Department of Pharmacy Practice & Clinical Pharmacy, School of Pharmacy, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
Res Social Adm Pharm. 2022 Mar;18(3):2538-2546. doi: 10.1016/j.sapharm.2021.04.005. Epub 2021 Apr 10.
Health planners charged with the task of building or at least maintaining the health of populations within low- and middle-income countries (LMICs) have to find ways of providing steady, predictable supplies of health commodities for unpredictable demands for healthcare and health. To address this issue, this paper emphasizes a focus on aggregate commodity security defined as the continuous interrupted supply of health commodities belonging to all therapeutic categories and not just a selected subset. Given this focus, the paper identifies logistics systems comprising of a set of logistics activities as the machinery for assuring aggregate commodity security. Steady reliable supplies of health commodities, whenever and wherever they are needed, however, means looking beyond logistics systems. Health planners must ask whether there is a healthy supplier base for the commodities needed. The paper notes that a secure supply of health commodities in any LMIC, will remain an illusion without functional logistics systems supported by a healthy supplier base.
卫生规划人员的任务是为中低收入国家（LMICs）的人群建立或至少维持他们的健康，他们必须找到方法为不可预测的医疗保健和健康需求提供稳定、可预测的卫生商品供应。为了解决这个问题，本文强调关注总体商品安全，将其定义为持续中断供应所有治疗类别的卫生商品，而不仅仅是选择的子集。鉴于这一重点，本文确定了由一系列物流活动组成的物流系统是确保总体商品安全的机制。然而，无论何时何地需要稳定可靠的卫生商品供应，都需要超越物流系统。卫生规划人员必须询问是否有足够的健康供应商来供应所需的商品。本文指出，没有功能齐全的物流系统和健康的供应商基础的支持，任何 LMIC 的卫生商品的安全供应都将只是一种幻想。
