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Assignment: Mid-term Review of the Revolving Drug Fund in Nyamira
Client: BTC-CTB
Country: Kenya
Fields of expertise: Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Monitoring and Evaluation
Description:Narrative Description of Project:
The objective of the study is to assess the operations of the Revolving Drug Fund (RDF) after 11 months of RDF activities.

Description of Actual Services Provided:
The team assessed:
  • the initial set up of the project and its potential for success,
  • to which extent the activities outlined in the adjusted project proposal and approved by the Sector Steering Committee, have been implemented
  • the achievements and impact of the Revolving Drug Fund (RDF) project since the commencement of the field activities in April 2002,
  • the integration of the RDF activities into the activities and/or general policies of the Ministry of Health,
  • the progress of RDF in relation with the anticipated time-plan and plan of operation, and identify facilitating and constraining factors to programme performance,
  • the probability that this project will be able to reach the objectives through verifiable and operational achievements within the original time span, and make recommendations on:
    • ways and means to overcome any constraints
    • the potential to integrate comparable programmes in adjacent areas within the RDF
Year:2003

Assignment: Technical Assistance Mission regarding the First Phase of the Revolving Drug Fund in Nyamira
Client: BTC-CTB
Country: Kenya
Fields of expertise: Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment
Description:Narrative Description of Project:
Assessment of the Revolving Drug Fund project in Western Kenya.
  • Identify critical indicators that should be monitored by the project.
  • Discuss and advice in the identification of training needs and materials.
  • Advise on the preparation of the required information materials.
  • Provide suggestions for defining the intervals for intermediate, internal self-evaluation.
  • Provide suggestions for joint GoK/MoH – BTC programme evaluations.
  • Overview the assessment of the existing policies on pricing and price setting, cost awareness and the existing exemption methods with the health staff and the public and discuss and give advice for the development of pricing methodology, price setting guidelines, exemption methodology and guidelines.
  • Overview the assessment of existing situation with regard to drug management skills, operations, capacity and capabilities and give advice for adaptation to RDF requirements.
  • Discuss on guidelines in the development of RDF programme control and checking methods on administrative skills, quality of records and management of stocks and funds.
  • Discuss on guidelines in outlining the drafts for the procedure manual on the flow of drugs, storage and distribution within the system.
Year:2001

Assignment: Strengthening of the STD Component of the National AIDS Control Programme of the Ministry of Health in Tanzania - Formulation
Client: BTC-CTB
Country: Tanzania / Zanzibar
Fields of expertise: Essential Drugs Programme Support, Essential Medicines Financing, HIV-AIDS-STI-TB, Identification and Formulation, Planning, Organisation and Management
Description:Narrative Description of Project:
The objective of the formulation mission to Tanzania was to produce a description of the viability of the Belgian support and to indicate the main areas of attention during the project implementation.

Description of Actual Services Provided:
The team prepared a document in close collaboration with the main party involved – NACP management – and in consultation with other parties, in particular the Medical Stores Department (MSD) reflecting the main considerations, conclusions and decisions with respect to potential for successful and effective implementation of the support by Belgian aid by means of:
  • a brief, policy and organisation oriented assessment;
  • a technical, operation assessment.
The mission reviewed the proposed Specific Agreement between the Belgian and Tanzanian Governments.
Year:2001

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Bahamas
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Barbados
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Antigua and Barbuda
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Caribbean Partnership
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Dominica
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Dominican Republic
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Grenada
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Haiti
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Jamaica
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Montserrat
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: St. Kitts and Nevis
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: St. Lucia
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: St. Vincent and the Grenadines
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Trinidad & Tobago
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Belize
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Suriname
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Regional assessment of Drug Regulation and Regulatory Systems
Client: Caribbean Community (CARICOM) Secretariat
Country: Guyana
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative Description of Project:

The general objectives are :
  • To make recommendations on the adequacy of the systems in Member States for regulation of the pharmaceutical market to ensure the timely supply of safe, effective and quality medicines
  • To explore the possibilities and identify the requirements and process for establishing a harmonized, pro-public health regional (Caribbean) drug regulation policy (to include generic drugs) and registration system.
  • To identify mechanisms for the development of regional country coalition for joint procurement strategies.
Description of Actual Services Provided by Your Staff within the assignment:
  • Development of assessment instrument
  • Desk review, data collection and interviews in countries and qualitative assessment of data.
  • Developing recommendations and strategies for addressing needs and gaps identified at national levels
  • Development of strategies for regional harmonization of drug regulation in CARICOM and the technical requirements for the establishment of a regional platform for future decision-making in drug regulation,
  • Identification of necessity for training programmes and the need for continuing education,
  • Presenting the draft report to the CARICOM Council for Human and Social Development
  • Presenting & discussing draft report and strategic option to the Technical Advisory Group
  • Providing final report
Year:2008 - 2009

Assignment: Consultancy to review proposed model for Expansion of the pilot Accredited Drug Dispensing Outlets (ADDO) model implemented in Ruvuma region of Tanzania to cover the rest of the country
Client: Danida
Country: Tanzania / Zanzibar
Fields of expertise: Cost-effectiveness Studies, Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Public Private Partnership Interventions
Description:Narrative Description of Project:
Review strategies applied and associated costs and budget for ADDOs, pilot in Ruvuma region and indicate whether it is possible to reduce future implementation costs or come up with some innovative cost sharing approaches with duka owners, local government and explore other stakeholders. possible sources of income such as charging the dukas for training when rolling out the initiative.

