Cooperare per la salute - Cicogna
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Tecnologie sanitarie nei Paesi in via di sviluppo: la posizione dell’OMS
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Dr. Francesco CicognaSpecialista in medicina tropicale
Dirigente medico
Direttore Ufficio III della
Direzione Generale per i Rapporti Europei
e Internazionali
Ministero della Salute
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Contra-
ceptives and
RH
equipment
STI
DrugsEssential
Drugs
Vaccines
and
Vitamin A
TB/
Leprosy
Blood
Safety
Reagents
(inc. HIV
tests)
D
F
I
D
K
f
W
UNICEF
J
I
C
A
GOK, WB/
IDA
Source of
funds for
commodities
Commodity
Type (colour coded) MOH
Equip-
ment
Point of first
warehousingKEMSA Central Warehouse
KEMSA
Regional
Depots
Organization
responsible
for delivery to
district levels
KEMSA and KEMSA Regional Depots
(Logistics Managagement Unit and customer service)
Procurement
Agent/BodyCrown
Agents
Government
of Kenya
GOK
GTZ (procurement
implementation
unit)
E
U
K
f
W
UNICEF
KEPI Cold
Store
KEPI (vaccines
and
vitamin A)
Malaria
U
S
A
I
D
U
S
A
I
D
U
N
F
P
A
E
U
R
O
P
A
Condoms
for STI/
HIV/AIDS
preventio
n
C
I
D
A
U
N
F
P
A
US
Gov
C
D
C
NPHLS
store
MEDS (to Mission
facilities)
Private Drug
Source
G
D
F
Government
Private/NGO
Bilateral Donor
Multilateral Donor
World Bank Loan
Organization Key
Japanese
Private
Company
W
H
O
G
A
V
I
S
I
D
A
NLTP (TB/
Leprosy
drugs
Supplies Logistics System in Kenya (as of January 2007)Constructed and produced by Steve Kinzett, RHSC/PATH - please communicate
any inaccuracies to [email protected] or telephone +32 (0) 2 210 0221
Anti-
Retro
Virals
(ARVs)
Labor-
atory
supp-
lies
Global
Fund for
AIDS, TB
and
Malaria
PSCMC
(Crown
Agents,
GTZ, JSI
and KEMSA)
I
P
P
F
MEDS
D
A
N
I
D
A
Mainly District level staff: DPHO, DPHN, DTLP, DASCO, DPHO, etc or staff from the Health Centres,
Dispensaries come up and collect from the District level
MEDS
Provincial
and District
Hospital
Laboratory
Staff
Organization
responsible for
delivery to sub-
district levels
K
N
C
V
MSF
MSF
K
E
M
S
A
W
H
O
Other
NGO
Stores
(e.g. MSI,
FPAK)
NGO
clinics/
centres
Mission
Hospitals/
Health Centres
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Raccogliere e scambiare informazioni sulle tecnologie sanitarie e selezionare accuratamente le priorità
Formulare strategie nazionali per la valutazione, la pianificazione, l’acquisizione e la gestione appropriata delle tecnologie sanitarie
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Stilare linee guida nazionali e regionali per la produzione appropriata e la definizione di pratiche regolatorie e sistemi di sorveglianza che assicurino qualità, sicurezza ed efficacia
Stabilire collaborazioni con i vari stakeholders
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L’OMS fornirà assistenza tecnica, linee guida e sostegno ai Paesi che ne facciano richiesta e istituirà un data-bese sulle “healthtechnologies”
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“Health-related technologies are physical, biological or chemicaldevices, clinical procedures, and services that have been developed toimprove health. They are consideredto be essential when they are evidence-based, cost-effective and meet priority public-health needs.”
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“Health technologies are indispensable tools for health care pratictioners in their work on prevention, diagnosis, treatment and rehabilitation. However, the improperselection, management or use of suchtechnologies may lead to a disproportionate rise in the costs ofhealth-care delivery.”
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E’ necessario trovare un adeguato equilibrio tra un “supply-driven market” e le reali necessità e priorità dei sistemi sanitari e dei Paesi…
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E’ necessaria una valutazione (assessment) basata su dati (evidence-based) epidemiologici, demografici e relativi alla capacità di utilizzo (training) e manutenzione (management)
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Il burden of disease
Il livello dei servizi che si possono fornire
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Le strutture di assistenza sanitaria primaria (PHC) e gli ospedali di primo riferimento dovrebbero costituire la base comune per le tecnologie sanitarie essenziali
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Safety
Efficacia/qualità
Sostenibilità
Rispetto di “International normsand standards”
Necessità di collaborazione intersettoriale
Monitoraggio
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