Price is one of the major barriers to reliable access to medicines while availability of medicines is also a major determinant of access. The Ministry of Health of Kenya and conducts surveys on a quarterly basis to monitor medicine prices in the countries. In these surveys information is collected on availability, affordability and price variation on a basket of medicines in the public private and mission sectors.
Resource allocation and health financing
Most Ugandans cannot readily access the medicines they need due to the high prices charged. To understand more about what people pay for medicines in Uganda, the Ministry of Health in collaboration with the World Health Organization (WHO) and Health Action International (HAI) Africa conducted a countrywide survey on medicine prices in 2004, and recommended a medicine price monitoring system for surveys to be conducted quarterly. This is the first price monitoring report, presenting the survey results for the October-December 2006 quarter.
In a contradiction between its grants and its endowment holdings, Corporate Watch reports that Gates Foundation provides 5% of its worth annually as grants for health initiatives, public education and social welfare and invests the other 95% of its worth. The investigation found investments in companies that have failed tests of social responsibility because of environmental lapses, employment discrimination, disregard for worker rights, or unethical practices. Corporate Watch outlines those investments that appear to contradict the foundations grant support goals and the feedback obtained from the Gates Foundation on the findings.
The highest per capita primary health care expenditure in the public sector by a district in South Africa during 2005/06 was R416 per person in Bophirima district in the North West province. This is in stark contrast to the lowest rate of R115 per person spent in Greater Sekhukhune, a relatively deprived district in Limpopo province.
For the past two decades the informal sector has grown very rapidly in Tanzania. In the early 1990s it was estimated to be contributing about 60% of the country's GDP. Some authorities even believe that this figure is an underestimate. This sector provides a "safety net" to many women and youth in the country. Its role in providing for livelihood is becoming more important as the formal sector shrinks due to retrenchment. This feasibility study aimed at assessing how and under what conditions the outputs produced and the activities deployed by the ILO project on social security for the informal sector will contribute to the establishment of a social security system in the two areas. The main emphasis for this study was the establishment of health insurance schemes in the identified areas, i.e., Mbeya and Arusha.
The executive director of a $7 billion fund to fight deadly diseases in the world's poorest countries has made extensive use of a little-known private bank account, spending hundreds of thousands of dollars on limousines, expensive meals, boat cruises, and other expenses, according to an internal investigation. While not disputing 37 specific limousine charges in cities across Europe and the United States, dozens of entertainment and meals expenses, among other expenditures the inspector general deemed excessive, the Global Fund spokesman disputed the context, tone, and several facts in the inspector general's report. A separate investigation, overseen by the World Health Organization, also raised concerns about the use of the private bank account.
Warren Buffett’s donation in early July of $31 billion to the Bill and Melinda Gates Foundation has fed many hopes and expectations. How are we to regard the creation by these extremely rich families of the world’s largest foundation, with resources of over $62 billion at their disposal? On one level, their philanthropy must of course be warmly welcomed. [Yet] this display of unprecedented generosity raises some serious questions about the way we think nowadays about issues such as altruism versus public action, and charity versus human rights. First, private altruism by the rich does not get governments off the hook. Second, in any case, for the poorest countries and the poorest people in any country, escaping poverty is not a matter for charity and altruism. It is an issue of social justice.
Health campaigners and activists led by 2004 Nobel Laureate Prof Wangari Mathai have petitioned the African Union member states for failing to honour their 15 per cent pledge of their annual budgets on health care. This fact became public knowledge as the World Social Forum (WSF) entered the third day. The petition comes ahead of the forthcoming AU Heads of State and Government summit in Addis Ababa. The petition by South African Nobel Laureate Arch Bishop Desmond Tutu, but signed on his behalf by Prof Mathai calls for Africa leaders to act fast and implement their pledges in a bid to reverse the ugly trends of treatable diseases in Africa.
A rise of more than 100 percent in the price of antiretroviral drugs is likely to put the life-prolonging medication beyond the reach of hundreds of thousands of Zimbabweans living with HIV. Pharmacists in Zimbabwe's second city of Bulawayo increased the price of a monthly course of ARVs from an average of Z$30,000 (US$120 at the official exchange rate) to between Z$80,000 (US$320) and Z$100,000 (US$400), telling IRIN the price hike was an inevitable response to the country's economic woes, which has seen inflation surge to 1,281 percent, and foreign currency become a scarce item.
The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the 11th of a series of 16 reviews that have been prepared as background for advice from the WHO Advisory Committee on Health Research to WHO on how to achieve this. Objectives We reviewed the literature on incorporating considerations of cost-effectiveness, affordability and resource implications in guidelines and recommendations.
