Comparative advantages and disadvantages of 바카라 사이트減ush바카라 사이트� and 바카라 사이트減ull바카라 사이트� mechanisms in pharmaceutical management
This report includes country case studies, including Tanzania, South Sudan and Uganda
Abstract
In pharmaceutical management, distribution schemes for medicines can be defined as 바카라 사이트減ush바카라 사이트� or 바카라 사이트減ull바카라 사이트� systems. In a pull system, each level of the system determines the types and quantities of medicines needed and place orders with the supply source. In a push system, supply sources determine the types and quantities of medicines to be delivered to lower levels.
This helpdesk report examines the advantages and disadvantages of these 바카라 사이트減ush바카라 사이트� and 바카라 사이트減ull바카라 사이트� mechanisms. Advantages of pull systems include that they are responsive to health facilities바카라 사이트� medication requirements, so there is more flexibility in selecting medicines for specific health problems in particular regions or types of health units. Their flexibility can result in less shortages or surpluses of items and less wastage caused by expiry of medications. Push systems are less flexible and responsive but they can be useful in particular situations.
They can provide essential medicines with a simplified system of budgeting, procurement, storage, transport and supply management. They are widely used in disaster relief. Some countries use push systems for routine supply of essential medicines to rural health facilities.
This report includes case studies of countries in transition from 바카라 사이트減ush바카라 사이트� to 바카라 사이트減ull바카라 사이트� systems; countries that use a mix of 바카라 사이트減ush바카라 사이트� and 바카라 사이트減ull바카라 사이트� mechanisms and examples of other approaches such as 바카라 사이트渢op-up바카라 사이트� or informed push systems.
Citation
Health and Education Advice and Resource Team (HEART). Helpdesk Report: Comparative advantages and disadvantages of 바카라 사이트減ush바카라 사이트� and 바카라 사이트減ull바카라 사이트� mechanisms in pharmaceutical management HEART, Oxford, UK (2016) 10p
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