Coordinated Procurement and Distribution System (CPDS) Governance Framework. Islamic Republic of Afghanistan, September 2010
(2010; 33 pages)

Abstract

To responsibly provide an uninterrupted supply of quality medicines to its health facilities, the MOPH still needs the assistance of its national and international partners. Over the past several years, the partners of the MOPH have provided essential medicines for the implementation of the Basic Package of Health Services (BPHS) and the Essential Package of Hospital Services (EPHS) throughout Afghanistan.

The MOPH acknowledges the invaluable cooperation and participation of its partners in this area and believes that the establishment of a system reflective of good governance—of which transparency, accountability, and efficiency are cornerstones—would better facilitate the management of partner contributions and in-country resources for optimal support and service to the people of Afghanistan. The Coordinated Procurement and Distribution System (CPDS) exemplifies good governance. The lack of such a system is associated with problems such as duplication of resources, irrational use of medicines, a lack of essential medicines in provinces with greater needs, and large and unplanned quantities of medicines which result in expiration. Furthermore, the existence of various drug management systems among MOPH partners has created several challenges in the management of pharmaceutical affairs.

In the past, necessary systems, skills, and capacities have not been effectively transferred to the relevant drug management sections of the MOPH. If systematically done, such a process will enable the MOPH to develop the requisite skills and competencies in all relevant areas to effectively coordinate and administer the pharmaceutical sector, thereby ensuring adherence and obligation to established standards of operations for the selection, procurement, storage, and distribution of medicines and related health commodities. With the establishment of the CPDS, the MOPH (through the General Directorate of Pharmaceutical Affairs and with technical assistance from its partners) will endeavor to ensure accessibility of essential medicines that are affordable, efficacious, of assured quality, and available at the right time in the right quantities to support the implementation of the BPHS/EPHS packages.

The MOPH intends to gather all donors, nongovernmental organizations (NGOs), United Nations agencies, government agencies, private sector representatives, and other agencies involved in drug procurement and supply of medicines to share their ideas. Therefore, the MOPH in cooperation and agreement with its partners developed and finalized the CPDS governance framework. All agencies involved with procurement and distribution (P&D) of essential and licensed medicines should abide by the principles espoused in the framework and provide practical opportunities for better provision of essential medicines, capacity building, and systems development.

 
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