{"id":11346,"date":"2019-09-10T15:43:46","date_gmt":"2019-09-10T15:43:46","guid":{"rendered":"https:\/\/patients.org.ua\/?p=11346"},"modified":"2024-04-16T08:42:57","modified_gmt":"2024-04-16T08:42:57","slug":"we-demand-continuation-of-anti-corruption-medical-reform-procurement-of-medicines-through-international-organizations","status":"publish","type":"post","link":"https:\/\/patients.org.ua\/en\/news\/we-demand-continuation-of-anti-corruption-medical-reform-procurement-of-medicines-through-international-organizations\/","title":{"rendered":"We Demand Continuation of Anti-Corruption Medical Reform \u2014 Procurement of Medicines through International Organizations"},"content":{"rendered":"<img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/patients.org.ua\/wp-content\/uploads\/2024\/03\/stop-corruption-825x550-1.webp\" alt=\"image\" \/>\r\n\r\n<p class=\"wp-block-paragraph\">The bill No.&nbsp;1076 \u00abOn&nbsp;Amendments to&nbsp;the Law of&nbsp;Ukraine \u2018On Public\r\nProcurement\u2019 and to&nbsp;Some Other Legislative Acts on&nbsp;Improving Public Procurement\u00bb\r\nhas been put to&nbsp;vote today, which abolishes the possibility to&nbsp;procure\r\nmedicines through the international organizations. The bill was posted on&nbsp;the\r\nwebsite only one day before the voting, depriving the public of&nbsp;the opportunity\r\nto&nbsp;make comments and remarks.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u00abIf&nbsp;the bill is&nbsp;passed as&nbsp;such, this will threaten the health and life\r\nof&nbsp;hundreds of&nbsp;seriously ill Ukrainians, including children, because it\r\ndeprives Ukrainians of&nbsp;the access to&nbsp;life-saving medicines and vaccines,\u00bb\r\n\u2014&nbsp;said Inna Ivanenko, Executive Director of&nbsp;CF&nbsp;\u00abPatients of&nbsp;Ukraine\u00bb.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Health care procurement reform began in&nbsp;2015, following the adoption of\r\nthe Law \u00abOn&nbsp;Amendments to&nbsp;Certain Legislative Acts of&nbsp;Ukraine (on\r\nProviding Timely Access of&nbsp;Patients to&nbsp;Essential Medicines and Medical Products\r\nby&nbsp;Public Procurement through the Specialized Procurement Organizations)\u00bb. At\r\nthat time, the function of&nbsp;centralized procurement of&nbsp;medicines, medical\r\ndevices and vaccines was taken from the MOH and delegated to&nbsp;the specialized\r\ninternational organizations such as&nbsp;UNDP, UNICEF, Crown Agents, etc. <\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">During 5&nbsp;years since then corruption has been removed from procurement\r\nof&nbsp;essential medicines, vaccines and medical products. Without corruption\r\ncomponent in&nbsp;the procurement activities the international organizations save up\r\nto&nbsp;40% of&nbsp;the state budget funds, which allows procuring more medicines (by&nbsp;68%!) and save more lives.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Due to&nbsp;procurement through the international organizations, the\r\nUkrainian patients not only have better medicine supplies, but also receive\r\naccess to&nbsp;exclusive treatment never procured by&nbsp;the Ministry of&nbsp;Health.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">If&nbsp;the MOH is&nbsp;deprived of&nbsp;the opportunity to&nbsp;use the mechanism of\r\ninternational procurement, the patients will be&nbsp;deprived of&nbsp;the opportunity to\r\nhave treatment. Currently, the national procurement procedures don\u2019t have and\r\ncan\u2019t have the capacity to&nbsp;conduct\r\ninternational bidding, to&nbsp;combine lots from several countries and to&nbsp;conclude direct long-term contracts with\r\nmanufacturers due to&nbsp;multi-year planning.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">In&nbsp;addition to&nbsp;vaccines and serums that cannot be&nbsp;procured through the\r\nnational bidding as&nbsp;effectively as&nbsp;through the international organizations, the\r\nUkrainian patients run the risk of&nbsp;being deprived of&nbsp;the following medicines:<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\"><strong>Pediatric Oncology<\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>Cosmegen<\/em> is&nbsp;a&nbsp;medicine\r\nfirst purchased by&nbsp;the United Nations Development Program and authorized in\r\nUkraine under the simplified procedure, because its manufacturer has never\r\nentered the Ukrainian market.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>Oncaspar<\/em> is&nbsp;a&nbsp;medicine\r\nwith extremely short shelf life and requires special procurement and delivery\r\nprocedures. It&nbsp;is&nbsp;used for children with acute lymphoblastic leukemia\r\nuntreatable by&nbsp;the first-line therapy;<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>Erwinase<\/em> is&nbsp;a&nbsp;medicine\r\nfor the first procured in&nbsp;2019. It&nbsp;requires simplified authorization procedure\r\nand is&nbsp;procured in&nbsp;extremely small quantities helping children with acute\r\nlymphoblastic leukemia untreatable by&nbsp;the first-line and second-line therapy.