CCIH 2015 Mirfin Mpundu Plenary 3

Just and compassionate quality pharmaceutical services for all

Together towards Availability and

Affordable Quality Pharmaceutical Care

Mirfin M. Mpundu

Partnerships through faith-based Drug Supply Organizations in providing medical equipment

and supplies

www.epnetwork.org Just and compassionate quality pharmaceutical services for all

The problem to be solved


But don’t overdo it! Access & not Excess


We are…

Ecumenical Represent all church denominations

Pharmaceutical A valued global partner for just compassionate quality pharmaceutical services

for all

Improve access and rational use of medicine


Strategic Plans

2010 - 2015 Access to quality

assured medicines and rational drug use

HIV/AIDS Professionalization Information Sharing

2016 – 2020 Advocacy Pharmaceutical services

capacity development Research and information

sharing Non-communicable

diseases (NCDs) Maternal and child health Antimicrobial resistance and

infectious diseases


We are…Network

89

Members

35 countries


Our members are…

Church health associations

Faith based organizations Individual

members


Access Problems

Stock-outs Cost Non availability of medicines on the local market Government central procurement focuses on

government hospitals Largely weak supply chains Capacity gaps Poor quality of medicines on the market Unregulated illegal markets


Partnerships

Examples of Partnership work of EPN


1. Pooled procurement

DSO’s deliver medicines to FBO’s

Problem Hard to create competitive prices Solution


Pooled procurement

Cameroon 3 DSO’s – Presbyterian (PCC), Baptist (CBC)

and Evangelical (EEC) Compose list of products – 50 medicines Send out tender Compare bids Appoint supplier


Pooled procurement - EAC

East Africa 4 DSO’s: Kenya (MEDS), Rwanda (BUFMAR),

Tanzania (MEMS), Uganda (JMS) More challenging – country laws Same process as in Cameroon


Challenges – some examples

Differing resources Reconciling needs e.g prescriber preferences,

facilities product preferences Trust & management buy-in Standards & experiences Quantities Procurement process Time schedules, tender committees


2. Minilab Project – Quality of Medicines

MINILAB Mobile, low cost laboratory to test up to 65 different Essential Medicines Physical abnormalities Identity Content semiquantitative


Minilab Network – Project on Quality

30% of drugs on the market are counterfeits (almost USD 75 billion)

100,000 deaths a year in Africa (WHO) 700,000 fatalities to malaria & TB (London-based

International Policy) Sentinel sites in 9 countries – Kenya, DRC, India,

Cameroon, Uganda, Ghana, Nigeria, Tanzania & Malawi)

Test and share results with WHO and among members GOAL – Quality-assured medicines through FBOs


Failed Drugs

Antimalarials and antibiotics - Coartem - Duo Cotecxin - Cloxacillin - Suphadoxine & Pyrimethamine


3. Advocacy for Family Planning

Promoting FP commodities: Project with CCIH under the BMGF

Problem Stock outs of commodities Information & Knowledge gaps Religious leaders and decision makers positions Solution Advocacy Strengthening supply chains


Advocacy for Family Planning

Project Baseline assessment under DSO’s and health

facilities in

Develop advocacy plan Training of identified advocates

Cameroon DRC Ethiopia Kenya Nigeria Zambia


Advocacy for Family Planning

Outcomes baseline assessment Commodities are not easy to get Misinformation & Knowledge gaps Family factors – needing spousal approval Opposition from church leaders Competitive supply from governement

DSO’s can make the difference in providing family planning commodities


Partnership

Is it easy? Keep pushing Unexpected setbacks

Is it worth it? DSO’s have affordable suppliers FBO’s can purchase cheaper from their DSO Patients can save money on their health costs Capacity building Resource sharing


Conclusions

Strong partnerships among Faith-Based DSO’s lead to Improving access (accessibility, availability,

affordability & acceptability) to quality pharmaceutical products leading to better health outcomes

Partnership’s are not easy, but worthwhile You can be part of EPN as well by supporting EPN’s mission.


REMEMBER

“It’s all about the patient”


It’s all about Access..Access..Access


Thank you!

Ecumenical Pharmaceutical Network Muringa Road, Rosami court, Kilimani, Nairobi P. O. Box 749 - 00606 Sarit Centre, Nairobi, Kenya Tel: +254 724 301755 | 572 522702 E-mail: [email protected] Website: www.epnetwork.org Facebook: www.facebook.com/EPN.epnetwork

CCIH 2015 Mirfin Mpundu Plenary 3

Healthcare

Transcript of CCIH 2015 Mirfin Mpundu Plenary 3