Voluntary Pooled Procurement - World Health …自愿联合采购-世界卫生…

PROCUREMENTSUPPORTSERVICE

WHO/UNICEFTechnicalBriefingSeminaronEssentialMedicinesPolicies,October31st-November4th2021MariatouTalaJallow,PharmaceuticalManagementUnitPRESENTATIONOUTLINEProcurementSupport-VoluntaryPooledProcurement(VPP)andCapacityBuildingServices(CBS)WhyGlobalFundisprovidingthisserviceHowtheservicesoperatesAchievementsandchallengesHowtoaccesstheserviceUseoftheGlobalFundGrantFunding37%percentoffundsareusedformedicinesandhealthproductsprocurementChallenges/RiskslinkedwithPSMactivitiesPSMactivityRisksQuantificationandestimationofneedsManagementofInformation/qualityofdataStock-outsOverstocksandexpiryofproductsProcurementPlanningQualityAssuranceGovernance/CompetitiveandtransparentprocurementDelaysonsupply;TendersdelayedorcanceledFraud,misappropriationoffundsStockouts/treatmentdisruptionSupplyChainManagementSupplymanagementDistributionProcessesandsafetyStock-outsOverstocksandexpiryofproductsDegradation,lossesTheftsanddiversionPharmaceuticals&HealthProductsManagementChallengesinProcurementandSupplyManagement(PSM)impactson:Grantnegotiation–PSMPlanapprovalGrantimplementation–Procurementplan/processDisbursement–PSMplanapproval;ConditionPrecedents;ProgressupdateonPSMactivitiesGrantPerformance–meetingtargets;ScalingupContributestodelaysinprocurementandstock-outsPSMChallengesaffectGrantImplementationMeasurestomitigatePSMrisks/addresschallengesInvestmentsonPharmaceuticalSystemsStrengtheningStrengtheningofin-countryprocesses/systems(LongTermStrategy):Quantification/procurementplanningStorage/DistributionChainManagementInformationSystemsQualityAssurancesystemOut-sourcing/Useofprocurement/supplychainagents(ShortTermStrategy)VoluntaryPooledProcurement/CapacityBuildingServicesVPPcontributingtoimprovinggrantperformance,mitigatingrisk&influencingmarketdynamicsImprovegrantperformanceParticipatingPrincipalRecipientsGlobalFundBoardDecisions(2007&2021)Capacitybuilding&supplychainmanagementassistance(CBS)IdentifychallengesduringgrantnegotiationMitigaterisksduringgrantimplementationStrengthenmanagementofgrantsandnationalprocurementandsupplychainsystemsCorehealthproducts(ARVs,ACTs,LLINs,rapiddiagnosticsforHIV&malaria)SupportimplementationofthediseaseprogramLeveragetheGlobalFund’spurchasingpowerImproveprice,quality,supply&sustainabilityAddressglobalsupplychallengesNon-corehealthproductsSupportimplementationofthediseaseprogramCompletepackageofessentialhealthproducts(prevention,diagnosis&treatment)Pooledprocurementservice(VPP)Nationalprocurement&supplysystemsVPPParticipationProcessLFAAssessmentPMASTeamAssessmentUseProcurementAgentPSSTeamDiscussionsInadequatecapacityinPSMFundPortfolioManagerConditionPrecedentCountryjoinsVPPInadequatecapacityinPSMORPR’sSelfAssessmentInadequatecapacityinPSM/VPPbenefitsLFA:LocalFundAgentPSS:ProcurementSupportServicesVPP:VoluntarilyPooledProcurementPMAS:ProcurementManagementAdvisoryServicesPSM:Procurement&SupplyManagementVoluntaryVPPProcurementProcessPrincipalRecipientPSAVPPPSAConfirmsOrdertoSupplierProcurementRequestPriceQuotationDeliveryFinalInvoiceandreconciliationPQRDataEntrybyPSAonPR’sbehalfPRApprovalPRAcknowledgementofgoodsreceiptProcurementRequestVPP:OversightVPP:DirectDisbursementVPPParticipation:

