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Medicines Supply Systems strengthening : Challenges. Dr Magali Babaley, Dr Helen Tata, Dr Helene Moller Essential Medicines and Pharmaceutical Policies Department (EMP) TBS 16-20 November 2009. Medicines supply systems strengthening Activities of Medicines supply unit:. - PowerPoint PPT Presentation
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TBS 16-20 November 20091 |
Medicines Supply Systems strengthening :Challenges
Dr Magali Babaley, Dr Helen Tata, Dr Helene MollerEssential Medicines and Pharmaceutical Policies Department (EMP)
TBS16-20 November 2009
TBS 16-20 November 20092 |
Medicines supply systems strengtheningActivities of Medicines supply unit:
Mapping of medicines supply systems
Support the Ministry of health to map out all partners/actors involved in medicines procurement and distribution and financial flows.
"Who do what and how"
Use evidence as basis of advocating strategies to strengthen coordination and alignment of partners involved in the supply system.
Countries : Cameroon, Senegal, Rwanda, Burundi, Mali, Congo-Brazzaville, DRC, Ghana, Nigeria, Tanzania and Zambia
Source Of Funds
Procurement Agent/Body
Point of 1st warehousing
Point of 2nd warehousing
MEDICAL STORE
Medicines supply systems in TANZANIA. 2007
PRIMARY HEALTH CARE FACILITYDISTRICT STORE
ZONAL MEDICAL STORE
ESSENTIAL MEDICINES
ARVs MALARIA TB OIARVs Ped
REAGENT Blood safety(+ HIV test)
VACCINES CONDOMS CONTRACEPTIVESMEDICALSUPPLIES
REGIONAL/DISTRICT VACCINE STORE
HEALTH FACILITY
GOVERNMENT
MULTILATERAL DONOR
BILATERAL DONOR
NGO/PRIVATE
AXIOSTEC &CC
T
CRS IMA CUAMMHOSPITAL COLUMBIA HOSPITAL
TEC &CC
T
HEALTH FACILITY
HEALTH FACILITY HOSPITALTEC &CC
T
ZONAL BLOOD SAFETY CENTRE
Point of Distribution
GOVERNMENT
WBGLOBAL
FUND
SIDA
PEPFAR
USAID
UNICEF
WHO
ABBOTT
CSSC
COLUMBIA
PFIZER
JICA
CLINTON
UNITAID
CIDA
CDC
GAVI
CUAMM
HAVARD
NORAD
HOSPITAL
TEC&
CCT
CLINTON
HAVARD
MEDICALSTORE
CRS
SCMS
EGPAF
MOH& SW
AXIOS
UNICEF
JICA
CDC
COLUMBIA
ABBOTT
GAVI
CUAMM
CROWNAGENTS
USAID
TMAP
AXIOS
United Republic of Tanzania
PATIENT
TBS 16-20 November 20094 |
Medicines supply systems strengtheningActivities of Medicines supply unit:
In depth assessment of medicines supply systems
Support the Ministry of health to carry-out an in-depth assessment of the national medicines supply management system (performance indicators for all the components of the medicines supply management cycle are measured) in order to:
– determine strengths and weaknesses at each level of the system (central, regional, peripheral),
– Identify gaps in the system and proposed strategies to fill in the gaps.
Countries : Cameroon, Senegal, Rwanda, Burundi, Mali, Congo-Brazzaville, DRC, Ghana, Nigeria, Tanzania and Zambia
TBS 16-20 November 20095 |
Medicines supply systems strengtheningActivities of Medicines supply unit:
In collaboration with partners, regional blocks, collaborating centres etc… to ensure effectiveness, accountability and transparency of procurement and supply management system:
Develop and implement strategies to increase the alignment of aid
Support the implementation of a national coordination mechanism in-country (forecasting, financing, disbursement, monitoring-evaluation, training…)
Support the harmonization and the standardization of the technical and financial procedures for procurement among partners
TBS 16-20 November 20096 |
Medicines supply systems strengtheningActivities of Medicines supply unit
Support the implementation of the "Model quality assurance system for procurement agencies" at the national procurement agencies level, including prequalification of suppliers.
A standardized tender document for medicines pre-selection has been developed by ACAME (Association of 19 procurement agencies from French speaking African countries). A strategy of pooled medicines prequalification is developing by ACAME
Develop norms, standards and good practices, using an harmonized approach, to support and monitor capacity building and increase transparency
– Guidelines for drug donation (revised 1999) : revision in process– The Interagency emergency health kit (2006) : revision in process
TBS 16-20 November 20097 |
Improving ACCESS to QUALITY Reproductive Health
Essential Medicines and Medical Devices
COMPREHENSIVE APPROACH – PATH, WHO RHR, UNFPA
Update of treatment guidelines
Harmonise Essential Medicines Lists, globally and nationally
Ensure access to latest information
Harmonise quality standards for priority items– Prequalification of condoms, IUDs, hormonal contraceptives
Strengthen capacity at country level to procure and supply quality medicines and medical devices
TBS 16-20 November 20098 |
Improving ACCESS to QUALITY Reproductive Health
Essential Medicines and Medical Devices
ACHIEVEMENTS
The Interagency List of Essential Medicines in Reproductive Health published and updated in 2006
Interagency List of Essential Medical Devices published in 2008 – Working with UNFPA, WHO MPS, UNICEF, World Bank
to combine the two lists into one procurement list
Essential Medicines for Reproductive Health: Guiding Principles for their Inclusion on National Medicines Lists
PATH in collaboration with WHO/PSM, UNFPA and Partners, developed a “Tool Kit”, field tested in Malawi, Zambia
TBS 16-20 November 20099 |
Improving ACCESS to QUALITY Reproductive Health
Essential Medicines and Medical Devices
ACHIEVEMENTS
Prequalification (WHO QSM ) - 4th Expression of Interest published, 2 implants, combination injectables added
With UNFPA and key stakeholders – specifications for condoms and IUDs
– established a system for prequalifying (8 IUD, 55 condom approved)
WHO/RHR and Partners, the IBP Knowledge Gateway: Web-based resource
– "Frequently Asked Questions"
– Promote sharing and exchange of knowledge in and among countries by supporting virtual on-line Communities of Practice.
TBS 16-20 November 200910 |
Medicines supply systems strengtheningActivities of Medicines supply unit
Magali [email protected]
Helen [email protected]
Helene [email protected]
The Medicines supply team :
Thank you
