von Massow F, Korte R, Cheka C, Kuper M, Tata H, Schmidt-Ehry B
Health, Population, Nutrition Division, Deutsche Gesellschaft für Technische Zusammenarbeit, Eschborn, Germany.
Trop Med Int Health. 1998 Oct;3(10):788-801. doi: 10.1046/j.1365-3156.1998.00306.x.
The drug supply system in the North-west Province of Cameroun differs from 'simple' health financing projects in three important respects. Firstly, the system does not promote drug sales for cofinancing purposes but aims at supporting the prescribers to provide better medical care, and patients' access to the most essential drugs at fair prices. Secondly, the project guarantees equal prices and services throughout the Province regardless of distance from the central warehouse and sales at a given location. Thirdly, along with the revolving fund-financed drug supply system, a community-based legal framework has been established. Built-in management alert mechanisms helped the project resist common causes of collapse such as uneconomic behaviour and political interference. The drug supply system has gained full independence from subsidies and external authorities. Its strong community participation promotes good governance.
喀麦隆西北部省份的药品供应系统在三个重要方面不同于“简单的”卫生筹资项目。首先，该系统并非为了共同筹资而促进药品销售，而是旨在支持开处方者提供更好的医疗服务，并使患者能够以公平价格获得最基本的药品。其次，该项目保证全省各地价格和服务均等，无论距离中央仓库的远近以及在特定地点的销售情况如何。第三，除了由周转基金资助的药品供应系统外，还建立了一个基于社区的法律框架。内置的管理警报机制帮助该项目抵御了诸如不经济行为和政治干预等常见的崩溃原因。药品供应系统已完全独立于补贴和外部当局。其强大的社区参与促进了良好治理。
