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Assignment:	Support to the development of a Ophthalmology project in the provinces of Ouarzazate and Zagora
Client:	BTC-CTB
Country:	Morocco
Fields of expertise:	Basic Health Services, Other Health Programmes, Planning, Organisation and Management, Procurement and Tender Support
Description:	Narrative Description of Project: The overall objective is to improve the health of the population of the provinces of Ouarzazate and Zagora. The more specific objective is to improve coverage of the population with basic health services and with ophthalmology services. Description of Actual Services Provided: The team carried out the mission in order to evaluate the essential needs of ophthalmology and medical equipment and to specify the technical characteristics of this material; Provide technical support to BTC in the preparation of new CSC’s; Financial and technical analysis of the offers that will be substituted.
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 assist with procurement plans
Client:	Clinton Foundation HIV/AIDS initiative
Country:	Liberia
Fields of expertise:	Health Policy and Policy Dialogue, HIV-AIDS-STI-TB, Procurement and Tender Support
Description:	Narrative Description of Project: The Clinton Foundation works in partnership with the Ministry of Health and Social Welfare to expand access to care and treatment services for Liberians living with HIV/AIDS, and support the strengthening of the health system. The goal of the project is to improve physical access to essential health services and to strengthen policy-making and management functions of the Ministry of Health. This particular assignment addressed the procurement needs. Description of Actual Services Provided: Production of a simplified procurement plan for the World Bank Health System Reconstruction Project: improving maternal and child survival with a budget of 8.5 million USD Review of all terms of reference required to be advertised to ensure compliance with World Bank procurement regulations Comments and suggestions to the MOH Assistance with the preparation of the technical specifications for the first two major equipment purchases and review for compliance with World Bank regulations.
Year:	2007

Assignment:	Support the quality assurance of medicines in South Kivu
Client:	Cordaid
Country:	Congo RDC
Fields of expertise:	Drug Supply Management System Strengthening, Essential Medicines Financing, Health Financing and Provider Payment, Medical Store Evaluation, Procurement and Tender Support
Description:	Narrative description of Project: Since 2005, PHI (Provincial Health Inspectors) of South Kivu, the BDOM (Bureau diocésain des Oeuvres Médicales) of Bukavu and Cordaid are performing a Performance Based Financing programme in the province of South Kivu. Up until 2007, five drug distributors were identified as having met the conditions for selling drugs to health facilities. These results were favorable and supported by the household survey and the quality survey held in February 2008, during which the availability of the medicines in these health zones were compared with the performance based financing of health zones where this approach has not been applied. However, there is still a good ability to assess the quality of drugs and possibilities to review and refresh the list of drug distributors. Based on this analysis a resolution was adopted to strengthen the capacity of the Pharmaceutical Inspectorate of the Province and to solicit support from Cordaid. Description of actual services provided by your staff within the assignment: The consultant has worked closely with the Chief Pharmacist of BDOM as well as with colleagues at the PHI. Besides this technical support, the collaboration of the BdOM, the PAA and Cordaid’s local office has been essential for the successful completion of the mission. Interviews were held with most of the wholesalers registered in Bukavu and with key partners. The international standards were compared with the current situation. Deficiencies were observed and together with the local partners proposals were developed to improve the quality assurance system for medicines. One of the proposals is to buy a minilab so that the IPS has a practical instrument to intervene when it has doubts about the quality of medicines. A follow up mission was organized in July 2009. The prequalification had not been done yet and the procedures have been redeveloped by the consultant. In collaboration with the PHI, other small projects (such as a strategic plan, minilab and system for pharmacovigilance) were developed and their implementation planned.
Year:	2008 - 2009

Assignment:	Review of the Expanded Programme of Immunisation (EPI)
Client:	Danida - Ministry of Health
Country:	Tanzania / Zanzibar
Fields of expertise:	Basic Health Services, Monitoring and Evaluation, National Medicines Policy Development, Planning, Organisation and Management, Procurement and Tender Support
Description:	Narrative Description of Project: Review of the actual immunisation operations in Tanzania Identification of the needs to improve the immunisation programme.
Year:	2000

