Innovative drug distribution practices at LiveWell Initiative to improve maternal and child health...

LWI

LiveWell Initiative

Innovative drug distribution

practices to improve

maternal and child health

Bisi Bright MPH, FPSN, FPCPharm

CEO, LiveWell Initiative Nigeria

LWI

LiveWell Initiative UN Factsheet

• Only half of women in developing regions receive

the recommended amount of health care they

need

• The maternal mortality ratio in developing regions

is still 14 times higher than in the developed

regions

• Children born into poverty are almost twice as

likely to die before the age of five as those from

wealthier families.

• Children of educated mothers are more likely to

survive than children of mothers with no

education.http://www.un.org/millenniumgoals/childhealth.shtml http://www.un.org/millenniumgoals/maternal.shtml

www.livewellng.org9/27/2015

LWI

LiveWell Initiative

Medicines Access as a Tool in

Improving Maternal and Child

Health: The LiveWell Initiative LWI Innovation

1. Access to Medicines

2. Replicability

3. Scalability

4. Sustainability


LWI

LiveWell Initiative

. . . and, For her

. . . For her

Improving Medicines Access. . .

LWI Community Healthcare Programme at Olorunshogo, Oshodi Dec 2013...FREE medicines for all.


LWI

LiveWell InitiativeEthical Issues and

Compliance Monitoring• Most Medicines distributed in the Communities are

OTCs

• Where a prescription medicine is needed, an LWI

Medical Doctor generates the prescription there and

then

• Where compliance monitoring or further care is

required, the LWI ‘easyhealth’ team follows up

monthly with the patient, to the patient’s home

• Through its ‘easyhealth’ Home Healthcare plan, LWI

takes care of ‘ healthcare access gaps’ www.livewellng.org9/27/2015

LWI

LiveWell Initiative ‘easyhealth’

• This is a home healthcare plan which is affordable at a

cost of $15 per client per month

• Through this innovation, compliance monitoring is

conducted by LWI Experts through telephony, e-

medicine, mhealth and monthly home visits

• Clients whose needs cannot be met by ‘easyhealth’

are designed to be absorbed eventually by LWI

SUPPORT when it commences its expanded

operations

• However for now, they are referred to government

clinics for further managementwww.livewellng.org9/27/2015

LWI

LiveWell Initiative‘easyhealth’– The home healthcare plan


Young LWI Pharmacist Ayo Matuluko Counselling and Dispensing

Medicines to a Woman Client at Home in February 2014 – ‘easyhealth’

LWI

LiveWell Initiative

www.livewellng.org

[email protected]

9/27/2015

LWI

LiveWell Initiative Outcome and Impact

• Community Confidence level is high

• Key Opinion Leaders and Community Stakeholders’

buy-in’ is secured

• The Confidence of the Mothers, is enhanced

• The gesture is appreciated by smiling beneficiaries

who are usually keen to say a word or two.

• Adherence and Compliance is high

• Medicines supplied are impactful and

• Overall Wellness and health status is improved


LWI

LiveWell Initiative

www.livewellng.org

Happy Mothers . . . Smiling faces!

9/27/2015

LWI

LiveWell Initiative

Measuring Impact

• Programme Feedback / Comments

• Word of Mouth Referrals

• Adherence and Compliance

• Post-Programme Evaluation and

Monitoring

• Periodic Feedback through Community

Advocates and

• Qualitative Monitoring and Evaluation www.livewellng.org9/27/2015

LWI

LiveWell InitiativeReplicability

• All LWI Community Outreach programmes are

replicable due to Processing, Quality Assurance and

Logistics Planning across the organisation

• The organisation runs multiple programmes

concurrently and simultaneously, along process lines

which ensure uniformity

• Among examples are, Ogun State Community Health

Outreach at Ipokia, Imeko, Ilarowww.livewellng.org9/27/2015

LWI

LiveWell Initiative Scalability• LWI Programmes are scalable, as large teams can

attend to thousands of people in a Community Health

outreach while a small team can attend to a group of a

few women and children

• LWI has the human resource capital with over 240

Volunteer Officers from which the teams are selected

• Scalability will be enhanced when working with

Partners and Donors who have the financial

economies of scale to enlarge the scope of

programmes to the national levelwww.livewellng.org9/27/2015

LWI

LiveWell Initiative Sustainability• LWI Programmes are sustainable and they have

stood the test of time

• Through LWI, over 800,000 Nigerian Women and

Children have received FREE Medicines in the past 7

years , with a sustainable machinery which works

• The sustainability is further enhanced by LWI

collaborations with government and the private sector

• The organisation has put in place 3 Programs in its

MNCH Sustainability Drive, and to ensure a continuum

of its programmes

• Collaborators and Partners are being sought, to make

these programmes replicable & more scalablewww.livewellng.org9/27/2015

LWI

LiveWell Initiative

www.livewellng.org

Evidence Based SustainabilityLWI Case for Biannual Health & Medicines Outreaches

Program Venue Women

reached with

Free

Medicines

Children

reached with

Free

Medicines

Outcome / Impact

Osun State Rural

Health Mission

Ilesha Up to 800 Up to 250 Improved Community

Wellness; 6-month

Complaint-Free Wellbeing

Ogun State Rural

Health Mission

Ipokia / Agoshasha

Ilaro

Imeko

Up to 2,000

Up to 2,000

Up to 800

Up to 650

Up to 450

Up to 400

Improved Community

Wellness; 6-month


Gbagada Health

fair

Gbagada Up to 5,500 Up to 1,200 Improved Community

Wellness; 6-month


Rowe Park Health

fair

Yaba Up to 4,000 Up to 250 Improved Community

Wellness; 6-month


9/27/2015

LWI

LiveWell Initiative

www.livewellng.org

0

1000

2000

3000

4000

5000

6000

Ilesha Ipokia / Agoshasha

Ilaro Imeko Gbagada Yaba

Women reached with Free Medicines

Children reached with Free Medicines

LWI Sustainabilty Chart for Healthcare and Medicines

Distribution for Women and Children 2014

LWI Sustainability Pattern; Evidence-based: The women and children reached with free medicines in this chart will be sustained for 6 months

before the ‘demand curve’ reopens

9/27/2015

LWI

LiveWell InitiativeLWI MNCH Sustainability Programs

1. LWI GREEN

• This is a normadic program for the rural poor

• It is cost effective, with FREE Medicines for all,

and an affordable nominal fee for service.

