UNICEF AND MALARIA MEDICINES. Supply Division October 2006

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1 UNICEF AND MALARIA MEDICINES Supply Division October 2006

2 PROCUREMENT SERVICES SUPPORTING CHILD RIGHTS

3 UNICEF PROVIDES PROCUREMENT SERVICES AS PART OF ITS MANDATE Helping partners access resources for the benefit of children UNICEF is mandated by the United Nations General Assembly: to advocate for children s rights: To help meet their basic needs and to expand opportunities for them to reach their full potential To mobilize political will and material resources to help countries institute appropriate policies and services for children and families

4 WHAT IS UNICEF PROCUREMENT SERVICES? A key component of UNICEF s overall development strategy and an important part of the development package that UNICEF makes available to countries and partners. A tool for assisting partners in accessing resources external to UNICEF for the provision of vital supplies and related services. A way to maximize the benefit of efforts on behalf of children and families in the procurement of quality, valuepriced supplies and services, in a timely manner.

5 WHO ARE PROCUREMENT SERVICES CUSTOMERS? Governments Non-Governmental Organisations (NGOs) Other United Nations agencies International funding agencies Philanthropic organisations UNICEF does not work for individuals or private companies UNICEF does not participate in tenders

6 WHY DO PARTNERS USE UNICEF PROCUREMENT SERVICES? QUALITY PRICE SPEED TECHNICAL ASSISTANCE

7 PS PO value totalled $302m in 2005 inc freight Millions $350 $300 $250 $200 $150 Freight PSC POs $100 $50 $

8 LONG LASTING MOSQUITO NETS

9 MALARIA S BURDEN IN AFRICA Malaria is a major killer of children in Africa 3,000 children die daily due to malaria Malaria causes severe complications during pregnancy, and contributes to increase in maternal mortality Malaria is a major cause of poverty with $10 billion - $12 billion lost annually in income in Africa alone.

10 SUPPLIES TO COMBAT MALARIA Use of insecticide treated nets can reduce child mortality by 20% and malaria infections by 50% The new technology of Long lasting nets (LN) is a major breakthrough in malaria prevention: the user does not need to retreat! Long lasting continue to repel and kill mosquitoes for the lifespan of the net (3-5 years).

11 UNICEF MOSQUITO NET PROCUREMENT Product Procurement Strategy Only Procure WHOPES recommend or UNICEF QA approved nets Agreements with manufacturers established based on Forecasted demand Warehousing in Dubai (target 750,000 nets in stock) In case of short-supply: Product Allocation Strategy Targeting/ Prioritising vulnerable groups Forecasted Quantities Early Order Placement

12 DRAMATIC INCREASE OF PROCUREMENT VALUE OVER THE LAST 2 YEARS USD Procurement value ,000,000 80,000,000 Untreated LLIN 60,000,000 40,000,000 20,000, Sept. 2006

13 WHAT S NEW Availability of LNs meets the demand Production lead times only 1-3 months for standard nets (size, colour) IRS using DDT has been recommended by WHO/RBM as one of the programme strategies

14 MALARIA MEDICINES - where are we now? - what are the challenges?

15 Combination therapies recommended by WHO WHO Technical Consultation on Antimalarial Combination Therapy April 2001 FDC MDT Artemether/lumefantrine Artesunate +amodiaquine Artesunate + SP Artesunate + mefloquine ACTs Amodiaquine + SP ACT = Artemisinin-based Combination Therapy

16 ACT SUPPLY HAS INCREASED 25,000,000 20,000,000 15,000,000 10,000,000 5,000,000 Value and Number of Treatments USD No. of treatments

17 UNICEF ANTIMALARIALS ,000,000 4,500,000 4,000,000 3,500,000 3,000,000 2,500,000 2,000,000 1,500,000 1,000, ,000 No. of treatments Amodiaquine HCL 200mg tabs Chloroquine oral sus 50mg/5ml/BOT-60ml Artesun50mg+SP500mg/25mg co-bl.,tabs/6+2 Primaquine 7.5 mg tablets Artesun50mg+SP500mg/25mg co-bl.,tabs/6+3 Mefloquine 250mg tabs Artemether+Lumefantrine,60+360mg Artesunate tablets 50mg Quinine inj 300mg/ml 2ml amp Artemether+Lumefantrine,20+120mg Artesun50mg+Amod153mg tabs/3+3 Artemether+Lumefantrine,40+240mg Quinine 300mg tabs Artesunate+amodiaquine tab mg/6+6 Artemether+Lumefantrine,80+480mg Artesun50mg+Amod153mg tabs/12+12

18 UNITAID International drug purchase facility Innovative and sustainable financing mechanism for drugs to fight AIDS, Malaria, TB International air ticket solidarity levy

19 UNITAID Founding countries: Brazil, Chile, France, Norway, United Kingdom 44 countries working on implementation 19 countries introduce air ticket solidarity levy Support from WHO, UNAIDS, UNICEF, GFATM, Clinton Foundation, Gates Foundation, NGOs UNITAID hosted by WHO

20 UNITAID PROJECT PROCUREMENT STRATEGY Forecasting done in collaboration with UNICEF partners Frameworks agreed with Global Fund and Partners Use framework of existing and new arrangements Volume Discounts WHO prequalification

21 RBM Partnership To halve malaria-associated death and disease by WHO WB & other development banks

22 Thank you! UNICEF/HQ /Pirozzi

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