WHO Good Governance for Medicines programme: an innovative ...
WHO Good Governance for Medicines programme: an innovative ...
WHO Good Governance for Medicines programme: an innovative ...
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Countries also report improved m<strong>an</strong>agement of conflict of interests <strong>an</strong>d a new culture of tr<strong>an</strong>sparency<br />
in their institutions. The following country examples illustrate some of the GGM <strong>programme</strong>’s impact<br />
on increasing tr<strong>an</strong>sparency <strong>an</strong>d improving practices in the medicines chain. They include examples<br />
from all phase III countries <strong>an</strong>d two phase II countries 14 .<br />
When asked "what was the main reason you country w<strong>an</strong>ted to implement the GGM <strong>programme</strong>?"<br />
national counterparts from Ministries of Health provided the following <strong>an</strong>swers:<br />
• Reducing corruption was recognized as the missing link to achieve development <strong>an</strong>d health goals<br />
• To improve access to essential medicines, especially <strong>for</strong> the vulnerable populations<br />
• Further promote the development of the pharmaceutical sector <strong>an</strong>d systems<br />
• Have a systematic approach to institutionalize tr<strong>an</strong>sparency, efficiency, cost containment <strong>an</strong>d<br />
govern<strong>an</strong>ce in all pharmaceutical functions<br />
• Well structured model process <strong>for</strong> implementation<br />
• Opportunity with concrete tools <strong>an</strong>d strategy to implement government <strong>an</strong>ti-corruption priority<br />
• Prevent inst<strong>an</strong>ces of corruption<br />
• Build capacity in pharmaceutical sector on societal issues <strong>an</strong>d health systems of the country<br />
• Increase awareness on the impact of corruption<br />
• Regaining MOH stewardship in health<br />
• Development <strong>an</strong>d mainten<strong>an</strong>ce of a sound health system with high st<strong>an</strong>dards<br />
• Be part of a network of countries working on this issue to exch<strong>an</strong>ge experiences <strong>an</strong>d learn from<br />
each other<br />
Box 1: Why countries w<strong>an</strong>t to promote good govern<strong>an</strong>ce in the pharmaceutical sector.<br />
Bolivia (Plurinational State of)<br />
GGM was started in 2006 with the national tr<strong>an</strong>sparency assessment as part of the ef<strong>for</strong>ts to improve<br />
govern<strong>an</strong>ce. A ministerial decree resolution was issued in March 2007 approving GGM phase III<br />
implementation. The Pharmaceutical <strong>an</strong>d Health technology unit of the MOH (UNIMED) is the key<br />
responsible agency <strong>for</strong> the implementation of the GGM <strong>programme</strong> <strong>an</strong>d focuses currently, internally<br />
<strong>an</strong>d throughout the country, on the establishment of the Quality M<strong>an</strong>agement System with St<strong>an</strong>dard<br />
Operating Procedures (SOP) <strong>for</strong> application of all norms, as well as the socialization of ethical values<br />
within UNIMED.<br />
There is a project agreement between the Ministry of Health <strong>an</strong>d Sports, <strong>WHO</strong> regional office <strong>an</strong>d Núr<br />
University to work with the university students <strong>for</strong> promotional <strong>an</strong>d socialization activities. The new<br />
agreement will involve the Tr<strong>an</strong>sparency Unit of the Ministry of Health <strong>an</strong>d the Vice Minister of<br />
Tr<strong>an</strong>sparency <strong>an</strong>d Anticorruption. Me<strong>an</strong>while a series of national training workshops in phase II <strong>an</strong>d<br />
III have been held to train professional pharmaceutical personnel on tr<strong>an</strong>sparency, good govern<strong>an</strong>ce<br />
<strong>an</strong>d moral leadership.<br />
14 This in<strong>for</strong>mation below on country activities is based on in<strong>for</strong>mation available in <strong>WHO</strong>/HQ at the time of the<br />
drafting of this paper <strong>an</strong>d certainly does not cover all activities on-going at the moment in all countries. More<br />
will be reported on a regular basis as in<strong>for</strong>mation become available <strong>an</strong>d shared with <strong>WHO</strong>.<br />
11