Presentation on theme: "MDG Target 8.E gap analysis Ms. Alexandra Cameron Department of Essential Medicines and Pharmaceutical Policies, World Health Organization 27 August 2008."— Presentation transcript:
MDG Target 8.E gap analysis Ms. Alexandra Cameron Department of Essential Medicines and Pharmaceutical Policies, World Health Organization 27 August 2008
2 Target 8.E: In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries Indicator Proportion of Population with Access to Affordable, Essential Drugs on a Sustainable Basis
3 WHO indicators for measurement of access to medicines Access to essential medicines/technologies as part of the fulfilment of the right to health, recognized in the constitution or national legislation. Existence and year of last update of a published national medicines policy. Existence and year of last update of a published national list of essential medicines. Legal provisions to allow/encourage generic substitution in the private sector. Public and private per capita expenditure on medicines. Percentage of population covered by health insurance. Average availability of 30 selected essential medicines in public and private health facilities Median consumer price ratio of 30 selected essential medicines in public and private health facilities Margin or mark-up (in per cent) between producer and consumer price
4 Some key findings Availability of essential medicines Average public sector availability was only 34.9%. Public sector availability of medicines is is consistently lower than in the private sector where average availability was 63.2%. Price of essential medicines Lowest-priced generic medicines cost 6.4 times international reference prices (IRPs) in the private sector. In public sectors in which patients pay for medicines, lowest-priced generics cost about 2.5 times more than IRPs.
5 Availability of Artemether/lumefantrine 20/120 mg in Kenya
6 MDG Target 8.E as an entry point for chronic diseases "The Global Fund to Fight AIDS, Tuberculosis and Malaria, The United States President's Emergency Plan for AIDS Relief (PEPFAR), and UNITAID have generated substantial funding for the treatment of HIV/AIDS, Tuberculosis and Malaria. Further support is needed for chronic, noncommunicable diseases such as cardiovascular disease, cancer, diabetes and chronic respiratory disease. Globally, approximately 35 million deaths (60% of all deaths) are attributable to chronic diseases each year, 80% of which occur in low- and middle- income countries."