Llevando Medicamentos e Insumos a la Población:

Alianza para Logística en SaludClave para mejorar la Salud y la

Equidad en América Latina y el Caribe

Panorama de la Alianza y el Marco de ResultadosJunio 11, 2013

Ahora más que nunca, América Latina Cuenta con Cadenas de Suministros Fortalecidas…

• Compromiso de Gobiernos ha aumentado

• Paises cuentan con instituciones fortalecidas, con capacidad de gestión y sistemas de información para gerenciar los programas de salud

• Apoyo externo ha sido efectivo (USAID, UNFPA, OPS, BID y Banco Mundial)

…pero aún hay retos• Los sistemas no están institucionalizados

• La disminución de fondos de donantes ha sido significativa

• La inversión ha sido en areas específicas de la cadena de suministros (por ej., existe un presupuesto para compra de anticonceptivos, pero no para la cadena de suministros o la estructura que la mueven)

• Los Programas no están protegidos de los cambios en las políticas

• Reformas del Sector Salud

Retos

• Falta de claridad y efectividad en políticas sobre la cadena de suministros

• Duplicación y brechas

• Desabastecimientos continuan a pesar del progreso de las últimas décadas

• Paises invierten en estructuras e infraestructuras diferentes a la cadena de suministros

Propósito

• Mejorar la disponibilidad de insumos y medicamentos para la salud mediante la articulación de nuestros recursos y el intercambio de conocimientos y experiencias en la región

Meta

• Desarrollar sinergias entre los socios para fortalecer y mantener los logros de cadenas de suministros integradas para medicamentos e insumos de salud pública en América Latina

Alcance•Tiempo: Corto a mediano plazo. Aprovechando mecanismos

EXISTENTES a nivel regional, la Alianza continuará funcionando hasta conseguir los resultados esperados

•Productos. Medicamentos e insumos críticos en salud, con énfasis en SR, PF, VIH-sida, TB, materno-infantil, enfermedades no contagiosas y nutrición.

•Sectores. Cualquier cadena de suministros que sirva a la población y no solamente aquella(s) gerenciada(s) por el sector público.

•Ubicación Geografica. Gobiernos jugarán un papel activo para definir dónde se lanzará la Alianza y sus actividades (por definir si será en Guatemala, Paraguay, El Salvador) para expandir a otros países, preferiblemente donde los socios de la Alianza tengan presencia.

•Nuevos socios. A nivel regional y de país, de los sectores privado comercial, ONGs, academia, agencias y organizaciones que brinden asistencia técnica y financiera e interesados en la región, incluyendo nuevos donantes (por ej., fundaciones, otros)

Marco de Resultados

3.1: Generate and disseminate information about the total market for various key health products to inform future activities that will expand these markets, ensuring that subsidies are targeted and basic needs are met

• Generated and disseminated information to key actors in the total market for select essential health products in select LAC countries

3.2: Involve and engage new partners in strengthening the transportation function for supply chain management

• Identified new partners that will apply commercial sector best practices for transport to public or NGO sectors

• Advocated outsourcing to third parties—when appropriate—to leverage commercial-sector capacity

3.3: Engage new partners in supporting professionalization of supply chain human resources

• Identified partners who can provide supply chain training opportunities for all cadres, including increased emphasis on pre-service training and continuing professional development

• Identified professional networking and mentoring opportunities

• Promoted human resource policies that professionalize, attract, and retain supply chain managers

3.4: Introduce innovations in information technology for collecting key logistics data and stock monitoring, particularly at service delivery points

• Identified and engaged partners who can visualize data through the following information systems:

o warehouse management systems o electronic logistics management information systems o geographic information systems o mobile health systems (mHealth).

3.5: Provide support for setting up/operationalizing key supply chain performance monitoring (indicators) and incentive systems

• Identified and engaged partners who can provide technical assistance in specific areas

• Advocated for new sources to fund the incentive amount or programs—donors and ministries of finance—and/or use savings generated from supply chain incentives to fund the incentive scheme

3.6: Map CSR health projects in the region, by country, and advocate with their NGO partners for supply chain strategies, or priorities, to be included in these projects

2.1: Define a coordinated supply chain strategy in select countries • Mapped and coordinated investments to help define an integrated supply chain

strengthening strategy in select countries

• Convened regular meetings, using existing coordinating bodies, to share workplans with various partners that are investing in public health supply chain in select countries

2.2: Develop and disseminate background material to clarify and recommend policies to countries on different global or regional procurement mechanisms that are available for key strategic commodities (Reproductive Health (RH), Family Planning (FP), HIV, Maternal and Child Health (MCH), Non-communicable Diseases (NCD), and nutrition

• Employed effective and diversified procurement options for select products/countries

• Developed material that clarifies and recommend policies for countries on procurement options for select products

2.3: Share information and coordinate actions on strengthening procurement regulatory framework, selecting appropriate procurement options; and, when appropriate, competitive informed bidding (jointly negotiated prices, etc.) for select health products (RH, FP, HIV, MCH, NCD, and nutrition)

• Improved countries’ bargaining position in negotiations with suppliers; obtained favorable pricing and delivery conditions

• Shared information and strategies with alliance members to strengthen the country-level or regional procurement and regulatory framework

Supporting Activities/and Key Outputs

LAC countries—government, commercial, and nongovernmental organizations (NGOs), and new partners—were supported in their effort to increase and sustain a commitment to investing in integrated public health supply chains in the short- to medium-term

National (Government, NGO, Commercial) and Regional Bodies Increase Commitment to Financing Public Health Supply Chains

Result 1: Improvement in how regional and national bodies share and coordinate advocacy, technical, and financing strategies to build integrated public health supply chains

Shared Strategies Coordinated with Regional and National Bodies to Streamline Supply Chain Strengthening Support

Result 2: 2: Involved and engaged new partners to strengthen integrated public health

supply chain by accessing their expertise, innovative models, and corporate social responsibility programs

New Partners Engaged in Strengthening Public Health Supply

Chains

Result 3:

1.1: Support advocacy strategies at regional- and national-levels to mobilize commitment for investing in public health supply chains

• Assigned budget lines to finance logistics functions in select countries

• Included need for supply chain system strengthening in national health plans

• Increased awareness and engagement of partners from

across sectors about the importance of strengthening public health supply chains

• Identified and shared existing monitoring indicators with

alliance members

• Identified advocacy opportunities and implemented strategies during key high-level events at national and regional levels

• Developed advocacy materials for alliance members to use

Goal: Purpose:

Getting Products to People: Alliance for Health Logistics

Improve health product availability throughout the Latin American and Caribbean (LAC) region.

Develop synergies with key partners to strengthen and sustain integrated public health supply chain systems, which are essential to helping people access health products throughout the LAC region.

RESULTADO 1

Países de AL—gobiernos, sector comercial, ONGs y nuevos socios—han sido apoyados en sus esfuerzos

para incrementar y mantener el compromiso de invertir en cadenas de suministros integradas, en el

corto y mediano plazos.

RESULTADO 2:Entidades nacionales y regionales comparten y

coordinan de manera más efectiva los esfuerzos en abogacía, asistencia técnica y financiamiento para

fortalecer las cadenas de suministro integradas para medicamentos e insumos críticos en salud pública

RESULTADO 3Nuevos socios unidos a estos esfuerzos y

comprometidos para fortalecer las cadenas de suministro integradas, mediante su visión técnica,

introducción de modelos innovadores y programas de responsabilidad social empresarial

Diseminación a nivel de país

• Mecanismos

• Audiencia

• Objetivos

• Areas iniciales de colaboración, con base en el marco de resultados