Progress of EAC Medicines Registration Harmonization (MRH) Project

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Progress of EAC Medicines Registration Harmonization (MRH) Project Ms. Jane Mashingia Senior Health Officer (Medicines & Food Safety), EAC Secretariat & Mr. Hiiti Sillo - Director General Tanzania Food and Drugs Authority (TFDA) San Diego, USA 13 th November, 2012

Outline Background EAC Medicines Registration Harmonization Project Progress made Conclusion

Background EAC is a regional intergovernmental organisation of 5 Partner States Burundi, Kenya, Rwanda, Uganda and the United Republic of Tanzania 6 NMRAs including the Zanzibar Food and Drugs Board Population: 133.1 million (2010) GDP (current market prices): $79.2 billion (2010) EAC Headquarters: Arusha, Tanzania

LOCATION MAP OF EAST AFRICA N

EAC Regional Cooperation on Health Chapter 21 (Article 118) of the EAC Treaty With respect to cooperation in Health, the Partner States undertake to; Harmonize drug registration procedures so as to achieve good control of pharmaceutical Standards Develop common drug policy which would include establishing quality control capacities and good procurement practices

EAC MRH Project EAC is the first Regional Economic Community in Africa to launch the medicine regulatory harmonization project under the African Medicines Registration Harmonization Initiative (AMRHI). The East African Community MRH Project was launched on 30 th March, 2012 in Arusha, Tanzania. The launch marked the beginning of implementation of the Project by the EAC Partner States NMRAs in coordination by the EAC Secretariat and in collaboration with the Partners NEPAD Agency, WHO, the World Bank, others.

EAC MRH Project (2) Purpose: To harmonize medicines registration in the EAC Partner States in order to increase the rapid availability of safe, efficacious and good quality essential medicines in the region enable free movement of pharmaceuticals within the region to complement the implementation of the EAC Common Market Protocol which came into effect in July 2010 Goal: To have a harmonized and functioning medicines registration system within the East Africa Community in accordance with national and internationally recognized policies and standards [WHO & ICH]

Major Milestones of the EAC MRH project 1. An agreed common technical document for registration of medicines implemented in at least three EAC Partner States by end of 2014 2. A common integrated IMS established and linked in all EAC Partner States and EAC Secretariat by end of 2016 3. Quality management system implemented in each of the EAC Partner States' NMRAs 4. Regional and national capacity built to implement medicines registration harmonization in the EAC 5. Platform for information sharing on the harmonised medicines registration system to key stakeholders at national and regional level created 6. A framework for mutual recognition of regulatory decisions made by other EAC Partner States NMRAs developed and implemented

Progress Made Project Steering Committee Established and composed of Chief Pharmacists (MoH), Heads of NMRAs, NMROs & Partners Two meetings already held in May and November, 2012 respectively 4 Technical Working Groups (TWGs) Established and operational with lead Partner States NMRAs 1. Medicines Evaluation and Registration (Tanzania) 2. Good Manufacturing Practice (GMP) Inspection (Uganda) 3. Quality Management System (QMS) (Kenya) 4. Information Management System (IMS) (Rwanda)

Progress made (2) Recruitment of project staff National Medicines Regulation Officer (NMRO) from each NMRA process completed for 6 NMRAs pending approval by EAC Council of Ministers Regional level process ongoing for 4 posts Senior Medicines Regulation Officer, e-health and Informatics Officer, Accountant and Pharmaceutical Programme Assistant Project staff will strengthen coordination at the EAC Secretariat

Progress made TWG for Medicines Evaluation and Registration Responsible for development and implementation of an agreed common technical document (CTD) for registration of medicines Composed of 2 experts from each NMRA + WHO Meetings held 5 video conferences - between June and November 2012 2 face to face meetings- in July and October 2012

Progress made TWG for Medicines Evaluation and Registration (2) Documents developed Terms of References for the TWG finalized Annual work plan of activities finalized Harmonized application form for registration of human medicines and four guidelines;- 1. Structure and format of Common Technical Document (CTD) 2. Summary of product characteristics 3. Labeling 4. Patient information leaflet 5. Stability studies

Progress made TWG for GMP Responsible for development of harmonized guidelines and manual for Good Manufacturing Practice Composed of 2 experts from each NMRA WHO expert Meetings held 4 video conferences - between June and October 2012 One face to face - in July-August 2012

Progress made TWG for GMP Inspection (2) Documents developed Terms of References for the TWG finalized Annual work plan of activities finalized Drafts EAC Guidelines on GMP EAC Manual for GMP inspection

Progress made by TWG for QMS Responsible for development and implementation of quality management system in each Partner States NMRAs Composed of 2 experts from each NMRA + WHO Meetings held 5 video conferences - between June and November 2012 One face to face - in August 2012

Progress made by TWG for QMS (2) Documents developed Terms of References for the TWG - finalized Annual work plan of activities - finalized Draft documents; EAC QMS Requirements EAC Guidelines for implementation of QMS Requirements for EAC NMRAs EAC QMS Manual

Progress made TWG for IMS Responsible for development and implementation of common IMS for medicines registration in each of the NMRAs which is linked in all Partner States and EAC Secretariat Composed of 2 experts from each NMRA + WHO Meetings held 5 video conferences - between July and October 2012 One face to face - in August 2012

Progress made TWG for IMS (2) Documents developed; Terms of References for the TWG finalized Annual work plan of activities finalized Terms of reference for the Consultancy to assess existing IMS in the EAC Partner States NMRAs and EAC Secretariatfinalized Draft guidelines for the development of common IMS for medicines regulation

Conclusion EAC MRH Project is a model for the African Medicines Regulatory Harmonization (AMRH) Initiative sets an example for other regional economic communities in Africa Success requires commitment of Partner States NMRAs, Programme and Development Partners NEPAD Agency - advocacy & coordination at continental level WHO technical support The World Bank- mobilization of additional resources Continued participation of regional experts in WHO activities and ICH GCG Meetings & Regulators Forum

Thank you very much Asanteni sana Mt. Kilimanjaro

The Secretary General East African Community P. O Box 1096, Arusha, Tanzania. Tel: +255-27-2504253/8 Fax: +255-27-2504255/4481 Email: eac@eachq.org/health@eachq.org Website: www.eac.int