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Strengthening the Supply Chain Governance Framework for Pharmaceuticals and Health Products in the Philippines – Technical Brief

The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Project, funded by the US Agency for International Development, helps countries promote access to safe, quality, and cost-effective pharmaceuticals and health commodities by using a system strengthening approach that engages stakeholders, builds and strengthens existing health systems, or establishes a new one, if necessary. SIAPS strengthens pharmaceutical governance by working with the Department of Health and all in-country stakeholders involved in managing the supply chain to define roles, responsibilities, and accountability as well as to identify the critical steps moving forward to implement positive changes in the system. SIAPS ensures the involvement of all partners during the whole process. The overall goal is to promote stewardship for DOH and enable continuous, sustained progress.

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Strengthening the Supply Chain Governance Framework for Pharmaceuticals and Health Products in the Philippines

The Department of Health (DOH) is ultimately responsible and accountable for ensuring that Filipinos have access to quality health services. An effective supply chain is essential for DOH to ensure that lifesaving health products are available, accessible, and effectively used for clients.  Recently, the DOH has shown its commitment by creating the Supply Chain Management Unit (SCMU) in March 2016. SIAPS conducted a thorough desk review of previous assessments and DOH’s various internal SCM policies. SIAPS also helped coordinate meetings with various DOH offices to identify and validate current experiences in SCM and to obtain recommendations to strengthen SCM governance of DOH.

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Training on Pharmaceutical and Medical Commodities Supply Chain Management in Humanitarian Response Settings

Most NGOs and partners who work with OFDA face significant challenges in pharmaceutical procurement and supply chain management (SCM) as well as difficulties complying with OFDA policies, procedures, and funding/donation requirements. OFDA seeks to ensure excellence in its operations and programs and continues to push for significant changes to establish a humanitarian aid system that is more nimble, effective, and accountable. To accomplish this, OFDA requested technical assistance from SIAPS to develop training materials and facilitate two rounds of training for staff of its collaborating humanitarian aid partners and local and international NGOs. This training will help to ensure that appropriate procurement and SCM is implemented for the delivery of quality-assured pharmaceuticals and medical commodities to conflict-affected, internal, and cross-border displaced people. The objectives of the training program were to build the capacity of humanitarian aid partner staff on humanitarian SCM for the effective delivery of pharmaceuticals and medical commodities.

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Strengthening Governance in Procurement in Bangladesh

Despite being one of the most densely populated countries in the world, the overall health in Bangladesh has steadily improved over the last 30 years. While the Government of Bangladesh’s efforts have resulted in impressive gains in public health, weaknesses in pharmaceutical management, including logistics and supplies, infrastructure, and the low performance of health care providers, remain obstacles to obtaining access to efficacious medicines and quality health services, particularly for the poor. SIAPS has been working closely with the Ministry of Health and Family Welfare (MOHFW) since 2011 to implement a series of systems strengthening interventions to support the government’s health objectives. Using a systems-based approach, SIAPS catalyzes effective leadership, good governance, and evidence-based decision making to strengthen procurement and supply chain systems.

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Amélioration de la disponibilité et de l’accessibilité des produits et médicaments essentiels par l’opérationnalisation d’un système d’information pour la gestion logistique en Guinée

Malgré d’importantes ressources financières consacrées par le Gouvernement et les partenaires au développement pour renforcer la chaîne d’approvisionnement des produits de santé, des insuffisances majeures entravent le fonctionnement effectif du système de logistique en Guinée. Le programme SIAPS travaille avec le ministère de la Santé pour l’amélioration du système d’information. Dans le souci de rendre disponibles les données logistiques de routine pour des décisions plus éclairées, la DNPM et SIAPS ont pris la décision au second semestre 2016, de redynamiser le système de logistique intégrée avant la fin de l’année 2017. Trois actions majeures ont été abordées, à savoir : la révision annuelle des procédures du Système de logistique intégrée, la mise en œuvre du Manuel de procédures à tous les niveaux de la pyramide sanitaire et la mise en place d’une Unité de gestion logistique pour les produits de santé.

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Manuel de Procédures de gestion Logistique Intégrée des Produits Pharmaceutiques

Le ministère de la santé a mis en place un système d’approvisionnement en médicaments essentiels financé à terme par un système de recouvrement des coûts et en produits de programmes de santé cédés gratuitement à la population. Dans le souci d’une utilisation optimale des ressources, il est nécessaire de mettre en place des procédures et des outils de gestion standardisés pour atteindre les objectifs du système de logistique intégrée, d’où l’actualisation du manuel de gestion logistique développé en 2006 puis revu en 2010 en prenant en compte les spécificités liées aux programmes et à l’intégration des services. Le présent manuel a été élaboré en adoptant une approche simple et « essentielle » à travers une démarche graduelle. Il s’agira de notions et techniques claires pour les utilisateurs, utiles pour les prises de décisions à tous les niveaux et n’entraînant pas de charge de travail supplémentaire. Quelques innovations au système, telles que l’adoption d’un système de commande forcée et l’outil de prévention des périmés, permettront de relever les défis actuels.

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Strengthening the Pharmaceutical System in Sierra Leone after Ebola

SIAPS received two years of funding from the U.S. Agency for International Development (USAID) in September 2015 to provide technical assistance to rebuild and strengthen the post-Ebola pharmaceutical supply chain management system and improve the supply chain and rational medicine use in Sierra Leone. To support these goals, SIAPS provides technical assistance for systems strengthening activities including governance and leadership, supply chain management and information for decision making.

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Sierra Leone Project Update: Continuous Results Monitoring and Support System

In May 2016, SIAPS began helping Sierra Leone institute a Continuous Results Monitoring and Support System (CRMS) to assess baseline challenges in pharmaceutical management and regularly track and support improvement in key areas. The CRMS uses a series of indicators related to medicine consumption and availability, disease case management, storage conditions and practices, inventory control and human resources. SIAPS is using this approach in Sierra Leone to improve pharmaceutical management in all health facilities as part of the post-Ebola recovery effort. The CRMS approach includes forming and training team members, planning logistics, visiting health facilities, collecting and analyzing data, providing real-time support and mentoring, preparing reports, and bringing key stakeholders together to review results and plan future activities.

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SIAPS provides technical assistance to the Inter-Ministerial Commission on Medicines Availability in Swaziland

Upon receiving an invitation from the Right Honourable Prime Minister of Swaziland, Dr Sibusiso Barnabas Dlamini, SIAPS provided technical assistance to the task team appointed to examine the problem of inconsistent availability of essential medicines. Recent media reports and routine assessments conducted by the SIAPS Program indicated frequent stock-outs of essential medicines and medicinal supplies, […]

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Diagnostic des systèmes d’information de gestion logistique (SIGL) en Guinée

Le programme SIAPS travaille avec le Ministère de la Santé de la Guinée afin de renforcer les capacités de gestion de la chaîne d’approvisionnement pour un meilleur accès aux produits pharmaceutiques et aux services et afin d’améliorer également le Système d’information de Gestion Logistique (SIGL) à tous les niveaux du système de santé. Pour atteindre cet objectif, SIAPS, en collaboration avec son partenaire, VillageReach, a procédé à une évaluation ciblée du SIGL existant afin de fournir des recommandations pour améliorer le système actuel présent au sein du Système national d’information sanitaire (SNIS).

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