Description
The PPT explains on World Health Professions Alliance, factors of global healthcare, drugs, WHO and good pharmacy practice (GPP).
HOSPITAL PRACTICEACCESS TO HEALTHCARE
World Health Professions Alliance
The WHPA:
• Unique alliance of global professional health organisations • Created in 1999 with the partnership of the – International Pharmaceutical Federation – World Medical Association – International Council of Nurses • In 2005 welcomed the World Dental Federation “As health professionals, all WHPA members support and promote the principle of health as a basic human right. This includes the right to access safe and appropriate health care for all people of the world”
World Health Professions Alliance
STATE OF GLOBAL HEALTHCARE: 2008
Healthcare reflects the state of the world:
• Interim Statement of the Commission on Social Determinants of Health 2007 focused on Achieving Health Equity (http://www.who.int/social_determinants/en/index.htm)
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Inequalities
Hospital Beds
www.worldmapper.org, Data: UNDP, 2002
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Inequalities
Pharmacists Working
Dentists Working
Physicians Working
www.worldmapper.org, Data: UNDP, 2002
Nurses Working
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Spending Inequalities
Public Health Spending
Private Health Spending
www.worldmapper.org, Data: UNDP, 2002
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Presence, providers and paying for healthcare – more inequalities • Countries with critical shortage of health workers (critical shortage < 2.5 health workers per 1000 population (WHR, 2006)
10% disease burden 40% health workers 50% expenditure
25% disease burden 3% health workers 1% expenditure
THE STATE OF GLOBAL HEALTHCARE 2008 Workforce Imbalances • Regional and rural • Public vs. private sector • Unemployment despite shortages • Ghana – 67% private sector pharmacists in Greater Accra region(15% of population) • Uganda – 1 pharmacist per 100,000 population – 90% of pharmacists in Central Region (25% population)
Healthcare Inequalities – Affordable Drugs
www.worldmapper.org, Data: UNDP, 2002
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• WHO Essential Medicines Listhttp://www.who.int/mediacentre/factsheets/fs325/en/
Strategies to Remedy - GLOBAL
How have the EML improved access?
1977
12 countries with EML National Medicines Policy virtually unknown National formularies and access to information very limited Almost NO publicly available pricing information; little generic substitution
2007
4/5 of countries worldwide with EML Over 100 countries with national policies or in development 135 countries have adopted formularies and therapeutic manuals 33 countries doing pricing surveys; lowered prices and increased access via generic competition
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• Child Sized Medicineshttp://www.who.int/childmedicines/en/index.html
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• Improving the Global Health Workforce:
Health workers ALLOW for the access to healthcare • The WHO has launched the Global Health Workforce Alliance, dedicated to finding solutions to the growing health workforce crisis around the world.
Strategies to Remedy - GLOBAL
Professional Initiatives: FIP and WHO/GHWA
• To complement and augment the work of the WHO and the GHWA FIP is dedicated to: – Regular documentation and reporting – Monitoring workforce issues and imbalances – HRH planning – Data collection and dissemination – National level coordination
Strategies to Remedy - PROFESSIONALS
Professional Initiatives: FIP-WHO Good Pharmacy Practice (GPP)
• First adopted in 1993 and officially endorsed by Who in 1997 • GPP Projects:
– – promote health set standards for the supply of medicines and delivery of medicines information – improve prescribing and medicines use via activities of pharmacists
• These initiatives aim to increase access to healthcare and healthcare information by utilising pharmacists’ skills and knowledge to their best potential
ACCESS TO HEALTHCARE – WHAT CAN PATIENTS DO?
Achieving access to healthcare also relies on key efforts from patients:
• A willingness to seek – seek the PRESENCE of healthcare in communities • Be aware of PROVIDERS – know your healthcare community, what they can offer you, how best to use their knowledge • Seek the means to pay - advocate for affordable medicines, speak to healthcare payers. • Know and recognise good vs bad healthcare – including counterfeit medicines, illegitimate practices and unreliable services • BE INVOLVED – take a PRO-active, involved role in your own healthcare! • TALK to your healthcare providers – an open dialogue gives way to the best results.
doc_693863758.ppt
The PPT explains on World Health Professions Alliance, factors of global healthcare, drugs, WHO and good pharmacy practice (GPP).
