Essential Medicines. Moderated by – Dr. Chetna Maliye. Framework. Factors influencing the Use of Medicines The Concept of Essential Medicines Milestones of the Essential Medicines Concept Global and Indian scenario Management of the drugs Counterfeit medicines
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Moderated by – Dr. Chetna Maliye
Essential medicines are those that satisfy the priority health care needs of majority of the population.
(Report to WHO Executive Board, January 2002)
Are selected with due regard to disease prevalence, evidence on efficacy and safety, and comparative cost-effectiveness
To be available within the context of functioning health systems at all times, in adequate amounts, in appropriate dosage forms, with assured quality & at a price the individual & community can afford.
Intended to be flexible and adaptable to different situations; which medicines are regarded as essential is a national responsibility.
UN list of recommended essential drugs for emergency relief (85 drugs)
Emergency Health Kit (98 drugs for 10,000 consultations)
WHO Model Formulary
Basic Quality Tests and reference standards
The following level of care/facilities are listed with each drug-
o U = Universal, (Primary, Secondary, Tertiary)
o S = Secondary care facility
o T = Tertiary care facility.
The NEDL was formulated with the following objectives:-
National Essential Drugs List
< 5 years
> 5 years
156 countries with EDLS
1/3 within 2 years
3/4 within 5 years
National list of
All the drugs
in the world
Levels of use
Medicine list can be divided into
CORELIST : A list of minimum needs of a basic health care system listing most efficacious safe cost effective medicines for priority conditions (on the basis of current and future public health relevance)
COMPLEMENTARYLIST : essential medicines for priority conditions for which specialized diagnostic or monitoring facilities or special medical care is required.
Based on their cost and expenditure.
National medicinespoliciesthat focus on humanrights, health-oriented approach to tradeagreements & strongerethical dimension
Access to traditionalmedicine by protectingknowledge and access, expandingevidence base, ensuringsafety.
Access to essential medicines, with emphasis on HIV medicines, medicines for malaria, TB, childhoodillness etc.
Safermedicinesthroughexpandedsafety monitoring and continuedstrengthening of quality assurance
Rational usethrougheducation, initiatives linked to health insurance
These targets are currently measured by the following indicator:
Indicator 46: Proportion of population with access to affordable, essential drugs on a sustainable basis.
Access is defined as having medicines continuously available and affordable at public or private health facilities or medicine outlets that are within one hour’s walk from the homes of the population.
Saving lives with the right médicine…! health facilities between 2001 and 2007