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Thomas Moore, Management Sciences for Health

Thomas Moore, Management Sciences for Health. Procurement and Supply Management (PSM) Workshop: Understanding basic drug management elements for proposal writing Bangkok, Thailand July 25-30, 2005. Introduction (1). Key GFATM documents Guidelines for Proposals Proposal Form M & E Toolkit

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Thomas Moore, Management Sciences for Health

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  1. Thomas Moore, Management Sciences for Health Procurement and Supply Management (PSM) Workshop: Understanding basic drug management elements for proposal writingBangkok, ThailandJuly 25-30, 2005

  2. Introduction (1) • Key GFATM documents • Guidelines for Proposals • Proposal Form • M & E Toolkit • PSM Assessment Tool • Workshop handouts • “Description of Interventions” • “Pharmaceutical Management Guide for Procurement and Supply Management plan for GFATM proposals” • “Tools for forecasting drug needs” • This Power Point presentation

  3. Introduction (2) • Describe your drug management system • Use the six basic elements in the “framework” slide • Describe any gaps within each of the six elements in your drug management system Examples: (1) no drug policy to govern supply and use; (2) no mechanism for good forecasting • Describe how you will use the GFATM funds to overcome the gaps Note: see other suggestions on your handout “Pharmaceutical Management Guide for Writing Procurement and Supply Management plans for GFATM proposals

  4. Introduction (3) • In GFATM budget proposal must include a breakdown of: • Functional areas for: • Monitoring and Evaluation • Procurement and Supply Management • Technical Assistance • Service delivery areas • Partner allocation

  5. Selection Management Procurement Use Support Distribution Policy and Legal Framework Framework: Pharmaceutical Management Cycle

  6. Policy, Regulations, and Laws (1) • Develop or update government TB policy • Develop policy for health care system reforms • Decentralized vs. Centralized • Vertical vs. integrated • Role of Private sector healthcare providers

  7. Policy, Regulations, and Laws (2) • Update drug policy for good procurement and supply management • Reinforce drug regulation capacity • National Drug Authority • Update Essential drugs list • Require use of generic vs. brand names • Develop regulations re: Importing, distribution, sales • Promote good manufacturing practices (GMPs)

  8. Suggestions for PSM plan-Policy (1) • Personnel needs • Regulatory activities • Monitoring, inspection, surveillance, enforcement • Training • Infrastructure • Office space • Computers, software, equipment • Access to Quality Control laboratory facilities • Vehicles for distribution, inspection, enforcement

  9. Suggestions for PSM plan-Policy (2) • Update drug laws and regulations • Publish standard treatment guidelines • Update National Essential Medicines List • Disseminate information to all organizational levels • Require good procurement practices • Require drug registration to promote public safety • Require GMP compliance by local drug manufacturers

  10. Indicators for M & E - Policy • Average time, in days, required to clear shipments of TB drugs from the port of entry* • Average number of days to register TB drugs • Percentage of TB treatment facilities that have the latest official manual of TB treatment guidelines • When post-marketing surveillance exists • Product quality complaints • Adverse drug reaction reporting • Inspection of wholesalers and retail pharmacies • Testing/sampling

  11. Procurement - quantification/forecasting • Needed for: • Planning, budgeting, and ordering • Critical issues: • Must first have good selection of drugs • Decide who will quantify - centralized vs. decentralized activity • Tools to use - manual vs. computerized • Knowledge of lead times, stock-outs, safety stock, growth, losses • Reconcile quantities needed with budget

  12. Options for Quantification • Morbidity based: Base estimates on expected number of cases • Consumption based: Estimates based on past consumption • Adjusted-consumption based: Estimates based on data from another region or health service

  13. Comparison of Quantification Methods Consumption versus Morbidity • Consumption – need good inventory records • Morbidity- need patient attendance data • Both methods – need data on existing stocks, lead times, costs QUAN8

  14. Indicators for M & E – drug quantification • Average percentage of a set of tracer TB commodities available in TB facilities and medical stores • Average percentage of time out of stock for a set of TB tracer commodities in TB facilities • Presence of 6 months buffer stock at national level and 3 months stock at district level

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