Afghanistan: CPDS, CSC, and ACSS Stakeholder Procurement, Distribution, and Quantification Activities and Functions Review
For largely historical reasons of development in a post- or ongoing conflict situation, the current essential medicines supply mechanisms in Afghanistan are characterized by multiple funding sources and a large number of active players, giving rise to fragmented and, currently, largely uncoordinated service from multiple, vertical supply streams of varying efficiency. This is not to say that the medicines supply service has been unsuccessful—through the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) schemes medicines are clearly reaching patients, which is a major achievement in such a complex and fragile operating environment. Clearly, however, if the service is to be expanded to meet increased health care provision and if significant improvements are to be made in the quality and reliability of that service, then improved oversight, good governance principles of management, and much greater coordination are needed. the MoPH in Afghanistan has recognized these challenges and, with the assistance of its implementing partners, has formulated an approach to address matters. It has adopted a Coordinated Procurement and Distribution System mechanism for the promotion of good governance and supply chain oversight, and formed three advisory committees to carefully review the situation and undertake action plans for procurement and supply management (PSM) strengthening and development in each of the main areas of coordination development, systems strengthening, and commodity security.