skip to content

Axis 2 / Subject 3 - Operational approaches in the public / private sectors

Presentations:
 

History of supply structures in the public sector and experience of supporting up to date structures

Speaker

Marie-Paule FARGIER, hospital pharmacist, freelance consultant, long and varied experience of long term and short term technical assistance in hospital medicines management, in MEG supply systems, in management of centralised purchasing authorities and in support to national pharmaceutical regulation (mainly in French speaking countries).

General scheme of the Presentation
  • The supply sector for medicines in Africa has experienced a relatively homogeneous development across the African continent.
  • Experience of support to purchasing authorities is wide ranging and varied.
  • The talk retraces the history of national procurement structures in (French speaking) Africa and of the most influential support axes over the last 10-15 years.
Essential questions on which the presentation is based
  • What have been the main successful aspects, the major difficulties and the lessons to be drawn from the experience of a large number of African countries (based mainly on French speaking Africa)?
  • In the present situation, what is the outlook for development and work at the level of purchasing authorities?
  • Looking outwards from the experience of AEDES, a number of questions have emerged over the years relating to particular countries: Chad, Cameroon, Democratic Republic of the Congo, Zimbabwe.
 

Improvement to a Quality Assurance system within a purchasing authority (Democratic Republic of the Congo)

Speaker

Jean Christophe PÉLISSIER, pharmacist, AEDES consultant, experience in long term technical assistance in MEG supply systems, management of national purchasing centres, pharmaceutical regulation, purchasing strategies and procedures and medicines quality management.

General scheme of the Presentation

Presentation of the methodology used in Democratic Republic of the Congo (FEDCAME) for pre qualifying sources of supply (assessment of product / manufacturer pairs on a particular rating scale).

Essential questions on which the presentation is based
  • How does this methodology differ from normal procedures in procurement organizations in Africa and what does it contribute at the « quality assessment » level.
  • What impact can the operation of a strengthened quality assurance approach have on availability and price?
 

Constraints which may appear in the context of analysing an international tender - Reflections on the example of CAMEBU (national purchasing authority of Burundi)

Speaker

Serge BARBEREAU, pharmacist, freelance consultant, experience in MEG supply chains, procurement of MEG, management of purchasing authorities, former Director General of PSF-CI, vice chairman of ReMeD.

General scheme of the Presentation

Analysis of some constraints characteristic in situations of procurement by international invitation to tender in a non-autonomous environment at the procedural level (applicable procedures are those of public markets).

Essential questions on which the presentation is based
  • What implications does the procedural framework have for quality assurance in the medecines procurement process?
  • How can the effects of these constraints be limited at the quality level? On other levels (ponderous procedures, delays in procurement, etc.)?
 

Constraints on authorities linked to the public sector in the Democratic Republic of the Congo, competition with the private sector

Speaker

Sylviane MÉNARD, health economist, freelance consultant, wide experience in public funding mechanisms, wide experience of financing mechanisms and the medicines economy.

General scheme of the Presentation
  • Analysis of the market for medicines in the Democratic Republic of the Congo.
  • Comparison of objectives, constraints and benefits of the two sectors (public and private).
  • As part of the Health project 9 e FED in the Democratic Republic of the Congo and of the preparation of programmes to be carried out, it appears to be necessary to recapitalise certain MEG regional distribution organisations (Regional Distribution Authorities, or CDR), and even to provide for a subsidy for operating costs for some of them.
  • An analysis of their position has been carried out in order to, firstly, assess their use of initial funds and past subsidies, and secondly, to analyse their long term viability.
  • Sylviane Ménard has been asked to carry out this research study on behalf of AEDES (in charge of the operational application of Health Project 9e FED in the Democratic Republic of the Congo). Here she will present the approach followed, the questions posed, the evidence on the ground, and the elements of an analysis of the situation.
Essential questions on which the presentation is based

What can purchasing authorities linked to the public sector do to improve their financial position?

 

Experience of opening up a public procurement organisation to the private sector: the example of CAMEG (national purchasing authority in Burkina Faso)

Speaker

Lazare BANSSÉ, companies manager, Director of CAMEG (Burkina Faso) (National Purchasing Authority of Burkina Faso), Permanent Secretary of ACAME (African Association of MEG National Purchasing Authorities).

General scheme of the Presentation

Presentation of the strategy, constraints upon, and balance sheet of the project launched in 2000: opening of MEG procurement by CAMEG to dispensaries.

Essential questions on which the presentation is based
  • What are the parameters enabling this « success story »?
  • Is this experience reproducible in other situations?