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Summary of Conclusions. Expert Meeting on a High-Level ACT Subsidy January 18-19, 2007. Main Agreements from Day 1. Vital and urgent need to increase access to ACTs to slow growing drug resistance and rising malaria deaths Broad support for a high-level buyer subsidy
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Summary of Conclusions Expert Meeting on a High-Level ACT Subsidy January 18-19, 2007
Main Agreements from Day 1 • Vital andurgent need to increase access to ACTs to slow growing drug resistance and rising malaria deaths • Broad support for a high-level buyer subsidy • Confidence that the technical issues can be overcome • Agreement that the most appropriate partners will be engaged
Many issues were raised yesterday • Additional health interventions • Actors and partners • Incentives for suppliers and distributors • End-product vs. component subsidy • National regulatory issues • Formal vs. informal sector • Tariffs and taxes • Big-bang vs. phased entry • End-user prices • Patient and provider behavior • Product selection and availability • Home-based management • Drug resistance • Data for monitoring • Eligibility of producers • Compliance • Sustainability • Accountability • Premium vs. non-premium • Effective promotion of generic drugs • Quality of drugs • Local needs • Predictability of demand • Conditionalities • Incentives for innovation • Market distortion • Demand forecasting • Local manufacturing • Equity
Subsidy-Design Tasks Broader Systemic Issues Two types of issues • Estimate required funding commitment and define subsidy levels/ex-factory price • Outline facility architecture and management • Develop communication strategy to promote uptake of ACTs • Plan for the responsible introduction of ACTs (monitoring of resistance, appropriate technical support, operational research, monitoring and evaluation, equity considerations, sustainability concerns) • Strengthen policies to promote quality assurance, pre-qualification, compliance and local manufacturing • Strengthen integrated national malaria control programs • Leverage community based programs and bolster home based management initiatives • Refine demand forecasting • Rationalize relevant national policies (e.g. taxes and tariffs, OTC access)
Proposed Timeline • A steering committee will be formed • Roll-Back Malaria will convene the first meeting of the steering committee • Key dates: • First draft of report prepared by Dalberg by early March • Detailed plan finalized by Dalberg by June • Launch meeting in about November (in Sub-Saharan Africa)