Assignment:	Support to set up the Drug Supply Budget Line (DSBL)
Client:	DFID
Country:	Zambia
Fields of expertise:	Drug Supply Management System Strengthening, Procurement and Tender Support
Description:	Narrative Description of Project: Agree on the operating principles and management structures of the DSBL, and clarify the required steps for its implementation. Description of Actual Services Provided: The consultant reviewed relevant existing reports and documents and consulted with MOH and CBOH Departments, CP, and other relevant stakeholders in the process of preparing options for the DSBL set-up. Based on existing working papers and consultation with stakeholder the consultant developed options for the managerial set-up and working principles of the DSBL, and drafted an action plan to facilitate implementation. Activities are summarized in a brief mission report, with the plan of action attached. Plan of Action DSBL including: The definition of DSBL mission, goals and main objectives The proposed organizational structure and the relations with the most involved parties, including MOH Pharmacy Department (to be established), MOH PSU, MOH Accounts Unit, MOH Public Health, MOH SWAp Secretariat, MSL and CPs The proposed working principles and procedures Next steps to be taken including timelines and detailing responsibilities.
Year:	2005

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:	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: Vital medicines Selected vital medicines available for district health services ARVs for 3000 patients available in selected peripheral health services Safe blood transfusions Selected essential safe blood supplies available at NBTS Human resources for health 1 Primary care nurses training supported Pharmacy Technicians training supported District health staff training in drug management initiated and supported Critical posts filled Selected critical posts in peripheral health services filled Financing proposal developed.
Year:	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:	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:	Mid-term Review of the National Health Strategic Plan 2006-2010
Client:	Ministry of Health - Zambia
Country:	Zambia
Fields of expertise:	Drug Supply Management System Strengthening, Health Financing and Provider Payment, Monitoring and Evaluation, National Medicines Policy Development, Procurement and Tender Support
Description:	Narrative description of Project: The primary aim of the Mid-Term Review (MTR) was to assess progress in the implementation of the current strategic plan, identify strengths, weaknesses, opportunities and threats that should be cultivated towards accelerated implementation in the remaining half of the term. Secondly, the review will generate key recommendations that can be used to determine possible modifications of the NHSP on sector-specific interventions in order to accelerate the implementation of the plan to attain the health MDGs. Description of actual services provided by your staff within the assignment: The consultant participated in the subgroup Support Systems (SS) and more specifically in the area of Procurement Management System and national drug policy. The team assessed the capacity of the MoH to carry out different phases of the procurement cycle focusing on the organizational aspects; skills of the staff; quality and adequacy of supporting and control systems; record keeping; the general procurement environment and the private sector assessment. In addition the various pharmaceutical policy documents were looked at and assessed. For each area, key questions to initiate discussions during the various interviews were prepared based on the analysis of the available documentation. The questions related closely to the objectives and indicators for the various components of NHSP IV.
Year:	2008

Assignment:	Technical assistance to prepare bidding documents for the procurement of health equipment
Client:	Ministry of Health Suriname
Country:	Suriname
Fields of expertise:	Procurement and Tender Support
Description:	Narrative Description of Project: To prepare bidding documents for the procurement of health equipment within the context of the National Strategic Plan for HIV/AIDS and implementation of the Global fund project “Reducing the spread and impact of HIV/AIDS in Suriname through expansion of prevention and support programs”. Description of Actual Services Provided: Bidding documents to procure health equipment Prepare and advertisement for the newspaper Technical assistance on the day of the bidding
Year:	2007

