Technical Report: Baseline Study of the Status of the Supply of Medicines and Medical Supplies in Specialized Health Care Centers in the Dominican Republic
(2013; 22 pages) [Spanish]

National Pharmaceuticals Management Unit of the Directorate for Regional Health Service Development and Strengthening. August 2013. Technical Report: Baseline Study of the Status of the Supply of Medicines and Medical Supplies in Specialized Health Care Centers in the Dominican Republic. Santo Domingo, Dominican Republic.

Abstract

The Dominican Republic’s National Pharmaceutical Management Unit conducted a study to determine the supply of pharmaceuticals and pharmaceutical products in the specialized health care centers (CEAs). The purpose of this study was to establish supply baseline indicators for managing supplies in order to integrate the CEAs into the country’s Integrated System for Medicines and Supplies Management (SUGEMI).

The Integrated System for Medicines and Supplies Management (Sistema Único de Gestión de Medicamentos e Insumos; SUGEMI) was created by Ministerial Accord in July 2010. Since that time, the National Pharmaceutical Management Unit (Unidad Nacional de Gestión de Medicamentos; UNGM) of the Directorate for Regional Health Service Development and Strengthening has carried out a series of activities that have made it possible to put in place operating procedures for all components of the supply management system and train staff in their use; implement a strategic information system for decision making; carry out three national pharmaceutical procurement exercises using a standardized methodology; incorporate two disease control programs into the Integrated System; close the financial gap for the purchase of antiretrovirals (ARVs); and improve storage conditions in Regional Health Services (Servicios Regionales de Salud; SRSs).

Before the SUGEMI can be fully implemented, the remaining disease control programs and Specialized Health Care Centers (Centros Especializados de Atención en Salud; CEASs) forming a part of the public network will need to be integrated. The CEASs have participated in the national quantification exercises for procurement, using the SUGEMI methodology. Their complete integration, however, requires compliance with the procedures established for the selection, distribution, and use of medicines and supplies.

The UNGM work plan, developed with support provided by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program and the US Agency for International Development (USAID), contemplates technical assistance for incorporating CEASs of the public health network into SUGEMI. In August 2013, the UNGM conducted a study designed to determine the supply status in the CEASs. The results, presented in this document, will serve to guide those interventions whose implementation is agreed upon as well as to determine the impact of those interventions.

 
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