1. Good Procurement Practices in National TB Programs
Andrey Zagorskiy Senior Program Associate
Management Sciences for Health

2. Policy and Legal Framework
TB Drug Management Cycle
Selection
Use
Management
Procurement
Support
Distribution
Policy and Legal Framework

3. Objectives of TB Drug Procurement
Procure the most cost-effective drugs in the right quantities.
Select reliable suppliers of high-quality TB drug products.
Ensure timely delivery.
Achieve the lowest possible cost.

4. DOTS Strategy Government commitment to national TB program
Case detection by sputum smear microscopy
Standardized treatment regimen
Uninterrupted supply of quality TB drugs
Standardized recording and reporting system

5. Operational Principles: Efficient and Transparent Management
Procurement responsibilities are defined and divided among different offices.
Formal written procurement procedures are available.
The procurement process is transparent.
The criteria for supplier qualification and contract awards are clear and explicit.
Procurement strategy, timelines, and performance monitoring are thoroughly planned and adhered to.

6. Operational Principles: Accurate Selection and Quantification
Procurement of TB drug products is limited to official essential drug list/formulary and treatment standards.
DOTS strategy is officially approved.
TB drug products are listed under their international nonproprietary names (INN).
Quantities are ordered based on a reliable estimate of actual need.

7. Operating Principles: Financing and Competition (1)
Mechanisms for procurement expenses and timely payment to suppliers are established.
Government guarantees
Funds for procurement activities
Reconciliation of needs and funds
Prioritization
Economies of scale are achieved through pooling together procured quantities and resources.
Centralized procurement
Pooled procurement in decentralized setting

8. Operational Principles: Financing and Competition (2)
Competitive mechanisms are used to procure TB drugs.
Centralized competitive bidding with prequalification
Utilization of international mechanisms: GDF
Direct procurement of specific drugs: Green Light Committee (GLC)
TB drugs are purchased from the one supplier who won the contract (sole-source commitment).
Competition increases.
Trust between purchaser and supplier improves.

9. Operational Principles: TB Drug Quality Assurance (1)
Suppliers of TB drugs are prequalified and their performance is monitored.
Transparent prequalification criteria
Supplier performance indicators
Database on suppliers of quality TB drugs
Reliable and accountable distribution system
Ongoing process

10. Operational Principles: TB Drug Quality Assurance (2)
Purchased TB drugs meet international standards for high quality.
Compliance with good manufacturing process
WHO Certification Scheme
Evidence of bioavailability
Mechanisms to report drug quality problems and adverse reactions

11. The Procurement Cycle Review Drug Selections Determine Quantities
Collect Consumption Info
Reconcile Needs and Funds
Distribute Drugs
Choose Procurement Method
Make Payment
Locate and Select Suppliers
Receive and Check Drugs
Specify Contract Terms
Monitor Order Status
Award Contract