Ce document est le rapport d’analyse détaillée des exigences pour l’automatisation des opérations de la PCG avec SAGE L100 i7 et SAGE Paie. Il a été élaboré par la PCG et S2IT avec l’appui technique du projet SIAPS à travers un atelier et des visites de collecte d’information dans les services de la PCG. Il décrit les processus opérationnels tels qu’ils sont à la PCG, liste les exigences de chaque processus et précise le paramétrage à réaliser dans les applications SAGE par S2IT pour satisfaire ces exigences.
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This guide is designed to take country-level pharmaceutical and financing experts through the System of Health Accounts (SHA) framework as a potential approach that can be adapted to track pharmaceutical expenditures. The guide also reviews important first steps that must be considered to operationalize pharmaceutical expenditure tracking. It is intended to serve as a foundation for a wider conversation about pharmaceutical expenditure tracking approaches and to bring attention to key normative issues including expenditure definitions and boundaries that will need to be addressed before full-scale implementation guidelines for pharmaceutical expenditure tracking can be fully adopted.
This report presents highlights of SIAPS’ work to capacitate health workers on proper pharmaceutical service delivery and stock management over a four-year period (2012 to 2015). SIAPS did a baseline assessment at health facilities (HF) in 2012, and then from 2013 to 2015, its technical advisors provided assistance to address the identified performance gaps. The objectives of this evaluation were to document results achieved from implementing mentorship and supportive supervision (SS) visits in supply chain management and pharmaceutical services; and present lessons learned from the implementation of these visits.
Ethiopian National Health Insurance Scale-Up Assessment on Medicines Financing, Use, and Benefit Management
An assessment on current pharmaceutical financing, SHI and CBHI medicines coverage, and public and private sector medicines prescribing and dispensing and their costs was conducted. The SCMS program conducted an assessment that addressed the supply chain and public-private partnership implications of the expected increased demand for quality medicines and related health supplies.
This report presents the findings from the SIAPS assessment, the implications for preparing a proof of concept for launching and implementing the SHI scheme, and the potential for opportunities to engage the private sector.
The SIAPS Program provided technical assistance to analyze recent NDSO operational costs and income trends and provide guidance on adjustments to existing markups to optimize the organization’s operational liquidity to sustain quality services and products. The study team analyzed or calculated selected financial and operational performance indicators from data in NDSO department reports, in annual financial statements (for the past five years), or extracted from NDSO’s information system, the RxSolution database.
Systems thinking is now a widely accepted concept in global health. Governments, donors, and other actors in global health recognize that guaranteeing the availability of medicines is a necessary, but insufficient component to improving health outcomes. Rather, medicines availability must be bolstered by other components, such as ensuring that quality medicines are available and prescribed and dispensed appropriately by health care workers; patients must also use medicines properly. In order to achieve improvements in health for their populations and address health inequities, governments and donors must invest in strengthening health systems. A health system depends on its subcomponent, a pharmaceutical system, for the continuous availability of safe, effective, and affordable essential medicines and other health technologies of assured quality to deliver effective health interventions that improve health outcomes. This is in alignment with USAID’s Vision for Health Systems Strengthening (2015-2019). To this end, the USAID-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program focuses on achieving positive health outcomes by assuring the availability of quality pharmaceutical products and effective pharmaceutical services.
To assess the readiness and willingness of retail drug dispensers in the private sector to participate in TB case detection, SIAPS conducted a baseline survey among pharmacies and accredited drug dispensing outlets (ADDOs) in the regions of Morogoro and Dar es Salaam. Drug dispensers in 122 pharmacies and 173 ADDOs were surveyed to assess TB knowledge and practices, and to inform the development of appropriate interventions to address gaps.
Evaluation and Expansion of Community Case Management of Malaria to Support Informed Decision Making
Working in partnership with the leadership at the MOH and the National Malaria Control Program (NMCP), SIAPS helped develop protocols and job aids for CHWs to guide them in the key steps of case management, and supported initial and refresher trainings for over 520 CHWs from the two districts. To ensure that health facilities also had sufficient capacity to provide effective support to the CHWs, SIAPS conducted additional trainings with health facility and district-level staff to create a network of support for the CCM pilot. SIAPS also helped establish a mechanism to collect and use data coming out of the pilot by building the data collection and analysis capacity of CHWs and health facility staff, and by developing a database at the district level to aggregate data from each health center. Additionally, SIAPS ensured the CHWs had the necessary equipment to provide effective CCM, including mobile telephones, bicycles, commodities boxes, gloves, cups, and spoons.
Coordinated Quantification of Health Commodities Helps Increase Availability of Medicines in Swaziland
Swaziland, working to combat two concurrent epidemics of HIV and tuberculosis (TB), has recently intensified nationwide HIV testing and TB case finding campaigns. However, these efforts have been hampered by routine stock-outs of key TB, laboratory, HIV and AIDS, and other health commodities. In December 2011, 50% of tracer products were stocked out at the central level, while 23% of tracer products were stocked out at health facility warehouses. The challenge of maintaining a consistent supply of commodities threatens not only current efforts to help curb the HIV and TB epidemics, but may also erode the progress made to date toward advancing prevention, diagnosis, and treatment services. The rapid scale-up of these programs as well as fiscal challenges in the health sector, have exposed weaknesses related to procurement and supply chain systems.
Absence of coordination mechanisms, lack of comprehensive guidelines, vertical programs and systems, and duplication of procurement practices impede effective procurement of medicines and health products in developing countries, frequently resulting in either too few or too many products on hand. In many low- and middle-income countries, such as Bangladesh, the logistics and management capabilities and systems are not sufficient to meet basic globally accepted standards and norms. However, pharmaceutical logistics management units offer a platform to help ensure not only a continuous supply of medicines and health supplies, but also coordinate procurement activities across the range of stakeholders involved, and build donor support by providing accurate data for decision making.