Sustainable and flexible supply chains with capacity for forecasting, procurement, distribution, and information sharing can improve drug utilization and decrease waste, yet even the best-designed supply chains may experience interruptions caused by shortage, damage, drug expiration, and miscommunication.
Continuous capacity development, allocation of funds for procurement of urgently needed vaccines and supplies and exercising overall supervision and oversight of immunization services are fundamental pre-requisites in this respect.
But we need to take more seriously other available data on capability and capacity of institutional procurement activity.
Many governments have developed their national capacities in procurement to respond to this increasing demand.
Public-sector entities responsible for procurement of essential medicines and health commodities in developing countries often lack the technical capacity to efficiently ensure supply security.
Some of the parameters among the 53 comparatives that reflect a procurement system's capacity to reduce the financial burden are the extent of capital expenditure for establishing the systems, costs for procurement, storage and transportation, the preciseness of the Essential Drug List EDLL) to suit the state health burden and finally the prices at which drugs are procured.
An evaluation of the phase out of family planning support in Mexico revealed that donors should have attempted to institutionalize technical capacity for such key program areas as commodity procurement.
Countries blame complex procedures for procurement.
Most already have a presence, if only for procurement.
Ian Taylor, director for procurement performance at the Department for Education and Skills, agrees.
Moynihan (2006) developed a decision support system for procurement operations, which focuses primarily on procurement operations within a manufacturing environment.
