10 Strategy for Pooled Procurement of Essential Medicines and Health Commodities, 2013-2017 ensuring that all citizens have equitable access to affordable, safe and effective essential medicines. In such a context the rationale for the pooled procurement of essential medicines and health commodities is there. This will be implemented in a phased approach, beginning with information and work sharing, and progressively moving towards group contracting, as PSM systems across Member States reach the required minimum standards of good practice. 3.1 Understandings and models of pooled procurement Pooled procurement is the overarching term used where part or all of the procurement processes of different procurement entities (agencies or departments of bigger entities) are jointly executed by either one of those procurement entities or a third party procurement entity. Successful procurement depends on technical capacity, financial resources, good information systems, efficient management and availability of suppliers. Effective policies, legislation, regulations and guidelines underpin the processes. Strong political will and economic commitment are needed to support pooled procurement. 5BCMF'PVSNPEFMTPGQPPMFEQSPDVSFNFOU MODEL DESCRIPTION Informed buying Member States share information about prices and suppliers, but undertake individual procurement. Coordinated informed buying Member States undertake joint market research, share supplier performance information and monitor prices. Countries undertake individual procurement. Group contracting Member States jointly negotiate prices and select suppliers. Countries agree to purchase, individually, from selected suppliers. Central contracting and purchasing Member States jointly conduct tenders and awards contracts through an organisation acting on their behalf. A central buying unit manages the purchase on behalf of countries. Source: Adapted from MSH, 2012. 3.2 Pooled procurement for SADC The recommended option for pooled procurement of essential medicines for SADC is the group-contracting model, delivered incrementally through a staged approach that starts with coordinated information exchange and work sharing. This strategy allows for all Member States to reach minimum standards of acceptable PSM systems, while allowing those Member States that have attained higher PSM standards to move towards more rapidly adopting group contracting. The staged approach is in accordance with the principles of regional integration, as espoused by the RISDP. Implementation will follow progressive stages and build upon them. The expected results of this approach, together with implementation timeframes and responsibilities, are shown in Table 2.

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