Challenges to improve medicines transparency in Ghana

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This is a presentation by Dr Daniel Kojo Arhinful at the launch of the Medicines Transparency Alliance (MeTA) in Ghana in November 2008. MeTA is a global alliance, working in 7 pilot countries. For more information, see www.MedicinesTransparency.org

Santé & Médecine Business

Medicines Transparency Alliance (MeTA) in Ghana Daniel Kojo Arhinful NMIMR National launch in Ghana Accra, November 2008

Outline of Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is the problem? ,[object Object],[object Object],[object Object],[object Object],[object Object],Manufacturer Procurement Agent (s) Wholesaler Distributor Retailer / health unit Patient

Source Of Funds Procurement Agent/Body Point of first warehousing Point of 2 nd warehousing Point of 3th warehousing GOVERNMENT WB GLOBAL FUND USAID CENTRAL MEDICAL STORE Medicines supply systems in GHANA 2007 GAVI ESSENTIAL MEDICINES ARVs MALARIA TB OI ARVs Ped REAGENT Blood safety (+ test HIV) VACCINES CONDOMS Contraceptives MEDICAL SUPPLIES Government Multilateral Donor Bilateral Donor Category of Products color code MOH UNICEF USAID GOVT Of JAPAN UNFPA REGIONAL MEDICAL STORE DISTRICT MEDICAL STORE UN AGENCY Republic of Ghana ITNs D F I D GOVT Of JAPAN FAITH- BASED ORGs POP/ RDF HEALTH FACILITY HEALTH FACILITY FAITH- BASED ORGs FAITH-BASED ORGs DESIGNATED TREATMENT CENTRE UNFPA WHO GDF $7M $3.5M $0.4M ?? ?? ?? $4.2M ?? ?? $5.6M $0.7M $9M Storage & Distribution ??? Credit MOH/WHO Procurement Assessment 2007

Port to patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is the MeTA proposal? ,[object Object],[object Object],[object Object]

Meta Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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[object Object],Political Commitment Establish multistakeholder group (MSG) Review existing data / research Agree key deliverables - identify blocks Disseminate, debate, act Disclose data Draw on scoping study, Including e.g. HAI Pricing survey Global Fund data etc Identify technical assistance required: Procurement, regulatory Medicines policy etc Release MeTA report Evaluate results, develop recs Scoping study: Full market analysis Drivers of change Disclosure and report production

Existing enabling and legislative environment for MeTA in Ghana ,[object Object],[object Object],[object Object],[object Object],[object Object]

Policy framework for MeTA in Ghana ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Challenges 1 ,[object Object],[object Object],[object Object],[object Object]

Key Challenges 2 ,[object Object],[object Object],[object Object],[object Object]

MeTA Ghana pilot objectives ,[object Object],[object Object],[object Object],[object Object]

What to do (Strategies 1) ,[object Object],[object Object],[object Object],[object Object]

What to do (Strategies 2) ,[object Object],[object Object],[object Object]

Risks and assumptions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MeTA structures in Ghana ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Expectations of MeTA in Ghana ,[object Object],[object Object],[object Object],[object Object]

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