Report on Pharma Dharma project in DRC

The SD Congo team is pleased and grateful to receive the news that the Pharma Dharma project had been accepted by the SESI team. Many thanks SESI! Here is our report on the first year of the project.

  1. BACKGROUND

1.1 Location of the Pharma Dharma Project

SD Congo currently operates 4 community health and hospital centers.

- CSCOM LEMBA IMBU in Kinshasa in the municipality of Mont Ngafula

- CSCOM KINGANTOKO at Kingantoko village in Central Kongo,

- CSCOM NKANDU III at Kisantu in Central Kongo,

- Mother and Child Hospital Center of Kwilu-Ngongo in Central Kongo Province.

These four health and hospital centers currently each operate a pharmacy and the project is designed to improve quality and service, lower costs and create value for SD and Subud in the Congo.

1.2 Objectives of the Project

- Ensure the availability of quality drugs in SD Health and Hospital Centers

- Ensure continuous supply of needed drugs and medications

- Ensure that SD Congo and Subud DRC are supported to sustain their organisations through this social enterprise

Specific objectives include:

- To regularly supply the pharmacies of CSCOM

- Master the level of the stock of medicines

- Computerize medication management

- Attract the maximum number of patients to CSCOMs

- Generate income for the NGO and for Subud in the DRC

1.3 Expected Results

 - The pharmacies of CSCOM are supplied regularly

 - The level of drug stock is under control

 - Drug management is computerized

 - The maximum number of patients attend CSCOMs

 - Surplus income is generated for SD Congo and Subud Congo operations

  1. ACTIVITIES REALISED TO DATE

2.1 Recruitment of Head Pharmacist (November 2018)

The first step in project realization was to secure the services of a professional pharmacist to act as advisor and consultant to the SD Congo team. During the recruitment process we received the cvs of three applicants. After analysis of these three files, we ended up setting our sights on the candidacy of Mr. Zola, qualified pharmacist who has a very advanced experience in this field. After selecting the pharmacist Zola's application, we had convened a meeting on Friday, November 2018 to interview the candidate. The Jury was composed of Dr. John Mayemba, Philbert Diansiwa, Papy Kabondo and Cyprien Pokoti.

2.2 Research into supply and management of drugs and other medical supplies (December 2018-January 2019)

Mr. Zola has supported us to investigate different sources of supply and modalities for management of the project, including pharmaceutical firms nationally and foreign firms. After the supply of medicines, the central will distribute drugs in the CSCOM network of SD-Congo.

A. Supply at the level of local firms

Our pharmaceutical center will have as a source of supply: Authorized national firms, it can also receive the lot of drugs and other related products from other countries in compliance with the required standards. This supply can be done in two ways:

1. In cash mode, that is to say by the direct payment from the NGO.

2. By indirect mode, that is to say by credit, the payment of which will intervene according to the negotiation with the firms.

B. Management mode and drug sales channel

On arrival of drugs in the pharmaceutical depot; the manager receives and centralizes inventory in a server central (computer). Then he fixes the selling price taking into account the indices purchase of products in firms. Software will allow the main manager to do a calculation daily on:

- The stock sold,

- The remaining stock.

At the end of the period (months) the pharmacist manager will proceed to the physical inventory of the stock to detect expired products, damaged or lost. In case of loss, the responsibility lies with

pharmacist manager.

2.3. Resources (February 2019)

a) Physical resources: At startup we are using the local office level SD DRC with possibility to install the power generator at CSCOM Kingantoko which has premises not yet used. However, the SD DR office will be used as a relay depot prior to the delivery of products to the central station based in Kingantoko, or rent a commercial pharmacy to increase revenue.

b) Human Resources at the Plant: 1 Pharmacist Manager

NB: The Pharmacist Manager will work part time (TBD).

2.4 Definition of Management modalities

The pharmacist manager will receive the reports of the CSCOMs in a weekly and monthly. He will place these reports using software that will allow him to do the audits in case of problems and for

monthly inventories. It must also have all the possible information on stocks, prices and others in his

computer.

Currently, the overall monthly consumption of drugs that around at least $2000 for all 4 cscom. Through rationalization of costs and marketing of new, non-pharmaceutical products, it would be expected that SD Congo and Subud Congo will make approximately $500 per month. This will be confirmed and reported on at the end of November 2019, which the all costs and returns will be finalized.

    1. Looking for a site for a commercial pharmacy in Kinshasa and launching procurement (June 2019)

After several exchanges with pharmacist Zola, it was decided to find commercial location out of which to run the Pharma Dharma Project. Having found that finding a house for rent in the targeted sites late, we have taken the option to start from June 2019 through the centralization of drug supplies of 4 CSCOM. This step does not require the hiring of a pharmacist not to increase the cost price of pharmaceuticals to provide to the CSCOMs, this will be provided by Dr. Jean assisted by 2 other Subud members. To supply the CSCOMs, the project is collecting an advance on the requisitions from the health centers and providing the required quantity for several months, even if it is necessary to recover the balance and other installments for the next delivery. The project has allocated US $ 5,000 of the funds received as follows: $ 2,500 US as capital drugs to provide to the CSCOMs and $ 2,500 to be ready to pay the rental guarantee at the first favorable opportunity. $1500 is used for the purchase of a computer and needed software. The balance of the funds, $2000 is kept aside to develop a line of non-pharmaceutical products (baby clothes, soap, toothbrushes, etc.) that will supplement the medicines sold by the pharmacies.




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