innovative drug distribution practices at livewell initiative to improve maternal and child health...
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LWI
LiveWell Initiative
Innovative drug distribution
practices to improve
maternal and child health
Bisi Bright MPH, FPSN, FPCPharm
CEO, LiveWell Initiative Nigeria
LWI
LiveWell Initiative UN Factsheet
• Only half of women in developing regions receive
the recommended amount of health care they
need
• The maternal mortality ratio in developing regions
is still 14 times higher than in the developed
regions
• Children born into poverty are almost twice as
likely to die before the age of five as those from
wealthier families.
• Children of educated mothers are more likely to
survive than children of mothers with no
education.http://www.un.org/millenniumgoals/childhealth.shtml http://www.un.org/millenniumgoals/maternal.shtml
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
Medicines Access as a Tool in
Improving Maternal and Child
Health: The LiveWell Initiative LWI Innovation
1. Access to Medicines
2. Replicability
3. Scalability
4. Sustainability
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
. . . and, For her
. . . For her
Improving Medicines Access. . .
LWI Community Healthcare Programme at Olorunshogo, Oshodi Dec 2013...FREE medicines for all.
www.livewellng.org9/27/2015
LWI
LiveWell InitiativeEthical Issues and
Compliance Monitoring• Most Medicines distributed in the Communities are
OTCs
• Where a prescription medicine is needed, an LWI
Medical Doctor generates the prescription there and
then
• Where compliance monitoring or further care is
required, the LWI ‘easyhealth’ team follows up
monthly with the patient, to the patient’s home
• Through its ‘easyhealth’ Home Healthcare plan, LWI
takes care of ‘ healthcare access gaps’ www.livewellng.org9/27/2015
LWI
LiveWell Initiative ‘easyhealth’
• This is a home healthcare plan which is affordable at a
cost of $15 per client per month
• Through this innovation, compliance monitoring is
conducted by LWI Experts through telephony, e-
medicine, mhealth and monthly home visits
• Clients whose needs cannot be met by ‘easyhealth’
are designed to be absorbed eventually by LWI
SUPPORT when it commences its expanded
operations
• However for now, they are referred to government
clinics for further managementwww.livewellng.org9/27/2015
LWI
LiveWell Initiative‘easyhealth’– The home healthcare plan
www.livewellng.org9/27/2015
Young LWI Pharmacist Ayo Matuluko Counselling and Dispensing
Medicines to a Woman Client at Home in February 2014 – ‘easyhealth’
LWI
LiveWell Initiative
www.livewellng.org
easyhealth@livewellng.org
9/27/2015
LWI
LiveWell Initiative Outcome and Impact
• Community Confidence level is high
• Key Opinion Leaders and Community Stakeholders’
buy-in’ is secured
• The Confidence of the Mothers, is enhanced
• The gesture is appreciated by smiling beneficiaries
who are usually keen to say a word or two.
• Adherence and Compliance is high
• Medicines supplied are impactful and
• Overall Wellness and health status is improved
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
www.livewellng.org
Happy Mothers . . . Smiling faces!
9/27/2015
LWI
LiveWell Initiative
Measuring Impact
• Programme Feedback / Comments
• Word of Mouth Referrals
• Adherence and Compliance
• Post-Programme Evaluation and
Monitoring
• Periodic Feedback through Community
Advocates and
• Qualitative Monitoring and Evaluation www.livewellng.org9/27/2015
LWI
LiveWell InitiativeReplicability
• All LWI Community Outreach programmes are
replicable due to Processing, Quality Assurance and
Logistics Planning across the organisation
• The organisation runs multiple programmes
concurrently and simultaneously, along process lines
which ensure uniformity
• Among examples are, Ogun State Community Health
Outreach at Ipokia, Imeko, Ilarowww.livewellng.org9/27/2015
LWI
LiveWell Initiative Scalability• LWI Programmes are scalable, as large teams can
attend to thousands of people in a Community Health
outreach while a small team can attend to a group of a
few women and children
• LWI has the human resource capital with over 240
Volunteer Officers from which the teams are selected
• Scalability will be enhanced when working with
Partners and Donors who have the financial
economies of scale to enlarge the scope of
programmes to the national levelwww.livewellng.org9/27/2015
LWI
LiveWell Initiative Sustainability• LWI Programmes are sustainable and they have
stood the test of time
• Through LWI, over 800,000 Nigerian Women and
Children have received FREE Medicines in the past 7
years , with a sustainable machinery which works
• The sustainability is further enhanced by LWI
collaborations with government and the private sector
• The organisation has put in place 3 Programs in its
MNCH Sustainability Drive, and to ensure a continuum
of its programmes
• Collaborators and Partners are being sought, to make
these programmes replicable & more scalablewww.livewellng.org9/27/2015
LWI
LiveWell Initiative
www.livewellng.org
Evidence Based SustainabilityLWI Case for Biannual Health & Medicines Outreaches
Program Venue Women
reached with
Free
Medicines
Children
reached with
Free
Medicines
Outcome / Impact
Osun State Rural
Health Mission
Ilesha Up to 800 Up to 250 Improved Community
Wellness; 6-month
Complaint-Free Wellbeing
Ogun State Rural
Health Mission
Ipokia / Agoshasha
Ilaro
Imeko
Up to 2,000
Up to 2,000
Up to 800
Up to 650
Up to 450
Up to 400
Improved Community
Wellness; 6-month
Complaint-Free Wellbeing
Gbagada Health
fair
Gbagada Up to 5,500 Up to 1,200 Improved Community
Wellness; 6-month
Complaint-Free Wellbeing
Rowe Park Health
fair
Yaba Up to 4,000 Up to 250 Improved Community
Wellness; 6-month
Complaint-Free Wellbeing
9/27/2015
LWI
LiveWell Initiative
www.livewellng.org
0
1000
2000
3000
4000
5000
6000
Ilesha Ipokia / Agoshasha
Ilaro Imeko Gbagada Yaba
Women reached with Free Medicines
Children reached with Free Medicines
LWI Sustainabilty Chart for Healthcare and Medicines
Distribution for Women and Children 2014
LWI Sustainability Pattern; Evidence-based: The women and children reached with free medicines in this chart will be sustained for 6 months
before the ‘demand curve’ reopens
9/27/2015
LWI
LiveWell InitiativeLWI MNCH Sustainability Programs
1. LWI GREEN
• This is a normadic program for the rural poor
• It is cost effective, with FREE Medicines for all,
and an affordable nominal fee for service.
