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Table 1 Key features of the Rural Pharmacy Initiative

From: Towards equitable access to medicines for the rural poor: analyses of insurance claims reveal rural pharmacy initiative triggers price competition in Kyrgyzstan

Key Feature

Description

Buy-in and Support

Popular consensus that access to medicines is the number one health determinant in communities

 

Involvement of Village Health Committees in the design of the RPI and refurbishment of pharmacy outlets

 

Political will of the Kyrgyz authorities, and support from international organizations and the Mandatory Health Insurance Fund

Cost Savings and Income

Co-location of RPI outlets in existing government- owned health clinics, resulting in free rent and utilities

 

Co-location of the RPI headquarters in government offices in the capital city, resulting in free rent and utilities

 

Revenue stream assured by contractual arrangement between RPI pharmacies and the Mandatory Health Insurance Fund for administration of state-funded medicines benefit

Human Resources and Oversight

Contractual arrangements with existing nurses, paying them a modest bonus for their part-time pharmacy activities

 

Availability of a highly-qualified pharmacist to manage the central RPI warehouse

 

NGO managers' exceptional technical capacity in pharmaceutical management and their contributions of a great deal of personal time to support the RPI