Medicines and Nutrition Center Procurement overview including nutrition supplies

Transcription

1 Nutrition Supplier Meeting June 2017, Copenhagen Medicines and Nutrition Center Procurement overview including nutrition supplies Akthem Fourati Chief, Medicines and Nutrition Center UNICEF Supply Division UNICEF/UN043566/Lister

2 Medicines and Nutrition Centre Supply Division (June 2017) SUPPLY DIVISION Etleva Kadilli Director a.i SUPPLY DIVISION Suvi Rautio Deputy Director Supply Programmes Medicines and Nutrition Centre Akthem Fourati Chief Charlotte Armand Nielsen Administrative Assistant Medicines Unit David Muhia Technical Unit Atieno Ojoo Nutrition Unit Jan Debyser

3 Focus areas for medicines and nutrition Procurement focus that addresses UNICEF programmatic priorities Follow and promote WHO recommendations on selection and use of medicines and international guidelines on nutrition Ensure availability of affordableessential medicines and nutrition supplies for primary health care and emergency relief Develop sources and market for priority products Ensure capacity to excel in procurement activities (quality assurance, selection, contracting, supply chain management)

4 Essential Supplies for Health Programmes Product Focus Nutrition Essential Medicines ARVs and antimalarials Products for severe acute malnutrition, stunting and anthropometric measurements Medicines for Primary Health Care, including NCDs, and emergency relief All medicines in WHO treatment guidelines Health Kits Development and supply of kits for delivery of basic services, including in emergencies

5 MNC Procurement by product categories USD Millions MNC -Procurement Value Nutrition Essential Medicines HIV and Malaria >120 suppliers in 35 countries Delivery to >110 countries

6 MNC: some figures Antiretrovirals(ARVs) 2016: 6.11 million packs of ARVs procured. Equivalent treatment for an estimated 439,815 adult patients for one year of firstline therapy in 38 countries (9 per cent increase from previous year). Iron Folic Acid 2015: 935 M tabs (pack of 100 tabs) 2016: 335 M tabs (pack of 100 tabs) ORS-Zinc Co-Pack 2014: 1.8 M packs 2016: 13.4 M packs (sources in India, Bangladesh, Kenya and Nigeria) Amoxicillin DT 2014: 8.5 M pneumonia treatments 2016: 16.8 M pneumonia treatments. Supply to 34 countries Ready to Use Therapeutic Food (RUTF) 2016: 33,418 MT procured (2.4 M cartons). 14 out of 18 manufacturers and 56% of procurement in programmecountries.

7 How do we organize and plan the procurement of medicines and nutrition supplies? Continuous review of products needed Essential Medicines List and Treatment Guidelines Programme priorities Specific programme needs (e.g. set packs/kits) Appropriate procurement strategies Customers, Products, Suppliers Programme context Warehousing/Direct delivery Quantification of needs Specific programme (Nutrition, Vitamin A)/country needs and procurement plans Other estimates

8 UNICEF Procurement Process NEED Assessment (product range, warehouse replenishment, direct orders) VENDOR SELECTION SOLICITATION GMP Assessment Dossier Assessment AWARD CONTRACT MANAGEMENT

9 Nutrition Strategy To ensure availability of therapeutic food(rutf, F75/100), supplementaryfood(rusf, CSB+), micronutrients(mnp, iron, zinc), anthropometricequipment(muacs, boards, scales) and other nutrition supplies (salt iodization, food fortification); To increase number of sourcesof quality and affordable Ready to Use Therapeutic Food (RUTF) globally and locally; To develop technical capacity to evaluate nutrition products; To set up arrangements (LTAs) for direct deliveries (food items) and warehouse stock (anthropometric equipment, micronutrients); To support emergencyresponseto nutritional crisis (natural disasters: droughts, floods, earthquakes, typhoons) To improve capacity to plan (forecast) and manage supplies in countries.

10 Specialized nutrition products for women and children Women Children Pregnancy and Lactation Micronutrient Supplementation Moderate Acute Malnutrition (MAM) Severe Acute Malnutrition (SAM) Iron + Folic Acid tablets Multiple Micronutrient tablets Multiple Micronutrient Powder (MNP) Vitamin A capsules Ready to Use Supplementary Food (RUSF) Lipid Nutrition Supplements (LN-SQ/MQ) Therapeutic Milk (F-75, F-100) Resomal Ready to Use Therapeutic Food (RUTF) Antibiotics, deworming