46Countries85GrantsParticipationisdefinedasanorderbeingconfirmedduringapplicableperiod.Disbursementordeliverymayoccurinsubsequentperiod.Somecountries/grantsmayberegisteredandnotconfirm/placeanorderduringapplicableperiodBasedondatafromPFSCMClientcenterandPSIstatusreportReportingPeriod2021-Jun’11VPPConfirmedOrdersBasedondatafromPFSCMClientcenterandPSIstatusreport.DataincludesonlyconfirmedordersbyPrincipalRecipient(PR)APR'sOrderisdividedintoseveral“PriceQuotes(Orders)〞–eachrepresentingadifferentproductcategory(e.g.ARVs,ACTs,Tests,Lab,NonCoreDrugsetc.)TestsincludeHIVandmalariarapidtestsandotherdiagnostictests/reagents.NonCoreDrugsIncludeallNon-ARVandNon-ACTmedicinesReportingPeriod2021-Sep’11TopCountriesBasedondatafromPFSCMClientcenterandPSIstatusreport.DataincludesonlyconfirmedordersbyPrincipalRecipient(PR)APR'sOrderisdividedintoseveral“PriceQuotes(Orders)〞–eachrepresentingadifferentproductcategory(e.g.ARVs,ACTs,Tests,Lab,NonCoreDrugsetc.)TestsincludeHIVandmalariarapidtestsandotherdiagnostictests/reagents.NonCoreDrugsIncludeallNon-ARVandNon-ACTmedicinesReportingPeriod2021-Jun’11ProcurementCycle(Days)**TimefromRequestforquotestoplanned/actualdeliverydateBasedondatafromPFSCMClientcenterandPSIstatusreport.DataincludesonlyconfirmedordersbyPrincipalRecipient(PR)APR'sOrderisdividedintoseveral“PriceQuotes(Orders)〞–eachrepresentingadifferentproductcategory(e.g.ARVs,ACTs,Tests,Lab,NonCoreDrugsetc.)TestsincludeHIVandmalariarapidtestsandotherdiagnostictests/reagents.NonCoreDrugsIncludeallNon-ARVandNon-ACTmedicinesReportingPeriod2021-Sep’11VPPChallengesUnrealisticexpectations,includingdeliverytimesEmergency/LateorderswithunrealistictimelinesLimitedfreightoptions(flights,logistics,storage)Conditionsprecedentongrantdisbursement/DisbursementdelaysLimiteddemandaggregationIrregularandunpredictableparticipationgrantarchitecture;individualPSMplansandnon-coordinatedprocurementcycles;FragmentedordersAhighproportionofemergencyprocurements(40%)andinadequateprocurementsplanningCustomclearancedelaysLonglistofNoncoreitemswithsmallquantitiesIn-CountryPSMCapacityPharmaceuticalSystemsStrengtheningHolisticapproach,withemphasisoninvestmentsonPharmaceuticalSystemsStrengtheningProcurementandSupplyChainManagementSystemsQuantification/forecasting;ProcurementplanningLogisticsmanagement(storage,inventorycontrol,transportation,distributionandmanagementinformationsystems)QualityassuranceactivitiesNational/CentralMedicalStoresanditsaffiliates5thMDCMeetingGeneva,6-7October2021SystematicCapacityBuildingProcessCapacityBuildingServices(CBS)OptionsServiceproviders–solicitedthroughcompetitiveprocessandcontractedonacasebycasebasisPartners(regional/global/in-country)–throughcollaborativeprocesswherefeasibleSecretariatcanberequestedtoprovidesupportbyfacilitatingtheprocess(scopeofwork,selectionprocessandworkplanwithdeliverables)Alternativelyitisdoneatcountrylevel5thMDCMeetingGeneva,6-7October2021CBS/SCMA:MechanismandProcess

FinancingContractingCBS/SCMAPRpaysforservicefromgrantGlobalFundDirectPaymenttoserviceprovidersatrequestofPRsPRschoosefromavailable