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Introduction to the medicine prices and availability survey and training

workshop

Presentation template for adaptation and use in medicine prices and availability survey training workshop for survey personnel

Review all slides carefully for applicability to your survey before use!

Medicine prices and availability survey

Training workshop

Location, dates

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Why measure medicine prices and availability? Some facts and figures

• 1/3 of the world population lacks access to essential medicines (WHO, 2002)

• Improving access to medicines and vaccines could save approximately 10 million lives per year, 4 million in Africa and South-East Asia (DFID, 2004).

• Up to 90% of the population in developing countries must buy medicines through out-of-pocket payments (OECD 2005), making medicines the largest family expenditure after food

• Medicines account for 20-60% of health spending in developing and transitional countries (WHO, 2004) - a major burden on government budgets

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Objectives of the medicine prices and availability survey

• To generate reliable information on the price, availability and affordability of selected important medicines, and price components in the supply chain, towards the ultimate goal of improving access to affordable medicines for all.

• NOTE TO SURVEY MANAGER: COMPLETE WITH YOUR SURVEY'S SPECIFIC OBJECTIVES

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Questions that will be answered by the survey:

• What prices do people pay for key medicines?

• Does the price & availability of the same medicines vary across different sectors or regions of the country?

• What is the difference in price and availability of originator brands and lowest price generic equivalents?

• How do government procurement prices compare with patient prices in the public sector?

• How do national prices compare with international reference prices?

• How affordable are treatments for low paid people?

• What does the manufacturer’s price, taxes, mark-ups and other charges contribute to the final patient price?

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How the data generated by the survey will be used

• NOTE TO SURVEY MANAGER: COMPLETE AS APPROPRIATE FOR YOUR SURVEY (EG AS A BASELINE FOR MEASURING IMPACT OF POLICY CHANGE, TO SUPPORT AN ADVOCACY CAMPAIGN)

•

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Developed by experts under the coordination of the World Health Organization and Health Action International

Measures:• patient prices• public sector procurement prices • availability• treatment affordability• price components in the supply chain

More than 70 surveys to date

Standard methodology for measuring medicine prices and availability

The survey tool

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Example of data generated from survey: Ratio of median local price to international reference prices,

atenolol 50mg tab, private retail pharmacies

0 20 40 60 80

Uganda (2004)

Kuwait (2004)

Lebanon (2004)

India/Chennai (2004)

Indonesia (2004)

Median Price Ratio

Lowest Priced Generic

Originator Brand

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Public sector Private sector

Originator Generic Originator Generic

Chad (2004) 4% 0% 18% 0%

Maharashtra (2005) 0% 0% 0% 10%

Mongolia (2004) 0% 0% 0% 4%

Philippines (2002) 15% 0% 9% 1%

Indonesia (2004) 0% 0% 2% 0%

Morocco (2004) 25% 65% 5% 50%

Example of data generated from survey: Availability: beclometasone inhaler 50mcg/dose

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0 10 20 30 40 50 60

Uganda

Peru

Jordan

Indonesia

China: Shandong

Armenia

Number of Days' Wages

Lowest Priced Generic

Originator Brand

Example of data generated from survey: Affordability: fluoxetine 40mg tab/day

30 days treatment, private retail pharmacies

96»

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Why is data quality important?

• Solid data supports solid conclusions & recommendations

• Future public policy decisions may rely on this evidence

• Critics will look for weaknesses & holes• Results will be publicly accessible• Project values: honesty & transparency• Fairness to affected parties

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Training workshop for medicine prices and availability survey

• Objective: To provide you with the knowledge and skills required to carry out the medicine prices and availability survey in an accurate and reliable manner

• Duration: 3 days• Format: presentations and exercises, and a data

collection pilot test• NOTE TO SURVEY MANAGER: ADD ANY

LOGISTIC INFORMATION, E.G. START/END TIMES

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Training agenda

• NOTE TO SURVEY MANAGER: COMPLETE WITH YOUR SURVEY'S AGENDA

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Training workshop “ground rules”

• Your participation is the key to the success of the workshop

• The survey is complex; feel free to ask questions• Listen to one and other respectfully• We have a lot to cover - arrive on time for all

sessions• It's ok to have fun!

• NOTE TO SURVEY MANAGER: Add other ground rules as identified by participants