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Evaluation of antiretroviral procurement and supply management systems in West and Central Africa

© UNICEF/HQ07-0349/Christine Nesbitt
Nigeria, Lagos - A HIV-positive woman, sits on a bed in a consultation room, with her antiretroviral (ARV) medication on the table beside her.

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This publication looks at the state of antiretroviral drug (ARV) procurement and supply management systems in West and Central Africa. 

The study was undertaken through a survey of 8 countries (Benin, Burkina Faso, Cameroun, Central African Republic, Democratic Republic of the Congo, Ghana, Ivory Coast and Republic of Congo) which account for 43% of the population of the region and for 48% of the people leaving with AIDS and of 58% of the children affected by AIDS in the region.

The study analyses the data collected on PSM systems for ARV drugs, medecine for opportunistic infection and diagnostic means in the region.

It reveals a segmentation of the supply chain, a lack of accuracy in the estimation of needs, several stockouts and overstocks and a high level of disparities between countries.

It concludes that it is instrumental and urgent to improve the efficiency of the PSM systems to enable the scaling-up of HIV/AIDS care, support and treatment.



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