MYANMAR WORKING GROUP PRESENTATION
Discussion topics:
Buying power of revolving drug funds
Pricing mechanism and policy
Action Plans
Buying Power of RDFs
I. Increase health investment
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Long-term plan for health investment (NHP) |
Increased budget allocation for essential drugs |
MOFR, MOH, MONPED |
Jan. -Mar. 1997 |
% GDP allocated to health sector; per capita health expenditure; % government health budget allocated to drugs |
| 2. |
National advocacy for political commitment |
$2,500 |
MOH, MOF, NHC |
Mar. -May 1997 |
National intersectoral workshop |
| 3. |
Exemption policies for essential drugs |
|
MOH, MOFR, MONPED |
Mar. -May 1997 |
National intersectoral workshop |
| 4. |
Earmark taxes to be used for essential drugs |
|
MOH, MOFR, MONPED |
Mar. -May 1997 |
Increase budget allotment for essential drugs |
II. Reduce wastage and loss
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Supervision on handling storage and distribution |
$500 per township for transport, facilities for proper storage, training on systematic drug management, and training materials) |
MOH, DOH, MOT, donor agencies |
Apr. -Dec. 1997 |
Stock inventory |
| 2. |
Systematic quantification of drugs by township/RHC/RHSC level |
June-Aug. 1997 |
|
| 3. |
Instruction guidelines for procurement |
June 1997 |
Performance checklist (scoring system) |
| 4. |
Review and revise standard treatment guidelines |
June 1997 |
Revisions on guidelines |
III. Strengthen financial management
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Develop regulations, guidelines and training modules on drug inventory and accounting; adapt to level and local conditions |
$100 per township for training manuals |
MOH, donor agencies |
Jul. 1997 |
Checklist according to manuals and instructions |
| 2. |
Establish proper accounting system |
$15,000 for consultant |
MOH, donor agencies |
Jul. -Oct. 1997 |
|
IV. Enhance community awareness about RDF access; improve affordability to increase proper use
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Conduct advocacy meetings for local authorities |
$200 per township |
MOH, donor agencies |
Oct. -Dec. 1997 |
Utilization rate of funds received |
| 2. |
Develop IEC materials, posters and pamphlets for community level |
$150 per township |
MOH, donor, MOI |
|
|
| 3. |
Organize mass media coverage (i.e. videos) |
$5,000 |
MOH, donor agencies |
|
|
V. Timely and effective monitoring of above activities
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| |
|
$150 per township for transport, stationary; operation and maintenance |
Multisectoral task force |
Oct. -Dec. 1997 |
Checklist |
Decentralization of RDFs
(to the township level only)
I. Attain commitment to decentralize use of RDFs
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Attain political commitment from National Health Committee |
|
|
1997 (as early as possible) |
|
| 2. |
Conduct advocacy meeting for township authorities and GPs |
$250 per township |
MOH, donors |
Apr. -May 1997 |
Number of meetings held |
| 3. |
Develop guidelines on use of funds, procurement procedures and accounting |
$200 per township |
MOH, MOF, donors |
Apr. -June 1997 |
Manuals and guidelines developed |
| 4. |
Training at local level for township health staff, treasurers and committee members on above topics |
$150 per township |
MOH, donors |
Jul. -Oct. 1997 |
Numbers of sessions and trainees at different levels |
II. Decentralize stage by stage the procurement of most widely used drugs (overall responsibility to township committees; to be completed by Oct. 1997)
| No. |
Sequence of activities to be carried out to accomplish the action stated above |
Resources required & costs involved |
Person or agency responsible |
Due date |
Indicator to measure expected outcome |
| 1. |
Develop list of drugs that can be procured at the township level |
Stationary |
DOH, township |
4rth quarter 1997 |
List of procured drugs |
| 2. |
Negotiate with drug firms (pricing and quality assurance) |
|
MOH |
2nd quarter 1997 |
|
| 3. |
Discuss availability of essential drugs with local drug dealers |
$200 per township (meeting expenses) |
Township |
4rth quarter 1997 |
|
| 4. |
Encourage local production of essential drugs |
|
MOH, MOI, donors |
4rth quarter 1997 |
|
