One of the constraints to effective control of neglected tropical diseases (NTDs) is that the needed medicines are often not available in sufficient quantities at service delivery points at the time of scheduled mass drug administration (MDAs). Supply systems for NTD drugs (NTDDs) differ from those for most other essential medicines in that NTDDs need to be delivered to selected endemic target sites on a defined schedule based on the frequency of the MDA, which could be once or twice a year. Consequently, NTDD supply chain systems need to be well designed and efficiently managed to ensure that health workers and communities have access to NTDDs and supplies, such as registers, medicines for managing adverse drug reactions (ADRs), height measuring poles, etc., at time of MDA. Availability of these items may be influenced by a variety of factors, including availability of the supplies at the central level, poor stock control, provider experience, economic influences, and transport. This guidance and standard operating procedures (SOPs) document will be valuable additional material for anyone who manages NTDDs—from program managers to service providers, community health workers (CHWs), community drug distributors (CDDs), teachers, technical assistance providers, and public- and private-sector partners. This document describes how to properly manage NTDD supplies throughout the supply chain and distribution process. The guidelines and SOPs serve as a reference document that NTD programs can use to review and enhance their own procedures for managing NTDDs and develop or refine their own SOPs to support the proper implementation of the supply chain components of MDA. These guidelines and SOPs are based on the assumption that countries already have the systems, structures, and processes in place to implement MDAs for NTDs.
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Guidelines and Standard Operating Procedures for the Supply Chain Management of Drugs Used in Mass Drug Administration of Neglected Tropical Disease Programs
Several partners and initiatives contribute to the control and elimination of neglected tropical diseases (NTDs) at the global level. However, deficiencies in the capacity of NTD programs to manage the donation, storage, and distribution of neglected tropical disease drugs (NTDDs) for mass drug administration (MDA) still remain. Working in tandem with partners, stakeholders, and NTD programs in priority countries, SIAPS provided the required coordination and technical expertise to advance the NTD control agenda and address issues and concerns of global initiatives as they relate to NTDDs.
Health Managers Workshop on Supply Chain Management for Mass Drug Administration for Neglected Tropical Disease
This workshop is designed to assist NTD national program officers and CMS program officers involved in the handling of NTDDs and related supplies at the national level. While it is designed to provide a comprehensive overview, it is not possible to anticipate all issues that may arise in the course of daily work. Therefore to provide insight into country experience, this workshop will provide ample opportunity for group discussions of lessons learned and best practices from participating countries. In addition, the NTD national program officers, CMS program officers and implementing partners should work collaboratively to reach decisions and/or solutions to challenges they are confronting, using the outcomes of this workshop as a guide.
Supply chain constraints plague current neglected tropical disease (NTD) prevention and treatment programs. The rapid expansion of NTD control activities has not been without pharmaceutical and health system challenges. Inadequate NTD drug management in many countries has resulted in excess stocks, leading to waste resulting from drug expiry or stock-outs, leading to treatment interruption. SIAPS has received funding from USAID to support the Senegal MoH in strengthening the systems for NTD pharmaceutical management. The purpose of the technical assistance is to undertake a rapid assessment of the NTD pharmaceutical management system and understand the integration efforts. Technical review and recommendations have been provided by SIAPS personnel based in the SIAPS West Africa Offices and the office in Arlington, Virginia. SIAPS held meetings with the MoH NTD focal points and supply chain managers to ensure efficient delivery of technical support to the NTD programs, cross fertilization, sharing of lessons learned, challenges, and recommendations and to ensure that the implemented interventions are of the highest technical quality that focuses on country objectives.
Assessment of Supply Chain Management Systems for Neglected Tropical Disease Drugs in Cameroon, Mali, Tanzania, and Uganda
The rapid expansion of neglected tropical diseases (NTD) control activities has brought about pharmaceutical and health system challenges. In most countries, the Ministry of Health (MoH) is responsible for the administration and operation of medicines supply and distribution and for providing district health administrations with funding from the national level. District health care responsibilities are to implement the national NTD policy, plan and manage mass drug administrations (MDAs), and oversee community administration of the NTD control programs. The purpose of assessing the pharmaceutical management and supply chain management (SCM) of NTD control programs for Cameroon, Mali, Tanzania, and Uganda was to learn about the programs, identify the gaps within their pharmaceutical management, and make recommendations for strengthening the system.
Project dates: 2012-2018
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