Transcript Kibira Denis - Stop Stock

Stop Stock-outs Campaign: Uganda
Kibira Denis (MPS)
HEPS-UGANDA
27th May 2010
Context
• In Uganda, according to the Pharmaceutical
•
Situation Assessment-Level II-Health Facility
Survey Report 2008 of Ministry of Health,
only 45.7% public health facilities had a
basket of 28 essential medicines. The
duration of stock-outs in these facilities in
2007-8 averaged 2.5months per year
Medicines are free in the public sector; in the
private sector they cost 3-5 times more than
international reference prices
Stock-outs
Methods
• CSO coalition/alliances
• Partnerships with other stakeholders; MoH,
•
•
•
•
•
Private sector through MeTA
Champions: Patients, MPs and local artists
Monitoring Medicines availability and price
survey reports by MoH/WHO/HAI (HEPS)
Campaign IEC material
Press conferences, public rallies and fora,
radio talk shows
Community outreaches/road shows
Artist Bobi Wine wows crowd
Artist Bobi Wine on bike with
Woman MP Nabila
Overall availability of 40 key medicines
across sectors 2006-2009
90
Percentage Availability
80
78
74
70
60
58
57
74
72
56
50
78
67
77
70
59
52
79
71
63
75
67
50
40
30
33
29
20
10
0
Oct-Dec 06 Apr-Jun 07
Jul-Sep 07 Oct-Dec 07 Jul-Sep 08 Oct-Dec 08 Jul-Sep 09
Period
PUBLIC
PRIVATE
MISSION
Price trends of key antimalarial medicines in
Amount per unit (UGX)
the private sector 2006-2009
900
800
700
600
500
400
300
200
100
0
816.5
625
500
500
300
625
550
645.8
600
650
700
700
458.3
300
300
200
200
270.8
200
333.3
330
Oct-Dec 06 Apr-Jun 07 Jul-Sep 07 Oct-Dec 07 Jul-Sep 08 Oct-Dec 08 Jul-Sep 09
Period
Artemether/Lumefantrine
Quinnine Inj
Pyrimethamine/Sulphadoxine
Cont’d
• Pill-check public campaigns
Achievements
• Stop Stock-outs campaign has raised more
•
•
•
•
awareness about the right to health and to
access essential medicines in Uganda than
ever before leading to wide media and public
outcry
NMS responses to media articles and
delivery schedules in news papers
NMS granted financial and operational
autonomy
President and other politicians have come
out to publicly condemn stock outs
Creation of Drug Monitoring Unit
Medicines on spotlight
Conclusion
• The campaign has used evidence on
availability and prices of medicines to
highlight problem of access
• It is now time to move on to more
specific commodities especially RH
supplies
THANK YOU