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Highlighting successful use of framework contracts in sub-Saharan Africa may encourage additional countries to adopt more strategic contracting practices.
Enabling legislation and strengthened technical capacity to develop and manage long-term contracts could facilitate the use of framework contracts in sub-Saharan Africa, with improved supply security and cost savings likely to result.
The aim of the technical working group could be to support procurement departments in ministries of health or medicines supply agencies in developing countries in the use of framework contracts.
Developing procurement human capital in ministries of health will help to promote greater use of framework contracts and will have broader benefits from more effective and efficient procurement in general.
The Zambia MOH has also seen an improvement in relationships with suppliers, additional transparency, and overall efficiency gains from the use of framework contracts (personal communication with Zambia Drug Supply Budget Line, September 2013).
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In addition, councils are urged to be "more proactive in ensuring that their use of existing framework contracts is not contributing to the worst practices in homecare, such as 15-minute care slots".
Inadequate understanding or differing interpretation of public procurement legislation may impede the use of framework agreements and other strategic procurement and contracting practices, especially for countries that have undergone recent legislative reform.
Discretion in the use of framework agreements, strategic planning in the formulation of the agreement, sufficient contract management, and continual evaluation all are required to use a framework agreement in a way that preserves flexibility, achieves greatest value for money, and ensures supply security.
Where enabling legislation is in place, we encourage procuring entities to work to strengthen technical and contract management capacity and to consult stakeholders with experience and expertise in the use of framework agreements.
Additional concerns about framework agreements, which may act as barriers to their introduction and use, include price volatility, local manufacturers' participation, and the inclusion of new technology during the course of the framework contract.
The sequencing of activities in procurement reform is important to ensure that framework contracts are not used prematurely, which could contribute to the opacity of procurement practices.
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