hepatiti С -globaluri politika

28 ivlisi, 2011 welinaTia xarati

mizani

Camoyalibdes C hepatitTan brZolaze

mimarTuli mkafio nacionaluri programa

cifrebi 500 mln adamiani aris inficirebuli C da

B hepatitiT weliwadSi 1.5 mln adamiani iRupeba

am virusebiT gamowveuli garTulebebiT – RviZlis kibo da cirozi

saqarTveloSi 200 000 adamiani aris inficirebuli C hepatitiT

WHO mier 135 qveyana iqna gamokiTxuli da aqedan 80%-ma aRiara, rom C hepatitis aris saxelmwifo jandacvis politikis problema

miuxedavad amisa qveynebis umravlesobaSi ar arsebobs efeqturi politika, an saWiroebs seriozul gadaxedvas;

aucilebelia rogorc nacionalur, ise saerTaSoriso doneze moqmedebebis strategiuli dagegmareba da koordinacia

C hepatiti

warmoadgens sazogadoebrivi jandacvis glubaluri problemas da saWiroebs

advokatirebas mTavrobebTan da mosaxleobisaTvis misi

aqtualurobis Cvenebas, raTa xeli Seewyos daavadebis profilaqtikas, diagnostirebas da mkurnalobas.

2010 masSi jandacvis msoflio asambleaze WHO miiRo rezolucia WHA63.18 virusuli hepatitebis Sesaxeb.

193 wevri qveyana valdebulila ganaxorcielos brZola virusul

hepatitebTan aucilebelia TiToeuli qveynis

moqmedeba iyos globalurad koordinirebuli da gaZlierebuli socialuri

sferodan gamoyofili resursebiT

rezolucia sTavazobs yvela qveyanas: yovel wels aRniSnos hepatitebTan brZolis saerTaSoriso dRe

28 ivlisi; gaaZlieros daavadebaTa kontroli; moaxdinos C hepatitTan brZolis integrireba jandacvis sxva

saxelmwifo programTan; CarTos arasamTavrobo organizaciebi da samoqalaqo seqtori; gaaumjobesos profilaqtikuri RonisZiebebi da jansaRi

cxovrebis reklamireba; gaaumjobesos diagnostireba; gazardos mkurnalobis xelmisawvdomoba; gazardos sisxlis komponentebis xarisxis usafrTxoeba; moicvas mowyvladi mosaxleoba da migrantebi; gazardos ineqciebis usafrTxoeba; gaaumjobesos medicinis muSakebis daculoba.

rezolucia aseve avaldebulebs WHO: SeimuSaos globaluri strategia, swrafi Sedegebisa

da protokolebis CaTvliT; gansazRvros is migneba – Tu ra muSaobs ukeT; ganaxorcielos C hepatitis problemis simZimis

globaluri Sefaseba; daexmaros SezRuduli resursebis mqone qveynebs; gazardos saerTaSoriso investiciebi C hepatitTan

brZolis sakiTxebSi; gaaZlieros usafrTxo ineqciebis globaluri qseli; iTanamSromlos samkurnalo saSualebebis

xelmisawvdomobaSi dainteresebul qveynebTan; akontrolos rezoluciis procesis ganxorcieleba.

 

regionSi arsebuli ZiriTadi problemebi: ar arsebobs srulyofili epidemiologiuri da statistikuri

monacemebi; ar arsebobs C hepatitis profilaqtikisa da

monitoringis nacionaluri programa; fasebi testirebaze – Zalian maRalia; fasebi mkurnalobaze (peligirebuli interferoni) –

Zalian maRalia, rogorc pacientebisaTvis, ise saxlmwifo biujetisTvisac;

ar arsebobs C hepatitis diagnostirebisa da mkurnalobis nacionaluri programa.

