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
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