HIV/AIDS Track Session. Key Points Application of international reference price list during a...
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Transcript of HIV/AIDS Track Session. Key Points Application of international reference price list during a...
![Page 1: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/1.jpg)
HIV/AIDS Track Session
![Page 2: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/2.jpg)
Key Points
• Application of international reference price list during a national tender is a valuable tool for achieving optimal pricing in South Africa for ARVs and anti-TB medicines
• Various countries have different information systems with varying level of robustness which affect patient and program monitoring.
• In many countries mostly non-pharmaceutical personnel perform ARV medicine dispensing roles; through task-shifting
• Poor practices and knowledge among health care providers– Low compliance to ART guidelines– Patient education vs Patient counseling
![Page 3: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/3.jpg)
Key Points
• Appointment systems combined with tracking and linkages to home-based care programs promote adherence to keeping appointments for ART/TB care
• Integration of services was found to be feasible and promoted patient outcomes– With chronic diseases (CVD)
• Performance-based reimbursement was associated with good adherence outcomes
![Page 4: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/4.jpg)
Policy Recommendations
• Countries should consider if international price benchmarking is applicable to achieve competitive prices for selected essential medicines, such as ARVs and anti-TB medicines
• For sustainability, low and middle-income countries should integrate ART/TB care into the existing health care systems and services– Other Chronic disease
• ART and TB programs should implement interventions and technologies to improve patient and data management at all levels (as necessary) as it will allow for patient and program monitoring
![Page 5: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/5.jpg)
Policy Recommendations• Adapt standardized indicators , develop and implement
standardized tools for monitoring adherence and retention into the health care system– Countries should develop comprehensive and robust M & E
systems for tracking patient and program performance• Countries should activate and enforce legislation banning the
availability and selling of anti-TB drugs and other antibiotics over the counter (and in – informal outlets).
• Chemoprophylaxis for TB should be shorter and supervised
• Promote patient and public information on HIV/AIDS itself, particularly about successful treatment outcomes and impacting patient behavior– Health and treatment literacy
![Page 6: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/6.jpg)
Key Research Gaps
• What factors make the strategy of international price benchmarking successful and what factors comprise its effectiveness?
• There is need to better define medicines shortages, stock outs and treatment interruptions and to quantify and determine causes using standardized tools and approaches
![Page 7: HIV/AIDS Track Session. Key Points Application of international reference price list during a national tender is a valuable tool for achieving optimal.](https://reader036.fdocuments.us/reader036/viewer/2022082518/5697bf7a1a28abf838c83366/html5/thumbnails/7.jpg)
Key Research Gaps
• What is the drop out rate between HIV testing and initiation of treatment and what interventions can be done to improve Pre- ART patient retention in the system?
• What interventions work at system; facility and individual level in improving patient adherence to treatment and how can these be scaled up?
• What is the best strategy for scaling up technology –based interventions and how do we evaluate the benefit of these interventions vs. the cost?– Integration and sustainability and ROI.