Achievements, Challenges, Success Factors and Lessons learned

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e-mail: [email protected] - [email protected] .... after the reform, stopped the previous practice of giving preference to cheap nonYregistered .... Post-marketing quality testing: continuing to evaluate pharmaceuticals after they have.

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Copyright 2015 National Medical Supplies Fund All Rights Reserved The opinions and statements expressed throughout this book are those of the authors and do not necessarily reflect the views of the NMSF or its Board of Administration.

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NMSF, 2015. Reform of the National Health Supply Chain in Sudan: Achievements, Challenges, Success Factors and Lessons learned. 2nd Edition. National Medical Supplies Fund, Khartoum Sudan. First author contact details: Tel: +249183461765 - Fax: +249183460935 Mobile: +249912318615 e-mail: [email protected] - [email protected] National Medical Supplies Fund Director General P.O. Box 297 Khartoum - Sudan iv

List of Contributors G. K. Mohamed Ali

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Lessons learned Leadership:VWURQJOHDGHUVKLSLVHVVHQWLDOWRHQVXULQJWKDWSXEOLFHPSOR\HHV FLYLOVHUYDQWV  GHGLFDWHGHIIRUWVWRSURGXFHIUXLWIXOUHVXOWV,WLVWKHPRVWHIIHFWLYHVWUDWHJ\WRJHWWKHPRVW SRVVLEOHSHUIRUPDQFHIURPHPSOR\HHVWKDW\RXKDYHQRUROHLQWKHLUVHOHFWLRQDQGZKRP\RX FDQQRWKLUH ZKHQQHHGHG RU¿UH ZKHQQHFHVVDU\ 7KHOHDGHUVKLSWKDW106)RIIHUVWRLWV HPSOR\HHVVKLQHVWKURXJKDQXPEHURILQLWLDWLYHVLWXQGHUWDNHV7KHOHDGHUVKLSPLJKWEHWKH RQO\SRVVLEOHZD\WRPDNH\RXUYLVLRQUHDOLW\LQDFRQWH[WZKHUHWKHFDUURWDQGQRWWKHVWLFN VKRXOGEHXVHG$VXFFHVVIXOUHIRUPUHTXLUHVERWKSROLWLFDOVNLOOVWRGHYHORSDQGPRELOL]H SROLWLFDOVXSSRUWDQGWHFKQLFDOVNLOOVWRPDQDJHDQGSURPRWHWKHUHIRUP The role of pharmacists:WKLVVWXG\UHYHDOVDWOHDVWWKUHHVWHSVLQWKHPHGLFLQHSURFXUHPHQW SURFHVV LQ ZKLFK WKH UROH RI SKDUPDFLVWV LV ERWK QHFHVVDU\ DQG XVHIXO HVWDEOLVKPHQW RI D PHGLFLQHWHQGHUOLVWVHOHFWLRQRIWKHPRVWDSSURSULDWHRIIHULQJVDQGDQDO\VLVRIWKHWHQGHU SURFHVVDQGUHVXOWV Selection of medicines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¿QDQFHVWRHQVXUH WKHEHVWRXWFRPHV,WLVDOVRLQWKHLQWHUHVWRIWKHJRYHUQPHQWWRUXQWKLVV\VWHPWUDQVSDUHQWO\ WRSURPRWHFRPSHWLWLRQDQGWKXVHI¿FLHQF\,QDGGLWLRQSDWLHQWVH[SHFWWKDWDIIRUGDEOHTXDOLW\ PHGLFLQHVDUHDYDLODEOHDWDOOWLPHV Post-marketing quality testing: FRQWLQXLQJ WR HYDOXDWH SKDUPDFHXWLFDOV DIWHU WKH\ KDYH GLVWULEXWHGDVZHOODVWKHURXWLQHFROOHFWLRQRIERWWRPOLQHLQIRUPDWLRQIURP106)EUDQFKHV LVDQLPSRUWDQWSDUWRIHQVXULQJWKHTXDOLW\RIPHGLFLQHV Performance-based incentives: WKH LQFHQWLYH VWUXFWXUH LV UHODWHG WR SHUIRUPDQFH 7KLV LQFOXGHVWKHDFKLHYHPHQWRIWKHWDUJHWV

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Figure 3: Suppliers feedback on the e-tender

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Table 10: ABC-Analysis for the Awarded Medicines According to their Registration Status All medicines Class

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25/10/2015:ȭʈȲȆȗɦȄ

42ɎɽȍȷֿȄ

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Ȇ‫ٮڈ‬ȲȆʈȴࢫșɮȕࢫ‫ۘܣ‬ɦȄࢫȵɟȄȳ‫ם‬Ȅ ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ ȵɟȄȳ‫ם‬ȄࢫȮȯɏ                                                      

ʎȌȆȣʆׁȄࢫɕʊɨȍȗɦȄࢫȵɟȄȳɭ ȓȍȸɴɦȄ ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ ȵɟȄȳ‫ם‬ȄࢫȮȯɏ                                                      11                  

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85

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Coverage of health facilities with medicines (Geographical Accessibility) ɰȲȯɦȄࢫȓʈɼȮǷ ȴȯʆׁȄࢫȓʈɼȮǷ ȆʈȲֺ‫ם‬ȄࢫȓʈɼȮǷ ɤȆɘɇֿȄࢫȓʈɼȮǷ ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ % ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ % ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ % ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ   1 1  11 11                                1 1                       1 1                                   1 1           1 1           1 1                       1 1           1 1  11 11                                                                   13 13 115 121    1778 1987  1009 1938

Weekly Report: Access to Medicines at States and Health Facilities ȓʈɼȮֿȆȉࡧȔȆʆַɽɦȆȉࡧȓʊ‫ܶݰ‬ɦȄࡧɝɗȄȳ‫ם‬ȄࡧȓʊɈɔȖࡧȳʈȳɜȕ ȓɮʊɜɦȆȉࢫȓʈɼȮֿȄ ȓʆַɽɦȄ ȱɘɳ‫ם‬Ȅ ȈɽɨɈ‫ם‬Ȅ  ȓʊɦȆɮȼɦȄ    ɪʊɳɦȄࢫȳ‫ٰڈ‬    ȲȆɳȷ    ɚȲȴֿȄࢫɪʊɳɦȄ    ֺȸɟ    ɅʊȉֿȄࢫɪʊɳɦȄ    ɰȆɗȮȳɟࢫɤȆɮȻ    ɰȆɗȮȳɟࢫȈɽɳȡ    ɰȆɗȮȳɟࢫȈȳɓ    ȲɽɗȲȄȮࢫɚȳȻ    ȲɽɗȲȄȮࢫɤȆɮȻ    ȲɽɗȲȄȮࢫȈȳɓ    ȲɽɗȲȄȮࢫȈɽɳȡ    ȲɽɗȲȄȮࢫɉȷɼ    ȳɮȧֿȄࢫȳȨȍɦȄ    Ɏɽɮ‫ݝݨ‬Ȅ    ɬɽɇȳ‫ݍݵ‬Ȅ    Ȓȳʈȵ‫ݍݨ‬Ȅ    ɖȲȆɄɜɦȄ    0 1856 Ɏɽɮ‫ݝݨ‬Ȅ 

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  ȲɽɗȲȄȮࢫȈȳɓ

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ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ ɖȄȳȻׁȄ ɕʊɨȍȗɦȄ ɰȵ‫ݝݵ‬Ȅ

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Ȓȳʈȵ‫ݍݨ‬Ȅ

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