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M94A1904.TXT
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1994-10-24
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Document 1904
DOCN M94A1904
TI Brazil logistics management of essential commodities for AIDS
prevention.
DT 9412
AU Wasek G; Paterson P; Rodriguez LG; Machida A; Plucienik AM; Ninomya T;
Lopes F; Fernandes ME; Harvard University/JSI, Boston, MA.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):425 (abstract no. PD0308). Unique
Identifier : AIDSLINE ICA10/94370671
AB OBJECTIVE: The majority of prevention and treatment efforts, including
government programs, NGOs, and community-based interventions, rely on
the Government of Brazil (GOB) Public Health System (PHS) for STD and
AIDS pharmaceuticals as well as condoms for free distribution. However,
lack of essential commodities is a grave impediment to controlling the
AIDS epidemic. This logistics management project is a multi-year
collaboration of the Government of Brazil and JSI, supported by USAID
and AIDSCAP. The objective is increasing the availability and
accessibility of pharmaceuticals and condoms through improved logistics
management systems in the PHS. METHODS: A four-part strategy includes:
1) Creation of an Essential Commodities Distribution System (ECDS)
vertically in the PHS under the control of AIDS Division Directors, 2)
Implementation of an Essential Commodities Management Information System
(ECMIS) to control inventory and evaluate results, 3) Identification and
training of AIDS Division Logistics Coordinators, 4) Technical support
for PHS forecasting, health planning, and procurement of condoms,
pharmaceuticals and other essential commodities. RESULTS: 1) The ECDS
has been implemented, resulting in greater security and control of
commodities, 2) The ECMIS has been implemented, linking stock control
information between the States and Federal levels, 3) Logistics
coordinators have been transferred from other sections of the PHS to the
AIDS Divisions, 4) The GOB has received a World Bank loan for a USD $250
million AIDS Prevention Project. Logistics management systems will be
used for stock control and program evaluation of this project.
DISCUSSION AND CONCLUSIONS: This Project has applicability to many
nations with historical problems with control of commodities within the
public health system. For effective AIDS Prevention efforts, essential
commodities must be available and accessible to people at high risk of
HIV. This Project demonstrates the practical steps, strategies, and
systems necessary in assuring commodities are controlled and distributed
effectively.
DE Acquired Immunodeficiency Syndrome/ECONOMICS/EPIDEMIOLOGY/ *PREVENTION
& CONTROL Brazil/EPIDEMIOLOGY Community Health Services/ORGANIZATION &
ADMIN *Condoms/ECONOMICS Costs and Cost Analysis Female Health
Services/*ORGANIZATION & ADMIN Human Male Organizations Risk Factors
Sexually Transmitted Diseases/*PREVENTION & CONTROL United Nations
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).