ida foundation & ida arv bv partners in affordable healthcare connie van marrewijk ida...
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IDA FOUNDATION & IDA ARV BVIDA FOUNDATION & IDA ARV BV
Partners in Affordable HealthcarePartners in Affordable Healthcare
Connie van Marrewijk
IDA Foundation
AGENDAAGENDA
INTRODUCTION IDA FOUNDATION IDA ARV BV SUPPLY OF MEDICINES QA/QC SYSTEM PAPERWORK CONCLUSION
IDA FOUNDATIONIDA FOUNDATION
The world’s leading not-for-profit supplier of medicines and medical supplies to developing countries
“To provide high quality essential drugs
and medical supplies at the lowest
possible price to non-profit health care
organisations in developing countries.”
one-stop shop for essential drugs, diagnostics & supplies
ESTABLISHMENT IDA ARV BVESTABLISHMENT IDA ARV BVJan 2004Jan 2004
Focus on the specific issues & challenges related to ARV & HIV/AIDS medical supplies procurement
Centralisation knowledge in the following areas: patents & registration logistics sourcing one-stop shop for ARV’s,
OI’s & Diagnostics
ARV PROJECTSARV PROJECTS
ARV’s are now routinely supplied to projects in over 24 countries
Global FundCambodiaEl Salvador Other ProjectsEthiopia BurundiGeorgia EritreaGhana East TimorHaiti Kenya Honduras Guinee-Eq.Ivory Coast UzbekistanNicaragua ZimbabweLesotho Guinee Moldova SudanTanzania MozambiquePeru Úkraine
SUPPLY of ARV’sSUPPLY of ARV’s
ARV projects often demand a mixture of generics and branded products
GENERIC BRANDED
Produced in developing world Produced in Western Europe / US
Independent QA & QC QA &QC by manufacturer
FDC’s available Combination of different tablets
QA\QC at IDAQA\QC at IDA
Standardised & Controlled QA/QC system resulting in high quality IDA medicines
• To filter out substandard medicines
• No experience with counterfeit medicines
Note: IDA label copied (2 cases)
QA / QCQA / QC
• Verify WHO Pre-qualification doc
• Check GMP status
• GMP audit by IDA pharmacist
Qualification Manufacturer
Qualification Product
• Approval Product Specification
•Check stability (BE) data and shelf life
• Verification certificate of pharmaceutical product
• Check packing, labelling & leaflets
• Verification quality of samples*
• Check additional requirements
Product Batch Control
• Physical control of batch
• Verification API
• Control certificates of analysis
• At –random chemical analysis
• Verifying product stabilities
• Trend analysis
* By independent contract laboratory
Quality Assurance Quality Control*
QA / Qualification manufacturerQA / Qualification manufacturer
GMP
oManufacturing process
oEquipment and maintenance
oPlant design and environment
oPersonnel and training
oDocumentation
Handling and storage conditionoSpecial shipment for keep cool items (IDA has 4 classes from *a to ***)oControlled temperature in warehouses (IDA and client)oGood dispensing practice
QA / Qualification productQA / Qualification product
Design of the productoDrug formulationoActive ingredient (API)oInactive ingredientoBio-availability (rate and extend of absorption)
oAssessments of CRO’soStabilityoPackaging: Immediate and ExternaloLabelling & Information leafletoDocumented evidence
oValidated methods of control & productionoRegistration dossier
QC / Product batch controlQC / Product batch control
Physical controlVerification APIControl certificate of analysisAt random chemical analysesManufacturer – site combination checkVerifying product stabilitiesTrend analysesDocument numberAuthorisation signaturesReferral to Pharmacopeia (eg. UK or US)Any added substancesForm and strength
IDA Product presentationIDA Product presentation
LabelInternational Nonproprietary Name (INN)StrengthDosage formRoute of administration (parenterals)Storage conditionsBatch mfd expPacksizeOther
Product presentation
Shipper cartons
No product labels (to prevent theft)
IDA code number, batch number and exp date
Strong quality
GUIDELINESGUIDELINES
IDA ARV BV compliant with WHO guidelines
Antiretrovirals must:
Have been accepted by the WHO prequalification project; or
a. Have been authorized for consumption by a stringent regulatory authority; or
b. Have been authorized by the NDRA in the recipient’s country.
Option c. is applicable only until April 2005, pending a Global Fund Board decision
HANDLING PAPERWORKHANDLING PAPERWORK
Expertise and experience for required export documentation e.g.:– Packing List– Certificates of Analysis– Airway bill– Required documentation for tax exemptions– Registration requirements in countries
Service – Language labelling & leaflets– INCO Terms– Payment conditions– Currency– Pricing requirements (e.g. Clinton Foundation)
CONCLUSIONCONCLUSION
• One stop shop
• Standardised 3-step QA/QC system
• Knowledge about registration possibilities
• Experience & Expertise
PLEASE NOTE THAT IDA FOUNDATION ALSO HAS AN EXTENDED RANGE FOR OPPORTUNISTIC INFECTIONS,TB & MALARIA
BURUNDIBURUNDICAMBODIACAMBODIA
EAST TIMOREAST TIMOREL SALVADOREL SALVADOR
ERITREA ERITREA ETHIOPIA ETHIOPIA GEORGIA GEORGIA GHANA GHANA GUINEEGUINEE
GUINEE-EQ.GUINEE-EQ.HAITI HAITI
HONDURASHONDURASIVORY COAST IVORY COAST
KENYAKENYALESOTHO LESOTHO MOLDOVA MOLDOVA
MOZAMBIQUEMOZAMBIQUENICARAGUA NICARAGUA
PERU PERU SUDANSUDAN
TANZANIA TANZANIA UKRAINE UKRAINE
UZBEKISTANUZBEKISTANZIMBABWE ZIMBABWE