Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Independent researcher, Dar es Salaam, Tanzania.
Glob Health Sci Pract. 2018 Oct 4;6(3):574-583. doi: 10.9745/GHSP-D-18-00083. Print 2018 Oct 3.
From 2006 to 2014, Supply Chain Management System (SCMS), the global procurement and distribution project for the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), distributed over US$1.6 billion worth of antiretroviral drugs and other health commodities, with over US$263 million purchased from local vendors in 14 countries in sub-Saharan Africa. A simple framework was developed and 39 local suppliers from 4 countries were interviewed between 2013 and 2014 to understand how SCMS local sourcing impacted supplier development. SCMS local suppliers reported new contracts with other businesses (77%), new assets acquired (67%), increased access to capital from local lending institutions (75%), offering more products and services (92%), and ability to negotiate better prices from their principles (80%). Additionally, 70% (n=27) of the businesses hired between 1 and 30 new employees after receiving their first SCMS contract and 15% (n=6) hired between 30 and 100 new employees. This study offers preliminary guidance on how bilateral and multilateral agencies could design effective local sourcing programs to create sustainable local markets for selected pharmaceutical products, laboratory, and transport services.
从 2006 年到 2014 年,供应链管理系统(SCMS)是美国总统艾滋病紧急救援计划(PEPFAR)的全球采购和配送项目,分发了价值超过 16 亿美元的抗逆转录病毒药物和其他卫生商品,其中超过 2.63 亿美元从撒哈拉以南非洲的 14 个国家的当地供应商购买。2013 年至 2014 年期间,制定了一个简单的框架,并对来自 4 个国家的 39 家当地供应商进行了访谈,以了解 SCMS 的本地采购如何影响供应商的发展。SCMS 的本地供应商报告称,与其他企业签订了新合同(77%)、获得了新资产(67%)、从当地贷款机构获得了更多的资金(75%)、提供了更多的产品和服务(92%),并能够与其原则(80%)协商更好的价格。此外,70%(n=27)的企业在收到第一份 SCMS 合同后雇佣了 1 至 30 名新员工,15%(n=6)雇佣了 30 至 100 名新员工。本研究初步探讨了双边和多边机构如何设计有效的本地采购计划,为选定的药品、实验室和运输服务创造可持续的本地市场。