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D I SC U S SI O N PA PER F E BRUAR Y 202 3Public Disclosure AuthorizedPURCHASING IN A PANDEMIC: LESSONS FROM THE HEALTH SYSTEMS RESPONSE IN ARMENIA AND ROMANIA D I SC U S SI O N PA PER F E BRUAR Y 202 3 Public Disclosure Authorized Adanna Chukwuma Juan Carlos Rivillas Estelle Gong Public Disclosure AuthorizedHuihui Wang Dorothee Chen Hratchia Public Disclosure Authorized Diana-Luliana Pirjol Tania Dmytraczenko Katie Sonnefeldt PURCHASING IN A PANDEMIC: LESSONS FROM THE HEALTH SYSTEMS RESPONSE IN ARMENIA AND ROMANIA Adanna Chukwuma, Juan Carlos Rivillas, Estelle Gong, Huihui Wang, Dorothee Chen, Hratchia Lylozian, Radu Comsa, Diana- Luliana Pirjol, Tania Dmytraczenko, Katie Sonnefeldt February 2023 PAGE \* roman PAGE \* roman iii Health, Nutrition and Population (HNP) Discussion Paper This series is produced by the Health, Nutrition, and Population Global Practice of the World Bank. The papers in this series aim to provide a vehicle for publishing preliminary results on HNP topics to encourage discussion and debate. The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to mem- bers of its Board of Executive Directors, or to the countries they represent. Citation and the use of the material presented in this series should take into account this provisional character. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of the World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. For information regarding the HNP Discussion Paper Series, please contact the Editor, Jung-Hwan Choi at jchoi@ or Erika Yanick at eyanick@. RIGHTS AND PERMISSIONS The material in this work is subject to copyright. Bec