Lal Arush, Lim Christopher, Almeida Gisele, Fitzgerald James
Strategic Fund, Pan American Health Organization, Washington, DC, USA.
Department of Health Systems and Services, Pan American Health Organization, Washington, DC, USA.
Lancet Reg Health Am. 2022 Feb;6:100129. doi: 10.1016/j.lana.2021.100129. Epub 2021 Dec 6.
Leveraging economies of scale and scope through multi-country pooled procurement enables countries to increase access to quality affordable essential medicines and supplies that meet priority health objectives as well as effectively respond to health emergencies. Strategic partnerships and tools can minimize supply chain disruptions and streamline procurement and deployment in health emergencies, thus mitigating stockouts and ensuring cost efficiencies across various therapeutic areas, including for public health programs at a time when countries may struggle to meet complex needs. As a means to better respond to health emergencies while maintaining priority public health programs, countries should optimize usage of pooled procurement mechanisms facilitated by multilateral technical cooperation and other regional mechanisms, such as the Pan American Health Organization's Strategic Fund. Because few analyses have assessed the role of such regional procurement mechanisms, this Health Policy paper evaluates the key areas of impact of the PAHO Strategic Fund and concludes with lessons learned to help prepare for future health crises while maintaining essential health services.
通过多国联合采购利用规模经济和范围经济，使各国能够增加获得优质、可负担得起的基本药品和物资的机会，这些药品和物资能够实现优先卫生目标，并有效应对卫生紧急情况。战略伙伴关系和工具可以最大限度地减少供应链中断，并简化卫生紧急情况下的采购和调配，从而缓解缺货情况，并确保各个治疗领域的成本效益，包括在各国可能难以满足复杂需求时的公共卫生项目。作为在维持优先公共卫生项目的同时更好地应对卫生紧急情况的一种手段，各国应优化由多边技术合作和其他区域机制（如泛美卫生组织战略基金）推动的联合采购机制的使用。由于很少有分析评估此类区域采购机制的作用，本卫生政策文件评估了泛美卫生组织战略基金的关键影响领域，并总结了经验教训，以帮助在维持基本卫生服务的同时为未来的卫生危机做好准备。
