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CLICK TO ADD TITLE [SPEAKERS NAMES] [DATE] Thanks to our generous sponsors Post FMOH mapping and recommendations: Assessment of supply chain of medicines for health priority diseases in some health facilities
CLICK TO ADD TITLE [SPEAKERS NAMES] [DATE] Thanks to our generous sponsors Post FMOH mapping and recommendations: Assessment of supply chain of medicines for health priority diseases in some health facilities within Jos metropolis Ndidi Ngwuluka University of Jos 3 Outline Overview of Nigeria supply chain The role of the government and partners FMOH survey and the challenges Approach of assessment Findings of the assessment Implications of the findings 10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, Overview of Nigeria supply chain 5 Brief on Nigeria Nigeria estimated annual growth rate 2.6% six geopolitical zones 36 states 774 LGAs 200,000 residents per LGA Nigeria s GDP; $568.5 billion, GDP growth; 6.3% Inflation rate; 8.1%. (World Bank 2014) Nigeria has significant potential to build a prosperous economy that can significantly reduce poverty, inequality and improve standards of living of the population through better access to and quality of healthcare, education and infrastructural services (World Bank, 2015) 6 Healthcare systems in Nigeria Tertiary care Secondary healthcare Primary healthcare 7 Weaknesses in the healthcare systems Weak logistics systems for commodities Inadequate, inaccessible, and poor quality service delivery Lack of necessary referral linkages between the different levels of health care Poorly maintained infrastructure Weak institutional capacity with inadequate supervision of health services USAID PMI (2014) 8 The role of the government and partners 9 Enhancing access to Healthcare The government Multilateral agencies Bilateral agencies Non-governmental organizations funds, donations technical expertise These partners provide supports HIV/AIDS, Tuberculosis Malaria Other medicines and medical products 10 List of Partners Multilateral partners Bilateral partners NGOs EU GDF Global Fund UNFPA UNICEF UNITAID WB WHO AXIOS CDC CIDA DFID German Government JICA USAID USG PEPFAR COMPASS Crown Agencies CHAN Clinton Foundation IDA SFH Yakubu Gowon Centre FMOH, FMOH survey and the challenges 12 FMOH Survey A survey: To map out support provided by partners 23 Partners 8 multilateral 8 bilateral agencies 7 NGOs. in procurement and distribution Financial flows Policies Mechanisms 13 Government establishment involved in procurement Federal Government Food and Drug Services Department Planning, Research and Statistic Department NACA NASCP NMCP NTBLCP Warehouses Federal Medical Stores Zonal Medical Stores State Medical Stores Local government Stores State Government Health Facilities 36 states Teaching Hospital Federal Medical Centre General Hospital 14 Challenges associated with the support provided Unwillingness to disclose financial contribution Policies do not take into account the country s Nat Med Policy Product selection undertaken within or contracted 50% procurements based on a plan and only 11% based on country s EML The funds provided by the government could not be analyzed Procurement plan within and products sent to recipients Only about 23% of procurements were distributed by national programs 15 Effects of these challenges Challenges attributed to: Inadequate political commitment lack of structures absence of procurement supply management plan Stock outs Expirations of products Procurement of medicine 80% shelf life 16 FMOH Recommendations The government needs to take leadership in issues of procurement and supply management of all medicines and pharmaceutical supplies by establishing a functional working group to plan and implement PSM activities APSM plan needs to be developed to ensure that all requirements of the country are detailed and partners are thus required to participate in implementation of the plan The National Policy on procurement of medicines and pharmaceutical supplies should be developed and disseminated to all partners to ensure conformity of current and future support to the country 10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, FMOH Recommendations To ensure conformity to the National Medicine Policy requiring flow of medicines through the Federal Medical Stores, the warehouse should be refurbished into a modern warehouse which provides appropriate management and security of products. Zonal stores could also be developed to facilitate access to health facilities. However, all users of the stores should be required to contribute to its maintenance. A robust medicines and supplies management information system should be established using modern information technology to ensure flow of information to all stakeholders to support planning and implementation of the PSM system. 10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, Delivery of medicines to patients in the acceptable standards of quality, safety and efficacy requires effective logistics management. 10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, AIM To assess the logistics systems for priority health diseases in government owned health facilities in Jos metropolis as well as faith-based health facilities. 20 Approach of assessment 21 Method and work timeline Work timeline November February Study Population 71 facilities in Jos metropolis The target personnel Procurement Dispensing, Storekeeping Patients. Study Design and sample size Descriptive survey questionnaires were employed and the sample size - 52 facilities. Data analysis Data was collected and analysed using Microsoft Excel and SPSS. 22 Findings and their implications 23 Results Free Drugs 24 Results - Procurement 25 Human Capacity 26 Reporting 27 Summary of Findings 28 Conclusions Stock out and supply interruptions still exist six years after FMOH survey Irregular or non-submission of AMC will affect the decisions on procurement and quantity to supply Receiving almost or already expired products gives concern about quality of products received Patients not having their drugs at the right time may contribute to lack of compliance and drug resistance. Inadequate personnel impacts on service delivery. 29 Thanks to our generous sponsors
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