Stop TB Department, World Health Organization, March 2007

Stop TB Planning Framework for Global Fund TB Proposals - Round 7 Drug supply and management system OBJECTIVES 1: Stop TB Strategy component 1: To pursue high-quality DOTS expansion and enhancement through improved case detection and quality-assured bacteriology . SDA 1.4: to implement effective drug supply and management system.
Stop TB Strategy (Components and Sub components) An effective drug 1.4 supply and management system Service Delivery Area Procurement and supply management Examples of indicators for Global Fund reporting Number and % of health facilities with no drug stock-outs during the last month (or defined period) Activities/Budget by Service Delivery Area First-line drugs and drug management

Six basic elements of pharmaceutical management include: 1. Policy and legal framework (national drug laws including registration) 2. Selection (includes products used and treatment regimens) 3. Procurement (includes quantification of needs) 4. Distribution (includes receipt of shipment into country) 5. Use (includes compliance/adherence by prescriber and patient) 6. Management support (includes management information system, quality assurance, human resource needs, basic and in-service training and monitoring and supervision) The Procurement and Supply Management (PSM) plan could be initiated at this stage of proposal development and include: Description of the pharmaceutical management system using the six basic elements below Identify the gaps (weaknesses, things that are lacking) within each of the six elements in the pharmaceutical management system Description of how use the Global Fund funds to overcome the gaps (see below)
SDAs and activities should be mutually exclusive. To avoid duplicate activities careful attention should be given to check drug management and supplies is not yet be included in SDA 1.5.2 on Programme management and supervision activities, in SDA 1.5.3 on human resources, in SDA 2.1 on TB/HIV; SDA 2.2 on MDRTB management; in SDA 2.3on special groups, and in SDA 4.1 on PPM

Stop TB Department, World Health Organization, March 2007

Activities

Indicators

Activity 1: Reinforce capacity for drug procurement 1.1 Train staff on best procurement practices for local and international purchases and how to request drugs and supplies from international organizations like GDF-GLC, 1.2 Develop instructions/manual on TB drug procurement (estimation, order, importation, stock etc) 1.3 Train staffs at all levels on how to estimate drug needs for their facilities Activity 2: Reinforce capacity for stock management 2. 2 Train staffs at all levels on how to stock drug in the facilities, including inventory control 2.1 Develop instructions/manual on TB drug storage 2.2 Equip all levels in storage capacity, rehabilitation facilities Activity 3: Strengthen distribution system 3.1 Develop instructions/manual on TB drug distribution 3.2 Establish appropriate delivery schedules and modes of transportation 3.3 Equip central level/peripheral level with appropriate modes of transportation 1. Drug distribution instructions/manual developed 2. Number of facility without shortage of drug 3. Number of equipment provided 1. Number of staff trained on good storage practices 2. Drug storage instructions/ manual developed 3. Number of facilities with upgraded storage facilities 1. Number of staff trained on best procurement practices 2. Drug procurement instructions/manual developed 3. Number of staff trained on quantification tool

Stop TB Department, World Health Organization, March 2007

Activities

Indicators

Activity 4: Improve drug management information system (DMIS) 4.1 Develop computer-based or manual-based DMIS 4.2 Train storeroom personnel on use of DMIS

4.1 DMIS in place 4.2 Number of staff train on the use of the DMIS

Activity 5: Strengthen human resource of the central level 5.1. Participate in the international training for drug management, GF implementation, regional meeting. 5.1 Number of staffs trained 5.2. Recruit managerial staff 5.2 List of monitoring indicators available 5.4. Train staff on how to assess/monitor TB drug management 5.3 Number of monitoring done system in the country

Resource material: 1. Guide to writing the Procurement and Supply Management Plan http://www.theglobalfund.org/en/about/procurement/. 2 .Managing Pharmaceuticals and Commodities for Tuberculosis http://www.msh.org/what_MSH_does/tb/medicines.html 3. Direct procurement of TB drugs through GDF http://www.stoptb.org/gdf/drugsupply/direct_procurement_process.asp