Malaria Programmes and Implication on Strengthening the overall Health System Presentation by Dr Maryse Dugué RBM Partnership Secretariat, Malaria Medicines.

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Presentation transcript:

Malaria Programmes and Implication on Strengthening the overall Health System Presentation by Dr Maryse Dugué RBM Partnership Secretariat, Malaria Medicines & Supplies Services Copenhagen – 31 January 2006 3

Drug resistance Drug policy issues Procurement systems Drug management, distribution, monitoring Pharmacovigilance

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 Scaling up requires: System issues 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 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 Political commitment/support Strengthening health system through SWAp High resources mobilization

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 Risk rating Resources for the activities Procurement plan Tender evaluation Commodity selection Quantification

Challenges in changing clinical practice In-service training Provision of job aids Update treatment and case management recommendations in all the manuals

Logistics challenges Storage Cold/cool chain (RDTs) Transport systems Inventory Monitoring at all levels

How to contact us… Malaria Medicines & Supply Services (MMSS) Roll Back Malaria Partnership Secretariat Website: http://rbm.who.int/mmss/ Dr Maryse Dugue Manager Tel: +41 (0)22 791 4439 E-mail: duguem@who.int