Procurement Support Services to the Ministry of Health of Ukraine
The challenges and failures of the Ministry of Health’s public procurement and supply programme resulted in a gap of available medicine in the country during 2013-2015. In 2015, the Ministry of Health of Ukraine adrressed international organizations, including UNDP, reuesting support in medicines procurement. Starting from 2015, UNDP Ukraine project is annually procuring a range of medicines and related medical products for the state budget funds as an emergency measure. The programme is also building the capacity needed to build and support a transparent and cost-effective procurement system for the Ministry.
- Medicines for $40 mln or 51% of the 2016 budget funds allocated to UNDP are delivered as of today
- Growth hormone for children with dwarfism worth 12,5 mln UAH and child oncology medicines worth 4 mln UAH are delivered by UNDP
- Tender for procurement of adult and child oncology, autism and epidermolysis bullosa medicines announced: http://procurement-notices.undp.org/view_notice.cfm?notice_id=39191
- 25 schemes of botulism treatment are donated by UNDP to the Ministry of Health of Ukraine. Shipment worth $100k USD lands in Ukraine.
1. Assist MOH in the cost-efficient, transparent and timely procurement of medicines and other medical products of selected State Health Programmes as an emergency matter. The drugs to be procured are for the diagnosis and treatment of tuberculosis, hepatitis, hemophilia and orphan diseases in children, and the diagnosis of HIV/AIDS.
2. Build the structural and human resource capacity for supply, planning, forecasting, and monitoring and evaluation for transparent and cost-effective procurement at MOH.
3. Progressively hand over procurement activities while supporting the procurement processes and procurement unit of MOH.
4. Support MOH further reform of the national procurement and quality assurance system and capacity development processes.
5. With the technical expertise of WHO, support the capacity building of the procurement and supply chain management in the context of the wider initiative aimed at strengthening the Ukrainian healthcare system and creating a coherent pharmaceutical society.
Procurement process under the state budget funds of 2016 (as of 18/07/17):
- UNDP was assigned to procure medicines for the second year of international procuremment - 23 programs for a total amount of $78 mln;
- More than $12 mln were saved thanks to the efficient procurement process, the funds are currently used for procurement of additional medicines for patients with cancer, TB, autism, dwarfism and other diseases;
- Medicines and medical products worth $40 mln (or 51% or the funds allocated to UNDP at the end of 2016) are already delivered to Ukraine;
- Full list of medicines and medical products procured for 2016 budget (last updated July 10, 2017)
Procurement process under the state budget funds of 2015:
- UNDP conducted procurement under 8 state health programs for a total amount of $39 mln;
- Citizens of Ukraine were supplied with high-quality medicines procured through transparent tenders;
- Four mln USD of Ukraine state budget were generated by UNDP as savings and used for procurement of extra medicines to ensure more patients in Ukraine are covered with the needed treatment;
- Full list of medicines and medical products procured for 2015 budget
Improving public procurement in healthcare
Procurements of vital medicines through UNDP and other international organizations is a temporary measure for Ukraine for the period of up to 2019.
On the long term, this project focuses on strengthening public procurement in Ukraine's healthcare system, in order to ensure all citizen's access to essential medicines and other medical products in Ukraine.
The support provided by UNDP to the Ministry of Health is also aimed to help reform healthcare sector procurement for the period beyond 2019, in particular with the creation of a Health Products Procurement Agency (HPPA). The agency will be an independent organization and will be responsible to procure medicines for the Ukrainian people using modern IT tools. Agency operation will be based on the principles of transparency, accountability and effectiveness and apply integrated, issue-based and innovative approach. To support its capacity, the UNDP Healthcare Program is helping with different activities, such as:
- Introduction of sustainable procurement practices;
- Support to policy and legal developments,
- Support to capacity building events and advocacy,
- Provision of anti-corruption analysis/evidence and action plan,
- Support to the advisory unit under the Ministry of Health,
- Support to revision of the nomenclature of medicines used by the Ministry of Health.
Among the achievements of 2016, two digital monitoring and stock management systems were launched: “E-Liky” jointly developed with the patient community in two oblasts, and digital stock management system developed with state enterprise Ukrvakcina, already piloted in 13 hospitals and soon to be rolled out.
UNDP is helping to develop an online medical stock system to allow real-time monitoring of and access to medical stocks, as a key element of reform. This system will help scale up the public procurement process, make medicines and other medicinal products timely available for patients, and allow appropriate forecasting and planning for medicines procurement both nationally and locally.
Seminars and workshops on anti-corruption, sustainable procurement and human rights took place at the ministerial and regional level. Joint activities with patient groups and civil society helped building a system of checks and balances which will ensure public oversight on the future activities of the agency.