11 Overview Nutrition Commodities 5,867,799 10,829,956 18,849,547 40,767,517 40,889,051 79,092, , , ,906,115 10% 5% Categories procurement value in US$ and % Q1 5% 4% 76% 4% Therapeutic food Food fortification Supplementary food Anthropometric equip Minerals & vitamins Antianaemias Salt iodization Water & electrolytes Other Therapeutic food (RUTF, F-75/F-100) taking up ¾ of procurement volumes Food fortification growing area, use of MNPs expanding rapidly

12 Overview Nutrition Commodities 180,000,000 Procurement Value 160,000,000 US$ 140,000, ,000, ,000,000 80,000,000 60,000,000 40,000,000 20,000,000 Other Water & electrolytes Salt iodization Antianaemia Minerals & vitamins Anthropometric equip Supplementary food Food fortification Therapeutic food Q1

13 Anthropometric equipment 12,000,000 10,000,000 SD Procurement Value Q1 US$ 8,000,000 6,000,000 4,000,000 Other MUAC Mech. Scale Kits ID Height/Length Electr. Scale 2,000, Q1

14 Potassium Iodate SD Procurement of Iodate Salt Mixture and Potassium Iodate Quantity in MT 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 2,500,000 2,000,000 1,500,000 1,000, ,000 Value in US$ Iodate salt mixture in MT Potasssium Iodate in MT Iodate salt mixture in USD Potasssium Iodate in USD Added to edible salt by salt producers to prevent iodine deficiencies

15 Vitamin A (Retinol) 12,000,000 Vitamin A soft gel caps Donation-in-kind and UNICEF procurement 500,000,000 Procurment/donation value in US$ 10,000,000 8,000,000 6,000,000 4,000,000 2,000, ,000, ,000, ,000, ,000, ,000, ,000, ,000, ,000,000 50,000,000 Quantity in capsules USD CIK USD non-cik Quantity CIK Quantity non-cik -

16 Anti anaemicproducts (iron supplements, folic acid) 12,000,000 Procurement value 10,000,000 8,000,000 USD 6,000,000 4,000,000 2,000, Q1 2017

17 Supplementary Food SD Procurement in USD SD Procurement in MT 16,000,000 14,000 14,000,000 Supercereals 12,000 12,000,000 RUSF US$ 10,000,000 8,000,000 6,000,000 LNS-SQ LNS-MQ HEB Emerg FR Metric Tons 10,000 8,000 6,000 4,000,000 4,000 2,000,000 2, Q Q1

18 Therapeutic Milk 7,000,000 6,000,000 Therapeutic Milk: Procurement Value 5,000,000 US$ 4,000,000 3,000,000 F-75 F-100 2,000,000 1,000, Q1 2017

19 Ready to Use Therapeutic Food 40, , Therapeutic Foods in MT 30,000 25,000 20,000 15, Number of Countries Supplied 10, , Jun17 Forecast RUTF Biscuit RUTF Paste Country Recipients 0

20 Ready to Use Therapeutic Food 3 RUTF UNICEF procurement and USAID/FFP donations-in-kind 3 Millions of cartons USAID/FFP (CIK) UNICEF procurement Jun-17

21 Multiple Micronutrient Powders (MNP) 35 UNICEF deliveries by Region MNP boxes in Millions countries ordered 39.6M packs for $22 M in CEE/CIS Latin America & the Caribbean Middle East & N-Africa S-E Asia & the Pacific Sub-Saharan Africa

22 Multiple Micronutrient Powders (MNP) MNP orders in sachets and USD 1,400 25,000,000 Millions of 1g sachets 1,200 1, ,000,000 15,000,000 10,000,000 5,000,000 procurement value in USD Jun-17 5 component - local layout 5 component - standard layout 15 component - local layout 15 component - standard layout forecast Grand Total (USD) - Forecast for 2017 and 2018 estimated at 30 million packs (900 mi sachets) per year

23 Tender Calendar Nutrition products Q Q Q Q Biscuit,high energy/protein,car/16x400g MUAC 11.5 Red Child/PAC-50 MUAC,Adult,without colour code/pac-50 Weight-for-height chart Folic acid 5mg tabs/pac-1000 Iron 60mg+Folic ac. 400mcg tab/pac 10x10 Iron 60mg tablets/pac-100 Iron 60mg + Folic ac. 400mcg tab/pac-100 Therapeutic spread,sachet 92g/CAR-150 Emergency food ration,500g/car-24 Scale,infant,clinic,beamtype,16kg x 10g Scale, physician, adult, metric, 6-180kg Scale (only), infant, spring, 25kgx100g Scale, infant, spring, 5kgx25g Weighing trousers f.scale S & S /PAC-5

24 UNICEF/SUDA2014-XX228/Noorani 24 Thank You