Me. TA Philippines: Sharing Responsibility, Achieving as One Hon Francisco T. Duque Secretary Department of Health Me. TA 16 May 2008 1
THE MEDICINES ACCESS GAP RP has low to medium regular access to quality medicines. 2 16 May 2008
Challenges in the Philippines l l High cost of medicines Non transparent mechanisms of medicines pricing High out-of-pocket payments – burdening the poor and the disadvantaged Preference to branded medicines 16 May 2008
Goal: Improve access to essential medicines by: a. Cutting the price of Medicines to 50 % from base prices in 2001 b. Reducing out-of-pocket payments c. Improving generic competition and assuring quality d. Instituting mechanisms for transparency and good governance 16 May 2008
Basic Strategy Multistakeholder Collaboration Sharing Responsibility, Achieving as one through 16 May 2008
Building Me. TA in the Philippines Scoping Visit April 2007 TWG Meetings to form Me. TA Structure May to July, 2007 Invitation and enlisting of prospective members July to September, 2007 Election of Officers November, 2007 Induction of Officers December 2007 16 May 2008
Who are involved? Policy Level BFAD Philhealth COA PITC LGUs Private Sector Involvement Professional Groups Academe NGO’s CSO Watch Groups WHO Worldbank EU, GTZ Industry 16 May 2008 Regulators and Service Providers International Development Partners The Me. TA Council l 24 -member Council l Chaired by a former Health Secretary Department of Health Senate House of Representatives Few MNCs PCPI ( Philippine Chamber of Pharmaceuticals, Inc. )
How do we work? Me. TA Council Secretariat (WHO Country Office) Administrative Committee Technical Committee Me. TA Forum 16 May 2008 Research and Assessments
Integrating Me. TA Support into Local reforms Health Reforms: Fourmula I for Health (F 1) Service delivery Financing Regulations Good Governance Improved access and support to decentralized systems Development of systems for proper resource management and building sustainable financing models Assessment and Technical Support Transparent Processes Me. TA 16 May 2008
THE HARD CLIMB TO AFFORDABLE MEDICINES FOR ALL CHEAPER MEDICINES BILL GENERICS ACT of 1988 • Parallel importation • Compulsory Licensing • Amendments to the IP Code • Early Working (Bolar Provision) • Generics competition - failed to anchor generics in the local market PARALLEL DRUG IMPORTATION - cheaper drugs from India brought in competition against expensive branded products (up to 70% reduction since 2001) COMMUNITY DRUG OUTLETS - >12, 000 Botika ng Barangay outlets spread out nationwide - >1, 400 Botika ng Bayan outlets in major cities 16 May 2008 BFAD STRENGTHENING BILL - Beefing up capital and human infrastructure of BFAD to meet international standards in quality and safety assurance AFFORDABLE TREATMENT PACKS www. aafp. org - Complete OPD treatment packs for hypertension, high cholesterol, diabetes and common infections at 10 www P 25/50/100
Thank You Me. TA 16 May 2008 3/18/2018 11
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