The Three Year Rolling Procurement ... - Ministry of …

1 Ministry OF HEALTHREPORT ON Updating of the Three Year Rolling Procurement Plan for Essential Medicines and health Supplies 2009/10 -2011/12 Including Evaluation of 2008/2009 PHARMACY DIVISIONM arch 201012 Table of ContentsAcknowledgement .. 4 Acronyms .. 5 Executive Summary.

2 6 Uganda Situation .. 10 Background to the Procurement plan .. 11 Objectives of the Procurement plan consultancy .. 12 Methods .. 12 Evaluation of EMHS Procurements in the FY 2008/2009.

3 13 Procurement plan 2009/10 .. 19 Funding by Product category .. 22 Main funders and funding modalities .. 25 Supply chain management .. 26.

4 27 Evaluation of the Med Planner software .. 27 Harmonisation and integration .. 28 Predictability of funding for EMHS .. 28 Lack of flexibility in resource allocation .. 29 Proliferation of Supply chain systems.

5 29 Resource allocation to service providers .. 29 Data on commitments for EMHS .. 30 Monitoring and Evaluation .. 30 Recommendations .. 30 Annexes 1: Data collection team.

6 31 ANNEX 2: Data Collection tool .. 32 ANNEX 3: The Procurement Plan 2009/10 and 2010/11 .. 34 3 AcknowledgementOn behalf of the Ministry of health and Pharmacy Division allow me to extend my sincere appreciation to all those who worked tirelessly to ensure the publication of this and foremost I would like to thank Medicines Transparency Alliance (MeTA) for funding this activity and the MeTA council for their patience as project moved at its own I would like to acknowledge the pharmacy division team of Morries Seru, Thomas Obua, Gideon Kisuule and Frans Bosman for data collection, analysis and review.

7 I wish also to acknowledge Khalid Mohammed formerly a consultant in the Division for his I would like to thank all the organizations involved in funding, Procurement , storage and distribution of essential medicines for their cooperation and providing the information that enabled us to carry out the exercise. I would like to single out the following organizations;, NMS, JMS, UNICEF, USAID, CDC, MAUL, UNFPA and CHAI as well as MOH programmesMartin OtebaAssistant Commissioner health ServicesMinistry of Health4 AcronymsARTAnti Retroviral TherapyARVAnti RetroviralCHAIC linton HIV AIDS InitiativeDANIDAD anish International Development AgencyEMHSE ssential Medicines and health SuppliesGF AGENTG lobal Fund AgentGFATMG lobal Fund for Aids.

8 Tuberculosis and MalariaDFIDD epartment for International DevelopmentGAVIG lobal Alliance Vaccine InitiativePMIP residential Malaria InitiativeGOUG overnment of UgandaJMSJ oint Medical StoresMEDACCM edical accessMeTAMedicines Transparency AllianceMOH PROGM inistry of health programmesNMSN ational Medical StoresPEPFARP residents Emergency Funds For Aids ReliefPNFPP rivate Not For ProfitPFP Private For ProfitUBOSU ganda Bureau of StatisticsUPMAU ganda Pharmaceutical Manufacturers AssociationSCMSS upply Chain Management SystemsUBTSU ganda Blood Transfusion ServicesUNFPAU nited Nations Fund For Population ActivitiesWHOW orld health Organisation5 Executive SummaryEssential medicines and health supplies constitute one of the major inputs in the provision of services.

9 Starting in 2002 financing for Uganda health commodities has grown significantly particularly with the advent of Global Initiatives like Presidents Emergency Fund for AIDS relief (PEPFAR) and Global fund for AIDS, Tuberculosis and Malaria ( GFATM). At the same time other bilateral donors like DANIDA increased the budget for EMHS. By mid 2005 it was evident that increased resources without better planning resulted in poor management of resources, leading to problems such as stock outs that called for expensive emergency procurements. Furthermore, the multiplicity of funders and Procurement modalities required coordination to minimize potential for wastage as a result of duplication.

10 With these developments the Joint Review Mission of 2005 undertook to support the development of Three year Rolling Procurement plans. The Pharmacy Division in the Ministry of health was tasked to spearhead this initiative and with collaboration from partners through the Technical Working group on Medicines Procurement and Management the first plan covering the period 2006/07 to 2008/09 was published. With World health Organizations (WHO) support the 2006/07 plan was evaluated after the FY ended with evaluation details published in the Annual health Sector Performance Report 2006/2007. The WHO support also enabled the Pharmacy Division to develop software called Med Planner which supports the development and evaluation of Procurement plans and makes them readily accessible to any authorised user for updating and consulting experience from the work on the first two Rolling plans it became clear that timely compilation of the Procurement plan requires dedicated personnel to collect, analyze and triangulate the data.