HOSPITAL PRACTICEACCESS TO HEALTHCARE
World Health Professions Alliance
The WHPA:
• Unique alliance of global professional health organisations • Created in 1999 with the partnership of the – International Pharmaceutical Federation – World Medical Association – International Council of Nurses • In 2005 welcomed the World Dental Federation “As health professionals, all WHPA members support and promote the principle of health as a basic human right. This includes the right to access safe and appropriate health care for all people of the world”
World Health Professions Alliance
STATE OF GLOBAL HEALTHCARE: 2008
Healthcare reflects the state of the world:
• Interim Statement of the Commission on Social Determinants of Health 2007 focused on Achieving Health Equity (http://www.who.int/social_determinants/en/index.htm)
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Inequalities
Hospital Beds
www.worldmapper.org, Data: UNDP, 2002
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Inequalities
Pharmacists Working
Dentists Working
Physicians Working
www.worldmapper.org, Data: UNDP, 2002
Nurses Working
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Healthcare Spending Inequalities
Public Health Spending
Private Health Spending
www.worldmapper.org, Data: UNDP, 2002
FACTORS AFFECTING ACCESS TO HEALTHCARE
• PRESENCE – and a willingness to seek • PROVIDERS – and an awareness of who they are • AFFORDABILITY – and the means to pay
independent of cost • “WRONG” recognise it
HEALTHCARE – and knowing how to
• Issues for provider, payer AND patient
Presence, providers and paying for healthcare – more inequalities • Countries with critical shortage of health workers (critical shortage < 2.5 health workers per 1000 population (WHR, 2006)
10% disease burden 40% health workers 50% expenditure
25% disease burden 3% health workers 1% expenditure
THE STATE OF GLOBAL HEALTHCARE 2008 Workforce Imbalances • Regional and rural • Public vs. private sector • Unemployment despite shortages • Ghana – 67% private sector pharmacists in Greater Accra region(15% of population) • Uganda – 1 pharmacist per 100,000 population – 90% of pharmacists in Central Region (25% population)
Healthcare Inequalities – Affordable Drugs
www.worldmapper.org, Data: UNDP, 2002
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• WHO Essential Medicines Listhttp://www.who.int/mediacentre/factsheets/fs325/en/
Strategies to Remedy - GLOBAL
How have the EML improved access?
1977
12 countries with EML National Medicines Policy virtually unknown National formularies and access to information very limited Almost NO publicly available pricing information; little generic substitution
2007
4/5 of countries worldwide with EML Over 100 countries with national policies or in development 135 countries have adopted formularies and therapeutic manuals 33 countries doing pricing surveys; lowered prices and increased access via generic competition
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• Child Sized Medicineshttp://www.who.int/childmedicines/en/index.html
Strategies to Remedy - GLOBAL
Initiatives with longstanding implications:
• Improving the Global Health Workforce:
Health workers ALLOW for the access to healthcare • The WHO has launched the Global Health Workforce Alliance, dedicated to finding solutions to the growing health workforce crisis around the world.
Strategies to Remedy - GLOBAL
Professional Initiatives: FIP and WHO/GHWA
• To complement and augment the work of the WHO and the GHWA FIP is dedicated to: – Regular documentation and reporting – Monitoring workforce issues and imbalances – HRH planning – Data collection and dissemination – National level coordination
Strategies to Remedy - PROFESSIONALS
Professional Initiatives: FIP-WHO Good Pharmacy Practice (GPP)
• First adopted in 1993 and officially endorsed by Who in 1997 • GPP Projects:
– – promote health set standards for the supply of medicines and delivery of medicines information – improve prescribing and medicines use via activities of pharmacists
• These initiatives aim to increase access to healthcare and healthcare information by utilising pharmacists’ skills and knowledge to their best potential
ACCESS TO HEALTHCARE – WHAT CAN PATIENTS DO?
Achieving access to healthcare also relies on key efforts from patients:
• A willingness to seek – seek the PRESENCE of healthcare in communities • Be aware of PROVIDERS – know your healthcare community, what they can offer you, how best to use their knowledge • Seek the means to pay - advocate for affordable medicines, speak to healthcare payers. • Know and recognise good vs bad healthcare – including counterfeit medicines, illegitimate practices and unreliable services • BE INVOLVED – take a PRO-active, involved role in your own healthcare! • TALK to your healthcare providers – an open dialogue gives way to the best results.
doc_693863758.ppt