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Sample records for antiretroviral procurement prices

  1. Factors influencing global antiretroviral procurement prices.

    Science.gov (United States)

    Wirtz, Veronika J; Forsythe, Steven; Valencia-Mendoza, Atanacio; Bautista-Arredondo, Sergio

    2009-11-18

    Antiretroviral medicines (ARVs) are one of the most costly parts of HIV/AIDS treatment. Many countries are struggling to provide universal access to ARVs for all people living with HIV and AIDS. Although substantial price reductions of ARVs have occurred, especially between 2002 and 2008, achieving sustainable access for the next several decades remains a major challenge for most low- and middle-income countries. The objectives of the present study were twofold: first, to analyze global ARV prices between 2005 and 2008 and associated factors, particularly procurement methods and key donor policies on ARV procurement efficiency; second, to discuss the options of procurement processes and policies that should be considered when implementing or reforming access to ARV programs. An ARV-medicines price-analysis was carried out using the Global Price Reporting Mechanism from the World Health Organization. For a selection of 12 ARVs, global median prices and price variation were calculated. Linear regression models for each ARV were used to identify factors that were associated with lower procurement prices. Logistic regression models were used to identify the characteristics of those countries which procure below the highest and lowest direct manufactured costs. Three key factors appear to have an influence on a country's ARV prices: (a) whether the product is generic or not; (b) the socioeconomic status of the country; (c) whether the country is a member of the Clinton HIV/AIDS Initiative. Factors which did not influence procurement below the highest direct manufactured costs were HIV prevalence, procurement volume, whether the country belongs to the least developed countries or a focus country of the United States President's Emergency Plan For AIDS Relief. One of the principal mechanisms that can help to lower prices for ARV over the next several decades is increasing procurement efficiency. Benchmarking prices could be one useful tool to achieve this.

  2. Can voluntary pooled procurement reduce the price of antiretroviral drugs? a case study of Efavirenz.

    Science.gov (United States)

    Kim, Sung Wook; Skordis-Worrall, Jolene

    2017-05-01

    : A number of strategies have aimed to assist countries in procuring antiretroviral therapy (ARV) at lower prices. In 2009, as the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) commenced a voluntary pooled procurement scheme, however, the impact of the scheme on ARV prices remains uncertain. This study aims to estimate the effect of VPP on drug prices using Efavirenz as a case study. This analysis uses WHO Global price report mechanism (GPRM) data from 2004 to 2013. Due to the highly skewed distribution of drug Prices, a generalized linear model (GLM) was used to conduct a difference-in-difference estimation of drug price changes over time. These analyses found that voluntary pooled procurement reduced both the ex-works price of generic Efavirenz and the incoterms price by 16.2 and 19.1%, respectively ( P <  0.001) in both cases). The year dummies were also statistically significant from 2006 to 2013 ( P <  0.001), indicating a strong decreasing trend in the price of Efavirenz over that period. Voluntary pooled procurement significantly reduced the price of 600 mg generic Efavirenz between 2009 and 2013. Voluntary pooled procurement therefore offers a potentially effective strategy for the reduction in HIV drug prices and the improvement of technical efficiency in HIV programming. Further work is required to establish if these findings hold also for other drugs. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  3. Antiretroviral drug expenditure, pricing and judicial demand: an analysis of federal procurement data in Brazil from 2004–2011

    Science.gov (United States)

    2014-01-01

    Background Previous studies have described expenditures for antiretroviral (ARV) medicines in Brazil through 2005. While prior studies examined overall expenditures, they have not have analyzed drug procurement data in order to describe the role of court litigation on access and pricing. Methods ARV drug procurement from private sector sources for the years 2004–2011 was obtained through the general procurement database of the Brazilian Federal Government (SIASG). Procurement was measured in Defined Daily Doses (DDD) per 1000 persons-under-treatment per day. Expenditures and price per DDD were calculated and expressed in U.S. Dollars. Justifications for ARV purchases were examined in order to determine the relationship between health litigation and incorporation into Brazil’s national treatment guidelines. Results Drug procurement of ARVs from private sources underwent marked expansion in 2005, peaked in 2009, and stabilized to 2008 levels by 2011. Expenditures followed procurement curves. Medications which were procured for the first time after 2007 cost more than medicines which were introduced before 2007. Judicial actions initially resulted in purchases of newer medications for a select number of patients in Brazil but ultimately expanded availability to a larger population through incorporation into the national treatment guidelines. Conclusions Drug procurement and expenditures for ARVs in Brazil varied between 2004–2011. The procurement of some drugs from the private sector ceased after public manufacturers started producing them locally. Judicial demand has resulted in the incorporation of newer drugs into the national treatment guidelines. In order for the AIDS treatment program to remain sustainable, efforts should be pursued to reduce prices through generic drugs, price negotiation and other public health flexibilities such as compulsory licensing. PMID:24735589

  4. The pricing and procurement of antiretroviral drugs: an observational study of data from the Global Fund.

    Science.gov (United States)

    Vasan, Ashwin; Hoos, David; Mukherjee, Joia S; Farmer, Paul E; Rosenfield, Allan G; Perriëns, Joseph H

    2006-05-01

    The Purchase price report released in August 2004 by the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund) was the first publication of a significant amount of real transaction purchase data for antiretrovirals (ARVs). We did an observational study of the ARV transaction data in the Purchase price report to examine the procurement behaviour of principal recipients of Global Fund grants in developing countries. We found that, with a few exceptions for specific products (e.g. lamivudine) and regions (e.g. eastern Europe), prices in low-income countries were broadly consistent or lower than the lowest differential prices quoted by the research and development sector of the pharmaceutical industry. In lower middle-income countries, prices were more varied and in several instances (lopinavir/ritonavir, didanosine, and zidovudine/lamivudine) were very high compared with the per capita income of the country. In all low- and lower middle-income countries, ARV prices were still significantly high given limited local purchasing power and economic strength, thus reaffirming the need for donor support to achieve rapid scale-up of antiretroviral therapy. However, the price of ARVs will have to decrease to render scale-up financially sustainable for donors and eventually for governments themselves. An important first step in reducing prices will be to make available in the public domain as much ARV transaction data as possible to provide a factual basis for discussions on pricing. The price of ARVs has considerable implications for the sustainability of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) treatment in the developing world.

  5. Global strategies to reduce the price of antiretroviral medicines: evidence from transactional databases.

    Science.gov (United States)

    Waning, Brenda; Kaplan, Warren; King, Alexis C; Lawrence, Danielle A; Leufkens, Hubert G; Fox, Matthew P

    2009-07-01

    To estimate the impact of global strategies, such as pooled procurement arrangements, third-party price negotiation and differential pricing, on reducing the price of antiretrovirals (ARVs), which currently hinders universal access to HIV/AIDS treatment. We estimated the impact of global strategies to reduce ARV prices using data on 7253 procurement transactions (July 2002-October 2007) from databases hosted by WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria. For 19 of 24 ARV dosage forms, we detected no association between price and volume purchased. For the other five ARVs, high-volume purchases were 4-21% less expensive than medium- or low-volume purchases. Nine of 13 generic ARVs were priced 6-36% lower when purchased under the Clinton Foundation HIV/AIDS Initiative (CHAI). Fifteen of 18 branded ARVs were priced 23-498% higher for differentially priced purchases compared with non-CHAI generic purchases. However, two branded, differentially priced ARVs were priced 63% and 73% lower, respectively, than generic non-CHAI equivalents. Large purchase volumes did not necessarily result in lower ARV prices. Although current plans for pooled procurement will further increase purchase volumes, savings are uncertain and should be balanced against programmatic costs. Third-party negotiation by CHAI resulted in lower generic ARV prices. Generics were less expensive than differentially priced branded ARVs, except where little generic competition exists. Alternative strategies for reducing ARV prices, such as streamlining financial management systems, improving demand forecasting and removing barriers to generics, should be explored.

  6. Antiretroviral procurement and supply chain management.

    Science.gov (United States)

    Ripin, David J; Jamieson, David; Meyers, Amy; Warty, Umesh; Dain, Mary; Khamsi, Cyril

    2014-01-01

    Procurement, the country-level process of ordering antiretrovirals (ARVs), and supply chain management, the mechanism by which they are delivered to health-care facilities, are critical processes required to move ARVs from manufacturers to patients. To provide a glimpse into the ARV procurement and supply chain, the following pages provide an overview of the primary stakeholders, principal operating models, and policies and regulations involved in ARV procurement. Also presented are key challenges that need to be addressed to ensure that the supply chain is not a barrier to the goal of universal coverage. This article will cover the steps necessary to order and distribute ARVs, including different models of delivery, key stakeholders involved, strategic considerations that vary depending on context and policies affecting them. The single drug examples given illustrate the complications inherent in fragmented supply and demand-driven models of procurement and supply chain management, and suggest tools for navigating these hurdles that will ultimately result in more secure and reliable ARV provision. Understanding the dynamics of ARV supply chain is important for the global health community, both to ensure full and efficient treatment of persons living with HIV as well as to inform the supply chain decisions for other public health products.

