Alessandro de luca senior vice president merck group
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Improving Access to Health Supply Chain & Delivery Addressing the Last Mile Challenge. Alessandro de Luca Senior Vice President MERCK Group. AGENDA. Access to Health and Supply Chain Challenges Industry approach Beyond a single company? LUMA.

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Alessandro de Luca Senior Vice President MERCK Group

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Alessandro de luca senior vice president merck group

Improving Access to Health

Supply Chain & Delivery

Addressing the Last Mile Challenge

Alessandro de Luca

Senior Vice President

MERCK Group

Title of the powerpoint


Agenda

AGENDA

  • Access to Health and Supply Chain Challenges

  • Industry approach

  • Beyond a single company? LUMA


Many constraints to global access to quality medicines

Many constraintsto global access to quality medicines

Barriers to Global Access within the BoP as identified by the WHO

Unaffordable Prices

  • Medicines account for 25% to 70% of overall healthcare expenditure in developing countries compared to less than 15% in most high-income countries because of price levels

  • Leaves households responsible for the cost of essential medicines, placing the heaviest burden on the poor and sick who are least able to pay

Unfair Health Financing

  • One-third of WHO Member States have either no regulatory authority or only limited capacity to regulate the medicines market

  • Recent assessments by WHO shows 50% to 90% of samples of anti-malarial drugs failed quality control tests and more than half of ARVs assessed did not meet international standards

Poor Quality Medicines

Unreliable Supply

  • Inefficient procurement systems have been found to lead to payments of up to twice the global market price for essential medicines and lead to unnecessary waste of resources

Irrational Use

  • Estimates show that half of all medicines are inappropriately prescribed, dispensed or sold

  • Only 1% of medicines developed over the past 25 years were for tropical diseases and TB, which together account for >11% of global disease burden

  • Over 90% of R&D is focused on diseases for the richest 20%

Lack of New Medicines

Supply Chain presentation_ Brussels/ September 2013


The supply chain objectives

The Supply Chain Objectives

To deliver the 3 of them is definitively a challenge in developing countries


Typical pharma distribution channels and

Typical Pharma Distribution Channels and…

…Distribution Systems


The distribution challenge in developing countries

The distribution challenge in Developing Countries:

The differences in the regulatory structure and distribution systems of medicines between developing income countries is significant when compared with high income countries .

Supply Chain presentation_ Brussels/ September 2013


Number of intermediaries in the channel

Number of intermediaries in the channel

DEVELOPING COUNTRIES

DEVELOPED COUNTRIES

Source: ACT Watch


Alessandro de luca senior vice president merck group

“People will tell you that delivering to Africa is impossible. Please don’t worry because that isn’t true.

8


Alessandro de luca senior vice president merck group

“People will tell you that delivering to Africa is impossible. Please don’t worry because that isn’t true.

We can and will always find a way.

But just don’t expect it to be the way you think or are used to in Europe.”

Global Logistics Provider, June 2013

9


Agenda1

AGENDA

  • Access to Health and Supply Chain Challenges

  • Industry contribution: Some examples

  • Beyond a single company? LUMA


Alessandro de luca senior vice president merck group

MERCK Example: Logistics for Praziquantel

WHO-Merck Donation Partnership to eliminateSchistosomiasis

THE LAST MILE

CHALLENGE

Yesterday

MoH, NGO…

PZQ MerckSerono

WHO

The Last Mile, who is accountable?

11


Alessandro de luca senior vice president merck group

MERCK Example: Logistics for Praziquantel

  • WHO-Merck Donation Partnership to eliminateSchistosomiasis

THE LAST MILE

CHALLENGE

Yesterday

MoH, NGO…

PZQ MerckSerono

WHO

Today

The Last Mile, who is accountable?

PZQ MerckSerono

12


Alessandro de luca senior vice president merck group

MERCK Example: Logistics for Praziquantel

  • WHO-Merck Donation Partnership to eliminateSchistosomiasis

THE LAST MILE

CHALLENGE

Yesterday

MoH, NGO…

PZQ MerckSerono

WHO

Today

The Last Mile, who is accountable?

PZQ MerckSerono

Tomorrow ?

Last Mile Alliance Partners (LUMA ?)

13


Sanofi train the trainer program inter university degree in pharmaceutical supply chain management

Sanofi Train the Trainer ProgramInter-UniversityDegreein pharmaceutical supply chain management

  • Objective: improvesupplychain management of medicines and othercommodities for HIV/aids, malaria and tuberculosis

  • Inter-Universitydegreefrom Ouagadougou (Burkina Faso), Auvergne and Lyon (France) Universities

  • Target audience : certifiedpharmacistsworking in sub-Saharan Africa

  • Results (2011-2013): approx. 120 studentsfrom 14 countries


Agenda2

AGENDA

  • Access to Health and Supply Chain Challenges

  • Industry approach

  • Beyond a single company, towards collective action? LUMA


Strengthening supply chain last united mile for africa luma

Last United Mile forAfrica (LUMA)

Strengthening Supply Chain: Last United Mile for Africa (LUMA)

LUMA is a partnership currently under development to strengthen the supply chain in Africa. The goal of the alliance is to: expand access, secure supply, improve health and support development

Supply Chain presentation_ Brussels/ September 2013


Alessandro de luca senior vice president merck group

Thank you!

Supply Chain presentation_ Brussels/ September 2013


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