1. SOUTHERN AFRICAN REGIONAL PROGRAMME ON ACCESS TO MEDICINES AND DIAGNOSTICS PROCESS & CHALLENGES OF WORKING REGIONALLY IN SOUTHERN AFRICA AARTI PATEL WHO TBS: NOVEMBER 2010

2. Programme Purpose & Objectives Reduce the disease burden in Southern Africa by increasing access to affordable, essential medicines. Inception phase: Strengthen SADC capacity and demonstrate the value of a regional approach.

3. SARPAM Outputs 1.Support to implement components of the SADC Pharmaceutical Business Plan 2.Capacity of SADC Secretariat & Member States built to implement the PBP 3.Civil Society Voice & Action 4.Information and evidence for Action

4. SADC Pharmaceutical Business Plan 2007-2013 1.Harmonize STGs & EMLs 2.Rationalize & maximize research & production capacity of generic & African Traditional Meds 3.Strengthen Regulatory Capacity 4.Promote Joint Procurement 5.Regional database of Traditional Meds 6.Develop & retain competent human resources 7.Respond to emergency pharma needs 8.Coordinate implementation of TRIPS flexibilities

5. SARPAM Components Partnerships for Action Civil Society Transparent Market Intelligence Support to strengthen Regional Institutions + MSs

6. Partnerships for Action (PACTs)

7. Phased Delivery Pre-Inception (October 09 – Jan 10) – Work planning for Inception Phase – DFID MoU with SADC Secretariat/ June 2010 Inception Phase (9 Months from 15 Jan 10) – Establish networks – Start support for implementing SADC PBP – Intensive data collection: PMA, STG study – Build the Business case (including Cost-benefit Analysis) – Detailed implementation planning for Inception Report ------------- GO/NO-GO DECISION BY DFID -------------- Implementation Phase

8. ENGAGEMENT PROCESS SADC MSs SADC Sec UN Agencies CSDFID-SA + Partners SP: Responsible Action Consortium

9. UNDERSTANDING THE STAKEHOLDERS Invest in getting to know the structures & bureaucracy

10. CHALLENGES 2013 SADC PBP 2007 ? Regional capacity is critical

11. CHALLENGES CONT. Governance Agreements on working with a regional entity - answerable to MSs Capacity constraints within regional programme POLITICAL BUY-IN Entry into MSs Regional versus national priorities/country offices Evidence/ information Access to data/Information (quality, private sector) Technical versus political/bureaucracy Build relationships & improve networks: Key that can unlock the door

12. CHALLENGES CONT. Sustainable finances DFID Review – go/no-go AfDB/ICPs – focused support Implementation Capacity across MSs; 3 languages “big-brother” - SA Innovation PPPs Communication/technology

13. OPPORTUNITIES

14. OPPORTUNITIES through Regional Work MS ownership/regional strengthening Skills transfer – exchange programmes Centers of Excellence Develop HR Shared learning – site visits &/or secondments Sites of Best Practice Limited resources: Procurement info Regulatory info Sharing information