The goal of warehouse operations is to satisfy client needs and requirements while effectively utilizing space, equipment, and labor. Warehouse management refers to the monitoring, control, and optimization of warehouse and transportation systems. The objectives of this assessment were to review the existing warehouse management system, including space, equipment, tools, and processes, and identify key requirements and technical specifications for the implementation of WMS technology that is tailored to the Republic of the Philippines’ public health supply system needs.
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.
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.
Financing for the Procurement of Medicines and Supplies for the Diagnosis and Treatment of HIV/AIDS in the Dominican Republican
In 2012, the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program carried out a study that concluded there was a USD 2.5 million financial gap for providing antiretroviral therapy (ART) to 22,440 patients who were hoped to be covered in 2013. This estimate included an expanded security stock that would avoid scarcities caused by delays in purchases or shipments. The presentation and discussion of this study with authorities and specialists from the Ministry of Public Health (Ministerio de Salud Pública, or MSP), the National Council on HIV/AIDS (Consejo Nacional del VIH/SIDA, or CONAVIHSIDA), and international aid agencies allowed the referenced financial gaps to be closed by means of better price negotiation with international suppliers and the first-time allocation of USD 1.9 million for the purchase of ARVs in the MSP budget. In 2013 only USD 350,000 was required from PEPFAR to cover shortages in supplies.
This guide will assist program managers, service providers, and technical experts when conducting a quantification of commodity needs for the 13 reproductive, maternal, newborn, and child health commodities prioritized by the UN Commission on Life-Saving Commodities for Women and Children.
These 13 commodities have diverse characteristics: some are new products that are in the process of being introduced at scale and some are products that have been in use for many years but are under-used or not available when needed or in the recommended formulation. However, one commonality shared by all is the need to increase access to these commodities among the women and children who need or want them. A major component of access is availability and to ensure availability, accurate estimates of supply requirements are needed. At the global level, this information can inform both donors’ plans for procurement and manufacturers’ plans for production. At the national level, this information is also essential for budgeting, resource mobilization, and planning for procurement and supply chain operations.
Currently, accurate estimates of need are unavailable for many of the 13 commodities at either the global or national levels. Therefore, many of the Commission’s work plans have included activities related to collecting this information through market sizing or quantification exercises. The Commission’s 2012 report also notes that improved quantification efforts are needed as part of supply chain improvement. This guide provides practical guidance on estimating the quantities of supplies needed by programs as part of a national quantification exercise. While this guidance was developed primarily for public sector and NGO programs, the methodology presented could also be relevant for forecasting commodity needs for the private sector.
This is the updated version of the guide, published in January 2016. The original was published in 2014.
Procurement Planning for Medicines and Supplies in the Public Health System of the Dominican Republic
Until 2010, the estimates and planning for the purchase of medicines and supplies in the public sector of the Dominican Republic were carried out in each individual health establishment without a standardized methodology. Within the framework of implementing the Integrated System for Medicine and Supply Management (Sistema Único de Gestión de Medicamentos e Insumos, or SUGEMI), the National Medicine and Supply Management Unit (Unidad Nacional de Gestión de Medicamentos e Insumos, or UNGM) of the National Health Service (Servicio Nacional de Salud, or SNS), with the support of the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, began using a standardized methodology for national planning exercises for purchasing in 2011. These exercises necessitated first development of a manual for estimation and planning of purchases (Manual de Estimación y Programación para la Compra) and subsequently catalogs of medicines, medical-surgical supplies, and laboratory reagents and equipment.
How Public Funds Were Spent on Procurement of Medicines in Ukraine’s Hospitals: Interim Analysis for the Ministry of Health, Ukraine
Pharmaceuticals may constitute as much as 40% of the health care budget in low and middle-income countries, yet large portions of the population may lack access to even the most essential medicines. The limited public sector funds are frequently spent on ineffective or unnecessary medications. An analysis of past spending patterns on procurement of medicines will help the Ministry of Health policymakers and key government stakeholders in Ukraine for decisions on adopting the national Essential Medicines List (EML) in practice.
The purpose of this technical brief is twofold:
- To demonstrate the need to rationalize limited public funds for maximum health impact.
- To emphasize the need for proper selection of medicines based on WHO recommendations and the rationale for an EML as the sole basis for public sector procurement in Ukraine.
After summarizing high-level data analysis, this technical brief also takes a close look at insulins and analogues that account for the most expenditure.
This [report] is extremely useful. We need to use this information for the purpose of reforming the procurement system as well. The EML has become even more necessary now.”
– Dr. Ihor Perehinets, Deputy Minister of Health of Ukraine
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.
UNITAID is a global health initiative, established to provide sustainable, predictable, and additional funding to significantly impact market dynamics to reduce prices and increase the availability and supply of high-quality commodities for the prevention, diagnosis, and treatment of HIV and AIDS, malaria, and tuberculosis (TB), primarily for people living in low-resource settings.
The SIAPS Program supported the development of this guideline, which informs grantees of the principles, norms, standards, and procedures that apply when UNITAID funds are used for procurement. Recognizing the importance of harmonizing UNITAID’s procurement approach with established international best practices, this guideline is the result of a comprehensive desk review of the procurement practices of other organizations including, but not limited to, the Global Fund, WHO, the World Bank, and UNICEF.
The introduction of framework agreements for the 2015 public health care procurements in the Poltava and Dnipropetrovsk oblasts of Ukraine reduces the risk of stock-out and helps employees more efficiently use their time by creating more flexible, shorter procurement procedures, while decreasing the opportunity for corruption. These framework agreements, the first to be used for […]
- Rapport de quantification des produits de la santé reproductive, maternelle, néonatale et infantile pour la période de janvier 2017 à décembre 2020
La présente activité avait pour objectif d’apporter un soutien au Ministère de la Santé et de l’Hygiène publique (MSHP) pour […]
Project dates: September 2012 – December 2016
The Department of Health-Pharmaceutical Division (DOH-PD) and National TB Program (NTP) in the Philippines adopted the web‐based application Pharmacovigilance Monitoring […]