National pharmaceutical procurement and supply chain institutions

Helpdesk Query:

1) What examples are there of effective national pharmaceutical procurement and supply chain institutions in low income countries?

2)      What examples exist in the literature of reform of national pharmaceutical procurement and supply chain institutions in low income countries?

Summary:

The Kenya Medical Supplies Authority (KEMSA) was the main case study identified for this report. KEMSA reformed in 2008 to increase autonomy from the government. A task force identified interference with the management of KEMSA, lack of autonomy due to heavy representation by Ministry of Health staff, ineffective accountability and supervisory mechanisms, and parallel procurement procedures by development partners. The key aspects of the reform include:

  • Recruiting leadership talent
  • Creating an appropriate legal framework
  • Robust and effective governance structure
  • Greater transparency
  • Robust quality assurance
  • Adequate Staffing
  • Transparent and effective procurement department
  • A demand-driven (pull) distribution system and investments in ICT
  • Outsourced transport-focus only on areas of comparative advantage
  • Creating a customer oriented KEMSA

This report also identified a small amount of information on the following pharmaceutical supply institutions:

  • Medical Stores Limited in Zambia
  • The National Medical Stores in Uganda
  • The National Pharmaceutical Procurement Unit in Sierra Leone
  • The Central de Medicamentos e Artigos Médicos Mozambique

Leave a Reply

Your email address will not be published. Required fields are marked *

css.php