There is no way to address the nation's deep fiscal crisis or its security threats without a more rational approach to defense procurement and tough choices on personnel policies.
Most leadership theories treat interagency relations as a rational instrument for fulfilling goals, especially resource procurement.
This would include an NDP, new legislation, a procurement system, improved distribution, quality control, monitoring and rational use of drugs.
Drug supply management is performed centrally in Drug Regulatory Affairs of MOH including drug selection, registration, procurement, distribution, pricing and subsidization, GMP control, and rational use of medicines.
I provide a rationale for outsourcing that relies on procurement and subcontracting mechanisms being designed in a sequentially rational way but not on cost savings.
Specific areas on HIV/AIDS pharmaceutical supply management where training was needed included the selection of medicines, procurement procedures, quantification of needs, distribution, inventory control/storage and rational prescribing and dispensing.
This hypothesis is endorsed by a recent study which showed more appropriate use of injectables in China versus oral tablets, in line with WHO recommendations, once the procurement incentives had been removed coupled with programmes to enhance the rational use of medicines [ 36].
"Rational people could make an argument that it's federal money flowing down," said Chris Braddock, the senior director of procurement policy at the United States Chamber of Commerce.
Therefore it would be rational to explore the linked activities, to see the extent to which sustainable inbound logistics can be enhanced by the procurement practice that induces it.
Although the rational usage of drugs and medical awareness among the people is equally important to determine the success of the public procurement systems, this paper only deals with the supply side of the medicines access issue.
