Transcript Faith Based Organisations HIV/AIDS Work Survey

Multi country studies on drug supply
organisations
Learning objectives
By the end of this session, participants should be able to :
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have knowledge of the 2 on going multicountry studies conducted by WHO
be able to describe various strategies of
drug supply systems
Promoting use of effective medicines supply
strategies in Africa:
increasing access to best practices in
medicines supply
Multi-country studies on
(1) Faith-based drug supply organizations
(2) Public medicines supply systems
Sophie Logez, EDM/PAR, March 2004
Rationale for the multi-country studies
in Africa
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Lack of access to essential medicines (less than 50% in
some countries)
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Impact of new strategies to fight against high burden
disease on medicines supply systems (GFATM, 3x5
initiative…)
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Need to review public medicines supply systems in Africa
(strategies and reforms) to promote use of effective
medicines supply strategies in Africa
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Contribution of the faith based supply organization from the
Ecumenical Pharmaceutical Network (EPN)
(1) Multi-country study on
drug supply and distribution activities of
faith-based drug supply organizations
• Objectives
• Methodology
• Preliminary findings
Ecumenical Pharmaceutical Network – WHO collaboration
Objectives of Study
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Document the various experiences and
practices of faith-based (FB) DSOs
Strengthen the EPN’s technical capacity
to evaluate and compare drug supply
systems existing in the Network
Strengthen collaboration between
WHO/EDM and EPN (WCC) in their
official relationship
Study methodology
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Descriptive cross sectional study
Sample: 16 Drug Supply Organizations (DSO)
participating in the EPN in 11 African countries
(reviewed by December 03)
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Data collection tool: 4 structured questionnaires
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Data collection: Paired country assessments by
Faith Based DSO staff
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Data management: database, country reports,
global report
(Government, funding bodies, DSO and clients)
er
oo
n
Nige ria
Ca
m
Ghana
Nigeria
Tanzania
Kenya
Uganda
Malawi
Zambia
Sth Africa
Cameroon
Rwanda
DR Congo
Ghana
11 Selected countries
Rw and a
Ug
an
da
Ke nya
Con go D R
Tanzania
Zambia
So uth Africa
Ma law i
Preliminary findings
Role of DSOs
 Sustainability of DSOs
 Procurement (sources and prices)
 Customer’s opinion
 Government’s view
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Role of Faith Based DSOs
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FB DSOs fill supply gaps left by
Government supply systems:
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overall public health sector: up to 40%
in rural areas: up to 80 - 90%
Procurement (S&P)
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One supplier set different conditions in
the network of Faith Based DSOs, in
terms of:
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Prices
Credit terms and conditions
Delivery times
Sustainability of Faith Based DSOs
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Revolving drug fund mechanism affected by:
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Drug donations distributed free-of-charge
 depressed DSO sales
 caused stock wastage and loss
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Reduced drug budget
 internal financial borrowing
 financial contributions to founding bodies
Customers’ opinion
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Medicines requests not always met
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quantities
range of items
Need for technical assistance
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regular supervision
training support
Governments’ view
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Lack of formal reporting/communication
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Lack of formal collaboration
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Perceptions of governments:
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quality of medicines supplied by FB DSO
questioned
distribution of donated medicines not always
found appropriate
The Steps
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11 preliminary country reports
(January 04)
Development of the database
 First draft of the global analysis
 EPN/WHO meeting with all study
participants (May 2004)
 Final report and recommendations
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Perspectives
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EPN/WHO Publications on Faith Based
drug supply activities
Proposals for further activities in the
network
Identification of further collaboration with
WHO in some specific area of
procurement and access
(2) Multi-country study on public
medicines supply systems in Africa
• Objectives
• Supply systems in
selected countries
• Methods
• First steps
Objectives of the study
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Assess supply performance at technical and
operative levels
Document supply reform strategies by
governments
Generate guidance and medicines supply
strategies best practices for policy and decision
makers
First step: Start-up stakeholders
meeting, Geneva, Dec. 2002
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Participants: International, national and
NGO supply agencies
Objectives:
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Update on national public drug supply
experiences
Discuss methodology framework and
research questions
Public medicines supply systems in 11
selected countries
Country
Morocco
Ghana
Tunisia
Uganda
Sudan
Zimbabwe
Cameroon
Senegal
Benin
South Africa
Zambia
CMS/government
Central agency
Semi
autonomous
Autonomous
Contracting-out
“privatized”
x
(x)----(x)
(x)----(x)
(x)----(x)
x
x
(x)----(x)
(x)----(x)
x
x
x
Study methodology
Sample: 11 African countries
 Data collection tool: 3 structured
questionnaires (Government, DSO,
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clients)
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Data collection: paired country
assessments by DSO managers
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Data management: database,
country report and global analysis
Data collection
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Field test of questionnaires
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Morocco (March 2004) and Uganda (March 2004)
Next countries to be assessed
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Tunisia (April 2004)
Kenya (April 2004)