Assignment:	Technical assistance and support to strengthen the supply chain management system to support the HIV/AIDS program
Client:	SCMS (Supply Chain Management System project)
Country:	Namibia
Fields of expertise:	Appraisal, Drug Supply Management System Strengthening, HIV-AIDS-STI-TB, Procurement and Tender Support
Description:	Narrative description of Project: Provide TA and support to the Central Medical Stores to undertake a though review of the procurement management, policies, procedures, tendering, contracting, ordering and supplier management systems with a view of identifying the causes of poor supplier performance, and development of recommendations, an implementation plan and budget for addressing the identified causes. Description of actual services provided: Conduct an in and out brief with USAID/Namibia as requested Conduct an in and out brief of the Director, THC&CSS, the Ag. Deputy Director, Pharmaceutical Services Division, the Head of CMS and other relevant persons as required In collaboration with the Head of the Procurement and Tenders Section of the CMS and management of CMS, conduct an in-depth evaluation of the current procurement management systems of the CMS to include but not limited to the legalenvironment, procurement cycle management, organization and functions, support and control systems, tender management systems, vendor management systems, supplier performance monitoring systems, record keeping, staffing, general procurement environment, administrative, political and financial risks to the procurement process Hold discussions and/or interviews with relevant staff of MoHSS, CMS and other bodies Hold discussions and/or interviews with previous and current suppliers and/or agents of suppliers of the CMS with a view determining the vendor perspective Develop recommendations and prepare a detailed work plan and budget for implementation
Year:	2008

Assignment:	Design of a master plan for health commodity logistics
Client:	UNICEF
Country:	Ethiopia
Fields of expertise:	Costing Studies, Essential Medicines Financing, Health Financing and Provider Payment, Pharmaceutical Sector Review, Procurement and Tender Support, Training and Human Resource Development
Description:	Narrative Description of Project: Identification of the best options for a new HCSS, based on an analysis of the findings and recommendations of the country wide assessment. Design of a new HSCC for public health commodities and describe how it will operate. This component includes cost-benefit analysis, needs for technical assistance, training, implementation time frame, and sustainable financing system. Proposal of a comprehensive implementation plan to operationalize the proposed system. Preparation of a global cost budget for the implementation of the proposed system. Description of Actual Services Provided: Design of a New Health Commodity Supply System Definition of the Core Functions of the New System Definition of the Legal Status of the New System Defininition of who will be the suppliers and consumers of the new system in both public and private institution. Determination whether the system as proposed above can deliver supplies to meet the needs of beneficiary units cost-effectively and efficiently. Stakeholder agreement and ownership of the new system Definition of the range of products to be handled Capital works Organizational Structure and Staffing Requirements Financial and Administrative Management System Budget and costs Discussion of outsourcing services Implementation scheme
Year:	2005 - 2006

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:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Benin
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Burkina Faso
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Cap Vert
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Ivory Coast
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Ghana
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Liberia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Mali
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Niger
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Nigeria
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Senegal
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Sierra Leone
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Togo
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Gambia
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Guinea
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Consulting services for Reproductive Health and HIV Prevention in the ECOWAS region. Feasibility study on RH commodity financing mechanisms.
Client:	West African Health Organisation (WAHO) / Kreditanstalt für Wiederaufbau
Country:	Guinea Bissau
Fields of expertise:	Appraisal, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support, Reproductive Health
Description:	Narrative description of Project: Development and analysis of design options for regional financing mechanisms for reproductive health commodities. The overall goal of the study is to assess whether and how financing mechanisms can contribute to better reproductive and sexual health and broader RH commodity in the Region, either as a model for adaptation or, in the longer term, by taking on a broader mandate. Description of actual services provided by your staff within the assignment: Mapping status quo (through desk study and field research): The following countries were considered: Benin, Burkina Faso, Cap Vert, Ivory Coast, Gambia, Ghana, Guinea, Guinea Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, Togo. Developing Technical Design options for financing mechanisms Linkage with RHSC Minimum volume/Pledge Guarantee proof-of-concept Partner contributions Political acceptability of the mechanism with WAHO and individual countries in the region Recommendations, next steps towards implementation Workshops ensuring involvement of major stakeholders USAID, JSI, CIDA, UNFPA a.o. Interviews are conducted with relevant country authorities in 5 priority countries.
Year:	2008

