1 / 16

The Drug Management Cycle – Distribution

The Drug Management Cycle – Distribution. Butch Staley. Working Definitions. Supply chain – The network of retailers, distributors, transporters, storage facilities, and suppliers that participate in the sale, delivery, and production of a product.

newmanm
Download Presentation

The Drug Management Cycle – Distribution

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Drug Management Cycle – Distribution Butch Staley

  2. Working Definitions • Supply chain – The network of retailers, distributors, transporters, storage facilities, and suppliers that participate in the sale, delivery, and production of a product. • Logistics – The overall management of the way resources are moved to the areas where they are required. • Distribution – The delivery or giving out of an item or items to the intended recipients.

  3. Elements of the Distribution System

  4. Characteristics of Effective Distribution • Constant supply • Maintained quality • Minimal loss/pilferage • Accurate and timely inventory and transaction information • Proper storage • Efficient transport/delivery • Adequate geographic coverage

  5. Supply System Models • There are many models, ranging from fully public to fully private, each with relative advantages and disadvantages, depending on context. • Central Medical Stores model: South Africa, Tanzania • Autonomous supply agency: Uganda, Benin • Direct delivery: Caribbean • Primary distributor (prime vendor): USA • Fully private: Canada, Australia • Mixed models: Europe, Caribbean

  6. Key Product flow in traditional CMS System Pharmaceutical Distribution Models FULLY PRIVATE FULLY PUBLIC LEVELS International InternationalSuppliers National Local Manufacturers Central Medical Store Local Wholesalers Distributors Regional Medical Store Regional District Medical Store District Private Pharmacies Hospitals Health Centers Health Posts Community Users

  7. Key Product flow in traditional CMS System Central Medical Store Model LEVELS PRIVATE SECTOR PUBLIC SECTOR International International Suppliers National Local Manufacturers Central Medical Store Local Wholesalers Distributors Regional Medical Store Regional District Medical Store District Shops, Pharmacies Hospitals Health Centers Health Posts Community Users

  8. Key Product flow in traditional CMS System Direct Delivery Model LEVELS PRIVATE SECTOR PUBLIC SECTOR International International Suppliers National Local Manufacturers Central Medical Store Local Wholesalers Distributors Regional Medical Store Regional District Medical Store District Shops, Pharmacies Hospitals Health Centers Health Posts Community Users

  9. Key Product flow in traditional CMS System Primary Distributor Model LEVELS PRIVATE SECTOR PUBLIC SECTOR International International Suppliers National Local Manufacturers Central Medical Store Primary Distributor Local Wholesalers Distributors Regional Medical Store Regional District Medical Store District Shops, Pharmacies Hospitals Health Centers Health Posts Community Users

  10. Key Product flow in traditional CMS System Fully Private Model LEVELS PRIVATE SECTOR PUBLIC SECTOR International International Suppliers National Local Manufacturers Central Medical Store Local Wholesalers Distributors Regional Medical Store Regional District Medical Store District Private Pharmacies Hospitals Health Centers Health Posts Community Users

  11. Health System Supply Chain – Theory

  12. The Complex Reality: Health Supply Chains in Kenya

  13. Key Decisions • Key decisions include: • Push versus pull • Centralized versus decentralized • Roles and responsibilities: public, private, NGO • Mix of in-house and contract services • Levels of distribution and stock requirements

  14. Assessment/Option Analyses • Understand context – functionality and current capacity of public, private, and NGO systems and institutions • Consider variable costs with each option • Consider capacity to manage and operate proposed system • Define methods for monitoring and measuring performance

  15. Summary • Designing a system for storing and distributing pharmaceuticals is complex and important • In some countries, private (or parastatal) distribution companies may provide cost-effective alternatives for storage and distribution of pharmaceuticals

More Related