  7. Reserve price: Lessons learned from Brazilian electricity procurement auctions

    International Nuclear Information System (INIS)

    Rego, Erik Eduardo

    2013-01-01

    Auctions have been used in several formats in the electric energy industry. In general, regulators may be uncomfortable initiating a reverse auction at a higher-than-expected final price, fearing that participants may sell their energy at an excess profitability. Nevertheless, evidence from electricity procurement auctions conducted in Brazil supports the findings that these types of auctions have the opposite effect. By attracting a larger number of agents, these auctions can trigger stronger competition and lead to lower settlement pricing. Accordingly, the Brazilian cases examined in this article present significant evidence to support this directional theory. In fact, there are some cases of electricity procurement auctions that show that inadequate auction reserve pricing leads to inefficient outcomes and may also cause the auction to fail. On the other hand, auctions with adequate price caps have led to lower final clearing prices, thus contributing to reasonable final energy pricing. - Highlights: • Outcomes from Brazilian electricity procurement auctions were analyzed. • Cases of success and frustration after adopting (in)adequate reserve prices. • Setting different price caps per source is inefficient. • Higher-than-normal price cap is more effective than fine-tuning reserve prices

  8. Examining the production costs of antiretroviral drugs.

    Science.gov (United States)

    Pinheiro, Eloan; Vasan, Ashwin; Kim, Jim Yong; Lee, Evan; Guimier, Jean Marc; Perriens, Joseph

    2006-08-22

    To present direct manufacturing costs and price calculations of individual antiretroviral drugs, enabling those responsible for their procurement to have a better understanding of the cost structure of their production, and to indicate the prices at which these antiretroviral drugs could be offered in developing country markets. Direct manufacturing costs and factory prices for selected first and second-line antiretroviral drugs were calculated based on cost structure data from a state-owned company in Brazil. Prices for the active pharmaceutical ingredients (API) were taken from a recent survey by the World Health Organization (WHO). The calculated prices for antiretroviral drugs are compared with quoted prices offered by privately-owned, for-profit manufacturers. The API represents the largest component of direct manufacturing costs (55-99%), while other inputs, such as salaries, equipment costs, and scale of production, have a minimal impact. The calculated prices for most of the antiretroviral drugs studied fall within the lower quartile of the range of quoted prices in developing country markets. The exceptions are those drugs, primarily for second-line therapy, for which the API is either under patent, in short supply, or in limited use in developing countries (e.g. abacavir, lopinavir/ritonavir, nelfinavir, saquinavir). The availability of data on the cost of antiretroviral drug production and calculation of factory prices under a sustainable business model provide benchmarks that bulk purchasers of antiretroviral drugs could use to negotiate lower prices. While truly significant price decreases for antiretroviral drugs will depend largely on the future evolution of API prices, the present study demonstrates that for several antiretroviral drugs price reduction is currently possible. Whether or not these reductions materialize will depend on the magnitude of indirect cost and profit added by each supplier over the direct production costs. The ability to

  9. Does Pharmaceutical Pricing Transparency Matter? Examining Brazil's Public Procurement System.

    Science.gov (United States)

    Kohler, Jillian Clare; Mitsakakis, Nicholas; Saadat, Faridah; Byng, Danalyn; Martinez, Martha Gabriela

    2015-08-04

    We review procurement and pricing transparency practices for pharmaceutical products. We specifically focus on Brazil and examine its approach to increasing pricing transparency, with the aim of determining the level of effectiveness in lower prices using a tool (Banco de Preços em Saúde, BPS) that only reveals purchase prices as compared to other tools (in other countries) that establish a greater degree of price transparency. A general report of Preços em Saúde (BPS) and Sistema Integrado de Administração de Serviços Gerais (SIASG) pricing data was created for 25 drugs that met specific criteria. To explore the linear time trend of each of the drugs, separate regression models were fitted for each drug, resulting in a total of 19 models. Each model controlled for the state variable and the interaction between state and time, in order to accommodate expected heterogeneity in the data. Additionally, the models controlled for procurement quantities and the effect they have on the unit price. Secondary analysis using mixed effects models was also carried out to account for the impact that institutions and suppliers may have upon the unit price. Adjusting for these predictor variables (procurement quantities, supplier, purchasing institution) was important to determine the sole effect that time has had on unit prices. A total of 2 x 19 = 38 models were estimated to explore the overall effect of time on changes in unit price. All statistical analyses were performed using the R statistical software, while the linear mixed effects models were fitted using the lme4 R package. The findings from our analysis suggest that there is no pattern of consistent price decreases within the two Brazilian states during the five-year period for which the prices were analyzed. While the BPS does allow for an increase in transparency and information on drug purchase prices in Brazil, it has not shown to lead to consistent reductions in drug purchase prices for some of the most

  10. Prices of second-line antiretroviral treatment for middle-income countries inside versus outside sub-Saharan Africa.

    Science.gov (United States)

    Simmons, Bryony; Hill, Andrew; Ford, Nathan; Ruxrungtham, Kiat; Ananworanich, Jintanat

    2014-01-01

    Antiretrovirals are available at low prices in sub-Saharan Africa, but these prices may not be consistently available for middle-income countries in other regions with large HIV epidemics. Over 30% of HIV infected people live in countries outside sub-Saharan Africa. Several key antiretrovirals are still on patent, with generic production restricted. We assessed price variations for key antiretroviral drugs inside versus outside sub-Saharan Africa. HIV drug prices used in national programmes (2010-2014) were extracted from the WHO Global Price Reporting Mechanism database for all reporting middle-income countries as classified by the World Bank. Treatment costs (branded and generic) were compared for countries inside sub-Saharan Africa versus those outside. Five key second-line antiretrovirals were analysed: abacavir, atazanavir, darunavir, lopinavir/ritonavir, raltegravir. Prices of branded antiretrovirals were significantly higher outside sub-Saharan Africa (psub-Saharan Africa versus $4689 (IQR $4075-5717) in non-African middle-income countries, an increase of 541%. However, when supplied by generic companies, most antiretrovirals were similarly priced between countries in sub-Saharan Africa and other regions. Pharmaceutical companies are selling antiretrovirals to non-African middle-income countries at prices 74-541% higher than African countries with similar gross national incomes. However, generic companies are selling most of these drugs at similar prices across regions. Mechanisms to ensure fair pricing for patented antiretrovirals across both African and non-African middle-income countries need to be improved, to ensure sustainable treatment access.

  11. Statistical Studies of Non-price Competition in the Structure of Public Procurement in the Russian Federation

    OpenAIRE

    Svetlana Aleksandrovna Sergeeva; Alexander Alexandrovich Arionchik

    2016-01-01

    The principle of securing competition is one of the basic principles of the contract system in public procurement in the Russian Federation. The law on the contract system in procurement stipulates that the contract system in procurement is aimed at creating equal conditions to ensure competition between the parties to procurement. An important aspect is that the competition for procurement should be based on compliance with the principle of fair price and non-price competition. The purpose o...

  12. Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities

    OpenAIRE

    Chaumont, Claire; Bautista-Arredondo, Sergio; Calva, Juan José; Bahena-González, Roberto Isaac; Sánchez-Juárez, Gerda Hitz; González de Araujo-Muriel, Arturo; Magis-Rodríguez, Carlos; Hernández-Ávila, Mauricio

    2015-01-01

    Objective. This study examines the antiretroviral (ARV) market characteristics for drugs procured and prescribed to Mexico's Social Protection System in Health beneficiaries between 2008 and 2013, and compares them with international data. Materials and methods. Procurement information from the National Center for the Prevention and the Control of HIV/AIDS was analyzed to estimate volumes and prices of key ARV. Annual costs were compared with data from the World Health Organization's Global P...

  13. Pharmaceutical pricing in emerging markets: effects of income, competition, and procurement.

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    Danzon, Patricia M; Mulcahy, Andrew W; Towse, Adrian K

    2015-02-01

    This paper analyzes determinants of ex-manufacturer prices for originator and generic drugs across countries. We focus on drugs to treat HIV/AIDS, TB, and malaria in middle and low-income countries (MLICs), with robustness checks to other therapeutic categories and the full income range of countries. We examine the effects of per capita income, income dispersion, competition from originator and generic substitutes, and whether the drugs are sold to retail pharmacies versus tendered procurement by non-government organizations. The cross-national income elasticity of prices is 0.27 across the full income range of countries but is 0.0-0.10 between MLICs, implying that drugs are least affordable relative to income in the lowest income countries. Within-country income inequality contributes to relatively high prices in MLICs. Although generics are priced roughly 30% lower than originators on average, the variance is large. Additional generic competitors only weakly affect prices, plausibly because generic quality uncertainty leads to competition on brand rather than price. Tendered procurement that imposes quality standards attracts multinational generic suppliers and significantly reduces prices of originator and generic drugs, compared with their respective prices to retail pharmacies. © 2013 The Authors Health Economics Published by John Wiley & Sons Ltd.

  14. Evaluation of tendered prices of natural mineral water, juice and non-alcoholic beer (public procurement research

    Directory of Open Access Journals (Sweden)

    Nataša Pomazalová

    2011-01-01

    Full Text Available The purpose of this paper is to evaluate tender prices of chosen beverages according to public procurement based on secondary data analysis. The empirical results of analysis (t-test and F-test show that average annual prices of these beverages are different and collected data are not included in the same sample. Tender prices are different in each year of observed years, although are based on public tender. Important evidence is that for the public tenders in the abroad is obligatory use of the Czech public procurement law. According to this act the base evaluation criterion is the lowest offered price. Data were collected during the years 2005–2009. This study deals with empirical approach, variability of prices of chosen beverages based on public tenders between the Czech Republic (Ministry of Defence and local suppliers in Kosovo. Results show low variability of prices, which are based on public tender and legal approach, regulated public procurement. The research conclusion is the fact, that tender prices for piece of non-alcoholic beverage are less than 10 % from annual mean (pcs./CZK of tendered prices.

