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Malaria Programmes and Implication on Strengthening the overall Health System. Presentation by Dr Maryse Dugué RBM Partnership Secretariat, M alaria M edicines & S upplies S ervices Copenhagen – 31 January 2006. 3. Drug resistance Drug policy issues Procurement systems

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malaria programmes and implication on strengthening the overall health system

Malaria Programmes and Implication on Strengthening the overall Health System

Presentation by Dr Maryse DuguéRBM Partnership Secretariat, Malaria Medicines & Supplies Services

Copenhagen – 31 January 2006

3

slide2
Drug resistance
  • Drug policy issues
  • Procurement systems
  • Drug management, distribution, monitoring
  • Pharmacovigilance
malaria a heavy burden on the health system
Malaria: a heavy burden on the health system
  • A major challenge in most sub-Saharan African countries: leading cause of morbidity, second highest cause of mortality, children and women most affected (10% of pregnancy-related morbidity and mortality).
  • Drug resistance to commonly used drugs has reached unacceptable levels: needs to introduce new treatments, more expensive and for which local experience does not exist.
issues for scaling up
Issues for scaling up
  • Scaling up requires:
    • Appropriate strategic planning
    • Strong program management
    • Adequate procurement planning and monitoring
    • Efficient logistics

System issues

  • Attention focused on inputs (drugs and other commodities)
  • Issue of health system : staffing and health facilities (evidence from cost effectiveness analysis)
challenges in program planning and implementation
Challenges in program planning and implementation
  • Gap between current performance and targets (Abuja, MDGs)
  • HR attrition
  • Monitoring: lack of reliable indicators at all levels
  • Involvement of private sector
  • Prioritization/other infectious diseases
  • Coverage of community-based malaria control programs
  • Vertical approach
opportunities
Opportunities
  • Political commitment/support
  • Strengthening health system through SWAp
  • High resources mobilization
objectives of the procurement drug management system
Objectives of the procurement/drug management system
  • Availability
    • Of the right drugs and commodities
    • At the right place
    • With the right quantities
    • with the right quality
    • On the right time
  • Without stock out or wastage
  • At all level of the health system
challenges in procurement
Challenges in procurement
  • Risk rating
  • Resources for the activities
  • Procurement plan
  • Tender evaluation
  • Commodity selection
  • Quantification
challenges in changing clinical practice
Challenges in changing clinical practice
  • In-service training
  • Provision of job aids
  • Update treatment and case management recommendations in all the manuals
logistics challenges
Logistics challenges
  • Storage
  • Cold/cool chain (RDTs)
  • Transport systems
  • Inventory
  • Monitoring at all levels
how to contact us
How to contact us…

Dr Maryse Dugue

Manager

Tel: +41 (0)22 791 4439

E-mail: duguem@who.int

Malaria Medicines & Supply Services (MMSS)

Roll Back Malaria Partnership Secretariat

Website: http://rbm.who.int/mmss/