6 Responses

  1. Christine. Wera
    Christine. Wera April 11, 2016 at 8:27 am

    H.E.O student-DWU
    I am doing a presentation on this Brief Policy Article today (Monday, 11/04/016) I would like to congratulate the author of the article, it was very useful.
    I would like to know more about the types of external and internal factors that is meant to either facilitate or restrain the current reform system of PNG.

  2. yournewsource
    yournewsource November 14, 2013 at 2:27 am

    This is a welcome initiative. Medical supplies are essential to the core infrastructure of an effective health service. Improvements to quality of service through training; supervision; innovation and partnership are almost nonsensical if basic inputs (including medical supplies) are not in place.

  3. Kaleb Brownlow
    Kaleb Brownlow June 3, 2011 at 8:31 am

    The thrust of this policy brief is how do we (donor community and development partners) support and strengthening partner country systems, in this case the public health supply chain system. How do we respond to the issue of sustainability, which I would argue is both financial and operational sustainability. PNG may be increasing its financial sustainability (i.e. increased govt exp to procure medicines) but, its operational sustainability is weak (i.e. cannot maintain order fill rate improvements, inventory mgmt, etc.). A question would be for donor funding and, specifically, in PNG how did AusAID prioritize their funding? That is did it aim to (1) ensuring access & availability of commodities or (2) strengthening the system to function more effectively. These objectives are necessarily the same thing or mutually reinforcing.

  4. E. John Blunt
    E. John Blunt June 2, 2011 at 2:06 pm

    Andrew McNee is to be commended for his insightful Policy Brief.
    The procurement and distribution of medical supplies, medical equipment and other essential non-medical stores to and within PNG is one of the most complex and difficult supply chain tasks undertaken. The further strengthening of the PNG health supply chain will take time, resources, commitment and significant leadership.
    I look forward to learning of the success of this new intervention.

    1. Dr Louis Samiak
      Dr Louis Samiak March 5, 2014 at 12:15 pm

      This is a great report. The graph shows the supply of medical supplies to Area medical stores in Provinces and then to major distribution points to health facilities in provinces. However, it does not show what happens from then onwards. How should or does the supplies get to the remotes health facilities, eg Aipost in the remote areas of PNG? Who is responsible for this to happen? Is it the responsibility of the health worker at the aid post or other people who care for the health to the poor remote people?

      1. Colin Wiltshire
        Colin Wiltshire March 6, 2014 at 10:19 am

        Hi Dr Samiak

        I am the Project Manager for our PNG PEPE Project and think I can help answer your questions. Medical supplies can get to remote health facilities in PNG in one of two ways. The first is through medical supply kits, where centrally funded contractors are responsible for distributing these kit sets to all health facilities across PNG. This includes even the most remote aid posts, as in recent years, the contractor would only get paid if they took a photo and obtained a GPS reading from the site where the kits were delivered. This is known as the ‘push’ system, as it should provide health facilities with their basic medical supplies.

        The second way for getting drugs to remote health facilities is through Area Medical Stores. This is also known as the ‘pull’ system, whereby health facilities order drugs based on their requirements. Provinces are funded through the health function grant to pay for the costs of distributing ordered drugs from Area Medical Stores to health facilities. Often provincial and district health officials will have access to this funding as well as vehicles to assist with distribution, however some provinces allocate this funding directly to health centres who are then responsible for pick up and deliver of drugs to remote aid posts they may manage. I think it is fair to say that the ‘pull’ system requires significant strengthening to deliver medical supplies more reliably. This is why the medical kits are so important for remote health facilities.

        Hope this helps to answer your question.

        Colin

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