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Malaria Programmes and Implication on Strengthening the overall Health System

Malaria Programmes and Implication on Strengthening the overall Health System. Presentation by Dr Maryse Dugué RBM Partnership Secretariat, M alaria M edicines & S upplies S ervices Copenhagen – 31 January 2006. 3. Drug resistance Drug policy issues Procurement systems

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Malaria Programmes and Implication on Strengthening the overall Health System

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  1. Malaria Programmes and Implication on Strengthening the overall Health System Presentation by Dr Maryse DuguéRBM Partnership Secretariat, Malaria Medicines & Supplies Services Copenhagen – 31 January 2006 3

  2. Drug resistance • Drug policy issues • Procurement systems • Drug management, distribution, monitoring • Pharmacovigilance

  3. Malaria: a heavy burden on the health system • A major challenge in most sub-Saharan African countries: leading cause of morbidity, second highest cause of mortality, children and women most affected (10% of pregnancy-related morbidity and mortality). • Drug resistance to commonly used drugs has reached unacceptable levels: needs to introduce new treatments, more expensive and for which local experience does not exist.

  4. Issues for scaling up • Scaling up requires: • Appropriate strategic planning • Strong program management • Adequate procurement planning and monitoring • Efficient logistics System issues • Attention focused on inputs (drugs and other commodities) • Issue of health system : staffing and health facilities (evidence from cost effectiveness analysis)

  5. Challenges in program planning and implementation • Gap between current performance and targets (Abuja, MDGs) • HR attrition • Monitoring: lack of reliable indicators at all levels • Involvement of private sector • Prioritization/other infectious diseases • Coverage of community-based malaria control programs • Vertical approach

  6. Opportunities • Political commitment/support • Strengthening health system through SWAp • High resources mobilization

  7. Objectives of the procurement/drug management system • Availability • Of the right drugs and commodities • At the right place • With the right quantities • with the right quality • On the right time • Without stock out or wastage • At all level of the health system

  8. Challenges in procurement • Risk rating • Resources for the activities • Procurement plan • Tender evaluation • Commodity selection • Quantification

  9. Challenges in changing clinical practice • In-service training • Provision of job aids • Update treatment and case management recommendations in all the manuals

  10. Logistics challenges • Storage • Cold/cool chain (RDTs) • Transport systems • Inventory • Monitoring at all levels

  11. How to contact us… Dr Maryse Dugue Manager Tel: +41 (0)22 791 4439 E-mail: duguem@who.int Malaria Medicines & Supply Services (MMSS) Roll Back Malaria Partnership Secretariat Website: http://rbm.who.int/mmss/

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