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National Medicines Policies & Monitoring Implementation

National Medicines Policies & Monitoring Implementation. Richard Laing EMP/MIE. Department of Medicines Policy and Standards. 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

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National Medicines Policies & Monitoring Implementation

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  1. National Medicines Policies& Monitoring Implementation Richard Laing EMP/MIE Department of Medicines Policy and Standards

  2. 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 • Discuss Monitoring Implementation of NMPs

  3. 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

  4. 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

  5. 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

  6. 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!

  7. 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,

  8. 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.

  9. Distribution of total pharmaceutical expenditures by income level2005/06 TPE (Millions US$) Pop (000s) $4,123 (0.5%) $81,235 (9.9%) 782,194 (14.4%) 983,493 (18.0%) $76,857 (9.3%) 577,565 (10.6%) 3,106,247 (57.0%) $660,609 (80.3%) Data Source NHA 2005/6

  10. Source IMS Health 2008

  11. Consumption by Volume Volume measured by IMS Health Standard Units

  12. 2008 Generic Uptake after Patent Expiry in 2000 Data Source IMS Health 2009

  13. THANK YOU

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