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Stop Stock-outs Campaign: Uganda Kibira Denis (MPS) HEPS-UGANDA 27th May 2010 Context • In Uganda, according to the Pharmaceutical • Situation Assessment-Level II-Health Facility Survey Report 2008 of Ministry of Health, only 45.7% public health facilities had a basket of 28 essential medicines. The duration of stock-outs in these facilities in 2007-8 averaged 2.5months per year Medicines are free in the public sector; in the private sector they cost 3-5 times more than international reference prices Stock-outs Methods • CSO coalition/alliances • Partnerships with other stakeholders; MoH, • • • • • Private sector through MeTA Champions: Patients, MPs and local artists Monitoring Medicines availability and price survey reports by MoH/WHO/HAI (HEPS) Campaign IEC material Press conferences, public rallies and fora, radio talk shows Community outreaches/road shows Artist Bobi Wine wows crowd Artist Bobi Wine on bike with Woman MP Nabila Overall availability of 40 key medicines across sectors 2006-2009 90 Percentage Availability 80 78 74 70 60 58 57 74 72 56 50 78 67 77 70 59 52 79 71 63 75 67 50 40 30 33 29 20 10 0 Oct-Dec 06 Apr-Jun 07 Jul-Sep 07 Oct-Dec 07 Jul-Sep 08 Oct-Dec 08 Jul-Sep 09 Period PUBLIC PRIVATE MISSION Price trends of key antimalarial medicines in Amount per unit (UGX) the private sector 2006-2009 900 800 700 600 500 400 300 200 100 0 816.5 625 500 500 300 625 550 645.8 600 650 700 700 458.3 300 300 200 200 270.8 200 333.3 330 Oct-Dec 06 Apr-Jun 07 Jul-Sep 07 Oct-Dec 07 Jul-Sep 08 Oct-Dec 08 Jul-Sep 09 Period Artemether/Lumefantrine Quinnine Inj Pyrimethamine/Sulphadoxine Cont’d • Pill-check public campaigns Achievements • Stop Stock-outs campaign has raised more • • • • awareness about the right to health and to access essential medicines in Uganda than ever before leading to wide media and public outcry NMS responses to media articles and delivery schedules in news papers NMS granted financial and operational autonomy President and other politicians have come out to publicly condemn stock outs Creation of Drug Monitoring Unit Medicines on spotlight Conclusion • The campaign has used evidence on availability and prices of medicines to highlight problem of access • It is now time to move on to more specific commodities especially RH supplies THANK YOU