1. 16 May 2008 Hon Francisco T. Duque Secretary Department of Health MeTA Philippines: Sharing Responsibility, Achieving as One MeTA1

2. 16 May 2008 THE MEDICINES ACCESS GAP 2 RP has low to medium regular access to quality medicines.

3. 16 May 2008 Challenges in the Philippines 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

4. 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

5. 16 May 2008 Basic Strategy Multistakeholder Collaboration Sharing Responsibility, Achieving as one through

6. 16 May 2008 Building MeTA in the Philippines Scoping VisitApril 2007 TWG Meetings to form MeTA Structure May to July, 2007 Invitation and enlisting of prospective members July to September, 2007 Election of OfficersNovember, 2007 Induction of OfficersDecember 2007

7. 16 May 2008 Who are involved? The MeTA Council 24-member Council Chaired by a former Health Secretary Policy LevelDepartment of Health Senate House of Representatives Regulators and Service Providers BFAD Philhealth COA PITC LGUs Private Sector Involvement Professional Groups Academe NGO’s CSO Watch Groups International Development Partners WHO Worldbank EU, GTZ IndustryFew MNCs PCPI ( Philippine Chamber of Pharmaceuticals, Inc.)

8. 16 May 2008 How do we work? MeTA Council Administrative Committee Technical Committee MeTA Forum Research and Assessments Secretariat (WHO Country Office)

9. 16 May 2008 Integrating MeTA Support into Local reforms Health Reforms: Fourmula I for Health (F1) Service delivery Financing Regulations Good Governance MeTA Transparent Processes Assessment and Technical Support Development of systems for proper resource management and building sustainable financing models Improved access and support to decentralized systems

10. 16 May 2008 10www THE HARD CLIMB TO AFFORDABLE MEDICINES FOR ALL THE HARD CLIMB TO AFFORDABLE MEDICINES FOR ALL www.aafp.org GENERICS ACT of 1988 - 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 CHEAPER MEDICINES BILL Parallel importation Compulsory Licensing Amendments to the IP Code Early Working (Bolar Provision) Generics competition BFAD STRENGTHENING BILL - Beefing up capital and human infrastructure of BFAD to meet international standards in quality and safety assurance AFFORDABLE TREATMENT PACKS P25/50/100 - Complete OPD treatment packs for hypertension, high cholesterol, diabetes and common infections at P25/50/100

11. 16 May 200812/10/2015MeTA11 Thank You