solutions for children unicef in the world today standard 1 unicef&sd
TRANSCRIPT
![Page 1: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/1.jpg)
SOLUTIONSFORCHILDREN
UNICEF IN THE WORLD TODAY
standard 1 UNICEF&SD
![Page 2: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/2.jpg)
2
Agenda
Procurement statistics Major commodity areas Drug Procurement Supply Distribution Case Study
![Page 3: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/3.jpg)
SUPPLY DIVISION AT A GLANCE 2002
Total procurement: $541 million
Offshore procurement:$353 million
Regional and local procurement: $188 million
Donations in Kind: $9 million
![Page 4: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/4.jpg)
4
SUPPLY DIVISION AT A GLANCE
![Page 5: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/5.jpg)
Top 10 Supplier Countries 2002
101
5447
32 3021 19
141618
(Millions of United States Dollars)
SUPPLY DIVISION AT A GLANCE
![Page 6: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/6.jpg)
6
SUPPLY DIVISION AT A GLANCE
![Page 7: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/7.jpg)
7
Summary
An effective procurement process should:Procure right drugs in right quantitiesObtain lowest possible purchase priceRecognized standards of qualityTimely deliverySupplier reliability
![Page 8: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/8.jpg)
8
Drug procurement
Procurement of pharmaceuticals differ from procurement of other commodities because the effect of receiving and utilizing a substandard/poor quality product can have severe consequences in terms of damage to the consumers health or treatment failure, because the product does not have the intended effect. Therefore a number of precautions need to be taken when buying pharmaceutical products and these should be followed in a systematic manner.
![Page 9: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/9.jpg)
9
Strategic objectives for drugStrategic objectives for drugprocurementprocurement
Procure the most cost-effective drugs in the right quantities
Select reliable suppliers complying to GMP Ensure high quality products Ensure timely delivery Achieve the lowest possible total cost
![Page 10: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/10.jpg)
10
Principles of Good Pharmaceutical Procurement
Procurement by generic name; Limitation of procurement to the EML/National
List; Procurement in bulk; Formal supplier qualification/monitoring; Competitive procurement; Sole-source commitment;
![Page 11: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/11.jpg)
11
Principles of Good Pharmaceutical Procurement
Order quantities based on reliable estimate of actual need;
Reliable payment and good financial management;
Transparency and written procedure; Separation of keys functions; Product quality assurance programme;
![Page 12: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/12.jpg)
12
Sourcing
Through direct contacts Special catalogues of manufacturers
in a specific area, eg. drugs Through trade missions in
respective embassies Exhibitions, fairs UN Business Seminars Internet
Important to realize: Regarding sales and
marketing efforts, all UN organizations should be
treated as individual companies, it is not
sufficient to deal with only one of them and expect
the information to be replicated automatically to everyone in the UN family.
![Page 13: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/13.jpg)
13
Drug procurement scenariosDrug procurement scenarios
Who are the potential suppliers? Pharmaceutical manufacturers Pharmaceutical wholesalers International drug supply agencies
Where are they situated? Well-regulated countries Less well-regulated countries
![Page 14: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/14.jpg)
14
Select reliable suppliers of high quality products
What is the advantage of pre-qualifying suppliers? Elimination of sub-standard suppliers More efficient adjudication process
What should be considered in a pre-qualification? Production standard (GMP) Business viability
![Page 15: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/15.jpg)
15
Select reliable suppliers of high quality products
Who and how to pre-qualify? Ask for references Inspection of manufacturers
![Page 16: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/16.jpg)
16
Supplier Profile FormStep 3
Supplier interested
Step 2
Supplier Registration Process
Company Data
Financial Data
References
UNICEF interested
Step 1
![Page 17: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/17.jpg)
17
Supplier Evaluation
Suppliers are evaluated on their financial soundness, capacity, quality performance, technical capability, ability to service their products in the destination countries.
Preference is to purchase directly from
manufacturers and not from dealers.
![Page 18: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/18.jpg)
18
Request information about Request information about manufacturermanufacturer
What is the link between the supplier and the product?
Marketing authorisation holder? Manufacturer? Distributor? What is the regulatory situation in the country of manufacture?
Product currently registered and marketed? Registered but not marketed?Product registered for export only? No registration?
Regulatory situation in other countries? EU/USA Request certificates:
Certificate of Pharmaceutical Product according to WHO Certification Scheme
Statement of Licensing status of Pharmaceutical Product according to WHO certification Scheme
Marketing license Export license
![Page 19: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/19.jpg)
19
First things to considerFirst things to consider
Large/small quantities required? Acceptable lead time? National procurement capacity? Financial resources available?
![Page 20: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/20.jpg)
20
Questions to ask: Drug selection -
Is there a national list of essential drugs?
Are drugs requested on this list?
If not, why are drugs requested - relevance to the pattern of prevalent diseases?
