Essential Medicines ProgrammesSudannow

Essential Medicines ProgrammesSudannow

Now: Essential Medicines programmes

In 2010 , health expenditures

• The public per capita expenditure is US$ 40,

Now: NDP

• The NDP is increasingly act as a framework for managing the pharmaceutical sector.

Now: Essential Medicines

• It guides the procurement of medicines in the public sector, health insurance, donations, and local medicine production.

• It is part of training programme of graduated pharmacists.

• Today, both public tender prices and C&F prices for private sector are publically available in websites.

Now: Public Supply System• Management system improved significantly – Computerized system at central– SOPs and adherence to basic standards in drug

supply management– Monitoring and evaluation systems,– Managerial auditing system

• Delivery to states through RDF project – Branch in each state with 8% less in price;

Now: Health Insurance

– Coverage is only 30% of population;– Based on essential medicines;– Patient pay 25% of the treatment cost;– Branch in each state

Now: Health Partners• Obtaining health partners and donors support to

expand the drug supply & management component;– GF delivering free medicines for the TB, HIV and

Malaria– programmes for control neglected and communicable

diseases e.g Meningitis outbreaks, – EPI, – RH

• EHA, in areas where the Government is not available

• In 2007, the availability essential medicines in public sector was 86% and 95% in private sector

• In 2010, availability of essential medicines at public sector was 80.6%, and in private sector was 93.0%

Now: Availability

In 2007, only 67 % are affordable.

Now: RUM

• In 2007; 73% of prescribed medicines in public sector were from the EML,

• 45% were prescribed by generic name

Now: Regulations essential medicines• In 2007, independent MRA was established

and Policies separated from regulations; • With support of WHO/EC roadmap for QC PQ

is in place since 2008.• Pharmaco-vigilance unit established in 2009;• Being Uppsala member supported by EC

Other changes• WHO Good Governance started in 2010• Pharmaceutical Country Profile, in 2010

• Global Fund Project for 5-years support • Licensed pharmacists was 1.53/10,000

compared to 0.5/10,000 in 1990, • HR mapping was conducted– framework for HRD developed;

Challenges1. Fragmented health system, with inequitable distribution of

resources; – Verticality of supplies by different programme

2. Instability of policies towards public supply system;3. Poor data and information management system;4. Efficacy and quality, yet is a question;5. Distribution and delivery at state level;6. Accessibility is still low;7. Low coverage of health insurance;8. Irrational use of medicines (36% of health expenditures); 9. Capacities to adsorb all available budgets is limited;10. Policies implementation and monitoring

Thank you