Provide cost effective and sustainable options on how best to replicate the Ruvuma pilot to cover all 21 regions at a cost the GOT can afford.

Description of Actual Services Provided:
The study involved discussion with key stakeholders, visiting of the pilot region and reviewing the project documents and other relevant literature.
Assessment and advice.
Year:2006

Assignment: Joint Annual Health Sector Review 2006: District Health Services Delivery
Client: Danida
Country: Tanzania / Zanzibar
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, HIV-AIDS-STI-TB, Hospital Services, Identification and Formulation, Planning, Organisation and Management, Reproductive Health, Sector Wide Approach (SWAp)
Description:Narrative Description of Project:
Appraisal of health service delivery with a special focus on:
  • How the HRH crisis affects service delivery at district level and potential short term quick wins and possible long term remedies
  • How the availability of drugs and medical supplies affect the quality of health care at district level
  • The effects of HIV and AIDS on district health services including issues of sustainability
  • Results from the recent Demographic Health Survey in terms of lessons, challenges and future direction
  • Reproductive Health – how we can do better
Review of earmarked funded activities HSPS Mainland and Zanzibar.

Description of Actual Services Provided:
  • Analysis of all background documents
  • Discussion with stakeholders
  • Field trips to Zanzibar, Mwanza and Kagera
  • Participation in bilateral meetings between Danida and MoH&SW on Zanzibar and Mainland
  • Participation in joint review meetings on Zanzibar and Mainland
  • Main report with findings and recommendations.
Year:2006

Assignment: Review of the Drug Provision System (indent system)
Client: Danida
Country: Tanzania / Zanzibar
Fields of expertise: Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, Planning, Organisation and Management, Rational Use Surveys
Description:Narrative Description of Project:
The objectives of the review are to carry out a thorough assessment of the indent system for drugs distribution as piloted in Morogoro region under HSPS and make recommendations for the further implementation of a pull system in Tanzania.

Description of Actual Services Provided:
The team performed the following review:
  • Assessment of the initial design and the operational version of the Indent System;
  • Assessment of the actual implementation of the system package with regard to its adequacy for implementation in other regions;
  • Assessment of the impact of the system;
  • Assessment of the financial aspects;
  • Assessment of the system’s potential to respond to the health reform target of delegation responsibilities for the planning and execution of drug supply at PHC level;
  • Assessment of quality of the data acquired via the system as basis for preparation of drug sector policies;
  • Assessment of the system’s potential to promote rational use of drugs;
  • Analysis and comparison of the costs and control mechanism of the previous “push” system of standard kits versus the Indent System as a “pull” system;
  • Analysis and assessment of options for further implementation of a “pull system” and recommend on replication and adjustments of the present system. Assess and quantify the need for further external financial and technical assistance. Identify the need for socio-economic assessment of the system after introduction of socio-sharing for drugs.
Year:2000

Assignment: Formulation for the Health Sector Programme Support I
Client: Danida
Country: Tanzania / Zanzibar
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Hospital Services, Identification and Formulation
Description:Narrative Description of Project:
Formulation for the Health Sector Programme Support I.
Year:1998 - 1999

Assignment: Health System Review of the Ghanaian health system and health services
Client: Danida - Ministry of Health
Country: Ghana
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Health Sector Review or Health Sector Diagnosis, Identification and Formulation
Description:Narrative Description of Project:
Health system review of the Ghanaian health system and health services. Project identification at district, provincial and central level.

Description of Actual Services Provided:
  • Responsible for the Health System Review following the Logical Framework Approach.
  • Problem identification and problem solving of the health sector.
  • Project identification and appraisal in the fields of district health system, essential drugs and health manpower development.
Year:1990

Assignment: Health sector review
Client: Danida - Ministry of Health
Country: Niger
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Health Sector Review or Health Sector Diagnosis, Training and Human Resource Development
Description:Narrative Description of Project:
Health sector review. Proposal for strengthening of health sector. Project identification in the area of district support, essential drugs supply, and basic training of health personnel.
Year:1992

Assignment: Technical Assistance for Development and Rehabilitation of Health Services in Zanzibar
Client: Danida - Ministry of Health
Country: Tanzania / Zanzibar
Fields of expertise: Essential Drugs Programme Support, Essential Medicines Financing, Health Financing and Provider Payment, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Planning, Organisation and Management, Sector Wide Approach (SWAp)
Description:Narrative Description of Project:
The overall objective of the technical assistance is to assist the Revolutionary Government of Zanzibar in establishing and analysing the essential information for policy and strategic decision making and in assessing the different emerging policy and technical options within key aspects of the health system of Zanzibar.

