strategies for enhancing access to medicines overview of potential strategies for improving access...
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![Page 1: Strategies for Enhancing Access to Medicines Overview of Potential Strategies for Improving Access and Use David Lee](https://reader035.vdocuments.site/reader035/viewer/2022072015/56649ed35503460f94be3026/html5/thumbnails/1.jpg)
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Strategies for Enhancing Access to Medicines
Overview of Potential Strategies for Improving Access and Use
David Lee
![Page 3: Strategies for Enhancing Access to Medicines Overview of Potential Strategies for Improving Access and Use David Lee](https://reader035.vdocuments.site/reader035/viewer/2022072015/56649ed35503460f94be3026/html5/thumbnails/3.jpg)
Interventions to Improve Access and Use
Procurement and distribution mechanism– El Salvador– Ghana– Tanzania
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Interventions to Improve Access and Use (2)
Retail medicines outlets– Brazil (Minas Gerais)– Cambodia– Tanzania– India (Rajasthan)– Ghana
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Contracting Inventory Management/Distribution
El Salvador local partners– Ministry of Health-Suppliers and distributors
Incentives– Volume of sales
Product quality– Product monitoring and enforcement program
Service quality– Supplier and distributor performance monitoring
and enforcement program– Rational drug use program
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Contracting Inventory Management and Distribution
Ghana local partners– Mission sector supply organization (CDC) - suppliers and
distributors Incentives
– Volume of sales Product quality
– Product quality monitoring and enforcement program by CDC
Service quality– Supplier and distributor performance monitoring and
enforcement by CDC– Consumer education program
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Contracting AdditionalPrime Vendor Services
Tanzania local partners– Ministry of Health, Mission/NGO sector - suppliers
and distributors Incentives
– Volume of sales Product quality
– Product quality monitoring and enforcement program
Service quality– Supplier and distributor performance monitoring
and enforcement
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Contracting Dispensing Services
Brazil (Minas Gerais) local partners– SUS, State Secretary of Health, Municipalities,
microregional health authority - pharmacies Incentives
– Volume of sales Product quality
– Product quality monitoring and enforcement program
Service quality– Pharmacy performance monitoring and enforcement
by ANVISA and SUS, including patient counseling
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Certified Pharmacy and Drug Depot Network
Cambodian local partners– Pharmacists Association of Cambodia -
pharmacies and drug depots – prescriber network Incentives
– Access to prescriber network, low cost, quality products, training, certification
Product quality– Product quality monitoring and enforcement
program by PAC group purchasing arm Service quality
– Training, monitoring, and supervision by PAC, including consumer education program
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Network of Accredited Dispensing Drug Outlets
Tanzania local partners– Pharmacy Board, local government - retail drug
outlets Incentives
– Marketing advantage, access to: low cost, quality products, expanded product list, information technology, training, accreditation
Product quality and Service quality– Product quality monitoring and enforcement
program– Standards compliance program, including
consumer education
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Rural Pharmacy Network India (Rajasthan) local partners
– State PHC network - local NGOs Incentives
– Access to funding, training, fulfillment of mission Product quality
– Product quality monitoring and enforcement program
Service quality– Training, monitoring and supervision by the
pharmacy network management, including consumer education program
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Franchising Essential Medicines
Ghana local partners– Ghana Social Marketing Foundation, chemical sellers
Incentives– Marketing edge, “brand” recognition and promotion,
access to low-cost, quality products, training, accreditation
Product quality– Product quality monitoring and enforcement program by
GSMF Service quality
– Training, monitoring and supervision by GSMF, including consumer education program
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Interventions to Improve Access and Use
The devil is in the details …