1. Need the medicines! No access? Take action! Eva M A Ombaka Member, Health Action International Dar es Salaam, Tanzania

2. Medicines are essential part of life Cannot leave health/medicines needs (esp. developing countries and the poor) to profit - seeking industry. Put public health before profit Say no to a system that is not working!

3. Increasing access to medicines Six C's are needed (Devi Sridhar): Coalitions, Civil society, Citizenship, Compromise, Communication and Collaboration.

4. Increasing access to medicines First: developing countries must form a coalition that comes together to achieve a very specific objective and does not fragment. Unequal power between drug companies and many developing countries E.g. NEPAD; Doha, Regional communities

5. Increasing access to medicines Second: CSOs committed to health issues must continue to push the issue onto the political agenda. E.g. CSOs playing a role in research-provide data Activists can campaign e.g. loud support for the implementation of the TRIPS safeguards Undertake advocacy work with policy makers and funders Be part of agenda setting

6. Increasing access to medicines Third: citizens in developed countries need to pressure their governments to prioritize health concerns through lobbying, protesting and supporting CSOs e.g. Health Gap Act Up Paris

7. Increasing access to medicines Fourth: the various stakeholders must compromise to a certain extent so that progress can be made e.g. HAI/WHO pricing study MeTA IGWIG

8. Increasing access to medicines Fifth: health activists must communicate to the media, so that the media can frame the issue of access to essential medicines in an appealing manner. Collect information at grassroots Document, document, document!! Publish research findings

9. Increasing access to medicines Sixth: developing countries, CSOs and citizens in developed and developing countries must collaborate to ensure that the barriers to access to essential medicines are overcome. Kenya coalition on access to medicines TAC in South Africa

10. Increasing access to medicines- individual actions Be a resource! Skills Profession Time Financial In-kind

11. Increasing access to medicines- individual actions Use medicines carefully, rationally-it’s a precious resource Be informed-local situation, international situation Have a moral compass-not lose your independence individually or in groups Support alternative sources and life styles

12. Pharmacy? Grocery store? Trained? Expired? Rational?...

13. Increasing access to medicines- individual actions Join others e.g. Non-Governmental Organizations (NGO) Community-Based Organizations (CBO) Faith-based organizations e.g. YM/W/CA, Ramakrishna Mission etc Voluntary (patient) health organizations Networks/Movements e.g. PHM; HAI – in Africa, Asia/Pacific, Latin America, Europe; EPN; ReAct; etc etc

14. Get involved.....Thank you!