARV, Hemodialysis, CA

  13. Reasons for Success • Strong National Good Governance Policy by Government and MoPH • Participatory Process : among public organizations, NGO, Media • GGM Strategy • Transparency (Pharmacy Information Center) • GGM teamwork • Focus on Output, Outcome, Impact

  14. Group Purchasing Outcome:More efficiency, cost reduction

  15. Monopoly Drugs Single price policy • Antihypertensive drugs (ARB) • Dyslipidemia agent (Statins) • Proton pump inhibitor (PPI)

  16. GGM Operating Framework National GGM Framework Health care environment Analysis Target Priority Setting Strategic formulation Information Networking Socialization Guideline Management System Strengthening Activities Information System Transparency Intervention Assessment Output, Outcome Focused Activities

  17. Activities and Implementation • GGM 2010-2013 • Continue System Analysis (GGM Framework, Existing System, Context change ), Priority Setting • Strategic Formulation (Selective Implementation) • Re-Design • Evaluation, Re-Assessment

  18. Challenges • MoPH Structure changed : Pharmacy Information Center weakening -> Pseudoephedrine case. • Seperated Operation among organizations • Unlinkage between Government Anticorruption Policy and GGM program • Knowledge Management Gap.

  19. Conclusion • GGM Framework is the national level management. We should realize that different country is different context.. • Health care environment should be evaluated and priority setting should be done at first step. • The strategy should be formulated to support and transfer into operation. • Transparency is the most effective, efficient and feasible for the first step of good governance implementation. We can achieve transparency with the Pharmacy Information center. • GGM team consists of related organization should be formed. • Output, Outcome orientated activities

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