Transcript Supply Demand Deliver

OSI Public Health Seminar
Overview of the Framework
Of the Supply Chain
Including emphasis on
Access and Use
Kiev, Ukraine
March 5-7, 2008
Paul S. Lalvani
Executive Director
RaPID Pharmacovigilance Program
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Deliver
Other
IPR
Policy
Patient
Access
Regulatory
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Movement
of Funds
Patient
Access
Deliver
Movement
of Goods
Movement
Of information
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Deliver
Other
In-country Activities
IPR
Policy
Patient
Access
Regulatory
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Deliver
Other
Managing 2
Confluence Points
IPR
Policy
Patient
Access
Regulatory
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
SELL
BUY
DISTRIBUTE
Deliver
To be managed by the
Procurement Office
in coordination with:
• donors
• technical agencies
• public health program
• suppliers
• public health facilities
• private health facilities
• Central and regional
medical stores for
distribution
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Supply Health
Prof.
Patients
Patient
To be managed by the
Health facility (public
And private)
in coordination with:
• implementing agencies
• regional and district
health offices
• public health program
• central and regional
medical stores for
distribution
• patients
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
DELIVERY SUPPLY CHAIN SCHEMATIC
FOR MOVEMENT OF PRODUCT, FUNDS AND INFORMATION
Deliver
Other
IPR
Policy
Patient
Access
Regulatory
Draft work by
Paul Lalvani
Prashant
Yadav (MIT-Z)
for CGD
SUPPLY SIDE
Consider activities, bottlenecks,
incentives for moving along the supply chain
9
DEMAND SIDE
Consider activities, bottlenecks,
incentives for moving along the supply chain
10
DISTRIBUTE
PROGRAMMATIC SIDE
Private Sector
Public Sector
Program
Importers/
Implementers
Distributors
Distributors/
Wholesalers
CMS/ RMS
Health
Facility
Health
Professionals
Retail Outlets/
Clinics
Patients
Consider activities, bottlenecks, incentives for moving along the supply chain
11
Summary of Tri-Linear Supply Chain Framework
• Segment activity into 3 broad categories:
» Supply, Demand, Deliver
• Ensure focus on Drug, Information and Funds
• Managing the 2 confluence points is the most critical
part
• Think beyond ARVs—to ensure effective use of ARV,
the supply chain must focus on all ancillary products too
( supplies, lab, diagnostics, etc).