  15. Study on Stochastic Optimal Electric Power Procurement Strategies with Uncertain Market Prices

    Science.gov (United States)

    Sakchai, Siripatanakulkhajorn; Saisho, Yuichi; Fujii, Yasumasa; Yamaji, Kenji

    The player in deregulated electricity markets can be categorized into three groups of GENCO (Generator Companies), TRNASCO (Transmission Companies), DISCO (Distribution Companies). This research focuses on the role of Distribution Companies, which purchase electricity from market at randomly fluctuating prices, and provide it to their customers at given fixed prices. Therefore Distribution companies have to take the risk stemming from price fluctuation of electricity instead of the customers. This entails the necessity to develop a certain method to make an optimal strategy for electricity procurement. In such a circumstance, this research has the purpose for proposing the mathematical method based on stochastic dynamic programming to evaluate the value of a long-term bilateral contract of electricity trade, and also a project of combination of the bilateral contract and power generation with their own generators for procuring electric power in deregulated market.

  16. THE IMPACT OF CENTRALIZATION, CORRUPTION AND INSTITUTIONAL QUALITY ON PROCUREMENT PRICES: AN APPLICATION TO PHARMACEUTICAL PURCHASING IN ITALY

    OpenAIRE

    Simona, Baldi; Davide, Vannoni

    2014-01-01

    This paper deals with the open issue about the choice between a centralized versus a decentralized public procurement strategy. Using a unique dataset on tender prices of selected drugs for hospital usage awarded by a sample of 52 Italian local health service providers (ASLs) between 2009 and 2012, we test which procurement system (centralized, decentralized or hybrid) performs better. Controlling for several covariates, we always find that centralized and hybrid procurers pay lower prices as...

  17. Subcontractor procurement in construction: the interplay of price and trust

    NARCIS (Netherlands)

    Hartmann, Andreas; Caerteling, Jasper

    2010-01-01

    Purpose: The purpose of this paper is to examine the relative importance of price and trust and their interaction in subcontractor selection. By doing so, it aims to respond to the currently dominant view that trust-based procurement is the remedy to performance problems in construction. The paper

  18. The impact of HTA and procurement practices on the selection and prices of medical devices.

    Science.gov (United States)

    Callea, Giuditta; Armeni, Patrizio; Marsilio, Marta; Jommi, Claudio; Tarricone, Rosanna

    2017-02-01

    Technological innovation in healthcare yields better health outcomes but also drives healthcare expenditure, and governments are struggling to maintain an appropriate balance between patient access to modern care and the economic sustainability of healthcare systems. Health Technology Assessment (HTA) and centralized procurement are increasingly used to govern the introduction and diffusion of new technologies in an effort to make access to innovation financially sustainable. However, little empirical evidence is available to determine how they affect the selection of new technologies and unit prices. This paper focuses on medical devices (MDs) and investigates the combined effect of various HTA governance models and procurement practices on the two steps of the MD purchasing process (i.e., selecting the product and setting the unit price). Our analyses are based on primary data collected through a national survey of Italian public hospitals. The Italian National Health Service is an ideal case study because it is highly decentralized and because regions have adopted different HTA governance models (i.e., regional, hospital-based, double-level or no HTA), often in combination with centralized regional procurement programs. Hence, the Italian case allows us to test the impact of different combinations of HTA models and procurement programs in the various regions. The results show that regional HTA increases the probability of purchasing the costliest devices, whereas hospital-based HTA functions more like a cost-containment unit. Centralized regional procurement does not significantly affect MD selection and is associated with a reduction in the MD unit price: on average, hospitals located in regions with centralized procurement pay 10.1% less for the same product. Hospitals located in regions with active regional HTA programs pay higher prices for the same device (+23.2% for inexpensive products), whereas hospitals that have developed internal HTA programs pay 8

  19. Antiretroviral purchasing and prescription practices in Mexico: constraints, challenges and opportunities.

    Science.gov (United States)

    Chaumont, Claire; Bautista-Arredondo, Sergio; Calva, Juan José; Bahena-González, Roberto Isaac; Sánchez-Juárez, Gerda Hitz; González de Araujo-Muriel, Arturo; Magis-Rodríguez, Carlos; Hernández-Ávila, Mauricio

    2015-01-01

    This study examines the antiretroviral (ARV) market characteristics for drugs procured and prescribed to Mexico's Social Protection System in Health beneficiaries between 2008 and 2013, and compares them with international data. Procurement information from the National Center for the Prevention and the Control of HIV/AIDS was analyzed to estimate volumes and prices of key ARV. Annual costs were compared with data from the World Health Organization's Global Price Reporting Mechanism for similar countries. Finally, regimens reported in the ARV Drug Management, Logistics and Surveillance System database were reviewed to identify prescription trends and model ARV expenditures until 2018. Results show that the first-line ARV market is concentrated among a small number of patented treatments, in which prescription is clinically adequate, but which prices are higher than those paid by similar countries. The current set of legal and structural options available to policy makers to bring prices down is extremely limited. Different negotiation policies were not successful to decrease ARV high prices in the public health market. The closed list approach had a good impact on prescription quality but was ineffective in reducing prices. The Coordinating Commission for Negotiating the Price of Medicines and other Health Supplies also failed to obtain adequate prices. To maximize purchase efficiency, policy makers should focus on finding long-term legal and political safeguards to counter the high prices imposed by pharmaceutical companies.

  20. Cost and price auditing: effectiveness in the procurement of defense services in Spain

    Directory of Open Access Journals (Sweden)

    José Aguado Romero

    Full Text Available Abstract Contract auditing, or cost and price auditing, has been applied in Spain as a means of determining prices in non-competitive defense contracts since 1989. Factors such as Spain's participation in international defense organizations, the characteristics of the defense market and the contractual legal framework for the procurement of defense goods and services help underscore the need for the Spanish Ministry of Defense to implement cost and price auditing. With the evolution of cost and price auditing in Spain in mind, this paper analyses the entire process, describes the audit procedures that are most commonly used today and assesses the main results achieved, in terms of financial savings. The results obtained show that cost and price auditing does indeed contribute to a more efficient use of public resources.

  1. Parallel imports of hospital pharmaceuticals: An empirical analysis of price effects from parallel imports and the design of procurement procedures in the Danish hospital sector

    OpenAIRE

    Hostenkamp, Gisela; Kronborg, Christian; Arendt, Jacob Nielsen

    2012-01-01

    We analyse pharmaceutical imports in the Danish hospital sector. In this market medicines are publicly tendered using first-price sealed-bid procurement auctions. We analyse whether parallel imports have an effect on pharmaceutical prices and whether the way tenders were organised matters for the competitive effect of parallel imports on prices. Our theoretical analysis shows that the design of the procurement rules affects both market structure and pharmaceutical prices. Parallel imports may...

  2. Prices paid for adult and paediatric antiretroviral treatment by low- and middle-income countries in 2012: high, low or just right?

    Science.gov (United States)

    Perriëns, Joseph H; Habiyambere, Vincent; Dongmo-Nguimfack, Boniface; Hirnschall, Gottfried

    2014-01-01

    A viable market for antiretroviral drugs in low- and middle-income countries is key to the continued scale-up of antiretroviral treatment. We describe the price paid by low- and middle-income countries for 10 first- and 7 second-line adult and paediatric treatment regimens from 2003 to 2012, and compare the price of their finished formulations with the price of their active pharmaceutical ingredients in 2005, 2007, 2010 and 2012. Between 2003 and 2012 the median price of adult first-line treatment regimens per treatment-year decreased from USD499 to USD122, and that of second-line regimens from USD2,934 to USD497. In 2005 adult formulations were sold for a price 170% higher than the cost of their active pharmaceutical ingredients. This margin had decreased to 28% in 2012. Between 2004 and 2013, the price of paediatric treatment per treatment-year decreased from USD585 to USD147 for first-line and from USD763 to USD288 for second-line treatment. In 2005, paediatric treatment regimens were sold at a price 231% higher than the cost of their active pharmaceutical ingredients. This margin remained high and was 195% in 2012. The prices paid for antiretroviral drugs by low- and middle-income countries decreased between 2003 and 2012. Although the margins on their sale decreased, there is likely still space for price reduction, especially for the more recent World Health Organization recommended adult first-line regimens and for paediatric treatment.

  3. Optimal selling price and energy procurement strategies for a retailer in an electricity market

    International Nuclear Information System (INIS)

    Hatami, A.R.; Seifi, H.; Sheikh-El-Eslami, M.K.

    2009-01-01

    In an electricity market, the retailer sets up contracts with the wholesale side for purchasing electricity and with the customers for its selling. This paper proposes a mathematical method based on mixed-integer stochastic programming to determine the optimal sale price of electricity to customers and the electricity procurement policy of a retailer for a specified period. The retailer has multiple choices for electricity procurement, such as spot market, forward contracts, call options and self-production. Risk is considered and modeled by conditional value-at-risk methodology. Also, the competition between retailers is modeled using a market share function. A case study is illustrated to demonstrate the capability of the proposed method. (author)

  4. Price competition in procurement

    International Nuclear Information System (INIS)

    Keisler, J.M.; Buehring, W.A.

