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IMPROVING GOVERNANCE IN PHARMACEUTICAL PROCUREMENT

IMPROVING GOVERNANCE IN PHARMACEUTICAL PROCUREMENT. What is at stake?. 10-20% of procurement costs are associated with corruption ( Transparency International ) Improved access to pharmaceuticals could save 10 million lives each year ( WHO , 2004)

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IMPROVING GOVERNANCE IN PHARMACEUTICAL PROCUREMENT

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  1. IMPROVING GOVERNANCE IN PHARMACEUTICAL PROCUREMENT

  2. What is at stake? • 10-20% of procurement costs are associated with corruption (Transparency International) • Improved access to pharmaceuticals could save 10 million lives each year (WHO, 2004) • Bank finances about US$160 million each year for pharmaceutical procurement which is 40% of its total health spending • Global Fund has committed US$19 billion to HIV, malaria and TB medicines since 2002

  3. Focus On the Core governance principles of transparency and accountability in pharmaceutical procurement for improving access to medicines

  4. The Approach • Undertake systematic multi-stakeholder consultations with public sector agents, suppliers, civil society organizations, private sector, academia and media • Identify constraints and jointly develop solutions • Internalize the problem with essential stakeholders • Support joint actions to maximize the impact

  5. Areas • Legal and regulatory framework • Quantification of need • Process gaps • Institutional arrangement • Disclosure of information • Civil Society Engagement/Monitoring

  6. The Process Building consensus at the country level Informs Informs Regional Consultation Country Strategies Country Reports Benchmarking Kenya Multi-stakeholder Buy-in Desk Reviews Tanzania Action Planning Interviews Uganda Innovative Knowledge Exchange

  7. Key Challenges With Current Approaches • Lack of coordination • Insufficient monitoring • Limited disclosure of information • Weak institutional arrangements • Very low uptake on use of ICT

  8. 1.Strategy for Solutions to Emerge Develop and implement action plans TA from WB/other DP • National multi-stakeholder group to identify joint solutions

  9. 2.Strategy for Solutions to Emerge • www.enepp.net: Multimedia platform • South –South Knowledge Exchange

  10. Contact • World Bank Institute: www.worldbank.org/wbi • Yvonne Nkrumah, ynkrumah@worldbank.org • Tel: +1 (202) 4734072, Fax: +1 (202) 5220638 • Robert Hunja, rhunja@worldbank.org • Tel: +1 (202) 473-4316 

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