UNICEF´s Contribution to Access to Essential Medicines Jan Komrska Essential Medicines and Nutrition Unit HIV/AIDS & Health Centre WHO Technical Briefing Seminar 19. 11. 2008 Geneva
Outline • Rational Selection • Affordable Prices • Sustainable Financing • Reliable Health and Supply System • • What we buy? How is the price? Where we supply? What is the quality of the product we buy? ACCESS TO ESSENTIAL MEDICINES FOR CHILDREN UNDER 5 YEARS OF AGE
TOTAL PROCUREMENT (EMN Unit in millions USD) 2005 2006 2007 2008* Nutrition (Therapeutic Food) $ 22. 95 $ 23. 68 $ 37. 70 $ 53. 85 Essential Medicines $ 27. 87 $ 32. 07 $ 55. 85 $ 30. 49 TOTAL $ 50. 82 $ 55. 75 $ 93. 56 $ 84. 34 *until 30 September 2008 In 2007: 60% PHARMACEUTICALS / 40% NUTRITION In 2008: 36% PHARMACEUTICALS / 64% NUTRITION
TOTAL PROCUREMENT (EMN Unit) 2006 2007 2008* 1 Water & electrolytes ß-lactams Other antibacterials 2 Other antibacterials Minerals & vitamins 3 ß-lactams Water & electrolytes 4 Anthelmintics Minerals & vitamins Anthelmintics 5 Minerals & vitamins Anthelmintics Antianaemia drugs 6 Antianaemia drugs Analg. . non opioids 7 Analg. . non opioids Disinf. /antiseptics 8 Antivirals Immunomodulating agents ß-lactams 9 Antiprotozoal Antivirals Anaesthetics Disinf. /antiseptics Dermatological drugs 10 Disinf. /antiseptics *until 30 September 2008
TOTAL PROCUREMENT (EMN Unit) 2006 2007 2008* 1 Albendazole 400 mg tabs/PAC 100 Amoxicillin 250 mg caps/tabs/PAC -1000 Zinc 20 mg tablets/PAC-100 2 Mebendazole 500 mg tabs/PAC -100 Oral reh. salts. new formula. 1 L s/CAR-1000 Micronutrient. film-coated tabs/PAC-1000 3 Sod. lactat. comp. inj 500 ml w/g. set/BOX-20 Sulfameth. +trimeth. 400+80 mg tabs/PAC-120 Mebendazole 500 mg tabs/PAC 100 4 Ferr. salt+folic acd 60+0. 4 mgtab/PAC-1000 Albendazole 400 mg tabs/PAC 100 Sulfameth. +trimeth. 400+80 mg tabs/PAC-500 5 Sulfameth. +trimeth. 400+80 mg tabs/PAC-500 Sod. lactat. comp. inj 500 ml w/g. set/BOX-20 Ceftriaxone pdr/inj 1 g vial/BOX 10 6 Amoxicillin 250 mg caps/tabs/PAC-1000 Zinc 20 mg tablets/PAC-100 Albendazole 400 mg tabs/PAC 100 7 Oral reh. salts. new formula. 1 L s/CAR-1000 Fe(as fum. )+folic 60+0. 4 mg tab/PAC-1000 New formula Oral reh. salts. 1 Ls/CAR-1000 8 Oseltamivir (Tamiflu) 75 mg caps/PAC-10 Micronutrient. film-coated tabs/PAC-1000 Fe(as fum. )+folic 60+0. 4 mg tab/PAC-1000 9 Micronutrient. film-coated tabs/PAC-1000 Retinol 200. 000 IU soft gel. caps/PAC-500 Glucose inj 5% 500 ml w/giv. set/BOX-20 10 Iodized oil 200 mg caps/PAC 1500 Sulfameth. +trimeth. 400+80 mg tabs/PAC-500 Sod. lact. comp. inj 1000 ml w/g. set/BOX-10
Volume/Price Evolution of Strategic Products
Volume/Price Evolution of Strategic Products
Volume/Price Evolution of Strategic Products
Volume/Price Evolution of Strategic Products
Volume/Price Evolution of Strategic Products
Where we supply? • UNICEF country programs • Procurement Service Customers (UNDP, WHO, foreign governments)
UNICEF Supply of Essential Medicines in 2008 (in USD) Zimbabwe Myanmar DPR Korea (North Korea) Liberia Dem. Rep. Congo Ethiopia Mali Sudan Afghanistan Kenya $ 3. 341. 768. 75 $ 3. 189. 471. 66 $ 1. 600. 334. 13 $ 1. 493. 904. 40 $ 1. 344. 710. 25 $ 1. 271. 399. 42 $ 1. 086. 722. 92 $ 1. 032. 692. 92 $ 889. 380. 29 $ 832. 704. 41
Quality Assurance • Before Procurement – Evaluation of the Supplier – Evaluation of the Product Dossier and Sample • After Procurement – Testing of Product – Assessment of Certificate of Analysis UNICEF IS A PARTNER IN PIC/S UNICEF USES INTERAGENCY PHARMACEUTICAL PRODUCT QUESTIONNAIRE
Thank You
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