Tools for Mapping Financial Flows for Medicines Procurement and Distribution, and for Rapid Assessment of Medicines Supply Management Systems
(2012; 52 pages)
Abstract

Ensuring regular availability of essential medicines especially to peripheral public health facilities remains a challenge in many countries of the African Region. This could be attributed to the limited capacities and inefficiencies in the procurement and supply management systems especially in the public sector.

Multiple partners and agencies continue to support governments through provision of funds for the procurement of essential medicines especially for priority diseases such as HIV/AIDS, tuberculosis (TB) and malaria. However, resources are mainly invested on procurement of products, but less emphasis on building national capacities to strengthening logistic support systems and providing adequate training of personnel on inventory management. As a result, many public sector procurement agencies are overwhelmed with additional tasks and encounter difficulties to operate efficiently. Undoubtedly, the support from donors has contributed to improve access to essential medicines. However, ensuring greater coordination of agencies and multiple partners engaged in various procurement and supply management activities is critical in order to improve efficiency and make better use of available resources.

Even in disease programmes that receive adequate funding from partners, there is stock-out and sometimes overstock of products due to the complexity of the supply system in ensuring an efficient quantification process.

The monitoring and evaluation of supplies is also fragmented leading to unreliable data on which quantification is made. Distribution is either fragmented leading to high cost for the whole system or no funds are made available for this activity when the responsibility is given to the national central medical stores...


 
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