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Economic & Sector Work :: Other Health Study

Applying Market Mechanisms to Central Medical Stores : Experiences from Burkina Faso, Cameroon, and Senegal

ACCOUNTABILITY ACCOUNTING ACCOUNTING SYSTEMS ACTIVITY REPORTS ADVERSE EFFECTS ADVISERS AUDITS BACKUP BACKUP POWER BIDDING BRAND BRANDS BUDGETING CALLS FOR OFFERS CAPITAL COSTS CAPITAL INVESTMENT CENTRAL MEDICAL STORES CERTIFICATE CHARTS COLD CHAIN COLLECTION OF PAYMENTS COMMODITIES COMMODITY COMPETITIVE BIDDING COMPUTER SYSTEM CONTROL SYSTEM CONTROLLED SUBSTANCES CORE OPERATIONS CORRUPTION COST ANALYSIS COST CONTROL CUSTOMER SATISFACTION DECENTRALIZATION DECISION MAKING DELIVERY TIME DEVELOPMENT GOALS DISTRIBUTION NETWORK DOMAIN DOSAGE FORMS DRIVERS DRUG CONTROL DRUG SELECTION DRUG TESTING DRUGS ECONOMIC GROWTH EMPLOYMENT END CUSTOMER ESSENTIAL DRUGS EXPENDITURE FINANCIAL MANAGEMENT FINANCIAL REPORTS FINANCIAL RESOURCES FINANCIAL SUPPORT FLOW OF INFORMATION FUNCTIONALITY GENERIC DRUGS GENERIC EQUIVALENTS GMP GOVERNMENT EMPLOYEE GOVERNMENT FUNDING GOVERNMENT POLICIES HEALTH MINISTERS HEALTH POLICY HEALTH SERVICES HOSPITALS HUMAN RESOURCE HUMAN RESOURCE CAPACITIES HUMAN RESOURCE MANAGEMENT HUMAN RESOURCES HUMAN RESOURCES MANAGEMENT INCOME INFLATION INFORMATION FLOWS INFORMATION SYSTEM INFORMATION SYSTEMS INFRASTRUCTURE DEVELOPMENT INSTALLATION INSTITUTION INVENTORY INVENTORY CONTROL INVENTORY MANAGEMENT LABOR MARKET LABORATORIES LAWS LIVING CONDITIONS MANUFACTURING MARKET COMPETITION MARKET CONDITIONS MARKET SEGMENTS MARKETING MARKETIZATION MATERIAL MEDICAL SUPPLIES MEDICINE MEDICINES MONOPOLY MOTIVATION NUTRITION OPERATING COSTS ORDER MANAGEMENT ORGANIZATIONAL STRUCTURE OUTPUTS PACKAGING PATIENTS PAYMENT TERMS PERFORMANCE INDICATORS PHARMACEUTICAL PHARMACEUTICAL POLICY PHARMACEUTICAL SUPPLY PHARMACEUTICALS PHARMACEUTICALS PROCUREMENT PHARMACIES PHARMACISTS PHARMACY PRICING POLICIES PRIMARY HEALTH CARE PRIVATE PHARMACIES PRIVATE SECTOR PRIVATE SECTORS PROCUREMENT PROCUREMENT PROCESS PROCUREMENT PROCESSES PRODUCT QUALITY PUBLIC HEALTH PURCHASING QUALITY ASSURANCE QUALITY CONTROL QUALITY MANAGEMENT QUALITY OF SERVICES QUANTITATIVE DATA RATIONAL USE OF DRUGS REGULATORY FRAMEWORK RELIABILITY RESULT RESULTS RETAIL RETAIL PHARMACIES RETENTION SALE SALES SERVANTS SERVICE DELIVERY SERVICE PROVIDERS SOCIAL PRICING SOCIAL SERVICES STOCK MANAGEMENT STOCKS STORAGE CAPACITY STORAGE SPACE SUPERVISION SUPPLIER SUPPLIERS SUPPLY CHAIN SUPPLY CHAINS SURPLUS SURPLUSES TABLETS TARGETS TECHNICAL ASSISTANCE TECHNICAL STAFF TELEPHONE TENDERING TRACEABILITY TURNAROUND TIME TURNAROUND TIMES TURNOVER USER USERS USES VACCINES VERIFICATION WAREHOUSE WAREHOUSES WASTE WHOLESALER WHOLESALERS
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World Bank, Washington, DC
Africa | Burkina Faso | Cameroon | Senegal
2013-05-29T13:45:33Z | 2013-05-29T13:45:33Z | 2010-07

This study summarizes the findings of three assessments of Central Medical Store (CMS) reform and performance in Francophone Africa. The study aims to document and characterize the organizational reform of the CMSs and the impact of the reform on CMS management and performance in Cameroon, Burkina and Senegal. It seeks further to assess the extent to which increased autonomy brought about by such 'marketizing' reforms has had an impact on intermediate CMS results, service quality, product quality, and access to medicines. The findings indicate that organizational reform did contribute towards improving operational performance which, in turn, influenced service quality, product quality, and access to CMS-supplied medicine in these countries. However, improvements in these areas were premised not simply on increased autonomy, but on a whole variety of drivers, both internal and external to a CMS. These include a strong regulatory framework, the conventions, laws, regulations, and administrative acts that increase the flexibility of some decision making rights, whilst constraining others, with an emphasis on social obligations, accountability, and transparency, as well as external factors, such as technical assistance, government subsidies, and relevant external policies, institutions and regulations. The paper ends by proposing a framework that could be used both for the design as well as for the analysis of marketizing reforms in CMSs and other public sector commodity supply entities in developing countries. The framework is sufficiently general that, with some modifications, it could also be applied usefully to the design and analysis of such reform in other public sector institutions delivering social services.

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