Project Grantee: Shahid Javed Burki Institute of Public Policy (BIPP)
Teemardar Medicine Inventory Management basically improved the management of medicines through better inventory, procurement and tracking systems. Corruption and misuse of medicines at government health facilities resulted in a substantial loss to the provincial exchequer. This impacted the timely availability of affordable and reliable medicine. The TM pilot automated the inventory management system to reduce pilferages, improve availability, maintain visible inventory and create data for informed procurement and distribution of medicine at district level. The pilot was designed to vertically integrate with PITB (which was working on standardised procurement of medicines in the districts) and with the work of district planners to provide evidence based needs assessment of medicine requirements. Additionally, the pilot created displayed spots of inventory for public view to increase transparency. Finally, by tracking exact use of medicine the pilot developed a disease patterning in the district that informed planning and budgeting. The pilot used district government’s staff for implementation to ensure uptake. The staff was trained within the pilot. The project was implemented by Burki Institute of Public Policy (BIPP) who signed an MOU with PSPU, Health Department to be responsible technical guidance and sustainability.
The project operated in Sheikhupura and benefitted almost 1.3 million patients who received medicine from the electronic desks. All the historic data of stocks was uploaded to ensure daily inventory record was visible.
Inventory management component of the project led to controlling pilferage, transparency, better monitoring and evaluation and efficient service delivery. Similarly, Electronic Record Management (ERM) resultantly improved patient record, disease records and patient disease history.
Adoption & Scale-up:
A detailed presentation was made to Secretary Primary Health, who instructed to start developing a PC-1 to present the project in the next year’s ADP. Economic Viability of Scale-up: Benefit of Province Wide replication: Punjab government was spending around PKR 17 billion a year on medicine. An improvement of 5%, 10%, 15% or 20% may result in efficiency gains through reduction in pilferages, improved availability and improved transparency [i.e. reduction in wastage] from the scale up will result in an annual respective benefit of PKR 0.85 billion, 1.7 billion, 2.55 billion or 3.4 billion with a respective perpetual value of PKR 10.63 billion, 21.25 billion, 31.88 billion or 42.5 billion, assuming discount rate to be 10% and growth of 2%.