Pharmaceutical Framework Contracting in Liberia - A Knowledge and Learning Exploratory Study (Report)

The study titled was conducted to evaluate the effectiveness of the Pharmaceutical Framework Contract (PFC) mechanism implemented by the Ministry of Health (MOH) of Liberia. The PFC was introduced to address frequent stockouts of essential medicines and medical commodities in health facilities. The mechanism allowed health facilities to procure essential drugs from approved private wholesalers when there were shortages or inadequate supplies from the Central Medical Store (CMS). The study utilized a mixed-methods approach, combining qualitative interviews with stakeholders and quantitative data from the Performance-Based Financing (PBF) quarterly verification process. Key findings revealed that the PFC mechanism significantly increased the availability of essential drugs in health facilities. However, there were gaps in implementation, such as unclear roles of stakeholders, weak monitoring, and challenges in transportation costs. The study recommends a review of roles and responsibilities, enhanced regulatory oversight, regular training on the PFC mechanism, implementation of a Logistics Management Information System, and the development of monitoring and evaluation plans. The PFC mechanism has shown potential in improving the supply chain of essential medicines in Liberia, but there's a need for continuous monitoring and adjustments for optimal results.