    1996-07-01

    When creating a private market to provide a public good, government agencies can influence the market's competitive characteristics. Markets have predictable, but often counterintuitive, behaviors. To succeed in applying available controls, and thereby reduce future costs, agencies must understand the behavior of the market. A model has been constructed to examine some issues in establishing competition for a structure in which there are economies of scale and government is obligated to purchase a fixed total quantity of a good. This model is used to demonstrate a way to estimate the cost savings from several alternative plans for a buyer exploring competitive procurement. The results are not and cannot be accurate for budgeting purposes; rather, they indicate the approximate magnitude of changes in cost that would be associated with changes in the market structure within which procurement occurs

  5. Modeling HIV/AIDS drug price determinants in Brazil: is generic competition a myth?

    Science.gov (United States)

    Meiners, Constance; Sagaon-Teyssier, Luis; Hasenclever, Lia; Moatti, Jean-Paul

    2011-01-01

    Brazil became the first developing country to guarantee free and universal access to HIV/AIDS treatment, with antiretroviral drugs (ARVs) being delivered to nearly 190,000 patients. The analysis of ARV price evolution and market dynamics in Brazil can help anticipate issues soon to afflict other developing countries, as the 2010 revision of the World Health Organization guidelines shifts demand towards more expensive treatments, and, at the same time, current evolution of international legislation and trade agreements on intellectual property rights may reduce availability of generic drugs for HIV care. Our analyses are based on effective prices paid for ARV procurement in Brazil between 1996 and 2009. Data panel structure was exploited to gather ex-ante and ex-post information and address various sources of statistical bias. In-difference estimation offered in-depth information on ARV market characteristics which significantly influence prices. Although overall ARV prices follow a declining trend, changing characteristics in the generic segment help explain recent increase in generic ARV prices. Our results show that generic suppliers are more likely to respond to factors influencing demand size and market competition, while originator suppliers tend to set prices strategically to offset compulsory licensing threats and generic competition. In order to guarantee the long term sustainability of access to antiretroviral treatment, our findings highlight the importance of preserving and stimulating generic market dynamics to sustain developing countries' bargaining power in price negotiations undertaken with originator companies.

  6. Modeling HIV/AIDS drug price determinants in Brazil: is generic competition a myth?

    Directory of Open Access Journals (Sweden)

    Constance Meiners

    Full Text Available BACKGROUND: Brazil became the first developing country to guarantee free and universal access to HIV/AIDS treatment, with antiretroviral drugs (ARVs being delivered to nearly 190,000 patients. The analysis of ARV price evolution and market dynamics in Brazil can help anticipate issues soon to afflict other developing countries, as the 2010 revision of the World Health Organization guidelines shifts demand towards more expensive treatments, and, at the same time, current evolution of international legislation and trade agreements on intellectual property rights may reduce availability of generic drugs for HIV care. METHODS AND FINDINGS: Our analyses are based on effective prices paid for ARV procurement in Brazil between 1996 and 2009. Data panel structure was exploited to gather ex-ante and ex-post information and address various sources of statistical bias. In-difference estimation offered in-depth information on ARV market characteristics which significantly influence prices. Although overall ARV prices follow a declining trend, changing characteristics in the generic segment help explain recent increase in generic ARV prices. Our results show that generic suppliers are more likely to respond to factors influencing demand size and market competition, while originator suppliers tend to set prices strategically to offset compulsory licensing threats and generic competition. SIGNIFICANCE: In order to guarantee the long term sustainability of access to antiretroviral treatment, our findings highlight the importance of preserving and stimulating generic market dynamics to sustain developing countries' bargaining power in price negotiations undertaken with originator companies.

  7. Interactivity of marketing and procurement

    Directory of Open Access Journals (Sweden)

    Lazarević Dragan

    2007-01-01

    Full Text Available General conclusions regarding the close links between marketing and procurement side of the marketing process would be expressed as follows: Interactive link between marketing and procurement is just proportionate to a level of company's market orientation. Establishment of an interactive link between marketing and procurement fields would reflect on pricing. Besides price competition, establishment of an integral approach through comprehensive understanding of market relations, will set up conditions for company to meet customers' needs in the most optimal way. Therefore the total result will be advanced and a company with this kind of orientation can become a market leader.

  8. Procurement with specialized firms

    NARCIS (Netherlands)

    Boone, Jan; Schottmuller, C.

    2016-01-01

    We analyze optimal procurement mechanisms when firms are specialized. The procurement agency has incomplete information concerning the firms' cost functions and values high quality as well as low price. Lower type firms are cheaper (more expensive) than higher type firms when providing low (high)

  9. Procurement with Specialized Firms

    NARCIS (Netherlands)

    Boone, J.; Schottmuller, C.

    2011-01-01

    This paper analyzes optimal procurement mechanisms in a setting where the procurement agency has incomplete information concerning the firms’ cost functions and cares about quality as well as price. Low type firms are cheaper than high type firms in providing low quality but more expensive when

  10. Utility procurement policies in the USA

    International Nuclear Information System (INIS)

    Lurf, G.; Nikazmerad, N.M.

    1983-01-01

    The subject is discussed under the headings: introduction; market history (historical uranium demand and production in the USA); recent long-term contract activity (expected US reactor demand and uranium production; expected US reactor demand and contracted uranium supplies); utility procurement attitudes; impact of inventories on procurement; current regulatory environment (spot-market price vs average long-term contract price); embargo and imports; conclusion. (U.K.)

  11. Do national drug policies influence antiretroviral drug prices? Evidence from the Southern African Development community.

    Science.gov (United States)

    Liu, Yao; Galárraga, Omar

    2017-03-01

    The efficacy of low- and middle-income countries’ (LMIC) national drug policies in managing antiretroviral (ARV) pharmaceutical prices is not well understood. Though ARV drug prices have been declining in LMIC over the past decade, little research has been done on the role of their national drug policies. This study aims to (i) analyse global ARV prices from 2004 to 2013 and (ii) examine the relationship of national drug policies to ARV prices. Analysis of ARV drug prices utilized data from the Global Price Reporting Mechanism from the World Health Organization (WHO). Ten of the most common ARV drugs (first-line and second-line) were selected. National drug policies were also assessed for 12 countries in the South African Development Community (SADC), which self-reported their policies through WHO surveys. The best predictor of ARV drug price was generic status—the generic versions of 8 out of 10 ARV drugs were priced lower than branded versions. However, other factors such as transaction volume, HIV prevalence, national drug policies and PEPFAR/CHAI involvement were either not associated with ARV drug price or were not consistent predictors of price across different ARV drugs. In the context of emerging international trade agreements, which aim to strengthen patent protections internationally and potentially delay the sale of generic drugs in LMIC, this study shines a spotlight on the importance of generic drugs in controlling ARV prices. Further research is needed to understand the impact of national drug policies on ARV prices.

  12. 49 CFR 19.45 - Cost and price analysis.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Cost and price analysis. 19.45 Section 19.45... Requirements Procurement Standards § 19.45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price...

  13. Long-term costs and health impact of continued global fund support for antiretroviral therapy.

    Directory of Open Access Journals (Sweden)

    John Stover

    Full Text Available BACKGROUND: By the end of 2011 Global Fund investments will be supporting 3.5 million people on antiretroviral therapy (ART in 104 low- and middle-income countries. We estimated the cost and health impact of continuing treatment for these patients through 2020. METHODS AND FINDINGS: Survival on first-line and second-line ART regimens is estimated based on annual retention rates reported by national AIDS programs. Costs per patient-year were calculated from country-reported ARV procurement prices, and expenditures on laboratory tests, health care utilization and end-of-life care from in-depth costing studies. Of the 3.5 million ART patients in 2011, 2.3 million will still need treatment in 2020. The annual cost of maintaining ART falls from $1.9 billion in 2011 to $1.7 billion in 2020, as a result of a declining number of surviving patients partially offset by increasing costs as more patients migrate to second-line therapy. The Global Fund is expected to continue being a major contributor to meeting this financial need, alongside other international funders and domestic resources. Costs would be $150 million less in 2020 with an annual 5% decline in first-line ARV prices and $150-370 million less with a 5%-12% annual decline in second-line prices, but $200 million higher in 2020 with phase out of stavudine (d4T, or $200 million higher with increased migration to second-line regimens expected if all countries routinely adopted viral load monitoring. Deaths postponed by ART correspond to 830,000 life-years saved in 2011, increasing to around 2.3 million life-years every year between 2015 and 2020. CONCLUSIONS: Annual patient-level direct costs of supporting a patient cohort remain fairly stable over 2011-2020, if current antiretroviral prices and delivery costs are maintained. Second-line antiretroviral prices are a major cost driver, underscoring the importance of investing in treatment quality to improve retention on first-line regimens.

  14. 29 CFR 95.45 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Cost and price analysis. 95.45 Section 95.45 Labor Office of... Procurement Standards § 95.45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be...

  15. Public Procurement of Innovation Policy

    DEFF Research Database (Denmark)

    Rolfstam, Max; Petersen, Ole Helby

    2014-01-01

    Until recently, Danish policy interest in public procurement has mainly been driven by efficiency and cost-effectiveness concerns. Public-procurement policies have in general focused on the utilisation of economies of scale as a Means of achieving lower prices on goods and services. Attempts...... to develop mandatory procurement systems have also been gradually developing, while the focus on innovation has been relatively modest in Danish procurement policies until recently. This picture is currently changing, as several initiatives emphasising public procurement as a means of stimulating innovation...... have been launched. Whether this gradual change of focus in Danish procurement policies will make a deep and lasting impact on the role of public procurement as a driver for innovationis, however, yet an open question....

  16. 40 CFR 30.45 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Cost and price analysis. 30.45 Section... price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various ways...

  17. 38 CFR 49.45 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Cost and price analysis... price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various ways...

  18. 14 CFR 1260.145 - Cost and price analysis.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Cost and price analysis. 1260.145 Section... price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various ways...

  19. 32 CFR 32.45 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Cost and price analysis. 32.45 Section 32.45... price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various ways...

  20. 24 CFR 84.45 - Cost and price analysis.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Cost and price analysis. 84.45....45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various...

