unicef´s contribution to access to essential medicines
DESCRIPTION
UNICEF´s Contribution to Access to Essential Medicines. Jan Komrska Essential Medicines and Nutrition Unit HIV/AIDS & Health Centre. WHO Technical Briefing Seminar 19.11. 2008 Geneva. Outline. What we buy? How is the price? Where we supply? What is the quality of the product we buy?. - PowerPoint PPT PresentationTRANSCRIPT
UNICEF´s Contribution to Access to Essential Medicines
Jan Komrska
Essential Medicines and Nutrition Unit
HIV/AIDS & Health Centre
WHO Technical Briefing Seminar 19.11. 2008 Geneva
Outline
• Rational Selection
• Affordable Prices
• Sustainable Financing
• Reliable Health and Supply System
• What we buy?
• How is the price?
• Where we supply?
• What is the quality of the product we buy?
ACCESS TO ESSENTIAL MEDICINES FOR CHILDREN UNDER 5 YEARS OF AGE
TOTAL PROCUREMENT (EMN Unit in millions USD)
2005 2006 2007 2008*Nutrition(Therapeutic Food) $ 22.95 $ 23.68 $ 37.70 $ 53.85
Essential Medicines $ 27.87 $ 32.07 $ 55.85 $ 30.49
TOTAL $ 50.82 $ 55.75 $ 93.56 $ 84.34
In 2007: 60% PHARMACEUTICALS / 40% NUTRITION
In 2008: 36% PHARMACEUTICALS / 64% NUTRITION
*until 30 September 2008
TOTAL PROCUREMENT (EMN Unit)
*until 30 September 2008
2006 2007 2008*1 Water & electrolytes ß-lactams Other antibacterials
2 Other antibacterials Other antibacterials Minerals & vitamins
3 ß-lactams Water & electrolytes Water & electrolytes
4 Anthelmintics Minerals & vitamins Anthelmintics
5 Minerals & vitamins Anthelmintics Antianaemia drugs
6 Antianaemia drugs Antianaemia drugs Analg.. non opioids
7 Analg.. non opioids Analg.. non opioids Disinf./antiseptics
8 Antivirals Immunomodulating agents ß-lactams
9 Antiprotozoal Antivirals Anaesthetics
10 Disinf./antiseptics Disinf./antiseptics Dermatological drugs
TOTAL PROCUREMENT (EMN Unit)
2006 2007 2008*
1Albendazole 400mg tabs/PAC-100
Amoxicillin 250mg caps/tabs/PAC-1000 Zinc 20mg tablets/PAC-100
2Mebendazole 500mg tabs/PAC-100
Oral reh.salts.new formula.1L s/CAR-1000
Micronutrient.film-coated tabs/PAC-1000
3Sod.lactat.comp.inj 500ml w/g.set/BOX-20
Sulfameth.+trimeth.400+80mg tabs/PAC-120
Mebendazole 500mg tabs/PAC-100
4Ferr.salt+folic acd 60+0.4mgtab/PAC-1000
Albendazole 400mg tabs/PAC-100
Sulfameth.+trimeth.400+80mg tabs/PAC-500
5Sulfameth.+trimeth.400+80mg tabs/PAC-500
Sod.lactat.comp.inj 500ml w/g.set/BOX-20
Ceftriaxone pdr/inj 1g vial/BOX-10
6Amoxicillin 250mg caps/tabs/PAC-1000 Zinc 20mg tablets/PAC-100
Albendazole 400mg tabs/PAC-100
7Oral reh.salts.new formula.1L s/CAR-1000
Fe(as fum.)+folic 60+0.4mg tab/PAC-1000
New formula Oral reh.salts.1Ls/CAR-1000
8Oseltamivir (Tamiflu) 75mg caps/PAC-10
Micronutrient.film-coated tabs/PAC-1000
Fe(as fum.)+folic 60+0.4mg tab/PAC-1000
9Micronutrient.film-coated tabs/PAC-1000
Retinol 200.000IU soft gel.caps/PAC-500
Glucose inj 5% 500ml w/giv.set/BOX-20
10Iodized oil 200mg caps/PAC-1500
Sulfameth.+trimeth.400+80mg tabs/PAC-500
Sod.lact.comp.inj 1000ml w/g.set/BOX-10
Volume/Price Evolution of Strategic Products
Procurement of Deworming Tablets
-
200 000
400 000
600 000
800 000
1 000 000
1 200 000
1 400 000
1 600 000
Albendazole 400mgtabs/PAC-100
Mebendazole 100mgtabs/PAC-100
Mebendazole 500mgtabs/PAC-100
2005
2006
2007
2008
Volume/Price Evolution of Strategic Products
Price/Volume Evolution of Albendazole Procurement by UNICEF
1,44
1,45
1,25
0
2
4
6
8
10
1,00 1,50 2,00 2,50 3,00
2005
Volume/Price Evolution of Strategic Products
Price/Volume Evolution of Albendazole Procurement by UNICEF
1,25
1,45
1,45
2,68
1,44
0
2
4
6
8
10
1,00 1,50 2,00 2,50 3,00
2005
2006
Volume/Price Evolution of Strategic Products
Price/Volume Evolution of Albendazole Procurement by UNICEF
1,25
1,44
1,44
1,45
2,68
1,491,45
0
2
4
6
8
10
1,00 1,50 2,00 2,50 3,00
2005
2006
2007
Volume/Price Evolution of Strategic Products
Price/Volume Evolution of Albendazole Procurement by UNICEF
1,25
1,45
1,44
1,44
2,68
1,49
1,44
1,63
2,24
2,23
0
2
4
6
8
10
1,00 1,50 2,00 2,50 3,00
2005
2006
2007
2008
Where we supply?
• UNICEF country programs
• Procurement Service Customers (UNDP, WHO, foreign governments)
UNICEF Supply of Essential Medicines in 2008 (in USD)
Zimbabwe $ 3.341.768.75
Myanmar $ 3.189.471.66
DPR Korea (North Korea) $ 1.600.334.13
Liberia $ 1.493.904.40
Dem. Rep. Congo $ 1.344.710.25
Ethiopia $ 1.271.399.42
Mali $ 1.086.722.92
Sudan $ 1.032.692.92
Afghanistan $ 889.380.29
Kenya $ 832.704.41
• Before Procurement– Evaluation of the Supplier– Evaluation of the Product Dossier and Sample
• After Procurement– Testing of Product– Assessment of Certificate of Analysis
Quality Assurance
UNICEF IS A PARTNER IN PIC/S
UNICEF USES INTERAGENCY PHARMACEUTICAL PRODUCT QUESTIONNAIRE
Thank You