Advances in International Clinical Pharmacy Practice, Education, or Training
Sunday, October 13, 2024
12:45 PM–02:15 PM
Abstract
Service or Program:
Since 2012, the Revolving Fund Pharmacy (RFP) model has served as a back-up medication supply chain for the Ministry of Health (MOH) in western Kenya. In this model, RFPs stock essential medications and ensure medications are consistently available to patients at a slightly higher price than the MOH, whenever the MOH pharmacies experience stock-outs. In this study, we describe the integration of the RFP model into the MOH pharmaceutical supply chain via the national hospital insurance fund (NHIF) – the main national insurance program in Kenya.
Justification/Documentation:
The lack of a reliable and affordable pharmaceutical supply chain is a barrier to achieving Universal Health Coverage (UHC). Without consistent access to medications, patients struggle to manage chronic illnesses as sporadic availability leads to poor outcomes at increased costs. To limit the financial burden on patients, the RFP program worked with the MOH in three counties – Uasin Gishu, Busia, and Bungoma – to establish RFP-NHIF integrated programs, which allow active and valid NHIF beneficiaries to receive drugs at no cost. Between 2022 and 2023, these RFP-NHIF integrated programs served 9068 unique NHIF beneficiaries and dispensed 439,451 units of medications. Chronic disease medications constituted 59%, 37%, and 75% of the medications dispensed in Uasin Gishu, Busia, Bungoma respectively, which highlight the variability in disease burden and supply chain capacity within different health facilities. The average cost to NHIF per patient per month ranged between USD $0.2 – $1.2.
Adaptability:
We successfully integrate the RFP model into NHIF in three counties. This integration has the potential to be adapted and expanded to other counties in Kenya.
Significance:
Medication availability and coverage must be a priority for comprehensive health insurance coverage globally. Integrating novel supply chain models, such as the RFP, into UHC ensures availability, affordability, and adherence to medications amongst patients and bolsters UHC in Kenya.
Presenting Author
Tina Tran PharmDAuthors
Azeez Aina CSCA
Purdue University College of Pharmacy
James Amisi MBChB, MMed
Moi University
James Kamadi B.ComMs
Academic Model Providing Access to Healthcare (AMPATH)
Akshara Kumar PharmD, MPH
Purdue University College of Pharmacy
Jeremiah Laktabai MBChB, MMed
Moi University School of Medicine
Imran Manji BPharm, MPH, DPLA, PgDipClinPharm
Moi Teaching and Referral Hospital
Annabel Nasike BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)
Rachel Ogumbo PharmD
Purdue University College of Pharmacy
Sonak Pastakia PharmD, MPH, PhD
Purdue University College of Pharmacy / Purdue Kenya Partnership
Rajesh Vedanthan MD, MPH
NYU Grossman School of Medicine
Phelix Were BS
The Academic Model Providing Access to Healthcare (AMPATH Kenya)