  1. Conflicts in Public Procurement

    Directory of Open Access Journals (Sweden)

    Helena Lindskog

    2013-01-01

    Full Text Available During the last couple of years, there has been a tendency to include more and more political goals into public procurements, such as environmental and societal considerations. This can result in higher prices paid by the public sector compared with similar procurements in the private sector. The decision makers at local level are elected and should represent the interest of their communities and voters, which includes promoting regional/local companies and economic development. This task can sometimes get into conflict with public procurement law or the political goals of a central government. (original abstract

  2. Access to hepatitis C virus treatment: Lessons from implementation of strategies for increasing access to antiretroviral treatment

    Directory of Open Access Journals (Sweden)

    Yibeltal Assefa

    2018-05-01

    Full Text Available At September’s 2017 United Nations General Assembly, a state-of-the-art HIV medicine was announced to be made available at just $75 per person per year. There have been a number of strategies that the global AIDS community and countries have utilized to reduce prices and make antiretrovirals (ARVs accessible for people living with HIV/AIDS. There appears to be an opportunity for the treatment of hepatitis C virus infection using direct-acting antivirals (DAAs to benefit from the often painful and laboured history of driving down the prices of ARVs. In general, the success of lowering prices for ARVs has stemmed from the politics needed to initially support generic entry into the on-patent market. The use of flexibilities present in the World Trade Organization’s Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS have been used to overcome patent barriers, with the use of compulsory licenses and/or the threat of their use as instruments for strengthening the bargaining power in price negotiations.These strategies have been combined with new financing mechanisms that have promoted more effective procurement and price negotiations. Partnership among the different stakeholders has also been critical in this regard. Countries have also invested in their health systems and implemented several strategies to reduce stigma and discrimination to increase access to and improve utilization of ARVs. This article suggests that any future international initiatives to increase access to DAAs can learn from these lessons surrounding price reduction, improved financing, advocacy, as well as health systems strengthening and stigma reduction. Adopting and reconfiguring these strategies will also incur substantial savings in time, money and lives. Keywords: Acces to medicines, Hepatitis C virus, HIV, Antiretrovirals, Direct-acting antivirals

  3. 43 CFR 12.945 - Cost and price analysis.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Cost and price analysis. 12.945 Section 12... Requirements § 12.945 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be...

  4. 22 CFR 145.45 - Cost and price analysis.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Cost and price analysis. 145.45 Section 145.45....45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be accomplished in various...

  5. Does the Lowest Bid Price Evaluation Criterion Make for a More Efficient Public Procurement Selection Criterion? (Case of the Czech Republic

    Directory of Open Access Journals (Sweden)

    Ochrana František

    2015-06-01

    Full Text Available Through the institute of public procurement a considerable volume of financial resources is allocated. It is therefore in the interest of contracting entities to seek ways of how to achieve an efficient allocation of resources. Some public contract-awarding entities, along with some public-administration authorities in the Czech Republic, believe that the use of a single evaluation criterion (the lowest bid price results in a more efficient tender for a public contract. It was found that contracting entities in the Czech Republic strongly prefer to use the lowest bid price criterion. Within the examined sample, 86.5 % of public procurements were evaluated this way. The analysis of the examined sample of public contracts proved that the choice of an evaluation criterion, even the preference of the lowest bid price criterion, does not have any obvious impact on the final cost of a public contract. The study concludes that it is inappropriate to prefer the criterion of the lowest bid price within the evaluation of public contracts that are characterised by their complexity (including public contracts for construction works and public service contracts. The findings of the Supreme Audit Office related to the inspection of public contracts indicate that when using the lowest bid price as an evaluation criterion, a public contract may indeed be tendered with the lowest bid price, but not necessarily the best offer in terms of supplied quality. It is therefore not appropriate to use the lowest bid price evaluation criterion to such an extent for the purpose of evaluating work and services. Any improvement to this situation requires a corresponding amendment to the Law on Public Contracts and mainly a radical change in the attitude of the Office for the Protection of Competition towards proposed changes, as indicated within the conclusions and recommendations proposed by this study.

  6. Enhancing medicine price transparency through price information mechanisms.

    Science.gov (United States)

    Hinsch, Michael; Kaddar, Miloud; Schmitt, Sarah

    2014-05-08

    Medicine price information mechanisms provide an essential tool to countries that seek a better understanding of product availability, market prices and price compositions of individual medicines. To be effective and contribute to cost savings, these mechanisms need to consider prices in their particular contexts when comparing between countries. This article discusses in what ways medicine price information mechanisms can contribute to increased price transparency and how this may affect access to medicines for developing countries. We used data collected during the course of a WHO project focusing on the development of a vaccine price and procurement information mechanism. The project collected information from six medicine price information mechanisms and interviewed data managers and technical experts on key aspects as well as observed market effects of these mechanisms.The reviewed mechanisms were broken down into categories including objective and target audience, as well as the sources, types and volumes of data included. Information provided by the mechanisms was reviewed according to data available on medicine prices, product characteristics, and procurement modalities. We found indications of positive effects on access to medicines resulting from the utilization of the reviewed mechanisms. These include the uptake of higher quality medicines, more favorable results from contract negotiations, changes in national pricing policies, and the decrease of prices in certain segments for countries participating in or deriving data from the various mechanisms. The reviewed mechanisms avoid the methodological challenges observed for medicine price comparisons that only use national price databases. They work with high quality data and display prices in the appropriate context of procurement modalities as well as the peculiarities of purchasing countries. Medicine price information mechanisms respond to the need for increased medicine price transparency and have the

  7. Measuring the effect of Sustainable Public Procurement

    NARCIS (Netherlands)

    Zijp MC; Kok L; Valk E de; DMG; M&V; M&V

    2018-01-01

    Many purchasing services of the Dutch local and central governments, aim to include the effects of products and services on human health and the environment in the procurement process. Sustainable procurement (SP) encompasses more than just price and quality considerations. SP can result, for

  8. 41 CFR 105-72.505 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Cost and price analysis... § 105-72.505 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every procurement action. Price analysis may be...

  9. 14 CFR 1274.506 - Cost and price analysis.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Cost and price analysis. 1274.506 Section... WITH COMMERCIAL FIRMS Procurement Standards § 1274.506 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every...

  10. 15 CFR 14.45 - Cost and price analysis.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Cost and price analysis. 14.45 Section... COMMERCIAL ORGANIZATIONS Post-Award Requirements Procurement Standards § 14.45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with...

  11. 45 CFR 74.45 - Cost and price analysis.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Cost and price analysis. 74.45 Section 74.45... ORGANIZATIONS, AND COMMERCIAL ORGANIZATIONS Post-Award Requirements Procurement Standards § 74.45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in...

  12. 28 CFR 70.45 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Cost and price analysis. 70.45 Section 70... NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 70.45 Cost and price analysis. Some form of cost or price analysis must be made and documented in the procurement files in connection...

  13. Providing insecticide treated bed nets in antiretroviral treatment ...

    African Journals Online (AJOL)

    HIV-replication.5-13 Mathematical models show that repeated ... antiretroviral treatment clinics in Malawi: a pilot ... related disease or AIDS.3 In addition, there are between 300 - ... and growing evidence of interactive pathology.1,2. HIV ..... by the HIV Unit and its partners. ... procurement and supply chain systems developed.

  14. Affordability of adult HIV/AIDS treatment in developing countries: modelling price determinants for a better insight of the market functioning.

    Science.gov (United States)

    Sagaon-Teyssier, Luis; Singh, Sauman; Dongmo-Nguimfack, Boniface; Moatti, Jean-Paul

    2016-01-01

    This study aims to provide a landscape of the global antiretroviral (ARV) market by analyzing the transactional data on donor-funded ARV procurement between 2003 and 2015, and the ARV price determinants. The data were obtained from the Global Price Reporting Mechanism (GPRM) managed by the AIDS Medicines and Diagnostics Service of the WHO, and it consists of information that covers approximately 80% of the total donor-funded adult ARV transactions procurement. ExWorks prices and procured quantities were standardized according to the guidelines in terms of yearly doses. Descriptive statistics on quantities and prices show the main trends of the ARV market. Ordinary least squares estimation was carried out for the whole sample, then stratified according to the type of supplier (originator and generic) and controlled for time and geographical fixed-effects. Given that analyses were carried out on a public dataset on ARV transactional prices from the GPRM, ethics are respected and consent was not necessary. Originator medicines are on average the least expensive in the sub-Saharan Africa region, where at the same time, generic medicines are on average the most expensive. By contrast, originator medicines are the most expensive in Europe and Central Asia, and generic medicines are the least expensive. In fact, the data suggest mixed strategies by ARV suppliers to exploit opportunities for profit maximization and to adapt to the specific conditions of market competition in each region. Our results also suggest that the expiration of patents is not sufficient to boost additional developments in generic competition (at least in the ARV market) and that formal or informal agreements between generic firms may de facto slow down or even reverse long-term trends towards price decreases. Our findings provide an improved understanding of the ARV market that can help countries strengthen policy measures to increase their bargaining power in price negotiations and the use of TRIPS

  15. Evaluation of Electric Power Procurement Strategies by Stochastic Dynamic Programming

    Science.gov (United States)

    Saisho, Yuichi; Hayashi, Taketo; Fujii, Yasumasa; Yamaji, Kenji

    In deregulated electricity markets, the role of a distribution company is to purchase electricity from the wholesale electricity market at randomly fluctuating prices and to provide it to its customers at a given fixed price. Therefore the company has to take risk stemming from the uncertainties of electricity prices and/or demand fluctuation instead of the customers. The way to avoid the risk is to make a bilateral contact with generating companies or install its own power generation facility. This entails the necessity to develop a certain method to make an optimal strategy for electric power procurement. In such a circumstance, this research has the purpose for proposing a mathematical method based on stochastic dynamic programming and additionally considering the characteristics of the start-up cost of electric power generation facility to evaluate strategies of combination of the bilateral contract and power auto-generation with its own facility for procuring electric power in deregulated electricity market. In the beginning we proposed two approaches to solve the stochastic dynamic programming, and they are a Monte Carlo simulation method and a finite difference method to derive the solution of a partial differential equation of the total procurement cost of electric power. Finally we discussed the influences of the price uncertainty on optimal strategies of power procurement.