Description of Actual Services Provided:
  • Support to setting up SWAp process.
  • Review of essential drugs needs.
  • Technical advice in specific areas as per request by the MOH.
  • Financing strategies for the health sector.
Year:2003 - 2004

Assignment: Review of MSL Management under 1st year Management Contract between MSL and Crown Agents
Client: DFID
Country: Zambia
Fields of expertise: Drug Supply Management System Strengthening, Essential Drugs Programme Support, Monitoring and Evaluation, Procurement and Tender Support
Description:Narrative Description of Project:
The objective is to review MSL management and operations (warehousing, inventory management, quality assurance, distribution) including operating costs and management fee.

Description of Actual Services Provided:
The Review Team assessed the functioning of MSL management and MSL performances with regard to its key operations, i.e. receipt of goods, storage and distribution, as well as the support functions financing and human resources management. Indicators are proposed and a baseline established for MSL performance. Further emphasis is on options to bring the procurement of health commodities back in one supply chain of storage and distribution of all health commodities at the MSL as well as the future relations with the DSBL.
The Review Report includes indicators with baseline data and options for optimal functioning of MSL within the procurement and supply system in the health sector and draft terms and conditions for the 2nd and 3rd year MSL Management Contract.
Year:2005

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Jordan
Fields of expertise: Access to Medicine Campaigns, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Procurement and Tender Support, Public Private Partnership Interventions, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Ghana
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Procurement and Tender Support, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Kyrgyzstan
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Peru
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: The Philippines
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Uganda
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Medicines Transparency Alliance (MeTA)
Client: DFID
Country: Zambia
Fields of expertise: Access to Medicine Campaigns, Drug Pricing Studies, Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Increasing Transparency In Public And Private Pharmaceutical Markets, National Medicines Policy Development, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative description of Project:

MeTA is a new multi-stakeholder approach for increasing transparency around the selection, procurement, sale and distribution of medicines in Low Income Countries, thereby strengthening governance and encouraging responsible business practices.
The MeTA goal is to ensure access to affordable essential drugs in developing countries (MDG 8, target 17). The initiative us being supported financially by DFID during its present Phase One.
MeTA brings together, at both the international and national levels, a diverse group of people with an interest in the pharmaceutical sector (stakeholders) to find ways to improve information flows, and increase transparency and accountability about the selection, regulation, procurement, sale, distribution and use of medicines in developing countries. By doing so, MeTA will improve how decisions are made about medicines, improve the way they are purchased and supplied, encourage innovative and responsible business practices, and increase the voice of patients and consumers.

Description of actual services provided by your staff within the assignment:

The MeTA International Secretariat is tasked to help to support the implementation of MeTA in 7 pilot countries, through facilitating support for the evolution and effective functioning of the National Secretariats, National Multi-Stakeholder Group (NMSGs), and implementation of work plans. Following the establishment of country MeTA structures, the International MeTA Secretariat provides further support to the pilot countries including:
  • Supporting countries to extract and collate data on medicine quality, availability and pricing along the supply chain;
  • Supporting countries to undertake studies assessing the level of transparency and good governance in medicines regulation and procurement;
  • Working with countries to produce country-specific MeTA reports, which would collate data and further analyse and contextualise issues related to medicine quality, availability and price, and to disseminate these reports through the media and public interest groups; as well as exploring policy options and support needed for implementation e.g. of report recommendations.
  • Assist countries in using the data collated through MeTA on medicine policies and regulation as well as quality, availability and prices to try to promote relevant good practice and policy changes to improve access to medicines.
HERA contracted staff are responsible for the provision of country specific support under META.
Pilot countries are: Ghana, Uganda, Zambia, the Philippines, Jordan, Kyrgyzstan and Peru.
Year:2008 - 2010

Assignment: Health Sector Reform Project (HSRP)
Client: EC
Country: Egypt
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Hospital Services, Monitoring and Evaluation, Monitoring and Evaluation, Planning, Organisation and Management, Public Private Partnership, Sector Wide Approach (SWAp)
Description:Narrative Description of Project:
The Ministry of Health has launched a Health Sector Reform Project (HSRP). This programme aims at organising the health services towards all families and being financed by health insurance (compulsory and complementary health insurance). A pilot model of health services is being tested in 5 Governorates, including both purchasers and provider organisations. Reform of the present health insurance scheme and the development of sustainable financing strategies are key elements of the reform.

