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Developing and Strengthening the Global Supply Chain for Second-Line Drugs for Multidrug-Resistant Tuberculosis
by Anna Nicholson, Rebecca A. English, Rita S. Guenther, and Anne B. Claiborne
Workshop Summary. Board on Health Sciences Policy; Institute of Medicine
NAS Press | 2012 | ISBN: 0309265959 9780309265959 | 137 pages | PDF | 5 MB


This report explores innovative solutions to the problem of how to get the right SLDs for MDR TB to people who critically need them, and examines current problems and potential opportunities for coordinated international efforts to ensure that a reliable and affordable supply of high-quality SLDs is available.
The issue covers the objectives, which were to review:
? To what extent and in what ways current mechanisms are or are not effectively accomplishing what is needed, including consideration of bottlenecks.
? The advantages and disadvantages of centralization in the management of the global drug supply chain, and potential decentralized approaches to improve operations of the supply chain.
? What can be learned from case studies and examples from other diseases (e.g., the Affordable Medicines Facility-malaria (AMFm) and the U.S. President's Emergency Plan for AIDS Relief [PEPFAR])
? The current allocation of responsibilities and roles of the private (including industry and nonprofit public health organizations) and public sectors, and examination of opportunities for enhancing and optimizing collaboration
? Identification of potential innovative solutions to the problem
Contents
Table, Figures, and Boxes
Acronyms
1 Introduction
2 Logistics, Supply, and Demand
3 Financing of MDR TB SLDs
4 Innovative Suggestions and Potential Solutions
References
Appendix A Workshop Agenda
Append ix B Par tic ipant B iograph ies
Appendix C Registered Workshop Attendees

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