  16. Data feature: Fuel procurement

    International Nuclear Information System (INIS)

    Anon.

    1994-01-01

    This document is a review of the effect of fuel costs on the procurement strategies of a utility and a conjecture that the same strategies may have an effect on the price of fuel. Factors affecting fuel costs are reviewed, and a number of procurement strategies taken to trim fuel costs are reviewed. The major trend is away from long-term enrichment contracts and into such strategies as: (1) Spot market purchases, (2) Inventory reduction, (3) Purchase of CIS material, and (4) Market-related contracts instead of base-escalated contracts

  17. Managing electricity procurement cost and risk by a local distribution company

    International Nuclear Information System (INIS)

    Woo, C.-K.; Karimov, R.I.; Horowitz, Ira

    2004-01-01

    A local electricity distribution company (LDC) can satisfy some of its future electricity requirements through self-generation and volatile spot markets, and the remainder through fixed-price forward contracts that will reduce its exposure to the inherent risk of spot-price volatility. A theoretical framework is developed for determining the forward-contract purchase that minimizes the LDCs expected procurement cost, subject to a cost-exposure constraint. The answers to the questions of 'What to buy?' and 'How to buy?' are illustrated using an example of a hypothetical LDC that is based on a municipal utility in Florida. It is shown that the LDCs procurement decision is consistent with least-cost procurement subject to a cost-exposure constraint, and that an internet-based multi-round auction can produce competitive price quotes for its desired forward purchase

  18. Defense Contract Audit Agency Reviews of Price Proposals

    National Research Council Canada - National Science Library

    1998-01-01

    .... Auditors perform field pricing reviews of contractor price proposals when procurement office information is insufficient to perform the cost or price analysis needed to negotiate contract prices...

  19. 40 CFR 30.46 - Procurement records.

    Science.gov (United States)

    2010-07-01

    ... competition when competitive bids or offers are not obtained; and basis for award cost or price. ..., HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 30.46...

  20. 14 CFR 1260.146 - Procurement records.

    Science.gov (United States)

    2010-01-01

    ... Higher Education, Hospitals, and Other Non-Profit Organizations Procurement Standards § 1260.146... of competition when competitive bids or offers are not obtained, and (c) Basis for award cost or price. ...

  1. 7 CFR 3019.46 - Procurement records.

    Science.gov (United States)

    2010-01-01

    ...) Justification for lack of competition bids or offers are not obtained, and (c) Basis for award cost or price. ... HIGHER EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement...

  2. Managing electricity procurement cost and risk by a local distribution company

    International Nuclear Information System (INIS)

    Chikeung Woo; Karimov, R.I.; Horowitz, I.

    2004-01-01

    A local electricity distribution company (LDC) can satisfy some of its future electricity requirements through self-generation and volatile spot markets, and the remainder through fixed-price forward contracts that will reduce its exposure to the inherent risk of spot-price volatility. A theoretical framework is developed for determining the forward-contract purchase that minimizes the LDCs expected procurement cost, subject to a cost-exposure constraint. The answers to the questions of ''What to buy?'' and ''How to buy?'' are illustrated using an example of a hypothetical LDC that is based on a municipal utility in Florida. It is shown that the LDCs procurement decision is consistent with least-cost procurement subject to a cost-exposure constraint, and that an internet-based multi-round auction can produce competitive price quotes for its desired forward purchase. (author)

  3. 36 CFR 1210.46 - Procurement records.

    Science.gov (United States)

    2010-07-01

    ... EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards...) Justification for lack of competition when competitive bids or offers are not obtained, and (c) Basis for award cost or price. ...

  4. 2 CFR 215.46 - Procurement records.

    Science.gov (United States)

    2010-01-01

    ... NON-PROFIT ORGANIZATIONS (OMB CIRCULAR A-110) Post Award Requirements Procurement Standards § 215.46... of competition when competitive bids or offers are not obtained; and (c) Basis for award cost or price. ...

  5. 32 CFR 32.46 - Procurement records.

    Science.gov (United States)

    2010-07-01

    ..., HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 32.46... for lack of competition when competitive bids or offers are not obtained; and (c) Basis for award cost or price. ...

  6. 22 CFR 145.46 - Procurement records.

    Science.gov (United States)

    2010-04-01

    ... EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 145... for lack of competition when competitive bids or offers are not obtained, and (c) basis for award cost or price. ...

  7. 24 CFR 84.46 - Procurement records.

    Science.gov (United States)

    2010-04-01

    ... EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 84... for lack of competition when competitive bids or offers are not obtained; and (c) Basis for award cost or price. ...

  8. Procurement Options for New Renewable Electricity Supply

    Energy Technology Data Exchange (ETDEWEB)

    Kreycik, C. E.; Couture, T. D.; Cory, K. S.

    2011-12-01

    State renewable portfolio standard (RPS) policies require utilities and load-serving entities (LSEs) to procure renewable energy generation. Utility procurement options may be a function of state policy and regulatory preferences, and in some cases, may be dictated by legislative authority. Utilities and LSEs commonly use competitive solicitations or bilateral contracting to procure renewable energy supply to meet RPS mandates. However, policymakers and regulators in several states are beginning to explore the use of alternatives, namely feed-in tariffs (FITs) and auctions to procure renewable energy supply. This report evaluates four procurement strategies (competitive solicitations, bilateral contracting, FITs, and auctions) against four main criteria: (1) pricing; (2) complexity and efficiency of the procurement process; (3) impacts on developers access to markets; and (4) ability to complement utility decision-making processes. These criteria were chosen because they take into account the perspective of each group of stakeholders: ratepayers, regulators, utilities, investors, and developers.

  9. A procurement decision support mechanism on multi-attribute fuzzy-interval auctions

    DEFF Research Database (Denmark)

    Franco de los Ríos, Camilo; Hougaard, Jens Leth; Nielsen, Kurt

    2016-01-01

    Procurement systems are the basis for assuring efficiency and fairness in organizations. Consequently, the development of procurement systems faces an ongoing challenge in designing trading systems that facilitate transparent competition on both price and multiple attributes, as well as ensuring...

  10. Did a local distribution company procure prudently during the California electricity crisis?

    International Nuclear Information System (INIS)

    Woo, C.-K.; Lloyd, Debra; Clayton, William

    2006-01-01

    To manage cost risk, prudent procurement of electric power requires that some portion of a buyer's energy demand be met through long-term contracting. Under cost-of-service regulation or performance-based regulation, a local distribution company (LDC) should be allowed to fully recover all prudently incurred power procurement costs. However, the regulatory test of prudence is an ex post review with the threat of disallowance. This paper presents an economic analysis of procurement prudence involving a small LDC, Bear Valley Electric Service (BVES), which serves a resort area in Southern California. The key findings are: (a) high and volatile prices and rolling blackouts characterized the market environment faced by the owner of BVES, Southern California Water Company (SCWC), at its signing of a 5-year fixed price contract; (b) SCWC was a price-taker with no incentive to act imprudently; (c) the contract was obtained via a competitive bidding process; (d) the contract price was comparable to the benchmark price of contemporaneous contracts; (e) the fixed price contract was economic when compared to available alternatives; and (f) despite (a)-(e), a negotiated settlement with the state regulator and a large user resulted in substantial disallowance. The policy implication is that a regulator should approve a prudent procurement plan proposed by an LDC to remove the unreasonable risk of an ex post review. If the LDC strictly adheres to the plan, the resulting electricity purchases are per se prudent and should entitle the LDC to full cost recovery

  11. 20 CFR 627.420 - Procurement.

    Science.gov (United States)

    2010-04-01

    ... sources, unless it is demonstrated that the JTPA-funded alternative services or facilities would be more...) Each State and subrecipient shall conduct procurements in a manner which provides full and open... pricing practices between firms or organizations or between affiliated companies or organizations; (iv...

  12. Understanding public drug procurement in India: a comparative qualitative study of five Indian states.

    Science.gov (United States)

    Singh, Prabal Vikram; Tatambhotla, Anand; Kalvakuntla, Rohini; Chokshi, Maulik

    2013-01-01

    To perform an initial qualitative comparison of the different procurement models in India to frame questions for future research in this area; to capture the finer differences between the state models through 53 process and price parameters to determine their functional efficiencies. Qualitative analysis is performed for the study. Five states: Tamil Nadu, Kerala, Odisha, Punjab and Maharashtra were chosen to ensure heterogeneity in a number of factors such as procurement type (centralised, decentralised or mixed); autonomy of the procurement organisation; state of public health infrastructure; geography and availability of data through Right to Information Act (RTI). Data on procurement processes were collected through key informant analysis by way of semistructured interviews with leadership teams of procuring organisations. These process data were validated through interviews with field staff (stakeholders of district hospitals, taluk hospitals, community health centres and primary health centres) in each state. A total of 30 actors were interviewed in all five states. The data collected are analysed against 52 process and price parameters to determine the functional efficiency of the model. The analysis indicated that autonomous procurement organisations were more efficient in relation to payments to suppliers, had relatively lower drug procurement prices and managed their inventory more scientifically. The authors highlight critical success factors that significantly influence the outcome of any procurement model. In a way, this study raises more questions and seeks the need for further research in this arena to aid policy makers.

