1. Access to Medicines: what should the industry contribute? Part II: Supply Chain & Delivery Systems - The Last Mile Challenge EFPIA 18 th September 2013 Brussels

2. Today’s Agenda 12:30Welcome by Edwin de Voogd 13:00Presentation by Christopher Game 13:20Presentation by Richard Allan 13:40Presentation by Alessandro de Luca 14.00Conclusions 14:15Q&A

3. Questions to address How can we collaborate closer with local partners to understand in country supply issues? What resources and expertise can the industry bring to this issue?

4. Brief Introduction to IDA Foundation “To improve access to and deliver high - quality essential medicines and medical supplies at the lowest possible price to low- and medium income countries” What we do: Procurement services (e.g. VPP) Supply from (local) stock Logistics solutions Quality assurance 40 Years of Making Quality Healthcare Affordable….. …1,5 Billion Patients treated Global representation (IDA offices and 40+ agents) Customers in 100+ countries International team :170 employees Expected turnover 2013: $325 million

5. Customers and partners MULTILATERAL FUNDING MULTILATERAL PROGRAMME & FUNDING Drug-purchasing facility (provides funding grants) Hosted by WHO The World Bank World Health Organisation BILATERAL NGO & PRIVATE FOUNDATIONS PRESIDENT’S MALARIA INITIATIVE (PMI) President’s Emergency Plan for AIDS Relief (PEPFAR) Clinton Health Access Initiative (CHAI) GLOBAL DRUG FACILITY (GDF) The Global Health Network National Ministries of Health (MoH) Local NGOs Central Medical Stores

6. How can we collaborate closer with local partners to understand in country supply issues?

7. PNG in a Nutshell Supply Chain Challenges: Lack of infrastructure: complicated distribution Complicated financial structure Corruption Counterfeit / substandard medicines Population: 6,3 million GDP: $2.200 823 languages spoken Tribal society, vast and remote Economy: export copper, gold, gas Increasing wealth gap

8. Working with partners NdoH: local authority WHO: content of the kit → IDA is the standard AusAid: financing and programme management Charles Kendall: physical distribution in PNG through 4 subcontractors Our Results: Sourcing from more than 40 manufacturers Specialised essential medicine kits composed for health centres / aid posts Kitting (with SDV) in Singapore Shipped to 5 ports in PNG Completed on-time deliveries across PNG’s 20 provinces 743 health centres and 1995 aid posts

9. What resources and expertise can the industry bring to this issue? Funder National Health Authority Pharmaceutical Industry Not-for-Profit Organisation Knowledge & Expertise

10. Speakers Christopher Game Chief Procurement Officer, Global Fund Richard J. Allan Director, The Mentor Initiative Alessandro F. de Luca Head of Global Supply Chain, MerckSerono

11. What can we conclude? Access to Medicines: what should the industry contribute? Part II: Supply Chain & Delivery Systems - The Last Mile Challenge Q1: How can we collaborate closer with local partners to understand in country supply issues? Q2: What resources and expertise can the industry bring to this issue?