Saving Lives, Buying Time Economics of Malaria Drugs in an Age of Resistance (2004) / Chapter Skim
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4 An International System for Procuring Anitmalarial Drugs
4 An International System for Procuring Anitmalarial Drugs
Pages 112-122
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From page 112... ...
. There is a new "TB Global Drug Facility" with a similar role for procuring drugs that constitute the international standard in tuberculosis treatment.
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From page 113... ...
THE BASICS OF DRUG PROCUREMENT Tasks of Centralized Procurement Organizations Supranational centralized procurement is attractive because it allows countries to participate in and benefit from a more focused and efficient effort than any single country could individually mount. Even if their drug policies differ, all malarious countries face common challenges.
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From page 114... ...
Since funds to subsidize the world's needs are not likely to reach sufficient levels for several years and production scale-up also is just beginning, the best that can be done now is to ratchet up funding and production over several years. Within 5 years, the ability to forecast demand should be greatly improved, however, at which time the procurement organization will have forged relations with major producers, and individual countries will have collected data on the volume of ACTs entering their respective countries and will be in a better position to project demand.
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From page 115... ...
· UNICEF believes that we should provide manufacturers with accurate and long-term forecasts; UNICEF believes that manufactures should provide UNICEF with accurate and long-term production plans. · UNICEF believes that as a public buyer, providing grants to manufacturers is not the most effective method of obtaining capacity increases.
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From page 116... ...
recommended in this report. In addition to an assured purchase fund, the organization will require funds to organize outreach to current and potential producers of ACTs in order to provide them with information about acceptable products, the WHO prequalification process (including the possibility of technical assistance)
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From page 117... ...
Other Desirable Characteristics of a Procurement Organization for ACTs ACTs currently have a short shelf-life roughly estimated at 2 years. Therefore, one practical consideration for a procurement agency will be organizing the direct delivery of ACTs from producer to customer with as little delay as possible.
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From page 118... ...
· Coordinated informed buying: Purchasers conduct joint market research, share supplier information, and monitor prices but purchase individually. · Group contracting: Purchasers jointly select suppliers and negotiate prices, agreeing to purchase from the selected suppliers.
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From page 119... ...
collaboration with the Rockefeller Foundation and key African institutions on the design of a program for Coordinated Informed Buying of HIV/AIDS-related drugs in programs of regional pooled procurement under the auspices of ACAME (an association of francophone West African countries' central medical stores) and CRHCS (East and Southern Africa Commonwealth Regional Health Community Secretariat)
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From page 120... ...
Lee. The RBM draft concept document is not a finished proposal but a starting point for broad consultation to begin honing the plan.
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From page 121... ...
If working well, it could be a permanent, efficient mechanism for antimalarial procurement. Another key issue that still must be addressed is the mechanism for injecting a global ACT subsidy into the system in a way that will influence the private retail sector.
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