UNICEF Medicine Supply Systems Strengthening Henrik K Nielsen











- Slides: 11
UNICEF Medicine Supply Systems Strengthening Henrik K. Nielsen Essential Medicines and Nutrition Unit HIV/AIDS & Health Centre WHO Technical Briefing Seminar 19. 11. 2009 Geneva 1
Outline 2. Affordable prices 2. Affordable financing 3. Sustainable financing ACCESS 4. Reliable health and supply systems selection 1. Rational selection ACCESS 1. Rational 3. Sustainable 4. Reliable health and supply systems prices 2
TOTAL PROCUREMENT (Pharmaceuticals in millions USD) 2006 Pharmaceuticals $ 24. 98 2007 $ 39. 17 2008 $ 37. 92 2009* $ 33. 78 *until 30 September 2009 3
Where we supply? • UNICEF country programs • Procurement Service Customers – UN Agencies – NGO’s – MOH 4
UNICEF Supply of Pharmaceuticals in 2009 (in USD) Ukraine Zimbabwe Malawi Dem. Rep. Congo $ 9. 601. 793. $ 3. 623. 420. $ 2. 495. 341. $ 2. 156. 528. Myanmar Somalia Sudan Pakistan Ethiopia $ 1. 619. 627. $ 1. 275. 614. $ 1. 071. 338. $ 902. 930. $ 836. 445. 5
Main receiving areas Eastern Europe Africa Asia 6
Quality Assurance UNICEF´s Quality system is based on: – Procedures – WHO Model QA system for Procurement – ISO 9000: 2001 Suppliers – Review of submitted documentation – GMP inspection/compliance WHO GMP guidelines Products – Interagency Product Questionnaire 7
Quality Assurance Evaluation of products: – Done in connection with Invitation to Bid – Supply Agreement with best offer – 1 -2 back-up suppliers Pre-qualification of suppliers of Vaccines, HIV/AIDS, Malaria and TB products: – Products must be pre-qualified by WHO and listed on the WHO websitee 8
Quality Assurance Products received in the warehouse are inspected – Visual inspection – Documentation , Certificate of Analysis – Analysis performed on a random basis according to an annual plan - Predelivery Inspections 9
Quality Assurance • Local Procurement/Production – All local purchase of pharmceuticals requires apporval from UNICEF SD – Local production has been evaluated in countries like: Bangladesh, India, Ethiopia, Indonesia, Peru 10
Thank You 11