Procure the most cost-effective drugs in Procure the most cost-effective drugs in the right quantitiesthe right quantities
![Page 21: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/21.jpg)
21
Procure the most cost-effective drugs Procure the most cost-effective drugs in the right quantities, cont.in the right quantities, cont.
Quantification of drug requirements -
How many patients can be treated with requested quantities?
Does this tally with morbidity data or past drug consumption figures?
Can the quantity be used before expiry?
![Page 22: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/22.jpg)
22
Procure the most cost-effective drugs in the right quantities, cont.
Questions to be asked: Product specification - Is it a generic or a proprietary
drug?
Patent situation?
Is drug registration requested?
If it is a generics drug - what quality of product are we aiming at supplying? Consider finished product specifications and quality of active ingredient, product stability, therapeutic equivalence.
Product specifications must be clear and detailed in the ITB
![Page 23: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/23.jpg)
23
Example of contents of product Example of contents of product specificationspecification
Name (INN) Dosage form Strength per dosage unit Route of administration Number of units/volume/weight per container Type of container, in certain cases specification Acceptable pharmacopoeias references/ standards
Request the following information Finished product specification Active pharmaceutical ingredient specification (DMF/CEP) Stability: what testing has the product been subject to? Label and insert information Therapeutic equivalence
![Page 24: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/24.jpg)
24
Procurement Cycle
CollectConsumption
Data
DetermineQuantities
Needed
Review Drug
Selection Reconcile Needs and
Funds
ChooseProcurement
Method
Locate and Select
Suppliers
SpecifyContractTermsMonitor
OrderStatus
Receiveand
Check drugs
Make Payment
DistributeDrugs
![Page 25: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/25.jpg)
25
Procurement Methods
Open tender Restricted tender Competitive negotiation Direct procurement
![Page 26: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/26.jpg)
26
Special procurement types
Direct Ordering “Contract set up by SD allowing Country Offices to buy internationally”
Long Term Agreement “Not binding frame agreement setting the terms and limits for contracts” Typically 24 month agreements +
![Page 27: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/27.jpg)
27
Organization of the national procurement process
Who will prepare invitation to bid (ITB) and handle the commercial aspectsWho decide on
standards for product and production, quantities etc.
Who will adjudicate the bid and take care of quality assurance
Who will take care of delivery and distribution and monitorsupplier performance
![Page 28: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/28.jpg)
28
Organization of the national procurement process, cont.
Clear definition (and division) of responsibilities, authorities, procedures for procuring selection of drugs pre-selection of suppliers quantification of needs standard-setting technical adjudication quality assurance distribution
to ensure transparent process
![Page 29: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/29.jpg)
29
Supply DivisionOrganisation
BiddingRFQ/RFPContracts - DO/LTA
Contracting
Technical
Quality Assurance
SourcingTechnicalspecificationsWeb catalogueSupplier registrationSupplier evaluationInspections
![Page 30: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/30.jpg)
30
Depending on the circumstances, qualified suppliers are either invited to bid or to submit a quotation.
Bid Opening. Bids are opened publicly and suppliers are welcome to attend.
INVITATION TO BID
Product - quality Technical compliance Cost of product Cost of freight and
delivery Timeliness of delivery
VALUE FOR MONEY
Bids or Requests for Proposals are adjudicated based on total cost, which includes:
Successful bidders are then notified.
Quality assessment of supplier’s capability takes place before final award.
![Page 31: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/31.jpg)
31
Monitor and maintain qualityMonitor and maintain quality
Pre- and post shipment inspection Analytical drug testing Appropriate storage, distribution, dispensing Reporting system for complaints
![Page 32: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/32.jpg)
32
Supply
Drug supply systems need to achieve three main objectives:
a high level of service, as measured by low rates of shortages and stockouts;
efficiency, as measured by having low total costs for a given level of service;
quality, in terms of delivering drugs of satisfactory quality.
![Page 33: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/33.jpg)
33
Market mechanisms in public drug supply
Can market mechanisms help to ensure access to essential drugs in the public sector? Market mechanisms have been used to strengthen public drug supply systems. These mechanisms include:
autonomous drug supply agencies; direct delivery contracts; primary distributor systems.
![Page 34: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/34.jpg)
34
Organization of the supply system
At least five different methods exist for supplying drugs to governmental and nongovernmental health services:
Central medical stores (CMS): This is a conventional drug supply system, in which drugs are procured and distributed by a centralized government unit. It is possible to decentralize this system by having medical stores at provincial or state level.
Autonomous supply agency: This is an alternative to the CMS system in that drug supply is managed by an autonomous or semi-autonomous drug supply agency.
![Page 35: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/35.jpg)
35
Organization of the supply system (cont’d)
Direct delivery system: This is a decentralized, non-CMS approach in which drugs are delivered directly by suppliers to districts and major facilities. The government drug procurement office tenders to establish the supplier and price for each item, but the government does not store or distribute the drugs.