Assignment:	Analysis of pharmaceutical activities in HSDRP II and overall assessment of pharmaceutical procurement cycle in Timor Leste
Client:	World Bank
Country:	East Timor
Fields of expertise:	Health Sector Review or Health Sector Diagnosis, Medical Store Evaluation, Pharmaceutical Sector Review, Procurement and Tender Support
Description:	Narrative description of Project: As part of financing through a multi-donor trust fund, the Health Sector Rehabilitation and Development Project (HSRDP II) was approved to support the rehabilitation and development of a sustainable health system in Timor Leste. In addition, The Government of Timor Leste received a grant from the EU to finance a range of activities including the strengthening of the Autonomous Medical Stores (SAMES), providing technical assistance to the Pharmaceutical Division of the MoH. Description of actual services provided by your staff within the assignment: Overall assessment of pharmaceutical procurement for Timor Leste which feeded into the June 2008 Joint Sector Review and a larger WB study on pharmaceutical procurement: For the HSRDP II Project: Review the performance of SAMES and key implementation challenges Conduct detailed assessment of the overall pharmaceutical procurement cycle Review of financing procedures/mechanisms Review status of stock management software Assess current stock and supply chain management issues Generate key lessons and operationally relevant recommendations on improving procurement For inputs in WB study: Assessment of Roadblocks to Bank-Financed Procurement of Medicines. Review how the procedures could/should be better adapted for a small fragile state as Timor Leste The contract was extended and a second mission took place in November-December to do a follow-up mission together with Dr Diack from the Human Development Network at the World Bank. Review of the status of the recommendations in the Quick Scan Report from June 2008. Review the SAMES’s autonomisation plan Funding options for the SAMES Procurement Plan Contributions made to suppliers’ prequalification and tendering for framework contracts Draft operational plan for the pharmaceutical sector (taking into account the annual plans for HSRDP II and HSSP-SP). A similar second follow-up mission took place in May-June 2009.
Year:	2008 - 2009

Assignment:	Lead the analysis and writing of the Chapter on “Medical products, vaccines and technologies – Procurement and Supply Chain” in The World Bank publication on “Health Systems and HIV/AIDS"
Client:	World Bank
Country:	Global
Fields of expertise:	Essential Medicines Financing, Health Financing and Provider Payment, HIV-AIDS-STI-TB, Procurement and Tender Support
Description:	Narrative description of Project: Considering the significant additional financial resources being made available for AIDS programs there is an ongoing debate on how international funding for AIDS is impacting health systems in low income countries in general, and pharmaceutical procurement and supply management in particular. Evidence to support the various views on this subject is still scarce. The objectives of a chapter on “Medical products, vaccines and technologies – Procurement and Supply Chain” are (i) to synthesize the existing knowledge and evidence of the impact of international AIDS funding on the pharmaceutical procurement and supply chain; (ii) to elaborate a conceptual framework for further reflection on the impact of AIDS funding on the procurement and supply chain that captures the nature, purpose and qualitative characteristics of its component, and (iii) to identify a set of hypotheses and related evaluation framework to be used for further research. Description of actual services provided by your staff within the assignment: A systematic literature search (peer-reviewed and grey literature, electronic databases, websites of (inter)national organizations, manually screening the references of relevant journal articles and publications, contacting experts in the field); Establishment of a searchable database; Outline of a conceptual framework serving as guide for the quantitative, empirical study; Writing of Chapter 5 “Impacts on Medical products, vaccines and technologies – Procurement and Supply Chain” (draft, final draft and final version) encompassing Synthesis of Current Knowledge of Impact, finalized Conceptual framework, Evaluation framework and proposed analyses.
Year:	2008 - 2009

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: Principles of state drug provision to the population Provision of affordable drug cost and cost containment strategies Principles for determining wholesale prices State control over the prices of procured drugs vs. market liberalization: costs and benefits Principles for composing the list of drugs to be procured by state facilities The tendering system for procurement of drugs 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: Consultancy for Evaluation of Pharmaceutical Access in Kenya, including an Institutional Capacity Assessment of the MOH and KEMSA Consultancy for Evaluating/Improving Quality Assurance and Sustainability in the Medical Supplies Sub-sector in Kenya Consultancy to strengthen the logistics Management and the Rational Use of Drugs in Kenya. Description of actual services provided: 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. 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. 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