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A significant proportion of procurement and distribution of essential drugs in most countries in
sub-Saharan Africa is done by the Ministry of Health (MoH) or a para-statal agency closely linked to
the Ministry of Health. The drug distribution needs within a country, however, usually overwhelm
such drug distribution logistic systems along one or more of these dimensions. Outsourcing
provides one means of augmenting the performance of existing logistics systems as needed.
However, our understanding of how to couple such outsourcing with government run systems in
developing countries is very limited.
The purpose of this work is to develop a framework/approach for considering and selecting
outsourcing opportunities as a means of improving public sector pharmaceutical supply chain
performance. In addition, this work includes developing a set of tools for modeling the potential
cost and performance of these outsourcing opportunities that can support the design and
assessment of outsourcing policy proposals. The primary audience for this work is both developed
and developing country policy makers and practitioners working in the pharmaceutical sector.