2005年-世界发展银行全球_West_African_Reproductive_Health_Commodity_Security_-__Development_of_a_Sub-Regional_Coordinated_Informed_Buying_System_62页_1mb

Summary of West African Reproductive Health Commodity Security: Development of a Sub-Regional Coordinated Informed Buying System

Core Content

This document outlines the development of a Coordinated Informed Buying (CIB) system aimed at improving reproductive health commodity security (RHCS) in the West African sub-region. The initiative is part of the DELIVER project, a six-year technical assistance program funded by USAID and implemented by John Snow, Inc. (JSI) in collaboration with other organizations. The CIB system is designed to enhance the sharing and access of product, supplier, and pharmaceutical market information across ECOWAS member states.

Main Views and Key Information

1. Purpose of CIB

• The CIB system is intended to increase the buying power of countries by enabling them to access price and supplier information across the region.
• It is a regional coordination effort that integrates systematic aggregation, compilation, and dissemination of procurement data.
• CIB is not a single system but a phased model that builds upon existing data and infrastructure.

2. Implementation Strategy

• The CIB system is recommended to be implemented in three steps or building blocks.
• Building Block 1 focuses on existing data and infrastructure, and is the most immediate phase.
• Building Block 2 includes procurement data and technical platforms.
• Building Block 3 involves future potential, such as quality metrics and procurement quality monitoring.

3. Key Dimensions of Readiness

The readiness of countries was assessed across four dimensions:

• Informational: Most countries have existing data on suppliers, products, and prices.
• Operational/Technical: There is a mix of Internet access and preferred communication methods.
• Organizational: A central coordinator is needed for CIB to succeed.
• Policy/Legal: No major legal or policy constraints were identified, though some countries have procurement regulations that may affect data sharing.

4. Role of WAHO

• The West African Health Organisation (WAHO) is recommended as the lead coordinator for the CIB system.
• A CIB System Manager should be identified at WAHO to oversee the implementation and manage the system.

5. Collaboration and Infrastructure

• CIB should leverage existing infrastructure, such as ACAME (Francophone countries) and CMS (Central Medical Stores).
• Countries like Mali, Nigeria, and Senegal were selected for field visits due to their active procurement systems and large RH markets.
• The system should be Web-based, with secure access to prevent misuse of sensitive information.

6. Benefits and Challenges

• Benefits of CIB include cost savings, improved procurement efficiency, and enhanced regional coordination.
• Challenges include managing expectations, supplier confidentiality concerns, decentralized procurement systems, and potential incentives for inaccurate reporting.

Proposed Coordinated Informed Buying Model

A. Summary Recommendations for CIB

• Start with existing data and supplier reports.
• Include procurement data for high-value products such as contraceptives, antiretrovirals (ARVs), and vaccines.
• In the future, integrate quality metrics and supplier performance data.
• Ensure secure access and data integrity.
• Include rules of conduct and random checks to ensure accurate information.

B. Phased Approach: Building Blocks

• Building Block 1: Use existing data and infrastructure.
• Building Block 2: Implement a Web-based system with standardized data formats.
• Building Block 3: Expand to quality metrics and procurement quality monitoring.

C. Informational and Functionality Requirements

• Collect product and supplier data.
• Ensure data accessibility for all countries, regardless of participation.
• Use multiple communication channels (e.g., Web, fax, CD) to accommodate varying technical capabilities.

CIB Benefits and Costs

• Benefits: Enhanced procurement transparency, cost savings, and better regional coordination.
• Costs: Include technical development, system management, and training.
• Central Information Management (WAHO): Estimated costs for setting up the system.
• Country-level costs: Vary based on the level of participation and data sharing.

Roadmap to CIB

• The roadmap outlines activities and sequencing for implementing Building Block 1.
• Includes data collection, system design, training, and coordination.
• Emphasizes the need for policy support, technical vetting, and sustainability planning.

Conclusion

The CIB system is a strategic initiative to improve reproductive health commodity security in West Africa. It is designed to be flexible, secure, and regionally coordinated, with a phased implementation approach to ensure gradual adoption and sustainable success. The system is expected to enhance procurement efficiency and cost-effectiveness for all participating countries.