Transcript Drug Quality

Access to medicines for patients
with mental health diseases within
State Guarantee Benefit
Programme in Talas and Batken
regions of KG
Makenbaeva B.
Mhealth,
Bishkek, Kyrgyz Republic
November 2009 – March 2010
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Introduction
• 87% of mental health care budget is used in hospitals (at
the second and tertiary public health care levels)
• State Guarantee Benefit Programme (SGBP) at the
outpatient level was implemented in 2006 was the first
step to bring closer the mental health service to
communities:
– There is a List of medicines for reimbursement
– Integration SGBP with Outpatient Drug Benefit
Package for insured citizens
However, do all patients have access to medicines?
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Survey Objective
Availability survey of psychotropic
medicines for patients with
mental diseases within State
Guarantee Benefit Programme in
Talas and Batken regions of KG
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Coverage geography and survey
materials and methods
• Semi-structure interview of
physicians, nurses, patients, family
members, heads of health facilities
and pharmacists
•Review of normative acts
(legislation) concerning patients
with mental diseases
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Outcomes (1)
• A shortage of qualified psychiatrists at the
primary health care level
• Lack of documents of vulnerable groups is
also an obstacle to gaining access to benefit
drug provision because it is required a
document certifying the identity of the patient
to obtain benefit prescriptions
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Outcomes (2)
• Lack of pharmacy network in rural
areas
• Obsolete level of drug reimbursement
• Pressure law enforcement and
inspection organizations on pharmacies
and health workers to monitor
psychotropic medicines and opioids
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Round table on SGBP
• All findings was discussed at the Round
Table
• Mandatory Health Insurance Fund
• Ministry of Health
• CSO organisations
• Private sector representatives
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Recommendations (1)
• Improving management of patients with mental
diseases at the outpatient level
• Improving the awareness of population on their
rights within State Guarantee Benefit Program
through the collaboration with NGO and mass
media
• Mandatory Health Insurance Fund needs to
review the reference prices and update the list
of medicines for reimbursing
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Recommendations (2)
• Holding regular meetings with representatives
of local governments, inspection units, NGO
and pharmaceutical suppliers to solve
common issues together
• Local governments should help to vulnerable
groups in acquiring the documents that certify
the identity, especially for disabled mental
health persons
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Chart Example
11/04/2016
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Thank you
• Burul Makenbaeva
• CSC coalition
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Email: [email protected]
Mobile number: +996 550 913 484
Skype: mhealth2008
Website: http://www.mhealth.in.kg
11/04/2016
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