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\"><strong>Adult Oncology<\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Radiopharmaceuticals with critically short shelf life (15-20&nbsp;days) and a\r\nvery complicated delivery procedure .<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\"><strong>Cardiovascular diseases<\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Swan Ganz catheters used in&nbsp;cardiac surgery;<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">The stents available now in&nbsp;Ukraine due to&nbsp;procurement through the\r\ninternational organizations. They meet 100 percent of&nbsp;the urgent needs.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Currently the state provides free stenting for all ST-segment elevation\r\npatients in&nbsp;need of&nbsp;urgent help. A&nbsp;supply breakthrough occurred in&nbsp;2016, when\r\nthe international organizations were able to&nbsp;procure three times more stents in\r\n2016&nbsp;at the same price as&nbsp;the Health Ministry of&nbsp;Ukraine had done before\r\ninitiation of&nbsp;the procurement through the international organizations. The\r\nprice of&nbsp;high quality stents has been reduced due to&nbsp;very high global\r\ncompetition, which will become limited if&nbsp;procurement is&nbsp;performed under the\r\ncurrent procedures in&nbsp;Ukraine.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\"><strong>Vaccines<\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Currently 10&nbsp;types of&nbsp;vaccines for 10&nbsp;dangerous diseases that children\r\nand adults should receive according to&nbsp;the immunization schedule are available\r\nin&nbsp;all regions of&nbsp;Ukraine. Such indicators are recorded for the first time in\r\nrecent years. Vaccines for Ukraine are procured by&nbsp;the United Nations\r\nChildren\u2019s Fund (UNICEF). These are only top quality and effective&nbsp;QA vaccines\r\nlong and widely used in&nbsp;the world. In&nbsp;addition, Ukraine can now place orders\r\nand plan to&nbsp;procure vaccines three years in&nbsp;advance, which is&nbsp;essential as&nbsp;the\r\nvaccine production cycle is&nbsp;long-lasting. Ukraine may lose this opportunity\r\nbecause of&nbsp;repealing the rule that allows the MoH Ukraine to&nbsp;attract the\r\ninternational organizations to&nbsp;the \r\nprocurement activities.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Without the possibility of&nbsp;procurement through the international\r\norganizations, these essential medicines will be&nbsp;lost to&nbsp;us forever, as&nbsp;the\r\nnational procurer SE&nbsp;\u00abMedical Procurement\u00bb has no&nbsp;legal capacity to&nbsp;use such\r\nprocurement mechanisms as&nbsp;were employed by&nbsp;the international organizations.\r\nTherefore, along with development and establishment of&nbsp;the national agency, it\r\nis&nbsp;imperative to&nbsp;retain the opportunity for the Health Ministry to&nbsp;procure\r\nmedicines, vaccines and medical products through the specialized international\r\norganizations.\r\n\r\nWe&nbsp;demand the Speaker and MPs to&nbsp;hear the voice of&nbsp;the\r\npatients and prevent the loss of&nbsp;such a&nbsp;successful anti-corruption instrument\r\nthat saves twice as&nbsp;many human lives.\r\n\r\n\r\n\r\n<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>The bill No.&nbsp;1076 \u00abOn&nbsp;Amendments to&nbsp;the Law of&nbsp;Ukraine \u2018On Public Procurement\u2019 and to&nbsp;Some Other Legislative Acts on&nbsp;Improving Public Procurement\u00bb has been put to&nbsp;vote today, which abolishes the possibility to&nbsp;procure medicines through the international organizations. The bill was posted on&nbsp;the website only one day before the voting, depriving the public of&nbsp;the opportunity to&nbsp;make comments and remarks. \u00abIf&nbsp;the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_analysis_target_kw":"","footnotes":""},"categories":[140],"tags":[],"class_list":["post-11346","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/posts\/11346","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/comments?post=11346"}],"version-history":[{"count":1,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/posts\/11346\/revisions"}],"predecessor-version":[{"id":11347,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/posts\/11346\/revisions\/11347"}],"wp:attachment":[{"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/media?parent=11346"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/categories?post=11346"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/patients.org.ua\/en\/wp-json\/wp\/v2\/tags?post=11346"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}