9.7 Procurement and supply management systems
Consolidated ARV guidelines, June 2013
A uniform and harmonized national procurement system is required for efficiently procuring quality-assured affordable ARV drugs and diagnostics (124,125). Procurement should be based on appropriate selection of products and need-based forecasting, considering consumption, expanding services, phasing in and phasing out formulations and implementing new recommendations. Transparent procedures should be adopted to achieve best-value procurement and a quality assurance system implemented to procure, store and distribute high-quality pharmaceuticals, diagnostics and other health products (124,126).
Procurement systems should:
- procure the most effective, heat-stable, fixed-dose quality-assured ARV drug formulations in the right quantities, at the lowest possible cost and in a timely manner;
- request that the partners supporting the national HIV programme consolidate and harmonize ARV drugs and diagnostics procurement and supply management systems and pool demands for ARV drugs and diagnostics, exploring options for pooling under a common tender system;
- use a publicly accessible database to facilitate access to information about prices and support competition (127–130); and
- follow the principles described in the United Nations interagency guidelines for donated drugs (131).