Description of Actual Services Provided:
Regular monitoring of the reform process through bi-annual evaluations. Advise to the Minister of Health on the reform strategies and implementation.
Year:2000 - 2006

Assignment: Mid-term Review of EC/ACP/WHO Partnership on Pharmaceutical Policies
Client: EC - AIDCO
Country: Global
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, National Medicines Policy Development
Description:Narrative Description of Project:
  • Study of the achievements of the programme, its contribution to the overall objective, and performance in terms of programme purpose and results.
  • Estimation of the quality of work planning, budgeting and risk management.
  • Analysis of constraints and proposal of solutions.
  • Analysis of the degree of coherence of the programme with the country national drugs plans at governmental level and activities undertaken by the relevant stakeholders,.
  • Analysis of the degree of coordination and complementarities of project’s activities with other donor’s activities at country and global levels.
  • Analysis of the degree of sustainability of project benefits
  • Analysis of the degree of respect of EU visibility and publicity in WHO implementation approach.
  • Proposal of measures and recommendations for change to project scope in order to support effective implementation.
Description of Actual Services Provided:
  • Briefing in Brussels with EU services AIDCO/C/4
  • Desk-audits and interviews at WHO Offices in Geneva
  • Visits to regional offices: Brazzaville and Manila
  • Country visits to Nigeria and Tanzania: contacts with officials at the EC Delegations, and the key donors in pharmaceutical and essential medicine area and field visits.
  • Draft report summarizing findings and recommendations
  • Validation workshop in Brussels
  • Submission Final Report
Year:2006

Assignment: Mid-term Review of EC/ACP/WHO Partnership on Pharmaceutical Policies
Client: EC - AIDCO
Country: Nigeria
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, National Medicines Policy Development
Description:Narrative Description of Project:
  • Study of the achievements of the programme, its contribution to the overall objective, and performance in terms of programme purpose and results.
  • Estimation of the quality of work planning, budgeting and risk management.
  • Analysis of constraints and proposal of solutions.
  • Analysis of the degree of coherence of the programme with the country national drugs plans at governmental level and activities undertaken by the relevant stakeholders,.
  • Analysis of the degree of coordination and complementarities of project’s activities with other donor’s activities at country and global levels.
  • Analysis of the degree of sustainability of project benefits
  • Analysis of the degree of respect of EU visibility and publicity in WHO implementation approach.
  • Proposal of measures and recommendations for change to project scope in order to support effective implementation.
Description of Actual Services Provided:
  • Briefing in Brussels with EU services AIDCO/C/4
  • Desk-audits and interviews at WHO Offices in Geneva
  • Visits to regional offices: Brazzaville and Manila
  • Country visits to Nigeria and Tanzania: contacts with officials at the EC Delegations, and the key donors in pharmaceutical and essential medicine area and field visits.
  • Draft report summarizing findings and recommendations
  • Validation workshop in Brussels
  • Submission Final Report
Year:2006

Assignment: Mid-term Review of EC/ACP/WHO Partnership on Pharmaceutical Policies
Client: EC - AIDCO
Country: Tanzania / Zanzibar
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, National Medicines Policy Development
Description:Narrative Description of Project:
  • Study of the achievements of the programme, its contribution to the overall objective, and performance in terms of programme purpose and results.
  • Estimation of the quality of work planning, budgeting and risk management.
  • Analysis of constraints and proposal of solutions.
  • Analysis of the degree of coherence of the programme with the country national drugs plans at governmental level and activities undertaken by the relevant stakeholders,.
  • Analysis of the degree of coordination and complementarities of project’s activities with other donor’s activities at country and global levels.
  • Analysis of the degree of sustainability of project benefits
  • Analysis of the degree of respect of EU visibility and publicity in WHO implementation approach.
  • Proposal of measures and recommendations for change to project scope in order to support effective implementation.
Description of Actual Services Provided:
  • Briefing in Brussels with EU services AIDCO/C/4
  • Desk-audits and interviews at WHO Offices in Geneva
  • Visits to regional offices: Brazzaville and Manila
  • Country visits to Nigeria and Tanzania: contacts with officials at the EC Delegations, and the key donors in pharmaceutical and essential medicine area and field visits.
  • Draft report summarizing findings and recommendations
  • Validation workshop in Brussels
  • Submission Final Report
Year:2006

Assignment: Mid-term Review of EC/ACP/WHO Partnership on Pharmaceutical Policies
Client: EC - AIDCO
Country: Congo Brazzaville
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, National Medicines Policy Development
Description:Narrative Description of Project:
  • Study of the achievements of the programme, its contribution to the overall objective, and performance in terms of programme purpose and results.
  • Estimation of the quality of work planning, budgeting and risk management.
  • Analysis of constraints and proposal of solutions.
  • Analysis of the degree of coherence of the programme with the country national drugs plans at governmental level and activities undertaken by the relevant stakeholders,.
  • Analysis of the degree of coordination and complementarities of project’s activities with other donor’s activities at country and global levels.
  • Analysis of the degree of sustainability of project benefits
  • Analysis of the degree of respect of EU visibility and publicity in WHO implementation approach.
  • Proposal of measures and recommendations for change to project scope in order to support effective implementation.
Description of Actual Services Provided:
  • Briefing in Brussels with EU services AIDCO/C/4
  • Desk-audits and interviews at WHO Offices in Geneva
  • Visits to regional offices: Brazzaville and Manila
  • Country visits to Nigeria and Tanzania: contacts with officials at the EC Delegations, and the key donors in pharmaceutical and essential medicine area and field visits.
  • Draft report summarizing findings and recommendations
  • Validation workshop in Brussels
  • Submission Final Report
Year:2006

