Transcript Underserved Populations - MyWeb

 Introduction to Course
 Global and Local Context for
Pharmaceutical Products for
Underserved Populations
Class Period #1, 17 January 2007
Prof. Hazel H. Seaba
046:127 Pharmaceutical Management for Underserved Populations
• How to contact me
• Course time, building
• Grading: assignments, not examinations
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Course is new and being offered
for the first time
• What does a new course mean for the students?
• Why is it being taught?
– Context for course
• Crisis Montage: courtesy of Maureen McCue, MD, PhD,
Coordinator Iowa Physicians for Social Responsibility, Adjunct Clin Prof
in Public Health and Anthropology
• Why is course content important?
– World Shrink
– World health care worker crisis: WHO [source for following WHO slides]
• Unique relationship with Management Sciences for Health (MSH)
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Crisis Montage
Reflection:
1.How does this montage make you feel?
2.What does it make you want to learn?
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Why is this Course Important?
• Point 1: In a global society, the health of every human being is
relevant to each of us.
• Point 2: Prosperity is inextricably linked to health, so it is in our
interest to improve the health of underserved
populations.
• Point 3: By reducing human suffering, improved health can
contribute to political stability and, in turn, make other
nations more secure.
• Point 4: By increasing productivity, improved health can reduce the
need for domestic and/or foreign aid and contribute to
international prosperity.
• Point 5: The world is wealthy enough to be able to afford aid
• Point 6: We need to honor commitments we have already made.
• Point 7: Local and global health interventions work.
• Point 8: Improving the health of all people is the right thing to do.
Adapted and taken from:
Rx for Survival — A Global Health Challenge, Co-Production of the WGBH/NOVA Science Unit and Vulcan Productions, Inc.
http://www.pbs.org/wgbh/rxforsurvival/series/matters/index.html
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Course is new and being offered
for the first time
• What does a new course mean for the students?
• Why is it being taught?
– Context for course
• Crisis Montage: courtesy of Maureen McCue, MD, PhD,
Coordinator Iowa Physicians for Social Responsibility, Adjunct Clin Prof
in Public Health and Anthropology
• Why is course content important?
– World Shrink
– World health care worker crisis: WHO
• Unique relationship with Management Sciences for Health (MSH)
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Course Structure
Framework Provided by:
1. Drug and Health
Commodity Management
Cycle
2. Access and Potential
Barriers
– 17 week class period
schedule in syllabus
– Textbook: Managing Drug
Supply, 2nd Edition
• Readings
• Organization of book and
chapters
– Assignments
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“Underserved Populations”
International Society for Equity in Health, at its inaugural
meeting in Havana in June 2000, adopted the following
definition:
Equity in health is the absence of systematic and
potentially remediable differences in one or more aspects
of health across socially, demographically, or
geographically defined populations or population
subgroups.
(Conversely, inequity in health is the presence of such
differences.)
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Equity
“Equity refers to the fair distribution of the costs of health
services and the benefits obtained from their use among
different groups in the population.”
• Horizontal equity
– Equal treatment of equals
• Vertical equity
– Individuals who are unequal in society should be treated
differently
International Public Health, 2nd Ed, p517.
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Equity: Financing
• Horizontal
– Equal payment by those
with equal ability to pay,
e.g. same insurance
premium for same income
group.
• Vertical
– Payment in relation to
ability to pa, e.g.
progressive income tax
rates
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Equity: Allocating Resources
• Horizontal
– Services purchased for
similar groups, e.g., the
elderly, should be the same
in different geographic
areas
• Vertical
– Services purchased should
reflect the different needs
of different groups, e.g., the
elderly versus children
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Equity: Providing Services
• Horizontal
– Equal access for equal
need, e.g., equal waiting
time for treatment for
patients with similar
conditions
• Vertical
– Unequal treatment for
unequal need, e.g.,
unequal treatment of those
with trivial versus serious
conditions
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“Underserved Populations”
National Institutes of Health definition of health
disparity:
“the differences in the incidence, prevalence,
mortality, and burden of disease and other adverse
health conditions that exist among specific
population groups in the United States.”
National Center on Minority Health and Health
Disparities (NCMHD) http://ncmhd.nih.gov/
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Course Structure
Framework Provided
by:
1. Drug and Health
Commodity
Management Cycle
2. Access and Potential
Barriers
– 17 week class period
schedule in syllabus
– Textbook: Managing
Drug Supply, 2nd
Edition
• Readings
• Organization of book
and chapters
– Assignments
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Why Manage the Drug Supply?
1. Essential drugs are critical to the success of
health programs
2. Improving the management of drug supply is a
high-leverage opportunity to improve health
services
3. Knowledge and experience concerning effective
drug management are spreading rapidly
worldwide, but they remain disparate, unsynthesized and frequently unavailable to
decisions-makers.
MDS-2 p x.
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Drug and health commodity
management cycle
Selection
Use
Managemen
t
Support
Procurement
Distributio
n
Policy and Legal Framework
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Drug and health commodity
management cycle
•Organization
•Financing
Selection
•Information Mgt
•Human Resources
Use
Managemen
t
Support
Procurement
Distributio
n
Policy and Legal Framework
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• BioShield makes little progress four years after
creation
Four years and $5.6 billion later, the nation's
BioShield effort aimed at creating stockpiles of
drugs to deal with bioterrorism attacks has made
little progress. The program is still months away
from releasing its first plan on how it intends to
buy drugs, and how many of what types of drugs
it plans to stockpile. The Washington Post
• http://www.washingtonpost.com/wpdyn/content/article/2007/01/15/AR20070115011
42.html Tuesday, January 16, 2007; Page
D01
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Framework for access to
essential health commodities and services
Geographic
Accessibility
Availabilityx
Safe
Efficacious
Cost-Effective
Quality
Acceptability
Affordability
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The Special Importance of Drugs
• Drugs save lives and improve health
• Drugs promote trust and participation in health
services
• Drugs are costly
• Drugs are different from other consumer products
• Substantive improvements in the supply and use
of drugs are possible
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http://www.imshealth.com/vgn/images/portal/cit_40000873/3/51/79869408Drug%20Monito
r%20August.pdf
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Source: WHO, 2004
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Lessons Learned in Drug Management
1. National drug policy provides a sound foundation
for managing drug supply.
2. Wise drug selection underlies all other
improvements.
3. Effective management saves money and
improves performance.
4. Rational drug use requires more than drug
information.
5. Systematic assessment and monitoring are
essential.
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Assignment #1. Global Health
Council
The University of Iowa is an institutional member of
the Global Health Council and our students are
eligible to enroll as Associate Professional
members. Please follow this link:
http://globalhealthcouncil.biz/ScriptContent/custom/APEnroll
ment.cfm
and sign up to start accessing this wonderful
resource. Use your UI HawkID, select The
University of Iowa GHSP as the institutional
affiliation, and give your UI email address. Once
you are a member, sign up for the newsletter.
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Assignment: #2 Four Questions
• Due: send to course ICON drop box by end of
Sunday, January 21
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