Introduction To Drug Supply Management
Introduction To Drug Supply Management
Introduction To Drug Supply Management
Management
Presentation Outline
• Why Proper Supply System?
• Previous Supply System VS The Current
• Drug Supply Management Cycle
• Opportunities
• Selection
• Quantification
• Procurement
• Storage and distribution
Why Proper Supply System?
• Effectiveness of health programs depend on a
number of factors but largely on proper supply
management of inputs:
• Availability of the right commodities at the right time in the
right quantities at the right place that are used correctly.
• Inputs: supplies for preventive interventions,
diagnostic supplies, drugs and others.
• As the saying goes: “NO PRODUCT - NO
PROGRAM”.
The management process
Feed back
Supply System
• Previous: • PLMP/Current:
– Sources – Sources
• PHARMID (P+P) • PFSA/New PHARMID (Pu)
• Private importers (P+P) • Private importer/s (Pt)
• Local manufacturers (P+P) • Local manufacturers??
• FMOH/PSLD/RHB/ZHD/Wo • Distributors
HO (Pu)
• Public HFs (Only PFSA)
– Distributors • Private Sector (Expt PFSA)
• Public HFs (Expt Local ma.)
• Private Sector (Expt PSLD)
Drug Supply Management
Cycle
Selection
Distribution
Reduces confusion
Improve drug availability
No irrational treatment alternatives available
The Essential Medicines
Target National list of
Registered medicines essential medicines
All the drugs
in the world
Levels of
use
S CHW S
dispensary
Private sector
The process of medicines
selection
List of common diseases and
complaints
Treatment
choice
Prevention
and care
Selection criteria
Inclusion of the drug in the national drug
list/Treatment Guideline
Proven quality, safety and efficacy/only from pre-
qualified suppliers and/or manufacturers by DACA
Preference for drugs that are well known and
possibilities for local manufacture
Ability of the drug to treat more than one disease
Availability of the drug in the market
The comparative price of the drug with other
alternative drugs
The health facility standard
Other considerations
Selection Committee- PT committee/DTC
Familiarization of the selected list to all
concerned parties.
Qualification level of the staff
Patient compliance
Existing treatment guideline, LIDE
Therapeutic efficacy evaluation to change
treatment guideline.
Quantification
Definition
Process of estimating the quantities
of specific drugs needed for the
next procurement period
Poor quantification symptoms
Poor quantification results in:
Frequent shortage of drugs
Excess stock due to overestimation
Wastage of resources
Unnecessary suffering and death
Inappropriate and ineffective prescribing
Prescribers shorten course of treatments to
stretch the inefficient supply
Substitute with inappropriate alternative drugs
Quantifications methods
1. Consumption method
2. Morbidity method
There is no single method best available
Each method has its own strengths and
weaknesses
The method used should be chosen
according to:
• actual and potential availability of data.
• the organization of the drug supply system
Comparison of quantification methods
1 Consumption method 2. Morbidity Method
Appropriate when the health This method is appropriate:
facility :
When available consumption
is adequately funded data are incomplete or
unreliable
has acceptable prescribing pattern
When we have reliable and
has adequate and uninterruptible complete epidemiological data
drug supply
When prescribing practices
Has good stock management are expensive and irrational
Complete and accurate When the budget is unlikely
consumption data and stock out to be sufficient to meet
information requirements
Has low level of wastage and When the facility is new or
losses expanding
Procurement
Definition: Procurement is the process of
acquiring goods and services (drugs, MS and
ME) through purchase, donation or manufacture .
Procurement …
Procurement Objectives
Plan to get the right drug (right quality and
quantity)
Acquire from the right source at the right price
Obtain at the right time
Make available at the right place
Procurement Key Principles