6. Essential Medicines
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Transcript of 6. Essential Medicines
7/21/2019 6. Essential Medicines
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Dr. AMIT MSHAH
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ESSENTIAL MEDICINESESSENTIAL MEDICINES
Essential medicines are those medicinesthat satisfy the health care needs of themajority of the population. Therefore they
should be available at all times, inadequate amounts, in appropriate dosageforms and at aordable price
Essential medicines are those medicinesthat satisfy the health care needs of themajority of the population. Therefore they
should be available at all times, inadequate amounts, in appropriate dosageforms and at aordable price
ESSENTIAL
MEDICINE
S
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History of the WHOModel List of Essential
Medicines
History of the WHOModel List of Essential
Medicines 1977 First Model list
published, ± 200 active
substances List is revised every two
years by WH !"pert#o$$ittee
Last revision %17th list,March 2011&
First WH Model List o'!ssential Medicines 'or
#hildren ( ctober 2007
1977 First Model listpublished, ± 200 activesubstances
List is revised every twoyears by WH !"pert#o$$ittee
Last revision %17th list,March 2011&
First WH Model List o'!ssential Medicines 'or
#hildren ( ctober 2007
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The Essential Medicines
Target
The Essential Medicines
Target
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Advantages of EMLAdvantages of EML
Wider availability o' $edicines to $oststrata o' the population
Helps in i$prove$ent in dru* dispensin*and patient co$pliance
Helps planner + policy $aers to allocatereasonable 'unds and resources
Wider availability o' $edicines to $oststrata o' the population
Helps in i$prove$ent in dru* dispensin*and patient co$pliance
Helps planner + policy $aers to allocatereasonable 'unds and resources
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Criteria for selection a
Essential Medicines
Criteria for selection a
Essential Medicines !-cacy + sa'ety
.nnecessary duplication o' $edicine and
dosa*e 'or$ should be avoidedMeet the standard /uality includin*
bioavailability and sel' li'e
wo or $ore $edicine %1& horou*hly
investi*ated + %2& Favorable 3 data he cost o' total treat$ent
re'erably sin*le dru* co$pound
!-cacy + sa'ety
.nnecessary duplication o' $edicine and
dosa*e 'or$ should be avoidedMeet the standard /uality includin*
bioavailability and sel' li'e
wo or $ore $edicine %1& horou*hly
investi*ated + %2& Favorable 3 data he cost o' total treat$ent
re'erably sin*le dru* co$pound
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ses of the WHOModel List of Essential
Medicines
ses of the WHOModel List of Essential
Medicines 145 countries have a national list o'essential dru*s, o' which 61 have beenupdated in the last 4 years
Ma8or international a*encies %.:#!F,.H#;& base their catalo*ue on the WHModel List
<uide the procure$ent and supply o'
$edicines in the public sector, sche$esthat rei$burse $edicine costs, $edicinedonations and local $edicine production
:n'or$ation and education tools by health
pro'essionals
145 countries have a national list o'essential dru*s, o' which 61 have beenupdated in the last 4 years
Ma8or international a*encies %.:#!F,.H#;& base their catalo*ue on the WHModel List
<uide the procure$ent and supply o'
$edicines in the public sector, sche$esthat rei$burse $edicine costs, $edicinedonations and local $edicine production
:n'or$ation and education tools by health
pro'essionals
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Essential Medicines !India
Essential Medicines !India
First ational !ML = 1965 by >irectorate<eneral o' Health ?ervice, Ministry o'Health and Fa$ily Wel'are, ew >elhi
Latest !ML released in 2011 he @rst state level !ML = 199A by >elhi
<ovtBther state level !ML = <u8arat, a$il
adu, 3arnataa, rissa, Maharashtra,West Cen*al, Hi$achal radesh andMadhya radesh
ational !ML = 27 $a8or classes
First ational !ML = 1965 by >irectorate<eneral o' Health ?ervice, Ministry o'Health and Fa$ily Wel'are, ew >elhi
Latest !ML released in 2011 he @rst state level !ML = 199A by >elhi
<ovtBther state level !ML = <u8arat, a$il
adu, 3arnataa, rissa, Maharashtra,West Cen*al, Hi$achal radesh andMadhya radesh
ational !ML = 27 $a8or classes
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Essential Medicines "#$nda%ental H$%an
