Ethiopia Health Commodity Supply System

Yemaneberhan Taddesse
PASDEP(plan of accelerated and sustainable
development for the Eradication of poverty) Poverty
reduction strategy is the main national policy
addressing the sustainable poverty reduction in the
PASDEP includes health as one of its sect oral
program and incorporates strategies and targets
related to the achievement of Millennium
Development Goals
Policy context The national drug policy is the guiding
policy for the pharmaceutical sector .
Includes two strategic Impacting the
achievement of MDG
Scaling up of key Services that ensure
appropriate service utilization by the
community with focus on rural area and
poor women and children Health service
extension program, Accelerated expansion
of primary health care Facility
Health service delivery and quality of care
Access to services
Selected Strategies will be directly depend on
the establishment of effective and efficient
health commodity supply system
Weak procurement and Management of drugs
and medical equipment and supplies
High wastage from duplication of efforts
Push system with out accounting the real
needs of the ultimate health institution
Build Capacity for effective and efficient drug
procurement distribution and quality control
at all levels of the health system
Securing adequate financial recourses and
strengthen Revolving drug fund schemes in
order to alleviate shortage of drugs
Constant and uninterrupted supply of vital
and essential health commodities for the
users of public health facilities.
Ensure that vital and essential drugs and health
commodities of approved quality are ready
available to the public sector health facilities
for the use in the prevention ,diagnosis and
treatment of priority health problems ,in
adequate quantity and at the lowest possible
cost. The six rights of health commodity
logistics. Right goods in the right quantity in
the right condition to the right place at the
right time for the right cost
Policy and Legislation Clear and supportive
legislation are in place
Coordination and harmonization HCSS effectively
integrated among stake holders.
Financing Sufficient financial resources are
available accessible and effectively disbursed.
Selection Vital and essential health commodities
identified prioritized to address the health needs
of Ethiopia.
Quantification and forecasting The HCSS
Determines the quantities of vital and essential
health commodities required at all levels
Logistic Management information system
Stock levels consumption and losses and
adjustments data are provided monthly by all
HCSS Levels to the Next level adequate for
decision Making
Procurement Quality health commodities are
identified ordered and made available at the
right time right quantity and at the lowest
possible cost tot the system
Storage and inventory control Health
commodities are stored at all levels
Distribution and transport Health
commodities are transported efficiently and
effectively between all levels of HCSS while
maintaining quality of the products .
Rational Drug use Essential health
commodities are prescribed Dispensed and
used rationally at all levels.
Human resource Management Skilled and
trained experienced motivated professionals
are available and retained at all levels
The system takes all steps in the supply
management cycle.
Selection of health commodities follows the
requirements of agreed standard treatment
Ensure access to constant uninterrupted
supply of vital and essential health
commodity as described by affordability
geographic accessibility equity and equality.
Financing of the National procurement is
based on revolving drug fund (RDF) principles
Encourage private sector involvement in
production and wholesale
Provide adherence to the principles of
decentralization and ownership by stake
Pharmaceutical supply agency responsible for
the procurement, Storage clearance
distribution to health institution have been
established by proclamation. it has currently
11 hubs throughout the country 9 out are
situated in the regions
5 Expansion of existing hubs and
construction of 8 major hubs is underway
20,000,000 USD project
Logistic management information system
operational requirement study has now on a
design phase is estimated 5.8 Million Dollars
Inventory management software in place with
deliver (USAID) under installation
Proper dispensing practice trainings with
The strategic objective is to deliver to health
commodities, bench marked by the
distribution of ARV
7000 Health posts and 2299 Health centers
has successfully been equipped .
Supply chain Strengthening 20000,000USD
worth Delivey vans dispatched to different
1000,00USD agreement on drug supply
management relevant to professionals is
taking place with UNFPA
The magnitude of RDF that was designed to
be incorporated has not timely been realized .
investments are huge and complimentary
activities need to be prioritized to match
financial capabilities.