testi antisxeulebze

qveyana ufaso - saxelmwifo jandacvis programebis farglebSi

ufaso - pacientebis garkveuli kategoriisaTvis

ukraina ara ki

saqarTvelo ara ara

latvia ki ki

yirgizeTi ara ara

yazaxeTi ara ki

ruseTi ara ki

diagnostikuri testirebaukraina

saqarTvelo

latvia ruseTi yazaxeTi yirgizeTi

PCR Tvisobrivi 18 $ 141,25 $ 21,37 $ 14 $ 20,6 $ 100 $

PCR raodenobrivi

76 $ 211,25 $ 45,8 $ 106 $ 54,9 $ 100 $

genotipireba 44 $ 337 $ 64,3 $ 23 $ 27,5 $ araa registrirebuli

ufaso mkurnalobis damwyebTaTvis

ara ki ki ki ara ara

mkurnalobafasi aSS dolarSi

ukraina

saqarTvelo

latvia

ruseTi

yazaxeTi

yirgizeTi

Pegasys+Copegus (Roche) – 24 kvira

6000-8400

9750 7912 12000 9041 6720

Schering Plough/Merck) – 24 kvira

6000-8400

8295 13950 12000 8712 6720

Pegasys+Copegus (Roche) – 48 kvira

12000-16800*

19500 15820 24000 18082 13440

Schering Plough/Merck) – 48 kvira

12000- 16800

16590 27900 24000 17424 13440

zianis Semcirebis siswore C hepatitTan mimarTebaSi

qveyana programebi swori mkurnalobis kuTxiT

programebi C hepatitebis konsultirebisa da zianis Semcirebis kuTxiT

ukraina ki ara

saqarTvelo ara ara

latvia ki ara

yirgizeTi ki ara

yazaxeTi ki ara

ruseTi ara ara

maRali fasebi, riTia gamowveuli? ZviradRirebuli gamokvlevebi “???” farmakologiuri biznesi erTerTi yvelaze

momgebiania msoflioSi ZviradRirebuli warmoeba “???” yovelTvis xarisxis garanti ar aris monopolia – 20 wliani patenti “???” ar arsebobs sxva generikuli preparatebi mxolod mwarmoebeli gansazRvravs fass

ratom viTxovT fasebis Semcirebas?

metad xelmisawvdomi iqneba saxelmwifo biujetisaTvis

metad xelmisawvdomi iqneba donori organizaciebisaTvis;

metad xelmisawvdomi iqneba pacientebisaTvis.

meti pacienti SesZlebs mkurnalobas

sami komponenti, romelic aucilebelia mkurnalobis xelmisawvdomobis gazrdisaTvis

sxva qveynebis gamocdileba

brazilia 2006-2010 wlebSi hyavda 10 507 inficirebuli pacienti pegilirebuli interferoniT mkurnalobis kursi - 10 302 aSS dolari 2010 wels inicireba gaukeTa hepatitebis rezoluciis miRebas jandacvis msoflio

asambleaze 424 mln. aSS dolari ukve daxarja mkurnalobaze; muSaobs generikuli preparatebis – peg-interferonis miRebis kuTxiT.

maroko 2010 wlidan aRniSnaven C hepatiTan brZolis msoflio dRes; jandacvis saministro – ganixilavs C hepatitis mkurnalobis CarTvas im 41

daavadebis siaSi, romelTac afinansebs saxelmwifo dazRveva.

mezobeli qveynebis gamocdileba

yirgizeTi: muSaobas awarmoebs 3 arasamTavrobo organizacia; tardeba kvlevebi mdgomareobis Sesaswavlad; miiRes nacionaluri programa 2011; SeimuSaves protokolebi da moizides investiciebi donorebis mxridan; antisxeulebze testireba 2012 wlidan iqneba ufaso; aqtiuradaa CarTuli media

ukraina WHO, infeqcionistebisa da samoqalaqo sazogadoebis mobilizacia; warmatebulia mcire proeqtebi: informirebulobis donis gazrda risk jgufebsa

da axalgazrdebSi; Seiqmna samuSao jgufi adgilobriv doneze (samTavrobo da samoqalaqo

seqtorebis CarTviT); muSavdeba nacionaluri programa (monawileobs 2 arasamTavrobo

organizacia

gmadlobT yuradRebisaTvis