FREE MORPHINE FOR INDIGENT CANCER PATIENTS

Pain management is one of the most important aspects of health care especially for those with chronic or terminal illnesses yet scores of Filipino patients are suffering from pain unnecessarily due to lack of accessibility and availability of opioid medicines such as morphine.

Although eliminating pain is clinically possible as there are a number of safe and effective methods that treat pain such as opioid analgesics (i.e. morphine), it is often left untreated because access to these controlled medications is a problem for many. Impediments in regulation, procurement, and knowledge and attitude on opioids often pose obstacles in the adequate use of these drugs for medical purposes.

The Technical Working Group (TWG) for the Accessibility and Availability of Opioid for Pain and Palliative Care is a multidisciplinary, multisectoral group that facilitates and advocates for policies that improve accessibility and availability of opioid analgesics for pain and palliative care in the country created in April 2008. With the primary objective of breaking the barriers and other misconceptions about opioids, and in coordination with the Department of Health (DOH), Philippine Drug Enforcement Agency (PDEA), Dangerous Drugs Board (DDB) and other partner agencies, the TWG has initiated and implemented activities for opioid accessibility and availability in the past years. 

The DOH procured an estimated P10 million worth of morphine at the end of 2008. These drugs were then turned over to selected government hospitals and hospices in Metro Manila in February 2009 to be used by indigent patients suffering from pain. The drugs were distributed to at least 10 DOH hospitals by July 2009, and were increased to 16 DOH hospitals by September 2009. At the start of 2010, the morphine tablets are available in the following hospitals/institutions:  

REGION No HOSPITAL AREA
NCR            1            Jose Reyes Memorial Medical Center

Sta. Cruz, Manila

           2            Rizal Medical Center Pasig City
           3            East Avenue Medical Center East Ave., Quezon City
           4            UP -Philippine General Hospital Taft Avenue, Manila
           5            Quirino Memorial Medical Center Project 4, Quezon City
CAR            6            Baguio General Hospital & Medical Center Baguio City
Region 1            7            Mariano Marcos Memorial Hospital Ilocos Norte
           8            Batanes General Hospital Basco, Batanes
Region 2             9            Cagayan Valley Medical Center Tuguegarao City
         10           Veterans Memorial Hospital Nueva Viscaya
Region 3          11           Jose B. Lingad General Hospital San Fernando, Pampanga
         12           Dr. Paulino J. Garcia Memorial Research and Medical Center Cabanatuan City
Region 4A          13           Madre de Amor Hospice Foundation c/o Healthserve Los Baños, Inc. Laguna
         14           Batangas Regional Hospital Batangas City
Region 4B          15           Ospital ng Palawan Puerto Prinsesa City
Region 5          16           Bicol Regional Training & Teaching Hospital Albay
Region 6          17           Corazon Locsin Montelibano Memorial Regional Hospital Bacolod City
         18           Western Visayas Medical Center Iloilo City
Region 7          19           Gov. Celestino Gallares Memorial Hospital Bohol
         20           Vicente Sotto Memorial Medical Center Cebu City
Region 8          21           Eastern Visayas Regional Medical Center Tacloban City
Region 9          22           Zamboanga City Medical Center Zamboanga City
Region 10          23           Northern Mindanao Medical Center Cagayan de Oro
         24           Hilarion Ramiro Memorial Hospital Ozamis City
Region 11          25           Davao Medical Center Davao City
         26           Davao Regional Hospital Davao City
Region 12          27           Cotabato Regional & Medical Center SOCCSKSARGEN
CARAGA          28           CARAGA Regional Hospital Surigao City

 
            Summary of Distribution: DOH Hospitals  -  26     
                                    Other Government Hospitals  -   1
       
                                    NGO                                    -   1
     
                                    Total                                    - 28