EXPAND THE COMPACK(Complete Treatment Pack)

“A FILIPINO SHOULD DIE ONLY WHEN THERE IS NOTHING ELSE WE CAN DO, NOT WHEN THERE IS JUST NOTHING HE CAN DO”

Poverty incidence statistics

31m poor in the Philippines

40 percent of the population

• to establish and implement generic medicine policies not just as a program but a law mandated to assure a continuous accessibility and availability of free medicine for poorest segment of the population who aren’t able to sustain, and not even avail an out-of-pocket treatment regimen. 

INTRODUCTION

3

Transition in Causes of Death:More people have been dying of lifestyle-related diseases.

19591961

19631965

19671969

19711973

19751977

19791981

19831985

19871989

19911993

19951997

19992001

20032005

20072009

0

30

60

90

120

150

180

210

240

270

300

330

360

390

420

0

10

20

30

40

50

60

70

80

90

100

110

120Communicable Diseases

Cancer

Diseases of the Heart

Rate

(per

100

,000

) of C

omm

unic

able

Dise

ases

Year

Rate

(per

100

,000

) of M

alig

nant

Neo

plas

m a

nd D

isea

ses

of th

e H

eart

Source: Philippine Health Statistics, 1959-2009

Living longer and older Getting sick and dying of NCDs How disease factors affect people Health financing

4

NONCOMMUNICABLE DISEASES comprise 61% of total deaths in 2010.

Communicable, ma-ternal, pregnancy-re-lated, and nutritional

conditions, 30

Injuries; 8

Cardiovascular diseases; 30

Cancers; 10

Respiratory diseases; 5

Diabetes; 4

Other NCDs; 13

Source: WHO, 2010

Living longer and older Getting sick and dying of NCDs How disease factors affect people Health financing

5

Paying for Health Care in the Philippines

Filipinos still pay mostly from out of their pockets for health care,

which oftentimes leads to

impoverishment.

Health care costs remain high, with

the bulk being spent to cover for

medicines and drugs..

Medicines in the Philippines have been found to be

5 to 30 times more expensive.

Living longer and older Getting sick and dying of NCDs How disease factors affect people Health financing

6

Filipino households spend 68% of its out-of-pocket payments for health care just for DRUGS AND

MEDICINES alone.

68.00%

4.10%

8.00%

4.30%

15.60%

Drugs and Medicine

Hospital Charges

Professional fees

Contraceptives

Others

Households' out-of-pocket payments, by expenditure item, 2006Source: Family Income and Expenditure Survey, 2006

Living longer and older Getting sick and dying of NCDs How disease factors affect people Health financing

Drugs DOH, 2009

Selling Price of Common Brand Php (A) P100 Selling Price Php (B) DOH Php Savings (A-B)

Allopurinol 100 mg tab 204.90 50.00 154.90

Amlodipine 10 mg tab 448.50 100.00 348.50

Amlodopine 5 mg tab 507.00 100.00 407.00

Amoxicillin 500 mg cap 214.20 70.00 144.20

Ascorbic Acid 500 mg tab 169.50 50.00 119.50

Atenolol 50 mg tab 403.90 70.00 333.90

Cefalexin 500 mg cap 561.75 100.00 461.75

Ciproflaxacin 500 mg tab - - -

Clindamycin 150 mg cap 1,120.00 100.00 1,020.00

Cotrimoxazole 160 mg tab 382.20 25.00 357.20

Felodopine ER 10 mg tab 196.11 100.00 96.11

Felodipine ER 2.5 mg tab 198.80 100.00 98.80

Felodipine ER 5 mg tab 201.85 100.00 101.85

Glibenclamide 5 mg tab 306.00 25.00 281.00

Melformin 500 mg tab 733.50 100.00 633.50

Metropolol 100 mg 786.00 100.00 686.00

RELEVANT POLICIES

• R.A 6675- “Generics Act of 1988”

The Act aims to promote, require and ensure the production supply, distribution, use and acceptance of drugs and medicines using their generic names.

RELEVANT POLICIES

• Administrative Order No. 62 series of 1989, “Rules and Regulations to implement prescribing Requirements under the Generics Act of 1988.”

The generic name of the drug must be clearly written on the prescription immediately after the Rx symbol.

RELEVANT POLICIES

• R.A 9502- “Universally Accessible Cheaper and Quality Medicines Act of 2008“

To ensure the availability of affordable medicines and to reduce the cost of medicines — especially those that are commonly bought by the poor that includes medicines for chronic illnesses, for prevention of diseases, and those found in the Philippine National Drug Formulary Essential Drug List.

CONCEPTUAL FRAMEWORK

RECOMMENDATION

• Guaranteed access to free basic and maintenance medicine.

• Dissemination of health information and education focusing on adherence and compliance to treatment regimen.

• Availability of budget will also determine whether the policy can expand to include other chronic diseases

• Additional essential medicine

RECOMMENDATION

• Allocation process should be flexible • Allocation decision should focus on areas with

highest prevalence of the poorest of the poor without favoritism.

• Periodic assessment and evaluation of the effectiveness and efficiency of the proposed policy.

• Awareness to patients about Complete Treatment Pack

THANK YOU