Presentation on theme: "Wilbert Bannenberg SARPAM"— Presentation transcript:
1 Wilbert Bannenberg firstname.lastname@example.org SARPAM Regional procurement policies and access to medicines - lessons from the SADC Pooled Procurement projectWilbert BannenbergSARPAM
2 Situational Analysis: Key Challenges Limited transparency and poor availability of informationPrices, quality, sources of medicinesUse of TRIPS flexibilitiesReluctance to disclose informationVarying availability of selected medicinesLack of standardisation on procurement and pricing informationdifficult to compare between countriesVarious levels of development of medicines regulatory systems – no MRAs in some countriesShortages of qualified staff in fields of specialisationNo coordination in efforts to strengthen PSM systemsDemographic and economic differences among countries
3 Percentage of NMPA prices below the international MSH benchmark
4 SADC Pharmaceutical Business Plan: 4.1.5 Promoting joint procurement Evaluate options for pooled procurement for priority medicines and harmonize procurement regulationsIdentify the priority essential medicines which can bring about the largest savings from pooled procurement or price negotiationsIdentify and facilitate access to funding sources and finance mechanisms for joint procurementEstablish a regional mechanism for pooled procurement of medicinesAssess and strengthen national procurement agencies and supply chain management systems
5 SARPAM Pooled Procurement project Based on SADC Pharmaceutical Business PlanSADC Health Ministers wanted PP since 1997!Efforts did not work due to Drug Regulatory and Procurement system differencesSARPAM developed proposal to start with information exchange between Procurement Agencies11 countries now sharing informationAt same time, SARPAM started Drug Regulatory harmonisation projectCommon Technical Document approved last monthSADC PP Strategy developed in 2012
6 SADC Pooled Procurement Strategy Developed by a working group from SADC Member States and partners WHO, UNDP, MSH with technical assistance from SARPAMDiscussed and approved by SADC Ministers of Health and HIV/AIDS – Nov 2012SARPAM facilitating implementation of the strategyMember States choose taking a step-wise approach:Recognition of challenges – 14 sovereign states vs regionPrioritise information and work sharing firstGroup contracting in a later phase
7 The 4 Pooled Procurement models (Adapted from MSH, 2012) Informed BuyingMember States share information about prices and suppliers but undertake individual procurement.Coordinated Informed BuyingMember States undertake joint market research, share supplier performance information and monitor prices. Countries undertake individual procurement.Group ContractingMember States jointly negotiate prices and select suppliers.Countries agree to purchase, individually, from selected suppliers.Central Contracting and purchasingMember States jointly conduct tenders and awards contracts through an organisation acting on their behalf.Central buying unit manages the purchase on behalf of countriesMember states have chosen to begin with information sharing first until clarity is there on rules and regulations will dictate extent collaboration can go.
8 PP Strategic Objectives To establish a mechanism for regional procurement of medicines and related commodities.To mobilise resources for the SADC regional procurement for Essential Medicines and CommoditiesTo develop and harmonise policies and guidelines for procurement of Essential medicines and Commodities.To facilitate trade and movement of Essential Medicines and Commodities in the regionThis includes working on using TRIPS flexibilities!
9 Intersectoral Cooperation Between the Health sector andTrade (and customs): increased medicines’ trade among MSFinance: ensure resourcesProcurement: procurement guidelinesLegal affairs: legislation and regulationsWhile including development partners, private sector (SAGMA) and Civil Society
11 Pooled Procurement Benefits Considerable savings by applying information and work sharing among procurement agenciesLeading to improved access to essential medicinesDevelopment and implementation of regional standards and procedures will lead to increased efficiencyQuality assured medicines through regulatory harmonisationFunctional regional pharmaceutical procurement agency (SPPS) offering procurement services likeinformation sharing, work sharing , coordination, (e-) procurement services including group contracting
12 Information & Work Sharing Platform To make available to stakeholders in SADC Member States all key information on medicines that are on the market in the regioninformation on prices, sources and quality of at least 50 essential medicines and other difficult to source productsTo make available information on ‘good practices’ in SADC Member States on pharmaceutical Procurement and Supply Management (PSM) systems includingprocedures and tools useda database of expert staff in Member States that apply these practices.Price benchmarking
14 Finally... SADC member states last week: Pooled Procurement implementation plan approvedOptions paper for SPPS approved SADC Secretariat)agreed to establish the information sharing e-platformSADC medicines database establishedAcknowledgement - based on a presentation by :Geoffrey Ngwira, SARPAM Pooled Procurement OfficerPhone: