Report on the acquisition, storage and distribution of medicines—Let’s Transform Honduras
About the chapter:
The Asociación para una Sociedad más Justa (Association for a More Just Society, ASJ) is the Honduras Transparency International Chapter - a nonprofit organization that promotes justice and peace through advocating for the transformation of the state system and the empowerment of the Honduran people in order to achieve a more just society, where the rights of the most vulnerable are guaranteed and satisfied. ASJ was founded in Honduras in 1998, and for the past 21 years has worked to fight corruption and strengthen public institutions in the health, education and security sectors while empowering civil society to claim their rights and carry out social accountability efforts. Since 2015 ASJ has done social oversight to 9 public institutions with special emphasis on health, educaction and security sectors and 3 management areas: purchases, human resources and statistics. Through a compliance review ASJ measures the institution's compliance with laws and best practices which has contributed to an average increase of 30 points, going from 33% to 63%. In the health sector, ASJ has also promoted integrity agreements and participates in a Technical Committee in charge of purchasing medications in addition to issuing some research documents.
CPI Score: 29
CPI Rank: 132
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Theory of Change
Policy & Insititutional ChangeBetter Institutional Processes
Association for a more Just Society (ASJ) is part of Let's Transform Honduras (TH), a network of civil society organisations aiming to generate positive changes in various sectors, including health.
In this context, TH decided to conduct a research study on the acquisition, storage and distribution of medicines by the Ministry of Health. The purpose of this study was threefold:
1. Understand how the acquisition, storage and distribution of medicines happens, from the MOH's Central Distribution Post to the hospitals and other public health centres.
2. Identify any gaps/faults regarding the technical aspects (e.g. infrastructure, transportation, etc.), as well as control and transparency measures (analysis of weak points that could provide a space for corruption)
3. Provide recommendations that could help address corruption risks.
1. Desk-based research and analysis of primary sources
3. Analysis of gathered information
- There are risks due to inadequate infrastructure and substandard storage conditions. This can affect the quality of medicines.
- There are considerable differences between the numbers found in the kardex, which refers to the inventory control done manually, and the numbers registered electronically.
- The process of acquiring medicines in the Central Distribution Post varies and does not always follow its procedures' manual.
- Redefine its operational policies and make them more realistic, especially with regard to the infrastructure management.
- If the manual recording system kardes continues, it is important to implement a template to make sure records are consistent across all regions.
- Have a list of authorised people, with their respective signatures, to receive and take medicines from the Central Distribution Post as well as the other regional posts.
- Redefine its policies regarding medicines' registration practices (e.g. registry of quantities, values, and their distribution practices).