national psm coordination mechanism dr vincent habiyambere who/hiv department aids medicines &...
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National PSM Coordination Mechanism
Dr Vincent HabiyambereWHO/HIV Department
AIDS Medicines & Diagnostics Service (AMDS)Bangkok, 25-30 July 2005
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Background
6 M people need ART but only 12% have access to it: 1 M in June 2005: significant progress compared 400 000 in December 2003.
This was possible thanks to national and international commitment: the GFATM, bilateral (PEPFAR, ESTHER, DFID, CIDA, etc.), Multilateral (MAP, TAP, WB, etc.), civil society, etc.
Scale-up of the number of people on ART to reach the 3 by 5 Target:• Overstretches not only the health systems but also the national
procurement and supply management (PSM) systems• Introduces the concept of "full supply" required for the treatment of
acute and chronic care: over 100 commodities needed for the management of HIV/AIDS.
• Offers opportunities to improve the national PSM systems and to increase access to essential drugs: ex. TB and malaria drugs.
There are many stakeholders operating at global, regional, national and sub-national levels Hence the need for coordination or at least collaboration.
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At global levelAMDS Partners UN Agencies
• WHO (HIV, TCM, PSM, RO & COs), UNICEF, World Bank, UNAIDS, UNFPA, UNDP.
Technical organizations and donor agencies• Centrale Humanitaire Medico-Pharmaceutique, Clinton HIV/AIDS
Initiative, Commonwealth Pharmaceutical Association, Crown Agents, Ecumenical Pharmaceutical Network, GFATM, IDA, JSI, MSH, ESTHER
Observers• MSF, US State Department (OGAC/PEPFAR), USAID, Bill and
Melinda Gates Foundation
Secretariat• AMDS unit of HIV Department of WHO
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4AMDS
AMDS partner functions Procurement
UNICEF, IDA, CHMP and WHO/CPS on a competitive basis• Stockpile development
"Normative"• Prequalification• Monograph development• Forecasting and quantification tool development• Supply chain management system development• ………………
Operational• Country level staffing• Capacity building at country and regional levels
• PSM training (Nairobi, Addis Ababa, Arusha, Abuja, Beirut, Honduras, Barbados, Bangkok, Johannesburg, Pretoria, DKR, etc.)
• Technical support to countries: ex. joint country missions
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5AMDS
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6AMDS
AMDS: The repository of PSM information and tools for HIV/AIDS…….
http://www.who.int/3by5/amds/en/
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7AMDS
Global price reporting mechanismhttp://www.who.int/3by5/amds/gprm/en/index.html
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8AMDS
The PSM partners at country level
What are the partner institutions involved in PSM in your country ?
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The PSM partners at country level
How these partner institutions are coordinated or what are the PSM areas in which they are collaborating?
What is the coordinating body?
Areas in which collaboration has occured?
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National PSM Coordination ( e.g. Kenya )
WHO: HIV NPO/3by5 Officer, EDM NPO
GFATM
WB
PEPFAR
JSI
KEMSA
MEDS CEDMAP
Other
AMDS – HQ
RO staff
MOH: NASCOP or Nat'l Drugs Programme
MSH
FHI
UNICEF
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National PSM Coordination BodyPossible activities
Regular information sharing on PSM• Current activities• Strategic info (e.g. sources and prices, patent status, local
production capacity, quantities procured, stock in hand, etc.) Harmonization of country-level PSM planning, implementation
& reporting mechanisms• One LMIS for drug management for multiple donor streams
Training & Implementation Tools• Common approaches for product selection, rational drug use,• Harmonise LMIS and monitoring/reporting tools• Facility-level guidelines on stock management and reporting• Jointly forecast national needs• Common Programme M&E tool.
Common agenda to address HR gap in pharmaceutical sector: coordinate training activities, common incentive policies.