• It is designed to meet the needs of the rural poor

women, (men) and that of their children.

• It is a sustainability tool

• Rural Poor women will

get FREE medicines through

LWI GREEN


LWI

LiveWell Initiative

www.livewellng.org

[email protected]/27/2015

http://www.livewellng.org/

mailto:[email protected]

LWI

LiveWell InitiativeLWI MNCH Sustainability Programs

2. LWI BAY

• This is an onsite program for the urban poor

• It is cost effective, with FREE Medicines for all,

and an affordable nominal fee for service.

• It is designed to meet the needs of the urban

poor women, (men) and that of their children.

• It is a sustainability tool

• Urban Poor women will

get FREE medicines through

LWI BAY

Baywww.livewellng.org9/27/2015

LWI

LiveWell Initiative

Baywww.livewellng.org9/27/2015

LWI

LiveWell InitiativeLWI HEALTH FAIR 2010 – ‘Meandering’ Queue

The LWI doctor discussing with a client while the queue ‘meanders’ behind her..


LWI

LiveWell Initiative

Impact of LWI Medicines Access

Programme for Women and Children

• Smiling and Happy Mothers; Happy and

Healthy Babies; 6-month ‘wellbeing’ window

• Out of Pocket Savings; improved

microeconomy for the family and for the

nation

• Improved overall productivitywww.livewellng.org9/27/2015

LWI

LiveWell Initiative6-Month ‘Wellbeing Window’

• LWI has discovered a consistent 6-month ‘wellbeing window’

period before its clients need the next set of medicines

• Irrespective of rural or urban location, LWI has discovered a

constant Six(6) month ‘wellbeing window’ SMWW period

after each community health outreach / LWI Intervention before

beneficiaries will need medicines again

• This is believed to be due to the impact of the LWI Expert ‘OTC

Medicines Counselling’ by Pharmacists, and the Health Team

Empowerment which precede giving the medicines, also in line

with LWI ‘Process Algorithms’


LWI

LiveWell InitiativeCONCLUSION

• Making medicines more accessible to women and children

through innovative ways will enhance their health status and

will controbute significantly to the attainment of MDGs 4 and 5

in the last 500 days prior to the end of the MDG Programme

• Although all women and all children need medicines, the

women at the base of the pyramid can best access medicines

through innovation

• When they do access such medicines, women need to be

empowered to maximise the benefit of the accessed medicines


LWI

LiveWell Initiative

9/27/2015 www.livewellng.org

youtube.com/watch?v=MliXWUnn7VQ …

Pharmacist - Advocacy on Silverbird TV Nigeria

BISI BRIGHT - CEO, LWI Improving Access – May 18th 2014

http://t.co/sJ4xoubsOm



LWI

LiveWell InitiativeCONCLUSION (contd)

• Since women by nature will need to have access to medicines

for themselves and for their children; access to medicines for

women all around the world and especially for women at the

base of the pyramid should be made a priority agenda in

fulfilling the MDGs in the 500-Day UN Advocacy Trail.

• Responsible and Rational use of Medicines should be the

guiding principle of every pharmacist while ensuring innovative

access to medicines, for women and children; that way safe

use of the medicines is guaranteed especially at the base of the

pyramid.


LWI

LiveWell Initiative CONCLUSION (contd)

• Every woman at the base of the pyramid BOP and

everychild at the base of the pyramid should be entitled to

an enhanced access to medicines accompanied with

enhanced access to counselling on the use of the medicines

• Every woman and every child who is taking a medicine

should have access to a healthcare personnel in the

communication chain.

• In enhancing ‘medicines access’ for women and children;

the safe use of medicines should always be ensured

through adherence, compliance monitoring and evaluation


LWI

LiveWell InitiativeCONCLUSION

• With a Six-month ‘Wellbeing Window’ SMWW, community

health initiatives powered or partnered by PPPPs (People

Public Private Partnerships) can serve as an interface in

bridging healthcare gaps which will assist governments the

world over, in attaining the desired MDG Goals 4 and 5 and

beyond.

• The SMWW should be used to compute biannual health and

wellness outreaches and, biannual drug distribution channels

for women and children at the base of the pyramid, for

attainment of MDGs 4 and 5.

• Thank you.www.livewellng.org9/27/2015

LWI

LiveWell InitiativeQ & A –

Any Questions Please?

Bisi Bright MPH, FPCPharm, FPSN

CEO, LiveWell Initiative LWI,

FBA Suites, 2nd Floor Plot 5,

Yesuf Abiodun Street,

Victoria Island, Lagos, Nigeria.

Tel. +234 8033265802

email: [email protected]

Website: www.livewellng.org


mailto:[email protected]

http://www.livewellng.org/

LWI

LiveWell Initiative

Thank You for Listening


Innovative drug distribution practices at LiveWell Initiative to improve maternal and child health...

Documents

Transcript of Innovative drug distribution practices at LiveWell Initiative to improve maternal and child health...