India-WHO Essential Drugs Programme implemented by Delhi...课件.ppt

India-WHO Essential Drugs Programme implemented by Delhi Society for Promotion of Rational Use of Drugs (since 1997) 精品文档 Delhi State Population – 14 million Total no. of hospital beds – 4000 Teaching hospitals – 2 Total number of health centers – 158 Drug annual budget – Rs. 400 million ($ 8 million) 精品文档 Before Drug Policy - 1994 Access 30-35% of health budget spent on drugs yet scarcity of drugs in the hospitals and both patients and doctors were not satisfied 精品文档 Access Shortage of drugs in the public health facilities Multiple procurement arrangements leading to sub-optimal utilization of resources Uncertainty of quality of drugs Before Drug Policy - 1994 精品文档 Before Drug Policy - 1994 Quality assurance Erratic and unreliable distribution system – Drugs nearing expiry drugs Drugs not needed (combination drugs) Herbal drugs Money wasted on substandard drugs 精品文档 After Drug Policy-1997 Principles of procurement Procurement restricted to essential drug list 90% of drugs budget spent on essential drugs 精品文档 After Drug Policy-1997 Pooling of drug requirement of all state health facilities System of inviting quotations by each institution independently abandoned 精品文档 After Drug Policy-1997 Level playing field to all bidders No special preferences to public sector undertakings and small scale units Pooled procurement system set up with a standing Special Purchase Committee to secure transparency and objectivity 精品文档 Standing Purchase Committee Chairperson is a non-government person Principal Secretary Health State Director Health Services State Drugs Controller Nominee of the State Finance Department Nominee of the State Law Department An eminent clinical pharmacologist Chairperson, Committee for selection of essential drugs Head of institution 精品文档 Non officials An eminent administrator An eminent clinical pharmacologist A Finance contract expert A leading private practitioner This was an innovative move intended to bring outside expertise, trans