Assignment: Mid-term Review of EC/ACP/WHO Partnership on Pharmaceutical Policies
Client: EC - AIDCO
Country: The Philippines
Fields of expertise: Drug Regulatory Authority Support, Essential Drugs Programme Support, Essential Medicines Financing, Monitoring and Evaluation, National Medicines Policy Development
Description:Narrative Description of Project:
  • Study of the achievements of the programme, its contribution to the overall objective, and performance in terms of programme purpose and results.
  • Estimation of the quality of work planning, budgeting and risk management.
  • Analysis of constraints and proposal of solutions.
  • Analysis of the degree of coherence of the programme with the country national drugs plans at governmental level and activities undertaken by the relevant stakeholders,.
  • Analysis of the degree of coordination and complementarities of project’s activities with other donor’s activities at country and global levels.
  • Analysis of the degree of sustainability of project benefits
  • Analysis of the degree of respect of EU visibility and publicity in WHO implementation approach.
  • Proposal of measures and recommendations for change to project scope in order to support effective implementation.
Description of Actual Services Provided:
  • Briefing in Brussels with EU services AIDCO/C/4
  • Desk-audits and interviews at WHO Offices in Geneva
  • Visits to regional offices: Brazzaville and Manila
  • Country visits to Nigeria and Tanzania: contacts with officials at the EC Delegations, and the key donors in pharmaceutical and essential medicine area and field visits.
  • Draft report summarizing findings and recommendations
  • Validation workshop in Brussels
  • Submission Final Report
Year:2006

Assignment: Change review of Namibia Integrated Health Programme
Client: EC - KIT
Country: Namibia
Fields of expertise: Basic Health Services, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Reform, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management
Description:Narrative Description of Project:
The different components of the NHIP programme are the following:
  • Support to central level
  • Support the intermediate and operational regional levels
  • Support to the essential drug programme
NIHP’s general objectives are in a nutshell:
  • to promote comprehensive development of the central level of the MOHSS, with particular emphasis on strengthening the administrative and financial services;
  • to support the process of decentralisation of the health system and to improve the delivery of comprehensive primary health care by strengthening Regional Health Directorates and regional Health Management Teams (RHMT);
  • to support the planning and development of an Essential Drugs Programme (EDP) by enhancing rational and cost-effective procurement, storage, distribution, supply and use of pharmaceutical products and medical supplies.
Description of Actual Services Provided:
  • Review of Namibia Integrated Health Programme and change review of the health sector reform process performance.
  • Recommendations for the future.
Year:1999

Assignment: Review of the Pharmaceutical Sector
Client: EC/EDF
Country: Madagascar
Fields of expertise: Costing Studies, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Financing and Provider Payment, Identification and Formulation, Medical Store Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review
Description:Narrative Description of Project:
  • Analysis of the pharmaceutical sector.
  • Elaboration of a proposal of a new central medical store.
Description of Actual Services Provided:
  • Analysis and evaluation of the pharmaceutical sector.
  • Project proposal of new central medical stores.
  • Development of distribution mechanisms (up to the periphery).
  • Cost-recovery schemes.
  • Appraisal study of the central medical store.
The central medical store (SALAMA) which is actually operational in Atananarivo is the result of the technical and organisational proposals made by HERA.
Year:1994 - 1995

Assignment: Feasibility Study of HSSP III
Client: EC/EDF - Ministry of Health
Country: Zimbabwe
Fields of expertise: Appraisal, Basic Health Services, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Review or Health Sector Diagnosis, Hospital Services, Planning, Organisation and Management, Procurement and Tender Support, Training and Human Resource Development
Description:Narrative Description of Project:

Feasibility study for designing a new health support programme to be financed by the EC taking into account the present country and political context

Description of Actual Services Provided:

Support programme 'Vital health services' designed and costed; with the following components:
  1. Vital medicines
    • Selected vital medicines available for district health services
    • ARVs for 3000 patients available in selected peripheral health services
  2. Safe blood transfusions
    • Selected essential safe blood supplies available at NBTS
    • Human resources for health
  3. 1 Primary care nurses training supported
    • Pharmacy Technicians training supported
    • District health staff training in drug management initiated and supported
  4. Critical posts filled
    • Selected critical posts in peripheral health services filled
Financing proposal developed.
Year:2004

Assignment: Monitoring of the EC Support to the Health Sector Reform Project (HSRP)
Client: European Commission - Ministry of Health
Country: Egypt
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Health Insurance, Health Policy and Policy Dialogue, Health Sector Reform, Hospital Services, Long Term Technical Assistance, Monitoring and Evaluation, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management, Public Private Partnership
Description:Narrative Description of Project:
The Ministry of Health has launched a Health Sector Reform Project (HSRP)). This programme aims at organising the health services towards families and being financed by health insurance. A pilot model of family health services has been created in 3 Governorates. This model has been operated by the Ministry of Health, the Health Insurance Organisation (HIO) and the private sector. The Ministry of Health wishes to develop a health insurance system and to reach national coverage.

