makenbaeva b. mhealth , bishkek, kyrgyz republic november 2009 – march 2010
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Access to medicines for patients with mental health diseases within
State Guarantee Benefit Programme in Talas and Batken
regions of KG
Makenbaeva B.
Mhealth,
Bishkek, Kyrgyz Republic
November 2009 – March 2010
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Introduction
• 87% of mental health care budget is used in hospitals (at the second and tertiary public health care levels)
• State Guarantee Benefit Programme (SGBP) at the outpatient level was implemented in 2006 was the first step to bring closer the mental health service to communities:
– There is a List of medicines for reimbursement – Integration SGBP with Outpatient Drug Benefit
Package for insured citizens
However, do all patients have access to medicines?
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Survey Objective
Availability survey of psychotropic medicines for patients with
mental diseases within State Guarantee Benefit Programme in Talas and Batken regions of KG
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Coverage geography and survey materials and methods
• Semi-structure interview of physicians, nurses, patients, family members, heads of health facilities and pharmacists
•Review of normative acts (legislation) concerning patients with mental diseases
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Outcomes (1)
• A shortage of qualified psychiatrists at the primary health care level
• Lack of documents of vulnerable groups is also an obstacle to gaining access to benefit drug provision because it is required a document certifying the identity of the patient to obtain benefit prescriptions
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Outcomes (2)• Lack of pharmacy network in rural
areas• Obsolete level of drug reimbursement
• Pressure law enforcement and inspection organizations on pharmacies and health workers to monitor psychotropic medicines and opioids
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Round table on SGBP• All findings was discussed at the Round
Table
• Mandatory Health Insurance Fund
• Ministry of Health
• CSO organisations
• Private sector representatives
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Recommendations (1)
• Improving management of patients with mental diseases at the outpatient level
• Improving the awareness of population on their rights within State Guarantee Benefit Program through the collaboration with NGO and mass media
• Mandatory Health Insurance Fund needs to review the reference prices and update the list of medicines for reimbursing
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Recommendations (2)
• Holding regular meetings with representatives of local governments, inspection units, NGO and pharmaceutical suppliers to solve common issues together
• Local governments should help to vulnerable groups in acquiring the documents that certify the identity, especially for disabled mental health persons
20/04/23 11
Thank you
• Burul Makenbaeva • CSC coalition • Email: mhealth@inbox.ru• Mobile number: +996 550 913 484• Skype: mhealth2008• Website: http://www.mhealth.in.kg
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