Constitution of Committee for implementation of free drugs initiative in the State of Telangana
GOVERNMENT
OF TELANGANA
ABSTRACT
Health, Medical & Family
Welfare Department – Constitution of Committee for implementation of free drugs
initiative in the State of Telangana - Orders – Issued.
HEALTH,
MEDICAL & FAMILY WELFARE (D1) DEPARTMENT
G.O.RT.No.
831 Dated: 29/12/2015
Read
:-
From the Commissioner of Health
& Family Welfare and MD, NHM, Hyderabad Lr.
No.101/SPMU/FDS/CIO/2015, dt.
12/11/2015
* * *
O R D
E R:
The Commissioner of Health &
Family Welfare, Telangana, Hyderabad in the reference read above has stated
that Government of India under National Health Mission has sanctioned
Rs.11.94 crores towards (NHM RoP 2015 FMR Code:B.16.2.1.5.1) for
implementation of Free Drugs
Initiative in the state. He has further stated that
procurement of generic drugs in
bulk, substantially lowers the cost compared
to the price paid for a branded
drug by an individual consumer. It can be as low as
2% of the retail price of a
branded drug. If quality essential drugs are provided free
of cost to all patients visiting
public health facilities, it would bring significant
savings to the patients.
Provision of free drugs is therefore one of the most
important interventions towards
mitigating the burden of health care costs.
One of the targets of the
proposed Sustainable Development Goals is to
“achieve universal health
coverage, including financial risk protections, access to
quality essential health care
services, and access to safe, effective, quality and
affordable, essential medicines
and vaccines for all”, testifying to the importance of
this initiative.
2. Under the National Health
Mission (NHM), the Ministry of Health & Family
Welfare (MoHFW) supplements the
efforts of the States to improve access to
free/affordable and quality
healthcare. This support includes provision for
strengthening/setting up robust
systems of procurement, quality assurance, IT
backed supply chain management
systems like Drugs and vaccines Distribution
Management Systems (DvDMS),
warehousing, prescription audit, grievance
redressal, Information,
Education and Communication (IEC), training, dissemination
of Standard Treatment
Guidelines, etc. NHM continues to provide incentives to
those States that notify a
policy to provide free essential drugs in public health
facilities.
3. In order to support the
states to rollout/implement the provision of free
drugs, National Health Mission
has developed a set of Operational Guidelines for the
Free Drugs Service Initiative.
National Health Mission will support States to ensure
that a set of quality essential
drugs are available free of cost to all those who
access public health
facilities, irrespective of economic status. States are free to
select those essential drugs
that which they would wish to provide in their states
with the following key
features:
(i) Ensure availability of essential drugs based
on the level of public
health facilities free of cost to all who access
these facilities.
(ii) Notify the policy for universal provision of
essential drugs, which
should be widely publicized as an entitlement,
and disseminated.
Orientation workshops have to be undertaken for
doctors to promote
prescription of generics and rational drug use.
(iii) To meet drug requirements for primary and
secondary healthcare
through Primary Health Centres (PHCs), Community
Health Centres
(CHCs), Sub Divisional Hospitals (SDH) and
District Hospitals (DHs).
(iv) Quality Assurance in public procurement
(v) Set up robust IT backed procurement, quality
assurance,
warehouses, and supply chain systems that are
benchmarked for key
management processes with the best practices in
this field.
(vi) All drugs procured, distributed and
prescribed under this initiative shall
be generic drugs.
(vii) Ensuring rational use of drugs and
preventing all forms of wastage is
important.
(viii) To develop own Standard Treatment
Guidelines (STGs) or adapt the
STGs published by the MoHFW.
(ix) A system of prescription audits would be
required to be put in place to
ensure prescription of generics and rational use
of drugs.
(x) Facility wise Essential Drug List (EDLs)
should be displayed
prominently at each facility
4. Financing under this scheme
is available for the following initiatives.
(i) Procurement of drugs
(ii) To set up/strengthen systems of procurement,
quality assurance,
supply chain and warehousing, prescription audit,
Grievance
Redressal, IEC, training and orientation
programmes for service
providers for rational prescriptions, etc.
5. This initiative requires the
states to have a Centralized Procurement Body
(CPB) at State Level and to
utilise the amount sanctioned and to send proposals to
Government of India for more
funds, the following conditionalities have to be met:
a. To have a Central Procurement Body
b. To notify a Free Drugs Policy
c. To have Essential Drug List
d. To have Robust IT bacakup (DVDMS)
e. To have Quality Assurance
f. To adopt Standard Treatment Guidelines issued
by the Government of
India or the state has to develop its own STGs
g. To have facility wise Essential Drugs List
h. To have Prescription Audit.
i. To have Grievance Redressal System
6. Government after careful
examination of the matter hereby constitute a Committee with
the following members though the
Telangana State already have a Central Procurement Body for Procurement of
Drugs called as Telangana State Medical Services Infrastructure
Development Corporation
(TSMSIDC).
1) Principal Secretary to Government
Health, Medical & Family Welfare,
Telangana, Secretariat, Hyderabad
Chairman
2) The Commissioner of Health & Family
Welfare, Telangana, Hyderabad
Member
3) Director of Public Health and Family Welfare
Telangana State, Hyderabad
Member
4) Commissioner, TVVP, Telangana, Hyderabad
Member
5) The Director Of Medical Education Telangana,
Hyderabad
Member
6) Managing Director, TSMSIDC, Telangana, Hyderabad
Member-Convener
7. The Committee shall
(i)
formulate draft Free Drug Policy for the state
(ii) to assess
the status of implementation of DVDMS
(iii) to look into the Standard Treatment
Guidelines formulated by the Government of India for adoption by the state. The
committee may utilise the services of subject experts for this purpose
(iv)to prepare facility wise essential drugs list
(v) to
give recommendations for implementation of prescription audit
(iv) to
examine the tendering process, quality checks
and grievance redressal mechanism in place by TSMSIDC and compare them with the
guidelines issued by the Government of India.
8. The
Commissioner of Health and Family Welfare, Telangana, Hyderabad,
shall take necessary action in
the matter accordingly.
(BY ORDER AND IN THE NAME OF
THE GOVERNOR OF TELANGANA)
RAJESHWAR TIWARI
PRINCIPAL SECRETARY TO GOVERNMENT
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