Bolivia: Final Country Report Executive Summary

Publication date: 2007

BOLIVIA: FINAL COUNTRY REPORT EXECUTIVE SUMMARY MARCH 2007 This publication was produced for review by the United States Agency for International Development. It was prepared by the DELIVER project. BOLIVIA: FINAL COUNTRY REPORT EXECUTIVE SUMMARY The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government. DELIVER DELIVER, a six-year worldwide technical assistance support contract, is funded by the U.S. Agency for International Development (USAID). Implemented by John Snow, Inc. (JSI) (contract no. HRN-C-00-00-00010-00) and subcontractors (Manoff Group, Program for Appropriate Technology in Health [PATH], and Crown Agents Consultancy, Inc.), DELIVER strengthens the supply chains of health and family planning programs in developing countries to ensure the availability of critical health products for customers. DELIVER also provides technical management of USAID’s central contraceptive management information system Recommended Citation DELIVER. 2007. Bolivia: Final Country Report Executive Summary. Arlington, Va.: DELIVER, for the U.S. Agency for International Development. Abstract The DELIVER project in Bolivia has developed a system for the administrative logistics of medications and inputs for contraceptives, which over time has been integrated for essential medications and basic inputs. The system has become a national regulation, Unified National Supply System (SNUS), whose objective is to guarantee the timely availability of medications and inputs. DELIVER contributed to the fulfillment of the national regulation, developing skills and capabilities of the system for the administrative logistics of medications and inputs under the regulations of the SNUS. It was implemented by Institutional Municipal Pharmacies under the Subsystem for Administrative Logistics of Medications and Inputs (ISLA), which selects, programs, acquires, stores, and distributes medications and inputs until they reach the user. The information system for the ISLA is incorporated and uses the records of the SNUS, which are compiled from the prescription receipts, Kardex, the Monthly Operations Report and Consolidation of Quarterly Orders in the health establishments of the prioritized municipalities. In addition, DELIVER gave technical assistance to the municipal governments and the Local Health Directory (DILOS) to strengthen their management of control, inspection, and supply of medications and inputs, optimizing resources and improving the distribution chain. The module of logistics for medications and inputs, based on DELIVER’s experience, has been included in the curriculum net of the public and private universities, as well as in the health technical schools. This has given improved the training of the pre-degree students in nursing, pharmacy, and biochemistry. To give continuity to the USAID order, with EngenderHealth and PROSALUD, activities were carried out that involved working with the municipal government authorities to stabilize the availability of contraceptives in the services; and to facilitate the estimation of needs and accessibility of suppliers, based on sexual and reproductive rights. The analysis of logistical indicators has been incorporated in the Committees for Information Analysis for annual evaluations; during field visits, the instrument was applied to evaluate logistical indicators. DELIVER John Snow, Inc. 1616 North Fort Myer Drive, 11th Floor Arlington, VA 22209 USA Phone: 703-528-7474 Fax: 703-528-7480 e-mail: deliver_project@jsi.com Internet: www.deliver.jsi.com EXECUTIVE SUMMARY Logistics technical assistance for health in Bolivia dates back to the late 1980s, when the Family Planning Logistics Management (FPLM) project, predecessor of the DELIVER project, began providing technical assistance in logistics for the nongovernmental organizations (NGOs). FPLM used consumption data to introduce the contraceptive logistics management information system (LMIS), and assisted the NGOs with the process of estimating contraceptive needs. By 1996, the logistics project had expanded its technical assistance to the Ministry of Health and Sports through the former National Unit for People’s Care, known now as the Health Services Development Board, by providing support to the family planning component of the Sexual and Reproductive Health Program. In 1999, a local office was established in Bolivia. With the award of the DELIVER project in 2000, DELIVER continued the activities initiated under FPLM. DELIVER worked closely with the National Board of Essential Drugs and Medical Supplies (DINAMED) of the Ministry of Health and Sports; the project started integrating essential drugs, medical supplies, and contraceptives into a single unified LMIS in 2001, which led to the Unified National Supply System. The Ministry of Health and Sports, through DINAMED, took ownership of the LMIS in December 2002, through the enactment of Supreme Decree No. 26873 and Ministerial Resolution No. 0735. This action created the Unified National Supply System as a regulatory framework for the supply system for essential drugs, medical supplies, and contraceptives, including the logistics system for essential drugs and contraceptives and the LMIS. Moreover, during the period 2002–2005 the LMIS was introduced into public and private universities and health technical schools as part of the curriculum for the Schools of Nursing, Biochemistry, Pharmacy, and Pharmaceutical Chemistry by providing preservice training to students in health-oriented careers. The training helped ensure the continuity and sustainability of the health logistics management system in Bolivia. At the present time, the DELIVER project in Bolivia continues to provide technical assistance in logistics management for family planning commodities and essential drugs. The major recipients are the Ministry of Health and Sports, the Department of Health Services, municipal governments, universities, health technical schools, and NGOs. DELIVER’s main goals continue to be the implementation of efficient logistics systems in the public sector and the development of strategies that will contribute to the sustainability of the logistics system. Bolivia: Final Country Report Executive Summary i Bolivia: Final Country Report Executive Summary ii For more information, please visit www.deliver.jsi.com. 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