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Transparency and Accountability in the Supply of Medicines'

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Medical. Stores Limited. CPs. Procurement Technical. Working Group ... for each health facility against which supplies procured' from medical stores ... – PowerPoint PPT presentation

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Title: Transparency and Accountability in the Supply of Medicines'


1
Country commitment to improving accountability
for supply of essential medicines
  • Transparency and Accountability in the Supply of
    Medicines.
  • MeTA expert consultation meeting
  • London 28th February 1st March 2007
  • Bonnie Fundafunda

2
The problem
  • The Problem
  • Availability of essential drugs and supplies in
    Zambias public health sector is a continuing
    problem due to a combination of problems that
    include
  • Lack of an agreed procurement policy
  • Lack of a single, MOH- led procurement strategy
  • Lack of an integrated procurement approach
    (MOHdonors,NGOs, vertical programmes)
  • Lack of credible data and information for
    procurement planning
  • Poor forecasting
  • Funding structures and arrangements not always
    able to support procurement
  • Procurement arrangements with suppliers not
    effective

3
The problem
  • Poor fund management and use at MOH
  • Non- compliance to basic procurement rules and
    regulations
  • Weak regulatory infrastructure / underpinnings
  • Poor use of advisory services from cooperating
    partners
  • Problems exacerbated by drawn- out MOH
    restructuring process
  • These problems resulted in regular emergency
    procurement activities with high costs

4
A solution
  • MOH and Cooperating Partners (CPs) came up with a
    system, Drug Supply Budget Line (DSBL) that would
    result in addressing factors creating a poor
    procurement and supply environment in the public
    health sector

5
A solution
  • The drug basket or drug supply budget line (DSBL)
    has been identified as the means to achieving a
    transparent, accountable and therefore efficient
    procurement and supply management platform at
    MOH, resulting in the continuous availability of
    affordable essential drugs supplies

6
The DSBL Secretariat Liaison, Coordinating,
Supporting and Action
Medical Stores Limited
Procurement Supply Unit

Pharmacy Unit
DSBL Secretariat
CPs
Finance/ Accounts
Procurement Technical Working Group
Other MoH Dpt
7
The logo!
8
System changes
  • Re- establish firm procurement platform
  • Take a more collective approach to procurement
    and selection and introducing of operational
    systems
  • Review HR requirements through out supply chain,
    specifically for data handling, decision- making
    and reporting
  • Early planning, and early procurement as opposed
    to emergency procurement
  • Establish MOH- led procurement plan and
    procurement strategies
  • Joint- planning, liaising and coordinating with
    all MoH departments and partners linked to,
    supporting or conducting procurement
  • Establish better working arrangements and
    relations with industry
  • Establish a communication platform through- out
    MOH platform (online, phones)
  • Establish regular reporting to the Procurement
    Technical Working Group (of GRZ CPs)

9
System changes
  • (b) Procurement arrangements
  • Target continuous availability of essential drugs
    and medical supplies in supply chain
  • Coordination and liaison with stakeholders at MOH
    (eg, Clinical Care/Diagnostics, etc) when
    triggering procurement
  • Establish long- term framework arrangements with
    local and international suppliers of goods and
    services
  • Take partnership approach with CPs, NGOs and
    industry
  • Support the national regulatory authority

10
System changes
  • (c) Fund management
  • Work with Ministry of Finance and National
    Planning and enable to recognise its role in
    public health
  • Advocate for early and significant release of
    funds against Health budget
  • Establish transparency in management of Govt of
    Zambia / CP funds, through establishing a
    dedicated DSBL Drug Account for procurement of
    goods and services
  • Establish policy of ring- fencing of funds
    dedicated for procurement of drugs / medical
    supplies and services
  • Set up virtual budget for each health facility
    against which supplies procured from medical
    stores

11
The Drug Supply Budget Line (DSBL)
  • The DSBL therefore aims at increasing efficiency
    in procurement and supply chain management. It
    will do this through strengthening drug
    security
  • Firm procurement planning and commitment to
    Annual plans
  • Firm financing
  • Transparent procurement arrangements
  • Accountability through self- auditing mechanism

12
(No Transcript)
13
Cheers!
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