Medicines for All:

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• Medicines for All
• Satisfied Patients??

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National Level Medical Stores Limited
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District /Hospital Level
Distribution Chain 1
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Health Centre Level
Distribution Chain 2
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Concept by Nasreen Sultana Mitu, Bangladesh
Distribution Chain 3
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Challenges (1)

• Long and highly unpredictable lead times
• Availability of essential medicines
• Funding for Capex items very low e.g. delivery
  trucks and software systems, etc
• Lack of demand monitoring at lower levels

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Challenges (2)

• Little visibility
• Poor road infrastructure and transport
• Poor demand monitoring at lower level
• Poor inventory tracking capabilities
• Stock outs
• Leakages

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Challenges (3)

• Poor demand monitoring visibility
• Stock outs