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On average 24.9 % of THE is spent on medicines* Will need to obtain better VfM from medicines to stretch health budget reach *(WHO World Medicines Report, 2011) . M% .M# "  fP?6Slide Number Placeholder 5^ `  h*    ̙3380___PPT10.҃Фg". ; $n(  $' $  po?Title 1qL  W cRequires multiple interventions  $  $  o?,Content Placeholder 3mq}~ W Health insurance coverage Reduced prices Discounts by pharma/negotiations with payers Volume guarantees and bulk procurement (GF, GAVI) NEVL Donations Limiting mark-ups, tariffs *))  $ fl?6Slide Number Placeholder 5^ `  h*    ̙3380___PPT10.҃Фg" ; ((  ( (  p ?Title 1jqJ  W WOther interventions( r (  +?,Content Placeholder 2Y W JTechnology (e.g. apps) to control for budget overruns, help negotiations, rational use Better supply security  (e.g. emerging powers) Quality control and assurance   ̙3380___PPT10.Ӄ@L"U ;  ,(  ,] ,  p`n?Title 1`  W CRecent Initiatives Pricing, Regulation, Quality selected examples(D,( D ̙3380___PPT10.ԃ@B/" ; 00(  0E 0  pPo?Title 1zq  W Pricing: new business models (( ` 0  pSH?,Content Placeholder 2@V b W>6___PPT9 4bIntra country tiered pricing: 7/20 companies* Inter country tiered pricing: increases across the board (e.g. Pfizer from zero to whole portfolio)* BUT STILL NOT ENOUGH due to perceived barriers Therefore: IGFAM research projects, AAWG pilots, more comprehensive approach by payers& . * ATM Index 2012  " 1 Y  " )a1Y 2 0 f SH?6Slide Number Placeholder 7^ `  h*    ̙3380___PPT10.҃i" ; D<P4$(  4$ 4  p@VH?Title 1w  W `Pricing: new business models(  4  XH?,Content Placeholder 2YI~ WZR___PPT94, xInnovative IP: MPP  2 originator, many generics companies NEVLs GSK DCMAU  sales volume rather than revenue f " 3 " / " 3/ s ̙3380___PPT10.Ӄ"  ; ld`8L(  84 8  p`YH?Title 1qw  W p,Pricing & supply control: knowledge is power--( - 8  YH?,Content Placeholder 2 b W>6___PPT9 Shift in balance of power: payer decisions Value-based/need for improved function Increasing need for data and analytical expertise NICE International Transparency: MeTA Peru  data is being used to inform policy, but is also being used by the Ministry of Health and others to improve medicines practice Apps for demand forecasting, supply control and price negotiation + " l "  "   " l s ̙3380___PPT10.Ӄ" ; <(  <u <  p@[H?Title 10`  W oBut pricing strategies need to be accompanied by health systems improvements and better pharmaceutical policiespp p <  TH?,Content Placeholder 2)IY W 4Price alone is not enough: hospital readmissions need to decline Supply chain mark up and tariffs must be addressed Cautions about protracted negotiations which can drive prices upwards More rational approaches to pricing by decision makers   ̙3380___PPT10.ك˷$" ; um@U(  @2 @  pP_H?Title 1q  W n*Contentious events and policy implications++ + @ t_H??,Content Placeholder 3zL (TQuality Control / Ranbaxy scandal Challenge: unknown sources in supply chain Need for: ongoing strengthening of WHO PQ surveillance better controls on supply and demand sides evidence of scale of problem to generate political will Solutions: World Bank: Regulatory Harmonisation; Capacity bulding & testing: QUAMED and WHO PQ TechnologiesX     b  XGG GbG U @ f[H?6Slide Number Placeholder 6^ `  h*    ̙3380___PPT10.҃i"U ; D(  D D  p?Title 10`  W K Thank you $ F D  `H?,Content Placeholder 3% W ` Rachelle-harris@dfid.gov.uk  ̙3380___PPT10.փb")W  PL(  L  L  0e0eH?4Slide Image Placeholder 1   W L  0lH0e0e5%H?(Notes Placeholder 2 0  W zBackground question and answer material on DFID, which can be drawn on when staff make presentations to external audiences about the department can be found at http://insight/info/default.asp?presentation/default.htm Additionally there is a Photo Library that has been designed to enable staff to search a database of over 1000 images. These images can either be downloaded or ordered as photographs or slide transparencies. 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   On-screen Show (4:3)DFID ArialVerdana WingdingsCalibriDFIDTemplate Blue UKaid1_DFIDTemplate Blue UKaid,Access to Medicines: downstream initiativesContextPriorities & Ways of WorkingWhy DFID works on ATMPowerPoint Presentation.New era of NCDs and Universal Health Coverage Requires multiple interventionsOther interventionsDRecent Initiatives Pricing, Regulation, Quality selected examplesPricing: new business models Pricing: new business models-Pricing & supply control: knowledge is powerpBut pricing strategies need to be accompanied by health systems improvements and better pharmaceutical policies+Contentious events and policy implications Thank you  Fonts UsedTheme Slide Titles#_ڨ Karis PettyKaris Petty  !"#$%&'()*+,-./012356789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz|}~Root EntrydO)PicturesfCurrent UserSummaryInformation( PowerPoint Document(4DocumentSummaryInformation8{Root EntrydO)Px{@PicturesfCurrent User,SummaryInformation( _ڨuseruser