  13. Electricity procurement for large consumers based on Information Gap Decision Theory

    International Nuclear Information System (INIS)

    Zare, Kazem; Moghaddam, Mohsen Parsa; Sheikh El Eslami, Mohammad Kazem

    2010-01-01

    In the competitive electricity market, consumers seek strategies to meet their electricity needs at minimum cost and risk. This paper provides a technique based on Information Gap Decision Theory (IGDT) to assess different procurement strategies for large consumers. Supply sources include bilateral contracts, a limited self-generating facility, and the pool. It is considered that the pool price is uncertain and its volatility around the estimated value is modeled using an IGDT model. The proposed method does not minimize the procurement cost but assesses the risk aversion or risk-taking nature of some procurement strategies with regard to the minimum cost. Using this method, the robustness of experiencing costs higher than the expected one is optimized and the related strategy is determined. The proposed method deals with optimizing the opportunities to take advantage of low procurement costs or low pool prices. A case study is used to illustrate the proposed technique.

  14. Reality check on Ontario electricity price procurement: a report from the trenches

    International Nuclear Information System (INIS)

    Rodger, J.M.; Wegiel, H.; Ferns, T.; Bystrin, A.

    2003-01-01

    The approaches taken to manage energy price risks from three different perspectives were presented. The first perspective presented was that of a law firm specializing in assisting a wide variety of clients constituting retailers and large industrial, institutional, and commercial users. The second perspective presented was that of Dofasco, the largest industrial electricity consumer in Ontario, followed by the perspective offered by Oakville Hydro, representing one of few municipally owned electricity retailers in Ontario. The first order of business, from the lawyer's viewpoint, is to identify relevant considerations for consumers and retailers, such as how do you intend to participate in the new market, what are the desired outcomes, the appetite for risk. The formulation of an approach should take the following into consideration: historical context versus new market reality, experience with electricity suppliers, and dilemma for consumers and retailers on how to level the playing field. The chosen approach was that of a request for proposals process for electricity price procurement. In the case of Dofasco, the introduction of the deregulated electricity market meant business risks, which it chose to address using an integrated risk management approach. Oakville Hydro explained its reasons for jumping into a trench: earn financial rewards and prevent brand equity erosion. Retail business must be kept simple through identifying, understanding and limiting the risks; and moving carefully but expeditiously. To mitigate the risks, it advocated getting the best legal and economics advice possible, looking for experienced partners, and not betting the shop.tabs., figs

  15. Assessment of procurement methods used for executing ...

    African Journals Online (AJOL)

    Assessment of procurement methods used for executing maintenance works in Lagos state. ... Ethiopian Journal of Environmental Studies and Management ... Others are risk allocation, price competition and flexibility of contract. Finally, better ...

  16. Pro short-term procurement - U.S. utility

    International Nuclear Information System (INIS)

    Thompson, R.D.

    1990-01-01

    The author expresses the opinion that rather than focusing market discussions around short-term versus long-term procurement strategies, the parties need to be focusing on how long it is going to take to get to a predominantly market-based price both in uranium and enrichment. Long-term contracts are going to be around and will always be an important part of buyers' and sellers' strategies. It is evident that the annual term contract price renegotiations around the world are resulting in continually lower prices. When these price negotiations finally arrive in the range of the market price, a commodity market that resembles other energy commodity markets can be obtained

  17. 38 CFR 49.46 - Procurement records.

    Science.gov (United States)

    2010-07-01

    ..., HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS Post-Award Requirements Procurement Standards § 49.46... of competition when competitive bids or offers are not obtained, and (c) Basis for award cost or price. (Authority: Pub. L. 104-156; 110 Stat. 1396) ...

  18. 13 CFR 124.507 - What procedures apply to competitive 8(a) procurements?

    Science.gov (United States)

    2010-01-01

    ... boundaries are eligible to submit offers. (3) Competition for all non-construction requirements. Except for... procedures. Procuring activities will conduct competitions among and evaluate offers received from... the Participant submitted its initial offer which includes price. (5) If the procuring activity...

  19. Electricity procurement for large consumers based on Information Gap Decision Theory

    Energy Technology Data Exchange (ETDEWEB)

    Zare, Kazem; Moghaddam, Mohsen Parsa; Sheikh El Eslami, Mohammad Kazem [Tarbiat Modares University, P.O. Box 14115-111, Tehran (Iran)

    2010-01-15

    In the competitive electricity market, consumers seek strategies to meet their electricity needs at minimum cost and risk. This paper provides a technique based on Information Gap Decision Theory (IGDT) to assess different procurement strategies for large consumers. Supply sources include bilateral contracts, a limited self-generating facility, and the pool. It is considered that the pool price is uncertain and its volatility around the estimated value is modeled using an IGDT model. The proposed method does not minimize the procurement cost but assesses the risk aversion or risk-taking nature of some procurement strategies with regard to the minimum cost. Using this method, the robustness of experiencing costs higher than the expected one is optimized and the related strategy is determined. The proposed method deals with optimizing the opportunities to take advantage of low procurement costs or low pool prices. A case study is used to illustrate the proposed technique. (author)

  20. The transformation of the tender evaluation process in public procurement in Poland

    Science.gov (United States)

    Plebankiewicz, E.; Kozik, R.

    2017-10-01

    Procedures regarding the evaluation of tenders have been changed since the public procurement law was enacted (it came into force in January 1, 1995). The contracting authority could apply both the criteria related to the qualities of the contractor and those related to the to the subject - matter of public contract. Two extensive amendments in 2001 and a government project introduced vital regulations and excluded the possibility of applying criteria related to the qualities of the contractor. Act of 29 January 2004 Public Procurement Law allowed to use price as the sole contract award criterion. The changes in the Law in 2014 restricted that possibility to the situation in which the subject matter of a contract is commonly available and has established quality standards. The Act of 22 June 2016 amending the Public Procurement Law Act and some other laws introduced the new criteria list and limited the importance of the price criterion in the certain situations. Instead of price, the cost can also be a criterion for tender evaluation. The cost criterion can be determined using life cycle costing. In the paper, based on contract notices of open tendering published in the Public Procurement Bulletin, the criteria of construction contract selection will be analysed. In particular the effectiveness of changes in the Procurement Law will be researched.

  1. 41 CFR 105-72.506 - Procurement records.

    Science.gov (United States)

    2010-07-01

    ... EDUCATION, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS 72.50-Post-Award Requirements/Procurement Standards...) Justification for lack of competition when competitive bids or offers are not obtained, and (c) Basis for award cost or price. ...

  2. 36 CFR 1207.36 - Procurement.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Procurement. 1207.36 Section 1207.36 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION GENERAL RULES... resonableness can be established on the basis of a catalog or market price of a commercial product sold in...

  3. Bearing Procurement Analysis Method by Total Cost of Ownership Analysis and Reliability Prediction

    Science.gov (United States)

    Trusaji, Wildan; Akbar, Muhammad; Sukoyo; Irianto, Dradjad

    2018-03-01

    In making bearing procurement analysis, price and its reliability must be considered as decision criteria, since price determines the direct cost as acquisition cost and reliability of bearing determine the indirect cost such as maintenance cost. Despite the indirect cost is hard to identify and measured, it has high contribution to overall cost that will be incurred. So, the indirect cost of reliability must be considered when making bearing procurement analysis. This paper tries to explain bearing evaluation method with the total cost of ownership analysis to consider price and maintenance cost as decision criteria. Furthermore, since there is a lack of failure data when bearing evaluation phase is conducted, reliability prediction method is used to predict bearing reliability from its dynamic load rating parameter. With this method, bearing with a higher price but has higher reliability is preferable for long-term planning. But for short-term planning the cheaper one but has lower reliability is preferable. This contextuality can give rise to conflict between stakeholders. Thus, the planning horizon needs to be agreed by all stakeholder before making a procurement decision.

  4. Antiretroviral drug supply challenges in the era of scaling up ART in Malawi.

    Science.gov (United States)

    Schouten, Erik J; Jahn, Andreas; Ben-Smith, Anne; Makombe, Simon D; Harries, Anthony D; Aboagye-Nyame, Francis; Chimbwandira, Frank

    2011-07-06

    The number of people receiving antiretroviral treatment (ART) has increased considerably in recent years and is expected to continue to grow in the coming years. A major challenge is to maintain uninterrupted supplies of antiretroviral (ARV) drugs and prevent stock outs. This article discusses issues around the management of ARVs and prevention of stock outs in Malawi, a low-income country with a high HIV/AIDS burden, and a weak procurement and supply chain management system. This system for ARVs, paid for by the Global Fund to Fight AIDS, Tuberculosis and Malaria, and bypassing the government Central Medical Stores, is in place, using the United Nations Children's Fund's (UNICEF's) procurement services. The system, managed by a handful of people who spend limited time on supply management, is characterized by a centrally coordinated quantification based on verified data from all national ART clinics, parallel procurement through UNICEF, and direct distribution to ART clinics. The model worked well in the first years of the ART programme with a single first-line ARV regimen, but with more regimens becoming available (e.g., alternative first-line, second-line and paediatric regimens), it has become more difficult to administer. Managing supplies through a parallel system has the advantage that weaknesses in the national system have limited influence on the ARV procurement and supply chain management system. However, as the current system operates without a central warehouse and national buffer stock capacity, it diminishes the ability to prevent ARV stock outs. The process of ordering ARVs, from the time that estimates are made to the arrival of supplies in health facilities, takes approximately one year. Addressing the challenges involved in maintaining ARVs through an efficient procurement and supply chain management system that prevents ARV stock outs through the establishment of a dedicated procurement team, a central warehouse and/or national buffer stock is a

  5. A cross-sectional survey of the models in Bihar and Tamil Nadu, India for pooled procurement of medicines.

    Science.gov (United States)

