slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Harmonization of TB Drugs and Their Presentations Peter Evans Consultant Global Drug Facility PowerPoint Presentation
Download Presentation
Harmonization of TB Drugs and Their Presentations Peter Evans Consultant Global Drug Facility

Loading in 2 Seconds...

play fullscreen
1 / 21

Harmonization of TB Drugs and Their Presentations Peter Evans Consultant Global Drug Facility - PowerPoint PPT Presentation


  • 79 Views
  • Uploaded on

Harmonization of TB Drugs and Their Presentations Peter Evans Consultant Global Drug Facility. Standardization. 15/50. All programs standardize, but some allow decisions at different levels. Who Decides to Standardize?. Patient Health worker Health center District State Country

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Harmonization of TB Drugs and Their Presentations Peter Evans Consultant Global Drug Facility' - berk-neal


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Harmonization of TB Drugs and Their Presentations

Peter Evans

Consultant

Global Drug Facility

KNCV MSH

standardization
Standardization

15/50

KNCV MSH

who decides to standardize
Who Decides to Standardize?
  • Patient
  • Health worker
  • Health center
  • District
  • State
  • Country
  • Global program

KNCV MSH

slide5
The best level at which to standardize depends on the type of program and the advantages to be gained.

KNCV MSH

slide6
Successful global programs standardize procedures and products as they accelerate.

Or perhaps successful global programs accelerate as they standardize.

KNCV MSH

slide7

Reflect

  • Smallpox
    • Variable products, detection, administration, surveillance, and reporting
  • Leprosy
    • Variable products and administration

A single set of products and processes used globally with predictable, measurable, reportable, amazing results

KNCV MSH

slide8
Successful health programs have another important characteristic:

They recognize that logistics and management are the key to achieving goals.

KNCV MSH

slide9
KNCV MSH
advantages of standardization
Advantages of Standardization
  • Easier logistics
    • Available when needed
    • Know what you are getting
  • Higher quality
    • STOP TB standards, easier to control
  • More voice in the market
    • Larger orders may receive lower prices
    • Change specifications to match needs

KNCV MSH

slide11

How is STOP TB doing in standardizing?

  • 19 TB products for 6 drugs on the WHO Model Essential Drugs List (and many other products in use by national programs)
  • 11 regimens approved by WHO in 3 treatment categories
  • 2 recommended dosages, daily and intermittent
  • 3 weight categories (not always consistent)
  • Variety of packaging: blisters, foil wrapped, loose tablets

KNCV MSH

slide13
KNCV MSH
congo brazzaville
Congo Brazzaville

3 products; suitable for all weights, all categories

KNCV MSH

slide15
KNCV MSH
india advantage
India advantage
  • One pack suits all
    • No weight differentiation
  • Simplified dispensing system
    • One blister per visit, missing patients obvious
  • Much lower cost per patient
    • World Bank Loan being returned
  • Full treatment reserved for patient
    • Impact on private market
  • Simplified ordering system

KNCV MSH

simplified ordering system
Simplified ordering system
  • Traditional system
    • Look up how many patients for each category have been treated since last order came, write this down, then . . .

There are often several pages of considerations and calculations before the number of tablets and the number of containers are known and ready for ordering.

KNCV MSH

simplified ordering system1
Simplified ordering system
  • India system
    • Look up how many new patients, for each category, have been treated since last order came, write this down, then . . .

That’s it. There is no next step.

Can you imagine how simple stock control has just become?

KNCV MSH

slide19
GDF
  • Work within WHO and IUATLD guidelines
  • Adopt existing standards
  • Consider the best of what is available
  • Don’t try to be all things to all people
  • Put the most effort into what will have the most impact
  • High quality, low cost, meet program needs

KNCV MSH

slide20
GDF
  • Limited list of products
    • Focus on (RHZE), (RH), (RH)3,(HE), S
  • Limited presentations

– Focus on blister packing, suitable for patient packs

  • Maximum quality
    • Testing and bioavailability standards followed
  • Maximum service
    • Products always available when needed

KNCV MSH

slide21
50

Thank you.

KNCV MSH