SIAPS final report showcases achievements across 46 countries. Interventions are described by intermediate results and health areas and demonstrate how SIAPS successfully worked with a range of stakeholders, including Ministries of Health, to bolster pharmaceutical systems and address country-specific needs.
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To learn more about SIAPS program activities worldwide, please read our annual report for program year 6.
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.
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.
Introduction of an Electronic Asset Management System in Bangladesh Health Systems: Completion of the Tool Pilot in Moulvibazar District Hospital
In Bangladesh, the government health facilities face a wide variety of health-related challenges and the Ministry of Health and Family Welfare (MOHFW) must have reliable and timely data on the performances of different parts of the health system to plan, implement, and measure health interventions. Even though the MOHFW procures a large number of medical and non-medical equipment, including IT equipment, there is no systematic process of deploying, operating, maintaining, upgrading, and disposing of those assets cost-effectively. This major part of the public-sector health investment was not addressed in previous health sector programs. The MOHFW worked together with SIAPS in 2016 to address the gap in systematic procedures. They developed and piloted an electronic Asset Management System (AMS) in the 250-bed Moulvibazar District Hospital (MDH) to manage assets in different facilities from registering stage to decommissioning.
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.
Pricing Guide, Medical Equipment: Prepared for the Ministry of Health and Family Welfare of Bangladesh
Medical equipment items are the most expensive material goods in a health care facility. As part of technical assistance from USAID-supported SIAPS (implemented by MSH) to ensure access to quality products, we have developed a standard table of organization and equipment (TOE) in collaboration with the Ministry of Health and Family Welfare (MOHFW). This TOE is a prerequisite tool of health care technology management for equipment used at 10-, 20-, 50-, 250-, and 500-bed health facilities.
This Pricing Guide (PG) provides reasonable and reliable information on medical equipment prices based on specifications mostly reflected in the TOE. The information in this PG builds on Central Medical Stores Depot (CMSD) data from past orders, local suppliers information, extracts from various websites, informed estimates based on past experiences and consultant’s own database .
We hope this PG will provide the necessary information about the estimated prices that might be required during planning and evaluation of the procurement of medical equipment to help the different components of the MOHFW’s procurement and supply management cycles make informed decisions when procuring medical equipment from different entities.
Using the pharmaceutical systems strengthening approach, SIAPS supported the GPPTC in three critical systems-strengthening areas. First, SIAPS facilitated the development and approval of provincial guidelines to establish pharmaceutical and therapeutics committees (PTCs) at all health facilities in Gauteng Province. The guidelines reinforce the governance mechanisms supporting the PTCs, outlining expected compliance to procurement practices and assessing pharmaceutical expenditures. Second, SIAPS strengthened human resources capacity through the implementation of a workshop on financial management for pharmacists, carried out in tertiary hospitals and at the district level. Third, SIAPS strengthened information systems through the implementation of financial reporting software at the depot level.
Closing the Financial Gap to Ensure Availability of HIV and AIDS Commodities in the Dominican Republic
SIAPS’ predecessor project, Strengthening Pharmaceutical Systems, worked with the government to establish the SUGEMI system to provide more accurate information on consumption, forecasting, pricing, and distribution. SUGEMI is an information system that is fully aligned with the country’s health sector reform process, compatible with the decentralized health sector, and designed to coordinate information across different vertical disease programs. These features were essential to promote the long-term sustainability and local ownership of the system.
Since its launch in 2003, the NHIS has been struggling to overcome and manage shortcomings in its medicines benefit program (MBP), which is under the overall operation of the National Health Insurance Authority (NHIA). Examples of identified deficiencies that need to be addressed include: frequency of the update of selected medicines; inadequacy of prices quoted by the NHIS for reimbursement; increased stock-outs of essential medicines at health facilities; a growing number of patients who occasionally have to pay out of pocket for medicines; and the rising value of medicines claims as a proportion of total claims.
To systematically address challenges in the NHIS’ MBP, it was important to undertake an assessment of its current management system to identify the causes, extent, and nature of the problems and to suggest remedial actions. To this end, with funding from USAID and in collaboration with key stakeholders, SIAPS conducted an assessment of the NHIS’ MBP. The findings and recommendations of the assessment will be used to guide the NHIA on strategies to improve the design of the MBP, and to strengthen medicines claims management, pricing, and reimbursement processes. This intervention was also done with the aim of enhancing the availability of medicines and acceptability of the medicines program by all stakeholders.
In Bangladesh, the Ministry’s Procurement and Logistics Management Cell (PLMC) made an assessment of the status of medical equipment that […]
There has been a long‐recognized need of Central Medical Stores Depot (CMSD) staff for a complete collection of documents representing […]
Project dates: September 2011–December 2016