&ights
Essential Medicines "#$nda%ental H$%an
&ights he en8oy$ent o' the hi*hest attainable standard
o' health is one o' the 'unda$ental ri*hts o'every hu$an bein* without distinction o' race,
reli*ion, political belie', econo$ic or socialcondition
<overn$ents and the international co$$unityhave an obli*ation to see the ri*ht to health
pro*ressively realiDed, which includes theresponsibility 'or prevention, treat$ent andcontrol o' diseaseE and the creation o' conditionsto ensure access to health 'acilities, *oods and
services
he en8oy$ent o' the hi*hest attainable standardo' health is one o' the 'unda$ental ri*hts o'every hu$an bein* without distinction o' race,
reli*ion, political belie', econo$ic or socialcondition
<overn$ents and the international co$$unityhave an obli*ation to see the ri*ht to health
pro*ressively realiDed, which includes theresponsibility 'or prevention, treat$ent andcontrol o' diseaseE and the creation o' conditionsto ensure access to health 'acilities, *oods and
services
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I%'le%entation of anEML
I%'le%entation of anEML
!stablish a transparent process 'or creatin* andupdatin* the list o' essential $edicines, provide avoice 'or ey staeGholders, but ensure a scienti@c,evidenceGbased process
Lin the essential $edicines list to clinical*uidelines 'or dia*nosis and treat$ent, involvin*both specialists and pri$ary care providers
ctively en*a*e support 'ro$ $edical opinionleaders, senior clinicians, trainin* institutions,pro'essional or*aniDations, nonG*overn$entalor*aniDations and the public
Mae the list o' essential $edicines, 'or$ulary$anuals and clinical *uidelines widely available in
all health care 'acilities and to all health care
!stablish a transparent process 'or creatin* andupdatin* the list o' essential $edicines, provide avoice 'or ey staeGholders, but ensure a scienti@c,evidenceGbased process
Lin the essential $edicines list to clinical*uidelines 'or dia*nosis and treat$ent, involvin*both specialists and pri$ary care providers
ctively en*a*e support 'ro$ $edical opinionleaders, senior clinicians, trainin* institutions,pro'essional or*aniDations, nonG*overn$entalor*aniDations and the public
Mae the list o' essential $edicines, 'or$ulary$anuals and clinical *uidelines widely available in
all health care 'acilities and to all health care
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#onsider launchin* new or revised lists with theinvolve$ent o' *overn$ent o-cials, such as the$inister o' health or the president, and intensivepress covera*e
Mae clear the speci@c le*al or ad$inistrativeauthority o' the essential $edicines list 'ortrainin*, procure$ent, rei$burse$ent and publicin'or$ation
#onsider establishin* an ad$inistrative orbud*etary sa'ety valveI 'or the li$ited supplyand use o' nonGlisted $edicines, eB*B by certainspecialist units
;e*ularly update the list so that it reJectstherapeutic advances and chan*es in cost,
#onsider launchin* new or revised lists with theinvolve$ent o' *overn$ent o-cials, such as the$inister o' health or the president, and intensivepress covera*e
Mae clear the speci@c le*al or ad$inistrativeauthority o' the essential $edicines list 'ortrainin*, procure$ent, rei$burse$ent and publicin'or$ation
#onsider establishin* an ad$inistrative orbud*etary sa'ety valveI 'or the li$ited supplyand use o' nonGlisted $edicines, eB*B by certainspecialist units
;e*ularly update the list so that it reJectstherapeutic advances and chan*es in cost,
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;:<H >;.<
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;:<H >?<!
;:<H #?
&LEO#
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&ational se ofMedicines
&ational se ofMedicines
E##ICAC) SA#ET) SITA*ILT) COST
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Concept of Essential Medicines and EMLaim to identify cost-eective medicines
for priority conditions, together withthe reasons for their inclusion, linkedto evidence-based clinical guidelinesand with special emphasis on public
health aspects and considerations ofvalue for money.
Concept of Essential Medicines and EMLaim to identify cost-eective medicines
for priority conditions, together withthe reasons for their inclusion, linkedto evidence-based clinical guidelinesand with special emphasis on public
health aspects and considerations ofvalue for money.
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