By Yvonne Nkrumah, Julia Mensah

This ebook in short describes the techniques and methodologies for construction and maintaining multistakeholder coalition to force reforms within the well-being zone. it's in line with the reviews of 3 East African countries—Uganda, Tanzania and Kenya. It outlines, by means of bankruptcy, every one country's adventure in picking, mobilizing, and coalescing key stakeholders to handle governance bottlenecks in pharmaceutical procurement and provide chain administration. It highlights demanding situations, successes in addition to classes realized to steer different international locations.

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Extra resources for Accelerating Health Reforms through Collective Action. Experiences from East Africa

Sample text

The direct result of this approach has been poorly coordinated efforts leading to unsustainable reforms and the perpetuation of poor outcomes in health service delivery—particularly around access to essential medicines. Collective action refers to the process through which individuals and groups work together toward a shared vision and attaining a common goal (Cabañero-Verzosa and Garcia 2011). Multistakeholder processes are essential because they bring together different actors who have a shared interest in a problem, and engage them in dialogue and collective learning that can improve innovation, decision making, and action.

The Medical Stores Department (MSD) is an autonomous department of the MHSW responsible for the procurement, storage, and distribution of medicines. Regulation to ensure the quality and efficacy of medicines is the primary responsibility of the Tanzania Food and Drugs Authority (TFDA). The Public Procurement Regulatory Authority (PPRA) is an agency vested with oversight of all public procurements, including medicines. The National Essential Medicines List of Tanzania and Standard Treatment Guidelines, last published in 1997, were both updated in 2006 and 2013 in order to reflect changes in current medical knowledge and practice.

Joseph Mhando is a senior lecturer and dean of the School of Pharmacy at the St. John’s University of Tanzania, which is also the national convener of the local multistakeholder coalition. He is a registered pharmacist, with extensive experience in pharmaceutical procurement and supply chain management, having held senior leadership positions in parastatal and private pharmaceutical manufacturing and distribution organizations in Tanzania. He has been involved with the multistakeholder coalition, MSG-Pharma, since its creation in 2011, and is currently its chairman.

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