EC Clinical and Medical Case Reports

Background: Medical procurement plays a critical role in ensuring that essential medications and equipment are available to meet the healthcare needs of the population. In Sub-Saharan Africa, however, the medical procurement system is often associated with inefficiencies that result in frequent stock-outs of essential medication and equipment. These challenges pose a significant barrier to the provision of quality and timely healthcare, particularly in emergency situations. Challenges in Africa's healthcare procurement systems despite the opening of a new hospital wing in Africa, staffing levels, procurement systems, and hospital administration have remained unchanged. The medication procurement system, like many in Sub-Saharan Africa, is associated with inefficiencies and the hospital experiences frequent stock-outs of essential medication and equipment which pose a challenge in the provision of quality and timely healthcare. One of the primary challenges in Africa's healthcare procurement systems is the lack of effective coordination and management. This leads to fragmented procurement processes, where different departments and facilities procure medications and equipment independently, often resulting in duplication of efforts, inefficient allocation of resources.

The objective for this research is policy analysis for medical procurement in Africa in order.

In order to enhance, facilitate accessibility to medical services.

Methods: Integration was conducted between all data registered in National health accounts for the following countries as Representing samples for African countries (Algeria, Morrocco, Egypt, Nigeria, Kenya, Senegal, Mali, South Africa, Cameron, Angola and Zambia) plus Tender analysis for previous countries.

Standardized Survives was conducted with different stake holders at Procurement systems at previous countries (170 Members was participated including payers, supply chain managers, physicians, pharmacists, accountant and payers consultants).

One way sensitivity analysis was conducted in order to garniture data Accuracy.

Results: The following results was founded.

Conclusion: In conclusion, enhancing medical procurement in Africa is crucial for improving healthcare systems and ensuring the availability of essential medications and equipment. Despite the opening of new hospital wings and the establishment of public procurement authorities, challenges in medical procurement persist in Africa. These challenges include inefficient procurement systems, frequent stock-outs of essential medicines and equipment, inadequate logistics infrastructure, coordination issues, and corruption.

 Keywords: Abdalla Abotaleb; Africa Medical Procurement

<
1. De Weerdt E., et al. “Clinical, economic and policy implications of drug shortages in the European Union”. Applied Health Economics and Health Policy 4 (2017): 441-445.
2. Heiskanen K., et al. “The reasons behind medicine shortages from the perspective of pharmaceutical companies and pharmaceutical wholesalers in Finland”. PloS One6 (2017): e0179479-e.
3. Yang C., et al. “Current Situation, Determinants, and Solutions to Drug Shortages in Shaanxi Province, China: A Qualitative Study”. PloS One10 (2016): e0165183-e.
4. Alsheikh M., et al. “A comparison of drug shortages in the hospital setting in the United States and Saudi Arabia: an exploratory analysis”. Hospital Pharmacy 5 (2016): 370-375.
5. Acosta A., et al. “Medicines shortages: gaps between countries and global perspectives”. Frontiers in Pharmacology 10 (2019): 763.
6. Bochenek T., et al. “Systemic measures and legislative and organizational frameworks aimed at preventing or mitigating drug shortages in 28 European and Western Asian countries”. Frontiers in Pharmacology 8 (2017): 942.
7. Fox ER., et al. “ASHP guidelines on Managing drug product shortages in hospitals and health systems”. American Journal of Health-System Pharmacy 15 (2009): 1399-1406.
8. Morris S. “Medicine shortages in Australia - what are we doing about them?” Australian Prescriber 5 (2018): 136-137.
9. Walker J., et al. “Medicine shortages in Fiji: a qualitative exploration of stakeholders' views”. PLoS One6 (2017): e0178429.
10. Gray A and Manasse HR Jr. “Shortages of medicines: a complex global challenge”. Bulletin of the World Health Organization 3 (2012): 158-A.
11. McLaughlin M., et al. “Effects on patient care caused by drug shortages: a survey”. Journal of Managed Care and Specialty Pharmacy 9 (2013): 783-788.
12. WHO Department of Essential Medicines and Health Products. “Medicines shortages-Global approaches to addressing shortages of essential medicines in health systems”. WHO Drug Information2 (2016): 180-185.
13. World Health Organization. Addressing the global shortage of, and access to, medicines and vaccines: Report by the Director-General (2018).
14. Yadav P. “Kenya Medical Supplies Authority (KEMSA): a case study of the ongoing transition from an ungainly bureaucracy to a competitive and customer focused medical logistics organization”. World Bank (2014).
15. Shatta DN., et al. “The Influence of Relative Advantage Towards e-Procurement Adoption Model in Developing Countries: Tanzania Context” (2020).