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MeTA in Uganda
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Transcript of MeTA in Uganda
CSO Workshop Sunset Hotel
26 April 2009
Medicines Transparency Alliance(MeTA) Uganda
Presentation Overview
Background to MeTA initiative in Uganda
o Sequence of events and consultations
o Stakeholder perspectives on MeTA priorities for improved access to medicines
The shape of MeTA in Uganda
o Structures: Council, Secretariat, Fund holder
o MoU and Work plan
Mar-09MeTA Uganda Briefing2
Brief History of MeTA Uganda (2007- 2008)
Scoping study & supply chain study in 2007 MOH accept invitation to join as a MeTA pilot country CSO members attended capacity building workshop in
Uganda (Feb. 2008) Multi-stakeholder attendance from Uganda at global
launch (May 2008) Int’l Secretariat visit (Oct. 2008) Short-term TA contracted to support pre-launch
processes Private sector mapping by Int’l consultant (Dec. 2008)
Mar-093
Need for info on medicines market / demand– Most stakeholders agree on info sharing, disclosure
Pricing policy, e.g. recomm. / max. retail price– Agreement in the case of essential medicines;
lower price=higher access= increased sales
Import of generics vs local manufacture– S/Hs differ on strategic value of local manuf;
GI conditionalities = better quality or barrier?
Perspectives – Private Sector
Mar-094
Transparency in the supply chain– Procurement and supply management information
in the public domain
CSO representation at all levels– Enhanced accountability; reduced pilferage
Capacity building for effectiveness– Players in supply chain, n.b. health facility level– CSO participation from policy level to community
Perspectives – Civil Society
Mar-095
Poor medicines availability in public facilities Under funding of medicines
– 30% of the requirement for UNMHCP; escalating cost due to scale up of programmes needing expensive medicines (ARVs, ITNs, ACTs)
Weak proc. and supply management systems – At all levels; concerns over VFM/ quality in local
private sector purchases/ excessive retail mark-ups; reports of leakage
Perspectives – Government
Mar-096
Lead up to Launch (2009)
Formal establishment of National Multi-Stakeholder Council
National MeTA Secretariat streamlined and Coordinator recruited
Fund-holder arrangement MoU signed for implementation of country work
plan
Mar-097
Activity StakeholdersPeriodic surveys of medicines prices and availability
MoH, CSOs, WHO
Web-based information on registration, quality, volumes and FOB cost of medicines
NDA, PS (Manuf/Importers)
Evaluation of the rolling plan for provision of medicines for the UNMCHP (FY 08-09)
Gov, Dev. Partners, Implem Agencies, TWG
Outputs – transparency and information disclosure
Mar-098
Activity StakeholdersStop the stock-outs campaign CSOs
Multi-stakeholder follow-up of recommendations of the tracking study, periodic surveys and performance evaluation
Gov, CS, TWG
Outputs – accountability and good governance
Mar-099
Activity StakeholdersPilot awareness campaign on approp. use of medicines in communities and train drug handlers
CSOs, PSU
Contribute to IEC strategies and messages at national level
Multi-stakeholder
Radio talk shows, jingles Multi-stakeholder
Outputs – IEC & awareness
Mar-0910
Activity StakeholdersBuild capacity in at least 30 CSOs to effectively participate in improved governance, transparency and accountability in medicines supply chain
Expanded CS-MeTA alliance
Engage policy makers on the issue of low availability / high stock-outs of medicines
MoH, MoFPED, LG, Parliament, AG, PPDA, NDA, NMS
Outputs – CSO capacity building
Mar-0911
Summary - MeTA
Global initiative to improve access to medicines through increased transparency & accountability
Governed by national & international multi-stakeholder forums
Progressive disclosure of data collected / information reported = key outcome of pilot
Mar-0912
Thank you!
Questions, comments …????
More about MeTA: www.MedicinesTransparency.org
Mar-09MeTA Uganda Launch13