tbs 2008-h. tata & m. babaley mapping and in-depth assessment of medicines procurement and...

TBS 2008-H. Tata & M. Babaley

Mapping and In-depth Assessment of Medicines Procurement and Supply Systems

Mapping and In-depth Assessment of Medicines Procurement and Supply Systems

WHO Technical Briefing Seminar

17th -21st November 2008

Helen Tata/Magali Babaley

Essential Drugs and Pharmaceutical Policies

World Health Organization


Outline of Presentation Outline of Presentation

1. Background

2. Objectives

3. Methods, tools and steps to follow

- Mapping

- In-depth assessment

4. The way forward


Background 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


The Procurement ProcessThe 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.


Mapping and in-depth assessmentMapping 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


Methods 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


1st Stage:Mapping Procurement systems

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


2nd Stage: In-depth Assessment of Medicines Procurement systems

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:

– Selection

– Quantification

– Procurement

– Storage/stock management

– Distribution

– Quality Assurance

– Rational Use

– Financing

– Monitoring & Evaluation

– Human Resource

– Policy framework


Questionnaires for Mapping and Assessment

Questionnaires for Mapping and Assessment

– No 1 Partners

– No 2 Ministry of Health

– No 3 Programs

– No 4 Central medical stores

– No 5 Regional Stores

– No 6 Health facilities


Stage 2: In-depth assessment (1)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


Significance for MOHSignificance 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


Significance for PartnersSignificance 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


The way forwardThe way forwardMaximize 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

tbs 2008-h. tata & m. babaley mapping and in-depth assessment of medicines procurement and...

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