• It is designed to meet the needs of the rural poor
women, (men) and that of their children.
• It is a sustainability tool
• Rural Poor women will
get FREE medicines through
LWI GREEN
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
www.livewellng.org
green@livewellng.orgwww.livewellng.org9/27/2015
LWI
LiveWell InitiativeLWI MNCH Sustainability Programs
2. LWI BAY
• This is an onsite program for the urban poor
• It is cost effective, with FREE Medicines for all,
and an affordable nominal fee for service.
• It is designed to meet the needs of the urban
poor women, (men) and that of their children.
• It is a sustainability tool
• Urban Poor women will
get FREE medicines through
LWI BAY
Baywww.livewellng.org9/27/2015
LWI
LiveWell Initiative
Baywww.livewellng.org9/27/2015
LWI
LiveWell InitiativeLWI HEALTH FAIR 2010 – ‘Meandering’ Queue
The LWI doctor discussing with a client while the queue ‘meanders’ behind her..
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
Impact of LWI Medicines Access
Programme for Women and Children
• Smiling and Happy Mothers; Happy and
Healthy Babies; 6-month ‘wellbeing’ window
• Out of Pocket Savings; improved
microeconomy for the family and for the
nation
• Improved overall productivitywww.livewellng.org9/27/2015
LWI
LiveWell Initiative6-Month ‘Wellbeing Window’
• LWI has discovered a consistent 6-month ‘wellbeing window’
period before its clients need the next set of medicines
• Irrespective of rural or urban location, LWI has discovered a
constant Six(6) month ‘wellbeing window’ SMWW period
after each community health outreach / LWI Intervention before
beneficiaries will need medicines again
• This is believed to be due to the impact of the LWI Expert ‘OTC
Medicines Counselling’ by Pharmacists, and the Health Team
Empowerment which precede giving the medicines, also in line
with LWI ‘Process Algorithms’
www.livewellng.org9/27/2015
LWI
LiveWell InitiativeCONCLUSION
• Making medicines more accessible to women and children
through innovative ways will enhance their health status and
will controbute significantly to the attainment of MDGs 4 and 5
in the last 500 days prior to the end of the MDG Programme
• Although all women and all children need medicines, the
women at the base of the pyramid can best access medicines
through innovation
• When they do access such medicines, women need to be
empowered to maximise the benefit of the accessed medicines
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
9/27/2015 www.livewellng.org
youtube.com/watch?v=MliXWUnn7VQ …
Pharmacist - Advocacy on Silverbird TV Nigeria
BISI BRIGHT - CEO, LWI Improving Access – May 18th 2014
LWI
LiveWell InitiativeCONCLUSION (contd)
• Since women by nature will need to have access to medicines
for themselves and for their children; access to medicines for
women all around the world and especially for women at the
base of the pyramid should be made a priority agenda in
fulfilling the MDGs in the 500-Day UN Advocacy Trail.
• Responsible and Rational use of Medicines should be the
guiding principle of every pharmacist while ensuring innovative
access to medicines, for women and children; that way safe
use of the medicines is guaranteed especially at the base of the
pyramid.
www.livewellng.org9/27/2015
LWI
LiveWell Initiative CONCLUSION (contd)
• Every woman at the base of the pyramid BOP and
everychild at the base of the pyramid should be entitled to
an enhanced access to medicines accompanied with
enhanced access to counselling on the use of the medicines
• Every woman and every child who is taking a medicine
should have access to a healthcare personnel in the
communication chain.
• In enhancing ‘medicines access’ for women and children;
the safe use of medicines should always be ensured
through adherence, compliance monitoring and evaluation
www.livewellng.org9/27/2015
LWI
LiveWell InitiativeCONCLUSION
• With a Six-month ‘Wellbeing Window’ SMWW, community
health initiatives powered or partnered by PPPPs (People
Public Private Partnerships) can serve as an interface in
bridging healthcare gaps which will assist governments the
world over, in attaining the desired MDG Goals 4 and 5 and
beyond.
• The SMWW should be used to compute biannual health and
wellness outreaches and, biannual drug distribution channels
for women and children at the base of the pyramid, for
attainment of MDGs 4 and 5.
• Thank you.www.livewellng.org9/27/2015
LWI
LiveWell InitiativeQ & A –
Any Questions Please?
Bisi Bright MPH, FPCPharm, FPSN
CEO, LiveWell Initiative LWI,
FBA Suites, 2nd Floor Plot 5,
Yesuf Abiodun Street,
Victoria Island, Lagos, Nigeria.
Tel. +234 8033265802
email: bisibright@livewellng.org
Website: www.livewellng.org
www.livewellng.org9/27/2015
LWI
LiveWell Initiative
Thank You for Listening
www.livewellng.org9/27/2015
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