CAR case management

Patient care services within the health system are generally delivered by the public and faith-based sector (87.2%), followed by the private sector (12.8%).

65% of the population has access to health services within 5 km

  • Less access to healthcare services in rural areas than in urban areas

Quinine is used in numerous locations to treat severe malaria.

Needs

Severe malaria accounts ~ 10% of all malaria cases. Injectable artesunate needs are approximately 89,247 vials for 2017. No funding is currently available for the procurement of injectable artesunate in 2017.

Procurement

Unité de Cession des Médicaments (Drug Supply Unit - UCM) is responsible for the procurement of drugs and consumables.
 

Challenges:

  • Reports of stock-outs in 50% of health care facilities due to:
    • Limited logistical resources for distribution
    • Limited access to certain areas
    • Insufficient quantities of drugs to cover all health care facilities
    • Lack of reliable consumption data to quantify needs
    • Quantities of supplies and drugs that the country receives vary from year to year due to the security situation.
  • Ensuring health services continue despite the difficult security situation.
  • Extending service provision to all health care facilities in the country, as well as in the community.
  • A shortage of qualified staff throughout the country.
  • Periods of crisis that lead to:
    • Closure of health care facilities
    • Difficulties transporting supplies and people to health care facilities
    • Limited access to prevention and cure services
  • Financial barriers to care
  • Cultural barriers (limited decision-making power for women, beliefs)