Primary distributor (“prime vendor”) system: Another non-CMS system, in which the government drug procurement office establishes a contract with a single primary distributor ("prime vendor"), as well as separate contracts with drug suppliers. The prime vendor is contracted to manage drug distribution by receiving from suppliers, storing and distributing all drugs to districts and major facilities.
![Page 36: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/36.jpg)
36
Organization of the supply system (cont’d)
Fully private supply: In some countries, drugs are provided by private pharmacies in or near government health facilities.
![Page 37: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/37.jpg)
37
Different supply systems
Contractingsuppliers
Storage +delivery
Monitoring drugquality
Central medicalstore
X X X
Autonomoussupply agency
X X X andGovernmentbody
Direct deliverysystem
Governmentbody
Suppliers Governmentbody
Prime vendorsystem
Governmentbody
X X andGovernmentbody
Fully privatesupply
X X Governmentbody
![Page 38: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/38.jpg)
38
The UNICEF Supply Chain can be as short as one month, as long as one year
(excluding emergency responses)
Where do the Potential Bottlenecks occur along the Supply Chain?
RECEIVEDBY FINAL
BENEFICIARY
PPO/PPA SRQ PO/DEL SUPPLIER
SHIPPINGCLEARINGRECEIVING
WAREHOUSINGDISTRIBUTING
What does theprogramme want?
Incomplete specificationsRushed ordersUnrealistic TADs
Long order processing time Order changes
Missed consolidationsSynchronising the arrival of components
Shipping statusShipping docs
-Early clearance process-Control
Lack of Distribution PlanAppropriate structureClear responsibility & proceduresInventory system & reporting
Supply evaluationInventory/History
![Page 39: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/39.jpg)
39
Distribution Cycle
Port Clearing
DrugProcurement
Receiptand
Inspection
InventoryControl
Storage
Requisitionof
SuppliesDelivery
Dispensingto
Patients
ConsumptionReporting
![Page 40: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/40.jpg)
40
Distribution systems
Public distribution includes wholesale distribution and retail dispensing by government-managed drug supply and health services as well as distribution through state-owned enterprises (state corporations).
Private distribution includes private for-profit wholesalers and retailers, and not-for-profit essential drugs supply services.
![Page 41: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/41.jpg)
41
Distribution
Dispensing clinicians Doctors, clinical officers and nurses in private practice both
prescribe and dispense drugs to their patients in many parts of the world
Clinicians dispense to their patients partly as a service, but also because they have learned that patients are often much more willing to pay for drugs than simply for consultation
In some countries, general practitioners derive 60% of their income from the drugs they dispense. This creates an
obvious and measurable incentive to overprescribe
![Page 42: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/42.jpg)
Warehouse & Logistics Center
UNICEF
Supply Division
Inventory Management/Purchasing
ReceivingPacking
Production ShippingDelivery
Processing
Systems/ProcessSupport
40 Staff Members
![Page 43: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/43.jpg)
43
Warehouse & Logistics
Center
Sales Orders/Deliveries
Customer Service Center
Picking/Packing/Shipping
Technical Center
Material Master Maintenance
Contracting Center
Purchase OrdersIssue of Purchase Req.
Goods Receipts /Stock Placement into WH
Quality Assurance Center
Finance
Cycle CountingSettlement of Kits Production
All Centers
Goods receipt
Goods Issue of stock
Inspection of shipmentsProcedures Management
![Page 44: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/44.jpg)
Warehouse Processing
UNICEF
Supply Division
Delivery Creation Warehouse
PickingSales Order Creation
PackingBooking of
Transportation
Printing & sendingshipping docs
Issuing goods
Order processing time: 65 days
2001 target: 45 days
Purchaseorder-----------------MRP
G/R
![Page 45: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/45.jpg)
45
UNICEF Warehouse
GR areaGR area
GI areaGI area
Locked Area
Locked Area
Bulk AreaBulk Area
Non-Medical
Area
Non-Medical
Area
Medical Area
Medical Area
Haz.Mat. Area
Haz.Mat. Area
Production
Production
![Page 46: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/46.jpg)
46
Consignment Stock (UNHCR / IFRC)
UNICEF
Plant 1100
UNHCR
IFRC
UNHCR
IFRC
WHO Storage of technical files and documents
![Page 47: SOLUTIONS FOR CHILDREN UNICEF IN THE WORLD TODAY standard 1 UNICEF&SD](https://reader036.vdocument.in/reader036/viewer/2022062518/56649ebc5503460f94bc54ab/html5/thumbnails/47.jpg)
47
Group discussion
You receive a request from the Ministry of Health for purchase of drugs for the national malaria and HIV/AIDS control programmes. You are given a list of 100 drugs requested.
What do you do with this list?
How do you decide what to purchase and where?
How do you ensure that the drugs will imported and distributed smoothly?