The European Commission provides support to this reform through budgetary help for the Family Health Fund, annual activity programmes and technical assistance programmes. Moreover.

Description of Actual Services Provided:
An external team monitors the process of the reform and gives advise to the Ministry of Health and the EC to improve the impact of the reform strategies. HERA provided the team leader to the monitoring team. Bi-annual missions were carried out between 2001-2006.
  • Monitoring, on behalf of the EC, the progress of the health sector reform and health insurance reform in Egypt (over a 5-year period);
  • Advise the Ministry of Health and Population on reform concepts, policy development, processes and change;
  • Advise the EC on Tranche Release for the sector reform.
Year:2000 - 2004

Assignment: Documentation of the drug supply chain model for Uganda during the first year of implementation of the new malaria treatment policy
Client: Health Partners International
Country: Uganda
Fields of expertise: Drug Supply Management System Strengthening, Essential Drugs Programme Support, Procurement and Tender Support, Selection of Essential Medicines, Training and Human Resource Development
Description:Narrative description of Project:
The overall objective of this work is to document the supply chain that has been in place during the first year of implementation of the new malaria treatment policy, i.e. March 2006 to February 2007. The review will enable the Ministry of Health to better appreciate the current drug supply chain for Coartem® specifically and other essential medicines at health facility level. The current limitations of the system once documented can then be discussed in order to seek solutions.

Description of actual services provided:
The consultants described and documented the drug supply chain model in Uganda for antimalarias and other essential medicines. More specifically:
  • The drug supply chain (DSC) model from port to entry to end-user including roles and responsibilities along the chain;
  • The implementation of the model during the first year of the new malaria treatment policy and its effect on access to antimalarias at health facility level;
  • To examine the performance of the DSC management during first year of implementation;
  • To compare Coartem forecasts and quantifications of the first year of implementation with orders placed at NMS and JMS;
  • To assess the adequacy of tracking systems at central level to prevent stock-outs;
  • Prepare a checklist of training guidelines and job aids for drug supply management;
  • To describe the procurement procedures for Coartem;
  • To indicate how the Coartem supply chain can be extended to community level;
  • To highlight strengths and weaknesses of the supply chain and propose recommendations to maintain the former and solve the latter.
Year:2007

Assignment: Evaluation of the Pharmaceutical Sector
Client: Ministry of Health
Country: Burkina Faso
Fields of expertise: Basic Health Services, Essential Drugs Programme Support, HIV-AIDS-STI-TB, Identification and Formulation, Monitoring and Evaluation, Pharmaceutical Sector Review
Description:Narrative Description of Project:
Evaluation of the Pharmaceutical sector and of the National Aids Programme.

Description of Actual Services Provided:
  • Evaluation of the pharmaceutical sector.
  • Development of a directive plan for the pharmaceutical sector.
  • Identification of support projects.
Year:1994

Assignment: Pharmaceutical System Assessment
Client: Ministry of Health
Country: Lesotho
Fields of expertise: Essential Drugs Programme Support, Essential Medicines Financing, National Medicines Policy Development, Pharmaceutical Sector Review, Procurement and Tender Support, Public Private Partnership Interventions, Rational Use Surveys, Training and Human Resource Development
Description:Narrative Description of Project:
To carry out a comprehensive review of the Pharmaceutical systems in Lesotho, to make proposals and assist the Pharmaceutical Department to define and begin to implement a programme of reforms.

Description of Actual Services Provided:
  • General assessment of pharmaceutical management (MOHSW pharmaceuticals dept, CHAL, LPC, NDSO)
  • Policy review: review of draft National Drug Policy
  • Review of procurement process
  • Assess methodology of procuring drugs
  • Assess adequacy of present QA system
  • Drug financing: review sources of funding, assess management of drug budget
  • Pharmaceutical information system
  • Rational Drug use
  • Preparation for drug registration
  • Human resources
  • Private-public sector: analysis capacity/efficiency ; price comparison
  • Capacity building
  • Assist implementation
Year:2002 - 2003

Assignment: Capacity Building and Technical Assistance related to procurement, storage and distribution of Health Sector Goods, and drug supply management in hospitals
Client: Ministry of Health
Country: Lesotho
Fields of expertise: Drug Supply Management System Strengthening, Essential Drugs Programme Support, Long Term Technical Assistance, Medical Store Evaluation, Planning, Organisation and Management, Procurement and Tender Support, Training and Human Resource Development
Description:Narrative Description of Project:
The objectives are to
  • Strengthen drug supply management and security at all hospitals;
  • Enable NDSO to procure essential medicines using international competitive bidding;
  • Provide technical assistance to NDSO and MOH Procurement Unit in procuring the Health Sector Goods financed through the Global Fund using ICB.
Description of Actual Services Provided:
  • Development of an effective and efficient drug supply management system at NDSO and District Hospitals;
  • Development of a sound security system in connection with the inventory and the Health Sector Goods at NDSO and District Hospitals;
  • Training of staff at NDSO and Procurement unit on procurement of Health Sector Goods
  • Development of an efficient system for procurement, storage, distribution and M&E of the Health Sector Goods under the Global Fund.
Year:2006 - 2008

