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The Stop Stock-outs campaign in Uganda, launched in May 2010, addresses the critical issue of medicine shortages in public health facilities, where only 45.7% offered a basic basket of essential drugs. With stock-outs averaging 2.5 months annually, this initiative collaborates with various stakeholders, including the Ministry of Health and community champions, to raise awareness and pressure for reforms. Achievements include increased political attention, establishment of a Drug Monitoring Unit, and improvements in medicine delivery and availability. The campaign emphasizes the right to health and access to essential medicines.
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Stop Stock-outs Campaign: Uganda Kibira Denis (MPS) HEPS-UGANDA 27th May 2010
Context • In Uganda, according to the Pharmaceutical Situation Assessment-Level II-Health Facility Survey Report 2008 of Ministry of Health, only 45.7% public health facilities had a basket of 28 essential medicines. The duration of stock-outs in these facilities in 2007-8 averaged 2.5months per year • Medicines are free in the public sector; in the private sector they cost 3-5 times more than international reference prices
Methods • CSO coalition/alliances • Partnerships with other stakeholders; MoH, Private sector through MeTA • Champions: Patients, MPs and local artists • Monitoring Medicines availability and price survey reports by MoH/WHO/HAI (HEPS) • Campaign IEC material • Press conferences, public rallies and fora, radio talk shows • Community outreaches/road shows
Overall availability of 40 key medicines across sectors 2006-2009
Price trends of key antimalarial medicines in the private sector 2006-2009
Cont’d • Pill-check public campaigns
Achievements • Stop Stock-outs campaign has raised more awareness about the right to health and to access essential medicines in Uganda than ever before leading to wide media and public outcry • NMS responses to media articles and delivery schedules in news papers • NMS granted financial and operational autonomy • President and other politicians have come out to publicly condemn stock outs • Creation of Drug Monitoring Unit
Conclusion • The campaign has used evidence on availability and prices of medicines to highlight problem of access • It is now time to move on to more specific commodities especially RH supplies