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.
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Manuel de procédures de gestion des achats et des stocks des produits de santé de lutte contre le VIH/SIDA
Ce manuel de procédures de Gestion des Achats et des Stocks (GAS) des produits de lutte contre le VIH/Sida vise à décrire d’une manière synthétique les procédures à suivre par le GTC-CNLS, la Centrale Nationale d’Approvisionnement en Médicaments et consommables médicaux Essentiels (CENAME), les Centres d’Approvisionnement Pharmaceutique Régionaux (CAPR) et les Formations Sanitaires (FOSA) lors des activités liées à la gestion des achats et des stocks des produits de santé de lutte contre le VIH/Sida acquis dans le cadre de la subvention de la série 10 du Fonds mondial de Lutte contre le VIH/SIDA, la Tuberculose et le Paludisme.
Guidelines for Redistribution of Excess and Near-Expiry Essential Medicines between Public Health Facilities in South Sudan
The increased shortages and stock-out of essential medicines have raised the need to understand the causes of medicine expiries and subsequently develop strategies for their prevention and management.The MOH has developed this document to empower health workers at all levels to redistribute medicines and supplies that are not needed or are about to expire. Therefore, the procedures presented in this document should be used as a guideline to manage and execute the redistribution of essential medicines by technical staff and health managers at health facilities and program levels.
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.
Medicine prices are a contentious issue, with many products arguably unaffordable, even in developed countries, where, on average, approximately 10% of the health budget is spent on medicines. But in low- and middle-income countries, that figure is usually substantially higher, reflecting both limited resources and generally inefficient public health systems. Given that a sizable proportion of the population usually pays for medicines out of pocket, high medicine costs disproportionally affect the economically disadvantaged and are more likely to impair patient access to effective treatments in poorer communities.
The final price for the paying customer—whether the patient, the public health service, or an insurance company— is compounded by all activities involved in the development, production, procurement, and distribution of the medicine. This report will focus on only those activities that are under the control of the Government of Ukraine, that is, procurement and distribution. However, it is worth mentioning that development and production costs—activities that are undertaken by private companies and that are often used to justify high prices—are currently under international scrutiny, with recent studies showing that pharmaceutical companies spend more on marketing than on research and development.
Le Gouvernement de la République du Mali a fait de la Pharmacie Populaire du Mali (PPM) un outil privilégié de l’exécution de sa politique nationale pharmaceutique en matière d’approvisionnement, de stockage et de distribution des médicaments essentiels, et dans ce cadre des engagements ont été pris par les parties prenantes, à travers un cadre juridique : le Contrat-plan entre l’État et la PPM. Pour une meilleure mise en œuvre du Contrat-plan, la PPM a élaboré un plan stratégique de cinq ans (2015 à 2019) dont la performance sera régulièrement évaluée, à travers les résultats obtenus dans la mise en œuvre de plans d’action annuels. Ce document est le tout premier plan stratégique de la PPM ; il a capitalisé ses acquis et arrivera à bout de ses défis pour exceller dans l’acquisition, le stockage et la distribution des médicaments essentiels, des dispositifs médicaux et des réactifs, à travers la pyramide sanitaire, à des coûts abordables.
Warehouse Improvement Plan and Draft Operating Procedures for the Central Warehouses of the Directorate General of Health Services and the Directorate General of Family Planning in Bangladesh
This report summarizes technical findings and recommendations to assist two important supply chain management organizations that support the Government of Bangladesh’s (GOB) Ministry of Health and Family Welfare (MOHFW). The first organization— the Ministry’s Central Medical Stores Depot (CMSD)—is headquartered in Dhaka. It serves as the central procurement and distribution arm of the Directorate General of Health Services (DGHS). The second organization—the central warehouse (CWH) of the Directorate General of Family Planning (DGFP)—is also located in Dhaka. It supports the DGFP’s family planning and reproductive health commodity storage and distribution requirements.
This report estimates the cost of the Kenyan and Beninese distribution networks for artemisininbased combination therapies (ACTs) and rapid diagnostic tests (RDTs) in the public sector. Based on this work, we created an extrapolative model to allow donors and country budget planners to quickly and effectively estimate distribution costs for country roadmaps. This model is presented in a separate document.
This report achieved four objectives: (1) allow accurate costing for the delivery of malaria commodities to the end user, (2) allow accurate planning and budgeting, (3) provide realistic estimates of distribution costs for inclusion in roadmaps and proposals, and (4) inform policy discussion by improving the accuracy of costing for ACT and RDT supply chains.
In this issue:
- Enhancing the Capacity of Namibia’s CMS Staff in Pharmaceutical Warehousing and Distribution
- Improving OVC Service Delivery by Building the Capacity of CSOs: CAFO’s Experience
- Assuring Safety of Antiretroviral Medicines Through Sentinel-based Pharmacovigilance in Namibia
- Creating Medicines Inventory Management Champions to Support Decentralization of Antiretroviral Treatment Services in Namibia
- Namibia’s National Health Training Center Develops a Manual for Sustaining the Quality of Pharmacy Assistants’ Training
- SCMS Contributes to Improved Availability of Antiretroviral Medicines in Namibia
- Utilizing Dispensing Data in Making Decisions on Improving the Quality of Service Delivery at Antiretroviral Therapy Sites in Namibia
This series of briefs, commissioned by the Supply and Awareness Technical Reference Team (TRT) of the United Nations Commission on Life-Saving Commodities for Women’s and Children’s Health (UNColSC), aims to share some of the promising practices and tested solutions from Every Women Every Child (EWEC) countries. The promising practices in these briefs provide ministries of health and their partners with specific guidance on ways in which other EWEC countries have addressed specific supply chain barriers and challenges. Although the focus of this series is on improving access to the 13 life-saving commodities identified by the Commission, the Supply and Awareness TRT has adopted a holistic approach to in-country supply chain strengthening. A strong supply chain design, as illustrated in the examples and case studies included in this document, supports the availability of all commodities, including the priority commodities named by the Commission.
This series of briefs focuses on five key domains and two cross-cutting areas, documenting more than 30 proven or promising practices and related case studies.
- The Use of Pharmaceutical Information for Decision Making in Namibia's National ART Program: Assessment Report
SIAPS conducted this assessment to determine the extent to which pharmaceutical information generated from the Electronic Dispensing Tool (EDT) and […]
The Directorate of Drugs and Medical Supplies (DDMS) plays a key role in providing technical guidance and setting strategic direction […]
- Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program Inventory of Key Technical Resources
The main purpose of this inventory is to serve as a reference to help stakeholders working in the pharmaceutical sector […]