Managing Procurement and Logistics of HIVAIDS Drugs and.pptVIP

Managing Procurement and Logistics of HIV/AIDS Drugs and Related SuppliesWorld Bank Training Program Jabulani Nyenwa, MD, MPH, MBA May 2005 Acknowledgements Jillian Clare Cohen Heather Bennett Patrick Osewe Olukemi Osinusi Organization of Module Importance of pharmaceutical systems Failure of pharmaceutical systems ARV treatment programs Key considerations in the supply chain management of ARV drugs Learning Objectives Explain the importance of the pharmaceutical system in the overall health system Understand and identify the key components of supply chain management Understand and identify the determinants of pharmaceutical system failure Understand and identify the key considerations of ART supply chain management Importance of Pharmaceutical Systems Drugs are specialised health commodities Pharmaceuticals are the second highest public health budget expenditure in most countries Drug expenditure accounts for 50-90% of non-personnel health system costs Access to affordable high quality health commodities is central to health care systems Drug availability promotes confidence in health systems Management of pharmaceutical systems is complex Role of pharmaceutical systems Uninterrupted availability of pharmaceuticals Affordability of pharmaceuticals Ensuring that safe and efficacious drugs are available in the correct form and condition for the correct indication and at an affordable cost whenever client needs them THE LOGISTICS CYCLE Logistics Cycle The framework through which pharmaceutical systems function Ultimate goal is to meet customer needs All the components of the cycle should be carefully planned, implemented and monitored Emphasis must be placed on creating an enabling environment for effective pharmaceutical management Determinants of Access to Pharmaceuticals Availability Research Development International Trade Agreements National Regulatory Systems Procurement mechanisms Affordability Pricing policies Government publi