UNICEF Quality Assurance in the procurement of medicines

Transcription

1 UNICEF Quality Assurance in the procurement of medicines Peter S. Jakobsen 30 October 2006 Quality Assurance Centre SUPPLY DIVISION

2 Today s presentation addresses 3 questions: How is UNICEF involved in quality assurance of essential medicines What does UNICEF check before it enters into a contract with a supplier What does UNICEF check after it enters into a contract with a supplier 2

3 Quality Assurance cover the following tasks Receipt of Goods and GMP inspections Non-pharmaceuticals Pharmaceuticals Financial evaluation of suppliers Vendor Master / UNGM Receipt of bids / tabulation of offers Quality System 3

4 UNICEF s quality system is based on: Division and Centre Procedures Available electronically on the UNICEF intranet ISO 9000:2001 to be implemented Quality System for GMP inspections in accordance with PIC-S Quality System requirements for GMP inspectorates WHO Model QA system for Procurement to be implemented 4

5 Today s presentation addresses 3 questions: Conclusion (1) UNICEF has a well established Quality Assurance System in place What does UNICEF check before we contract a supplier 5

6 Pre-qualification - Pharmaceuticals Suppliers Review of documentation Good Manufacturing Practice (GMP) inspections to ensure compliance with WHO GMP guidelines Products Product Questionnaire as in Model QA System WHO TRS 937 6

7 Pre-qualification of suppliers How? Technical questionnaire Manufacturing site Dosage forms Export experience License to manufacture pharmaceuticals Is a GMP inspection needed? 7

8 GMP inspections Decision based on the regulatory environment in country of origin GMP inspection by UNICEF or a representative selected by UNICEF Contract Manufacture only accepted if sub-contractor also is approved by UNICEF 8

9 GMP inspections by UNICEF To check compliance with WHO GMP Guidelines Primarily done by UNICEF staff 102 GMP inspections carried out in companies failed (37 %) Detailed GMP inspection report forwarded to company with request to respond within 1 month 9

10 GMP inspections collaborations Local authority invited to participate Joint inspections with WHO UNICEF is an observer to the Pharmaceutical Inspection Cooperation Scheme (PIC-S) 10

11 Pre-qualification of products Done in connection with Invitation to Bid (ITB) by the HIV / Health Center (HHC) Company to complete questionnaire and forward supporting documentation Supply Agreement with best offer 1-2 back-up suppliers 11

12 Pre-qualification of suppliers of Vaccines, HIV/AIDS, malaria and TB products Products must be pre-qualified by WHO and listed on the WHO website Supplier has confirmed to UNICEF that products are identical to those assessed by WHO/UNICEF UNICEF s purchase is traced in WHO/UNICEF GMP inspections. 12

13 Today s presentation addresses 3 questions: Conclusion (1): Conclusion (2): Quality Assurance has a team of professionals and a well documented quality system Quality Assurance focuses on identifying supplier and product quality before we sign the first contract What does UNICEF check after it enters into a contract with a supplier 13

14 QAC is performing the following activities after we contract a supplier Supply Division licensed by the Danish Medicines Agency (DMA) to wholesale pharmaceutical products to handle narcotic or psychotropic substances Compliance with European Union guidelines on Good Distribution Practice (GDP) 14

15 GDP ensures Quality system implemented Organisation defined Training of personnel in GDP Adequate facilities Written procedures Records of purchase and sale Self-inspections performed Recalls can be carried out 15

16 Products received in the warehouse are always quality inspected Visual inspection Product Dosage form and strength Quantity Certificate of analysis Satisfactory remaining shelf-life? Was it manufactured by the approved site? 16

17 Quality control testing Analysis performed on a random basis according to an annual plan Analysis performed by Therapeutic Goods Administration, Australia and USP, USA Collaboration with WHO on testing of HIV/AIDS products 17

18 Quality control of direct shipments Pre-delivery inspections - Third party - Country Office Review of packing list and Certificate of Analysis Random quality control testing in accordance with prior experience 18 18

19 Quality Assurance is bringing you quality products from premium suppliers Conclusion (1): Conclusion (2): Conclusion (3): Quality Assurance has a team of professionals and a well documented quality system Quality Assurance are spending many resources on securing supplier and product quality before we sign the first contract Quality Assurance closely and continuously monitors the performance of our suppliers 19