Improving Accessibility of ACT Medicines in Burundi
(2012; 1 page)

SPS. 2012. Improving Accessibility of ACT Medicines in Burundi. Submitted to the U.S. Agency for International Development by the Strengthening Pharmaceutical Systems (SPS) Program. Arlington, VA: Management Sciences for Health.

Abrégé

Health districts in Burundi are faced with many challenges, of which a complex requisition procedure, delays in artemisinin-based combination therapy (ACT) medicines delivery, and more frequent stock outs of ACT medicines are the most problematic.

Initially, requisition was a complex, long, and expensive procedure. The new requisition system now requires only five approval signatures (three at the district and two at the central levels) and mainly involves the district and PNILP. ACT requisition now takes 1-4 days, and the number of stock outs has tremendously decreased. In addition, SPS is advocating for a three-month security or safety stock of ACTs to reduce the transportation costs and allow district pharmacies to monitor management of ACTs at the health-facility level.

 
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