Professional Documents
Culture Documents
in the
Philippines
Joselito Quinitio, DDM
INTRODUCTION
Essential drugs are those that satisfy the health care needs of the
majority of the population; they should therefore be available at all
times in adequate amounts and in the appropriate dosage forms.
The use of essential drugs, WHO, 1990
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5 PILLARS OF SARAH
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2. AVAILABILITY AND
AFFORDABILITY
The goal is to ensure the continuous availability of essential medicines
in the health care system at prices that are within reach of patients,
consumers and the govt.
Govt. programs to improve availability and affordability
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2. AVAILABILITY AND
AFFORDABILITY
Medicines Access Programs (MAPs) since 2011, DOH has
pursued free medicines access programs to the poor as a strategy
toward UHC
Priority Areas:
1. Outpatient drugs for common infections, hypertension and diabetes
2. Inpatient drugs for some catastrophic diseases such as breast cancer,
childhood acute lymphocytic leukemia (ALL)
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2. AVAILABILITY AND
AFFORDABILITY
MAPs for out-patient care:
a. Botika ng Barangay (BnB) a drug outlet with special license to operate
from the FDA to improve access to essential medicines especially by the
poor
Can be managed by community organization, NGO and/or LGU with a
trained operator and visiting pharmacist
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2. AVAILABILITY AND
AFFORDABILITY
Variants:
a. Botika Para sa Taumbayan a partenership with the Civil Service
Commission
b. Botika ng Manggagawa a partnership with the Philippine Government
Employees Association
c. Health Plus Outlet a partnership with the National Pharmaceutical
Foundation
d. Botika Binhi a partnership with the Kabalikat ng Botika Binhi, Inc.
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2. AVAILABILITY AND
AFFORDABILITY
MAPs for outpatient care:
DOH COMPLETE TREATMENT PACKAGES (COMPACKS)
Free drug access program for poor families covered by the Pantawid Pamilya
Pinoy Program (4Ps) introduced in 2011
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hypertension, DM, asthma
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2. AVAILABILITY AND
AFFORDABILITY
Other MAPs
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2. AVAILABILITY AND
AFFORDABILITY
Medicine consignment system by the DOH allows government
health facilities to deliver essential medicines to patients at no cost to
the government
The consignment system must comply with systems and guidelines set
forth by the DOH and the Government Procurement Policy Board
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2. AVAILABILITY AND
AFFORDABILITY
Pricing Policy for Medicines
To ensure that essential medicines are affordable, the government
shall undertake the following measures:
a. Price Advisory Council monitors drug prices and recommends policy options
for fair and rational pricing of medicines
b. Voluntary Drug Price Reduction the govt. shall negotiate with the industry to
voluntarily reduce prices particularly for medicines included in the Essential
Drug List or the Philippine National Formulary
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2. AVAILABILITY AND
AFFORDABILITY
c. Medicines Price Board created to set and negotiate for fair and transparent
prices of all drugs in the national formulary
d. Electronic Essential Drug Price Monitoring System (e-EDPMS) and Drug Price
Reference Index (DPRI)
EDPMS is a computer-based monitoring system for the collecting,
submitting, processing and analyzing prices and inventories of drugs
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2. AVAILABILITY AND
AFFORDABILITY
EDPMS (http://uhmis4.doh.gov.ph/edpms)
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2. AVAILABILITY AND
AFFORDABILITY
Drug Price Reference Index (DPRI)
1. Lists the ceiling prices of essential medicines for government bidding and
procurement set by the DOH for all DOH Retained Hospitals and Regional
Offices
2. Aims to improve the efficiency and good governance in the pricing and
procurement of medicines in the public sector through establishing a
transparent and publicly available reference price for medicines
3. Helps guide PhilHealth in setting reimbursement caps for medicines both for
inpatient and outpatient services
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DPRI
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2. AVAILABILITY AND
AFFORDABILITY
e. Special discounts for medicines for seniors and PWDs
f. Tax incentives such as lower taxes for pharmaceutical companies or
exemption from taxes, tariffs or duties on life-saving medicines to
lower cost for patients
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2. AVAILABILITY AND
AFFORDABILITY
g. Generics Policy
The primary instrument recognized by the govt. to reduce prices of medicines
is effective competition and the active promotion, adoption and use of
generics
Generic medicines health products that have the same quality and efficacy as
branded innovator drugs but give patients more choice because of their lower
price
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2. AVAILABILITY AND
AFFORDABILITY
h. TRIPS Flexibilities - Trade Related Aspects of Intellectual
Property Rights
TRIPS is a comprehensive global (WTO) agreement in the field of
intellectual property and covers a wide range of subjects; patents for
pharmaceutical products are only part of the agreement
The TRIPS agreement provides flexibility for governments to change the
protection for patented products in order to meet social goals (e.g. health
crises, national emergencies)
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Trips flexibilities
1. Parallel importation of patented drugs
Parallel imports are imports of a patented or trademarked product
from a country where it is already marketed.
Mozambique 100 units of ciprofloxacin (Bayer) costs US$740
India 100 units of ciprofloxacin (Bayer) costs US$15
Mozambique can import the product from India without Bayers consent
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Trips flexibilities
2. Compulsory licensing
A govt. allows someone else to produce a patented drug without the
consent of the patent owner
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2. AVAILABILITY AND
AFFORDABILITY
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4. ACCOUNTABILITY, TRANSPARENCY
AND GOOD GOVERNANCE
The goal is to institutionalize transparency, accountability and good
governance along the registration, regulation, selection, procurement
and management of medicines in the health sector
These measures shall be pursued through the following mechanisms:
a. Access to information there shall be transparent data and information
sharing among all the agencies, manufacturers, retailers, service providers
and consumer groups with regard to medicine prices, drug registration
status, status of regulatory compliance and other critical transactions,
decisions and processes with regard to medicines
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4. ACCOUNTABILITY, TRANSPARENCY
AND GOOD GOVERNANCE
b. Managing conflicts of interests the DOH shall provide a clear criteria in
the selection and appointment of members to decision making committees
(Formulary Executive Council, Bids and Awards Committees, Drug
Therapeutic Committees)
c. Efficient, transparent and accountable processes
d. Standards of good governance a rewards and incentives system shall be
developed and implemented for Good Governance in Medicines
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Human resources
Local research and development
Medicines information system
Local govt. support
Public private partnerships
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