Transcript Mapping and In-depth Assessment of Medicines Procurement and Supply Systems WHO Technical Briefing Seminar 08-12 October 2006 Helen Tata/Magali Babaley Department of Technical Cooperation for Essential.

Mapping and In-depth Assessment of
Medicines Procurement and Supply Systems
WHO Technical Briefing Seminar
08-12 October 2006
Helen Tata/Magali Babaley
Department of Technical Cooperation for
Essential Drugs and Traditional Medicines
World Health Organization
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2007
Outline of Presentation
1.
Background
2.
Objectives
3.
Methods, tools and steps to follow
- Mapping
- In-depth assessment
4.
The way forward
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2007
Background
 Evidence based selection and rational use are critical in
ensuring access to medicines
 Adequate resources (human and financial)
– Inadequate
 Affordable prices
– Medicine prices are high and are burden to
households and governments
 Supply systems inadequately functioning
 About 50% of the population in Sub-Saharan Africa lack
regular access to affordable essential medicines
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The Procurement Process
 Many steps, efficient procedures should be put in place:
– to select the most cost-effective essential drugs to treat commonly
encountered diseases;
– to quantify the needs;
– to pre-select potential suppliers;
– to manage procurement and delivery;
– to ensure good product quality; and
– to monitor the performance of suppliers and the procurement
system.
 Failure in any of these areas leads to lack of access to appropriate
medicines and to waste.
 In many public supply systems, breakdowns regularly occur at multiple
points in this process.
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Mapping and in-depth assessment
Aim
 Strengthen the procurement and supply management
systems to improve access to essential medicines
Specific Objectives
– Map all partners and financial flows
– Review strengths and weaknesses of existing
procurement and supply systems
– Assist national authorities to develop appropriate
procurement and supply strategies and plans
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Methods
Two Stages:
 Stage 1. Mapping
– Identifying all partners
– Describing the procurement and distribution circuits
– Describing the financial flows
 Stage 2. In-depth assessment
- Procurement and supply systems
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2007
1st Stage:
Mapping Procurement systems
 Aim to establish a list of Partners involved in procurement of
medicines and medical supplies
 The following information is collected from each partner:
– Category of products supported
– Financial value of support
– Procurement agents for partners
– Distribution channel of products
– Final recipients/beneficiaries of each product supported etc
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2nd Stage:
In-depth Assessment of Medicines Procurement systems
 Structured questionnaire: quantitative and more qualitative
 Five Questionnaire: MOH, CMS, programs, regional & district and health facility
levels involved in procurement and supply management
 Questions cover issues around the medicines management cycle:
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Selection
Quantification
Procurement
Storage/stock management
Distribution
Quality Assurance
Rational Use
Financing
Monitoring & Evaluation
Human Resource
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October 2007
Policy
framework
Questionnaires for Mapping and
Assessment
– No 1
– No 2
– No 3
– No 4
– No 5
– No 6
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Partners
Ministry of Health
Programs
Central medical stores
Regional Stores
Health facilities
2007
Stage 2: In-depth assessment (1)
 Steps to follow
1. Selecting the geographical areas
2. Selecting health facilities
3. Selecting data collectors
4. Training data collectors/pre-testing tool
5. Data collection
6. Data entry, processing, analysis and reporting
7. Presentation of findings
8. Printing and disseminating the report
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Significance for MOH
 To have an advocacy tool, an information link and feed back to
support national planning/strategy for a coordinated, coherent and
efficient national medicines supply system.
 To mobilize resources for under served programme areas within the
macro frame of the sector needs
 To schedule procurement priorities, facilitate forecasting and
maintain an un-interrupted supply chain
 To ensure full supply and security for essential medicines
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Significance for Partners
 Provide advocacy tool to prioritize investments in procurement.
 Targeted support to address gaps identified towards strengthening capacity of the
Procurement and supply management systems
 Provide information to monitor progress and plan for future support.
 Enable strengthening of procurement processes and sharing procurement
information
 Keep program managers informed on gaps in respective procurement plans and
monitor implementation
 Have a platform to coordinate procurement and distribution of medicines among
partners
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2007
The way forward
 Maximize benefits from donors and partners
– Functional Country working group lead by MOH with
all Partners
 Identifying cross-cutting areas for greater
collaboration and improving the system
– Developing tools for quantifying and forecasting
– Assisting the preparation of national procurement and
distribution plans
– On the job training of personnel on effective supply chain
management
– Strengthening management information system
TCM/MPM 11 October
2007