Strategy for Pooled Procurement of Essential Medicines and Health Commodities, 2013-2017 Table 2: SADC pooled procurement option with stages, benefits and timelines STAGE BENEFITS/RESULTS TIME FRAMES 1. Coordinated information sharing on medicines quality, prices, suppliers, availability and registration. t *ODSFBTFETVQQMJFSTCBTFQFS.FNCFS4UBUF with resulting increased competition (more sources per product) *OJUJBUFEJOZFBSPOFPOHPJOH t *ODSFBTFEUSBOTQBSFODZ t +PJOUNPOJUPSJOHPGRVBMJUZ t -PXFSQSJDFT 2. Development and implementation of agreed regional “good practices” t 4UBOEBSEJTBUJPOBOEIBSNPOJTBUJPOPGiHPPE practices” 3. Coordinated work sharing through exchange of existing “good practices” among Member States t *ODSFBTFEQSPGFTTJPOBMFYQFSUTCBTF 4. Establishment of the Coordination Entity: SPPS t *OEFQFOEFOUFOUJUZUPDPPSEJOBUFBOE manage the Pooled Procurement Strategy. Year 2-3 5. Regional tendering for t 3FHJPOBMNBSLFUGPSRVBMJUZTVQQMJFSTBOE products Year 2 – Development of tender documents, prequalification guidelines. suppliers and products. :FBSo%FWFMPQNFOU:FBS o*NQMFNFOUBUJPOPOHPJOH t %FDSFBTFESJTLPGRVBMJUZQSPCMFNT t *ODSFBTFEQFSGPSNBODFPGQIBSNBDFVUJDBM procurement agencies Year 2 – Identify good practices Year 3 – Undertake exchange programmes t *ODSFBTFENBSLFUQFSTVQQMJFS :FBSo*NQMFNFOUBUJPO ongoing 6. Regional framework contracts with suppliers under which Member States purchase directly from suppliers (group contracting). 3.3 t *ODSFBTFEFGmDJFODZBOEDPTUFGGFDUJWFOFTT Year 3 – Development of guidelines for contracting t *ODSFBTFEBWBJMBCJMJUZBOEBDDFTT Year 4 – Implementation of HVJEFMJOFTPOHPJOH Benefits of pooled procurement The rationale for pooled procurement is to have quality essential pharmaceutical products available in the market at lower costs. With pooled procurement, considerable savings can be expected at the stage of information and work sharing by procurement agencies in Member States. The development and implementation of regional standards and procedures will lead to increased efficiency and more rapid procurement cycles, which in turn will lead to increased availability. Pooled procurement will lead to savings and more affordable medicines. With a total population of just under 300 million and an anticipated SADC pharmaceutical market in the region of USD 4.1 billion, annual price reduction savings in the region of hundreds of millions of USD can be achieved with successful pooled procurement. The savings would enable greater access to essential medicines. Products with high inter-country maximum/minimum variations for procurement prices are expected to have the biggest potential for price reductions. From the situational analysis, products that show the highest maximum/minimum ratios for common Top 50 items were observed for anti-infectives and paracetamol 11

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