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improving access to medicines

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Hello,

On the last day I would like to suggest few solutions to problems of accessibility as seen in actual practice.

When we take into consideration the factors responsible for accessibility, one by one, we can also come to apt solutions to each of them. These are some of the solutions from my point of view.

1. Rational selection – this takes into consideration the selection of EML at the national level and should percolate down to the primary level where the local needs should be the selection criteria.Once the EML is prepared it should be the responsibility of all players to see that they are available to everyone irrespective of the economic status, or state boundaries.

2. Rational use –this involves the user who should be informed by the manufacturer, the prescriber and the dispenser. Rational use will entail expenditure on medicines only where it is essential. Unnecessary expenditure on nutritional supplements tonics life style drugs can be checked. Patient education is the key factor here.

3. Affordable price – Role of NPPA and the implementing authority cannot be overlooked. They play a very significant role in making medicines accessible when medicine price has to be paid out of pocket..All medicines in EML should be under price control along with monitoring of same therapeutic class medicines .Remember Disprin Plus ?

4. Responsive health system- The manufacturers, the physicians the pharmacists, the nursing staff, and the policy makers are all equally responsible for medicine accessibility. Uniform policies, proper implementation, ethical practicing will all together lead to better accessibility. The health system will not only be responsible but responsive to the patient sufferings.Health system is for improving health of the individual, so feel the sufferings and dont alienate yourself from the pain.

5. Reliable supply system- Reliable supply takes into consideration the non stop supply as well as good quality. The supply system also pre-supposes good manufacturing practice by the pharma. Industry.Factors of proper storage conditions and , transport are a part of the supply system.

6. Sustainable financing-.At the national level, the provision of medicines in the public sector is utterly important, backed by continuous flow of funds to maintain adequate medicine supply.

any more additons are welcome.

kunda

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