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![Page 1: 1 Ensuring medicines save lives: Facilitating access Defeating Malaria Together Jaya Banerji Director, Communications & Advocacy MMV.](https://reader034.fdocuments.in/reader034/viewer/2022051418/5697bfdf1a28abf838cb2a4f/html5/thumbnails/1.jpg)
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Ensuring medicines save lives: Facilitating access Defeating Malaria Together
Jaya BanerjiDirector, Communications & AdvocacyMMV
![Page 2: 1 Ensuring medicines save lives: Facilitating access Defeating Malaria Together Jaya Banerji Director, Communications & Advocacy MMV.](https://reader034.fdocuments.in/reader034/viewer/2022051418/5697bfdf1a28abf838cb2a4f/html5/thumbnails/2.jpg)
Scientists have passed on the new medicine
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We have to ensure itreaches thevulnerable
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child diesevery
secondsfrom malaria
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Getting medicines to the most vulnerable
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…is almost as challenging as drug development!
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The road to access is not smooth
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Potholes
•Price
•Funding
•Availability
•Stockouts
Hurdles•Stringent regulatory and WHO approval?•National registration?•Supported by KOLs?•Packaging•Training health workers
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Let’s take the example of Coartem Dispersible
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Hurdles Coartem DStringent regulatory approval / WHO Prequalification
Yes
WHO Standard Treatment Guidelines
Yes
Eligible for donor funding Yes
National Registration 35 countries
User-friendly, culturally adapted packaging worked best
Steps leading to acceptance
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Medicines are available and affordable
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Available: 65 million treatments for children in 18 months
Affordable: $0.37-0.74 in the public sector.
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A subsidy drives prices even lower
• Affordable Medicines Facility for malaria (AMFm)
• Saving lives and delaying resistance:co-payment ensures uptake
• Pilot phase 2010 – 2012: so far
• 122 million courses of treatment ordered
• 97% of are fixed-dose combinations
• Importer price for Coartem D:
$0.005 -$0.01
Ghana
Madagascar
Uganda
Tanzania
Nigeria
Niger
Kenya
+ Cambodia
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THE REPUBLIC OF UGANDA
Surgipharm
Pilot in Uganda: key supporting evidence
• Align the policy: Over the Counter (OTC)
• Training in dispensing and use
• Adequate margin to maintain supply chain
• Community mobilisation
• Umbrella Brand (ACT-leaf)
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Result: ACTs replace Chloroquine for the under 5s
12%
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Availability in remote areas is challenging
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Frequent stock-outs plague all channels
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Why are they bare? – The Information Gap
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Products A-Z Different Manufacturers
Public / Private
ImportationUni-directional
blind push
Unknown Quantities
Unanalyzed Flows
No view on mix
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Mobile networks to the rescue
• SMS-for-Life allows real-life tracking of stock in pharmacies
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Future: Monitored flows, nationally and at point of care
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Products A-Z Different Manufacturers
Govt Accord w/
IMS & MMVSMS for Life at POC (point of care)*
IMS Import Flow
Analysis
* SMS for Life data flow
Weekly data from POC to district HQ
Weekly re-allocation of stock
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MMV’s Vision
Discover, develop and deliver innovative antimalarials to cure and protect the vulnerable and
help ultimately eradicate this terrible disease