Assignment: Development of Capacity for the procurement of Pharmaceuticals and other Health goods and services & strengthening of management capacity of the Drug Supply Company Suriname (BGVS)
Client: Ministry of Health
Country: Suriname
Fields of expertise: Costing Studies, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, National Medicines Policy Development, Procurement and Tender Support, Training and Human Resource Development
Description:Narrative description of Project:
The overall objective of the technical assistance (TA) for the Procurement and Supply Consultancy and BGVS Management Support Services for the Ministry of Health in Suriname is to establish internationally accepted procurement and supply functions in the health sector, as well as the necessary management arrangements that will facilitate Goods Procurement Practises at the BGVS.

Description of actual services provided:
The team provided the necessary support to the MOH Pharmaceutical Policy Coordinator with the development of procurement organization and planning as well as storage and distribution of commodities. More specifically assisted the MOH and its programs in the set-up of its institutional framework for procurement of Goods, Works and Services and assisted the BGVS Board of Directors and management in formulating and executing its policy for 2007-2008, which is currently being drafted.

The focus lay on:
  • Procurement and supply management activities with regard to essential drugs and supplies at GBVS as well as at MOH and its programs;
  • Development and implementation of harmonized procurement and supply systems, including procedures, quality assurance, administration, monitoring, documentation, …;
  • Recruitment and training of staff to undertake aforementioned tasks;
  • Building working relationships with all stakeholders, including sensitizing senior staff in the public health system on sound procurement systems and procedures;
  • Training and skills transfer regarding Good Procurement Practises at central and BGVS level;
  • Financial management, including costing and pricing of goods and credit control at BGVS;
  • Evaluation of data management at BGVS, with a focus on management information systems and taking into account specific requirements of clients and stakeholders.
Year:2007 - 2008

Assignment: Formulation and pre-appraisal for the Health Sector Programme Support, Phase II
Client: Rambol - Danida
Country: Zimbabwe
Fields of expertise: Appraisal, Basic Health Services, Essential Drugs Programme Support, Health Financing and Provider Payment, Hospital Services, Identification and Formulation
Description:Narrative Description of Project:
Formulation and pre-appraisal for the Health Sector Programme Support, Phase II.
Year:1999

Assignment: Assistance in preparing the meeting of the Task Force on the Logistic system for the health sector
Client: UNICEF
Country: Madagascar
Fields of expertise: Essential Drugs Programme Support, Planning, Organisation and Management, Procurement and Tender Support
Description:Narrative Description of Project:
Assistance with preparation and facilitation of a senior level workshop with partners of Health Sector and Ministry of Health, which will set objectives and roadmap for the design and operationalisation of a national integrated procurement and logistics system for the Health sector. Support in promoting and creating the conditions for the tenure of a similar workshop in the Education sector, through meetings at senior level in the sector and the government.

Description of Actual Services Provided:
  • Documentation of the outputs of the meetings
  • Report on the approved objectives, roadmaps and targets for the design and operationalisation of a national integrated procurement and logistics system for the Health sector, and recommendations.
  • Report and recommendations on next stages for the tenure of a workshop in the Education sector.
Year:2007

Assignment: Diagnosis and reorganisation of the pharmaceutical sector
Client: World Bank
Country: Rwanda
Fields of expertise: Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Essential Medicines Financing, Health Sector Reform, Medical Store Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review, Planning, Organisation and Management, Quantification of Essential Drug Needs, Rational Use Surveys, Selection of Essential Medicines, Training and Human Resource Development
Description:Narrative Description of Project:
  • Diagnosis and reorganisation of the pharmaceutical sector in Rwanda (public and private sector).
  • Development of a national policy and legislation for the pharmaceutical sector.
  • Institutional strengthening of the Pharmaceutical Department of the Ministry of Health.
  • Technical and organisational proposals for a new structure for a national central medical store.
  • Quantification of the national needs for essential drugs. Development of the strategies for procurement, supply, storing and distribution of the essential drugs.
  • Proposal for a diagnostic and treatment standard.
  • Strategies for the registration, quality control and rational use of drugs.
  • Development of financial policies for drugs (custom duties, price regulation, etc.).
  • Proposal for the financing of the development plan of the pharmaceutical sector.
Description of Actual Services Provided:
  • Responsible for a detailed analysis of the pharmaceutical sector, including policy, legislation, provision and supply of drugs, drug needs by level and by sector, drug use, drug registration, drug financing aspects.
  • Provided assistance to the Ministry of Health in all the above fields to develop proposals to reform.
  • Assisted the Ministry of Health in developing a new central medical stores structure as a parastatal organisation.
  • Developed a financial plan for all proposed reforms. Consensus development at a national and international workshop where proposals for reform have been presented.
The actual and functional national central medical store in Kigali is based on the feasibility study and the technical proposals made by HERA-CDP.
Year:1993 - 1994

