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Scaling Up Access and Rational Drug Use Anthony D. So, MD, MPA Program on Global Health and Technology Access Sanford School of Public Policy Duke University.

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Presentation on theme: "Scaling Up Access and Rational Drug Use Anthony D. So, MD, MPA Program on Global Health and Technology Access Sanford School of Public Policy Duke University."— Presentation transcript:

1 Scaling Up Access and Rational Drug Use Anthony D. So, MD, MPA Program on Global Health and Technology Access Sanford School of Public Policy Duke University ICIUM November 2011

2 Hurdles to Drug Access Therapeutic Financial Structural Source: Health Action International-Peru R&D Pipeline Marketplace Delivery System

3 Where in the value chain to intervene? Pharmaceutical Manufacturer— Supplier Local BuyerProviderPharmacyConsumer Community management

4 Global Drug Facility Green Light Committee Gupta et al. “Responding to Market Failures in Tuberculosis Control.” Science (2011) 293 (5532):

5 Affordable Medicines Facility for Malaria Pharmaceutical Manufacturer— Supplier Local BuyerProviderPharmacyConsumer AMFm Co-Payment Fund US$216 million Financed by UNITAID, Gates Foundation, DFID Supporting Interventions Up to US$ million Financed by Global Fund

6 AMFm: Issues of Supply and Demand Source: AMFm, *These figures do not count co-payments through AMFm's Voluntary Pooled Procurement mechanism or ACTs purchased through the President's Malaria Initiative. Multinational corporations supply roughly one-third of co-pay approved treatments* SupplyDemand Source: Olusoji Adeyi, Affordable Medicines Facility- malaria (AMFm): Achievements to date, UNITAID Consultative Forum, October 4, 2011, Geneva. No. of treatments approved for co-payment

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9 Source: Rutta, Edmund, et al. Increasing Access to Subsidized Artemisinin-based Combination Therapy through Accredited Drug Dispensing Outlets in Tanzania. Health Research Policy and Systems 2011; 9:22


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