Budget and pricing | |
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Is the drug budget spent per year more than 20% of the MOH operating budget spent per year for the last three years? | + |
Is the drug budget spent per capita more than US$1.00 per year for the last three years? | + |
Is the drug budget spent for national hospitals less than 40% of the total drug budget spent for the last three years? | - |
Has the drug budget spent per capita increased in the last three years? | + |
Are there any financing systems in addition to the drug budget that contribute to the provision of drugs in the public sector? | + |
Are drug prices regulated in the private sector? | + |
Is there at least one major incentive for selling drugs at low cost in the private sector? | + |
Is the total margin used by wholesalers and retailers less than 35% of the CIF price? | + |
Is there a system for monitoring drug prices? | + |
Are essential drugs sold under INN or generic name in private drug outlets? | + |
Average time period of payment for a sample of orders, out of average time period of payment stated in contract. | 100% (7 days/7 days) |
Procurement | |
Are drugs usually procured in the public sector through competitive tender? | - |
Is there a system for monitoring supplier performance? | + |
Are procurements done under INN? | + |
Does the procurement unit receive foreign currency in less than 60 days (from request to release)? | + |
Is procurement in the public sector limited to drugs on the national drugs list? | + |
Is the average lead time (from order to receipt at central level) less than eight months? | + |
Is procurement based on a reliable quantification of drug needs? | + |
Average lead time for a sample of orders in the last year, out of average lead time during the past three years. | 80% (7/9) |
Number of drugs/batches tested, out of number of drugs/batches procured. | 0% |
Number of drugs/batches that failed quality control testing, out of number of drugs/batches tested. | 13% (147/1132) |
Average time between order and delivery from central store to remote facilities in the last year, out of average time between order and delivery in the past three years. | - |
Storage | |
Are good storage practices observed in the central procurement/distribution unit and/or major regional warehouses? | + |
Is the information recorded on the stock cards for drugs? | + |
Are the stocks for drugs within their expiry dates in the central procurement/ distribution unit and/or major regional warehouses? | + |
Have all incoming products been physically inspected the central procurement/distribution unit and/or in the major regional warehouses? | + |
Are drugs which are not on the national drugs list in stock in the central procurement/distribution unit and/or in the major regional warehouses? | - |
Are 80% or more of the vehicles of the central procurement/distribution unit and/or major regional warehouses in working condition? | + |
Are essential drugs sold under INN or generic name in private drug outlets? | + |
Number of drugs beyond the expiry date, out of the total number of drugs surveyed | 0.1% (2/1400) |