Assignment: Azerbaijan Health Sector Reform Project – workshop on procurement of drugs
Client: World Bank
Country: Azerbaijan
Fields of expertise: Essential Drugs Programme Support, Medical Store Evaluation, National Medicines Policy Development, Procurement and Tender Support
Description:Narrative description of Project:

The objectives of this project were to present generally accepted principles and methods on:
  1. Principles of state drug provision to the population
  2. Provision of affordable drug cost and cost containment strategies
  3. Principles for determining wholesale prices
  4. State control over the prices of procured drugs vs. market liberalization: costs and benefits
  5. Principles for composing the list of drugs to be procured by state facilities
  6. The tendering system for procurement of drugs
  7. Mandatory conditions reflected in contracts for procurement of drugs.
Description of actual services provided by your staff within the assignment:

On request of the World Bank Lead Health Specialist for Europe and Central Asia the HERA Pharmaceutical Procurement Consultant and the World Bank Senior Procurement Specialist conducted a one-day high level seminar on pharmaceutical policies and processes in Baku, Azerbaijan. The opportunity of the consultant’s visit was used to meet with relevant authorities and some key persons in the pharmaceutical sector and review some of the available documents.
The two presentations, prepared with inputs of the full HERA pharmaceutical team, focused discussions on the pharmaceutical policy and procurement and implementation of best practices taking into account other countries’ experiences as well as guidelines from international organizations such as WHO, World Bank and PIC/S (Pharmaceutical Inspection Convention - Scheme).
Upon his return the consultant prepared a report with his observations and recommendations regarding Azerbaijan’s pharmaceutical sector, including discussions at the seminar and taking into account the requests from the deputy minister for more information on the methodology of a price survey and information on medicines legislation and regulations.

Year:2009

Assignment: Review of the Pharmaceutical Sector
Client: World Bank - Ministry of Health
Country: Kenya
Fields of expertise: Drug Regulatory Authority Support, Drug Supply Management System Strengthening, Essential Drugs Programme Support, Health Policy and Policy Dialogue, Health Sector Reform, Health Sector Review or Health Sector Diagnosis, Monitoring and Evaluation, National Medicines Policy Development, Pharmaceutical Sector Review, Procurement and Tender Support, Quantification of Essential Drug Needs, Rational Use Surveys
Description:Narrative description of Project:
The Government of Kenya, with support from its partners including the World Bank, has committed itself to a series of reform efforts in the health sector. As part of this , the MOH commissioned a comprehensive review of the pharmaceutical sector.
The review was contracted in 4 different consultancies of which HERA completed 3 parts:
  1. Consultancy for Evaluation of Pharmaceutical Access in Kenya, including an Institutional Capacity Assessment of the MOH and KEMSA
  2. Consultancy for Evaluating/Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector in Kenya
  3. Consultancy to strengthen the logistics Management and the Rational Use of Drugs in Kenya.
Description of actual services provided:
  1. Evaluation of Pharmaceutical Access in Kenya:
    • Description of geographical, physical and financial access to drugs in Kenya, particularly for the diseases of poverty, in both public and private sectors;
    • Evaluation of the structure, functioning and outcomes of the existing drug supply systems (including the procurement, warehousing and distribution of drugs to all levels of the health care system);
    • Assessment of the structure, functioning and outcomes of the existing pharmaceutical financing and pricing systems from an efficiency and equity perspective;
    • Development of alternative proposals for efficient and equitable systems of drug supply management, financing and pricing.
  2. Evaluating/ Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector :
    • Description and evaluation of the overall structure, process and performance of drug quality assurance/control systems at both central and provincial levels;
    • Assessment of the procedures ensuring the quality of drugs and of manufacturing facilities, the thoroughness and frequency of these quality inspections and the overall effectiveness of the quality assurance/control systems;
    • Detailed analysis of all the sources and uses of Drug Control Authority Funds;
    • Development of recommendations to ensure that the systems for drug quality assurance at all levels of the health system in the public and private sectors function efficiently and effectively in the future.
  3. Strengthening the Logistics Management and Rational Use of Drugs:
    • Description and analysis of the existing patterns of drug prescription, dispensing and consumption in the public and private sectors.
    • Review of the logistics management system in the public and private sectors and recommendations for strengthening and developing a national procurement and logistics management action plan;
    • Evaluation of the existing policies, norms, standards and practices related to the use of pharmaceuticals by health professionals and consumers;
    • Development of alternative proposals for the establishment of an effective program for rational drug use (including an essential drugs policy and generics strategy).
Year:2004 - 2005