    Chokshi, Maulik; Farooqui, Habib Hasan; Selvaraj, Sakthivel; Kumar, Preeti

    2015-01-01

    In India, access to medicine in the public sector is significantly affected by the efficiency of the drug procurement system and allied processes and policies. This study was conducted in two socioeconomically different states: Bihar and Tamil Nadu. Both have a pooled procurement system for drugs but follow different models. In Bihar, the volumes of medicines required are pooled at the state level and rate contracted (an open tender process invites bidders to quote for the lowest rate for the list of medicines), while actual invoicing and payment are done at district level. In Tamil Nadu, medicine quantities are also pooled at state level but payments are also processed at state level upon receipt of laboratory quality-assurance reports on the medicines. In this cross-sectional survey, a range of financial and non-financial data related to procurement and distribution of medicine, such as budget documents, annual reports, tender documents, details of orders issued, passbook details and policy and guidelines for procurement were analysed. In addition, a so-called ABC analysis of the procurement data was done to to identify high-value medicines. It was observed that Tamil Nadu had suppliers for 100% of the drugs on their procurement list at the end of the procurement processes in 2006, 2007 and 2008, whereas Bihar's procurement agency was only able to get suppliers for 56%, 59% and 38% of drugs during the same period. Further, it was observed that Bihar's system was fuelling irrational procurement; for example, fluconazole (antifungal) alone was consuming 23.4% of the state's drug budget and was being procured by around 34% of the districts during 2008-2009. Also, the ratios of procurement prices for Bihar compared with Tamil Nadu were in the range of 1.01 to 22.50. For 50% of the analysed drugs, the price ratio was more than 2, that is, Bihar's procurement system was procuring the same medicines at more than twice the prices paid by Tamil Nadu. Centralized

  6. The influence of the PFI on waste management pricing

    International Nuclear Information System (INIS)

    2000-01-01

    This report analyses the pricing mechanisms generated within the waste management sector under the Private Finance Initiative (PFI) and compares them with the cost-plus pricing mechanisms. The background to the research is traced, and the influence of the PFI on service procurement, the incentives to use PFI, the procurement process, and the allocation of contractual risk are discussed. The PFI pricing mechanisms are described, and a case study of a hypothetical local authority involved in the tender for integrated waste management services is created to illustrate the pricing mechanisms under the PFI, comparisons with traditional pricing, and a quantitative analysis. A non-PFI model, a PFI 20 year model, and PFI 25 year model are presented in the appendix

  7. The influence of the PFI on waste management pricing

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    This report analyses the pricing mechanisms generated within the waste management sector under the Private Finance Initiative (PFI) and compares them with the cost-plus pricing mechanisms. The background to the research is traced, and the influence of the PFI on service procurement, the incentives to use PFI, the procurement process, and the allocation of contractual risk are discussed. The PFI pricing mechanisms are described, and a case study of a hypothetical local authority involved in the tender for integrated waste management services is created to illustrate the pricing mechanisms under the PFI, comparisons with traditional pricing, and a quantitative analysis. A non-PFI model, a PFI 20 year model, and PFI 25 year model are presented in the appendix.

  8. Applying e-procurement system in the healthcare: the EPOS paradigm

    Science.gov (United States)

    Ketikidis, Panayiotis H.; Kontogeorgis, Apostolos; Stalidis, George; Kaggelides, Kostis

    2010-03-01

    One of the goals of procurement is to establish a competitive price, while e-procurement utilises electronic commerce to identify potential sources of supply, to purchase goods and services, to exchange contractual information and to interact with suppliers. Extensive academic work has been extensively devoted to e-procurement in diverse industries. However, applying e-procurement in the healthcare sector remains unexplored. It lacks an efficient e-procurement mechanism that will enable hospitals and healthcare suppliers to electronically exchange contractual information, aided by the technologies of optimisation and business rules. The development and deployment of e-procurement requires a major effort in the coordination of complex interorganisational business process. This article presents an e-procurement optimised system (EPOS) for the healthcare marketplace, a complete methodological approach for deploying and operating such system, as piloted in public and private hospitals in three European countries (Greece, Spain and Belgium) and suppliers of healthcare items in the fourth country (Italy). The efficient e-procurement mechanism that EPOS suggests enables hospitals and pharmaceutical and medical equipment suppliers to electronically exchange contractual information.

  9. [Sustainability of Brazilian policy for access to antiretroviral drugs].

    Science.gov (United States)

    Grangeiro, Alexandre; Teixeira, Luciana; Bastos, Francisco I; Teixeira, Paulo

    2006-04-01

    The expense of acquiring antiretroviral drugs in Brazil has given rise to debate about the sustainability of the policy of universal access to AIDS medications, despite the evident benefits. The objective of this study was to analyze the evolution of the Ministry of Health's spending on acquiring antiretroviral drugs from 1998 to 2005, the determining factors and the medium-term sustainability of this policy (2006-2008). The study on the evolution of spending on antiretrovirals included analysis of their prices, the year-by-year expenditure, the number of patients utilizing the medication, the mean expenditure per patient and the strategies for reducing the prices maintained during this period. To analyze the sustainability of the policy for access to antiretrovirals, the cost of acquiring the drugs over the period from 2006 to 2008 was estimated, along with the proportion of gross domestic product and federal health expenditure represented by this spending. The data were collected from the Ministry of Health, the Brazilian Institute for Geography and Statistics (IBGE) and the Ministry of Planning. The expenditure on antiretrovirals increased by 66% in 2005, breaking the declining trend observed over the period from 2000 to 2004. The main factors associated with this increase were the weakening of the national generics industry and the unsatisfactory results from the process of negotiating with pharmaceutical companies. The Brazilian policy for universal access is unsustainable at the present growth rates of the gross domestic product, unless the country compromises its investments in other fields.

  10. Supply Chain Shipment Pricing Data

    Data.gov (United States)

    US Agency for International Development — This data set provides supply chain health commodity shipment and pricing data. Specifically, the data set identifies Antiretroviral (ARV) and HIV lab shipments to...

  11. 7 CFR 550.47 - Cost and price analysis.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Cost and price analysis. 550.47 Section 550.47... OF AGRICULTURE GENERAL ADMINISTRATIVE POLICY FOR NON-ASSISTANCE COOPERATIVE AGREEMENTS Management of Agreements Procurement Standards § 550.47 Cost and price analysis. Some form of cost or price analysis shall...

  12. 40 CFR 35.6585 - Cost and price analysis.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Cost and price analysis. 35.6585... Response Actions Procurement Requirements Under A Cooperative Agreement § 35.6585 Cost and price analysis. (a) General. The recipient must conduct and document a cost or price analysis in connection with...

  13. Analisis dan Perancangan Aplikasi Berbasis Web E-Procurement di PT Pillar Utama Contrindo

    Directory of Open Access Journals (Sweden)

    Sartika Kurniali

    2012-12-01

    Full Text Available The aim of this research is to analyze the current business process at the procurement department at PT Pillar Utama Contrindo as well as develop a web based e-procurement application prototype to supportprocurement process at the company. Interview, survey, as well as analysis and design to develop the prototype are used in the research. The research results in an e-procurement application prototype built to minimize errors on related document filling, help the company to get best price on their supply, and increase control. It can be concluded from the research that the protoype can be implemented to be a tool for the users to decide the best supplier, obtain the best price, and increase control in buying process at PT Pillar Utama Contrindo.

  14. IEA Task 24 Solar procurement 2000

    International Nuclear Information System (INIS)

    Ellehauge, K.; Oestergaard, I.; Gramkow, L.

    2002-04-01

    The objective of the project is to develop and improve large procurements of solar heating systems in order to be able to place large orders with manufacturers and suppliers. The project work will be carried out as an international co-operation under IEA Task 24 with the title 'Solar Procurement'. By co-ordinating the effort between the 4-6 participating countries, the objective is to purchase at least 10,000 solar heating systems, of this amount 1,000-2,000 in Denmark. Such large orders make it possible for manufacturers and suppliers to deliver systems considerably cheaper, and it will be possible to develop systems for given specifications on output and efficiency. These co-ordinated large orders are expected to improve the price/efficiency conditions by up to 50%. The so called 'procurement process' (co-ordinated international procurement based on goal-oriented system development in co-operation between customers and suppliers/manufacturers) will in the project be followed up by information/marketing, education, financing schemes, service schemes, quality assurance and technical support. The project is divided into two main areas (IEA subtasks). 1: 'Procurement and Marketing' and 2: 'Creation of Tools'. Denmark has been requested to be the project manager of subtask 2, 'Creation of Tools'. (EHS)

  15. Energy wood procurement in connection with conventional wood procurement; Energiapuun hankinnan organisointi muun puunhankinnan yhteydessae - PUUT02

    Energy Technology Data Exchange (ETDEWEB)

    Maekinen, P. [Finnish Forest Research Institute, Vantaa (Finland)

    2001-07-01

    The research consisted of two sub-projects. The present role of forestry associations in procurement of energy wood was investigated in the first sub- project. The possibilities and willingness of them to increase the energy wood procurement were also studied. The role of forest machine and forestry service entrepreneurs in procurement of energy wood was investigated in the second sub-project. The effects of energy wood procurement on the operation of the forest machine companies in general were also studied in this sub-project. The sub-project three studied the requirements of the customer companies for the energy wood suppliers. All the material of the sub-projects was collected by personal inquiries. According to the executive directors of the forestry associations the role of the forestry associations in energy wood procurement varied between a by-stander and active participant. Active forestry associations announced the companies for stands available for cutting. They told also that they directed the harvesting to correct sites and deliver stems at the roadside. The role of the forestry association was emphasised especially when the associations on the basis of a letter of attorney carried out the timber trade. It was estimated that in the near future the operation of forest machine entrepreneurs in harvesting of energy wood would increase significantly. From the employment and turnover point of view the role of harvesting of energy wood was not seen as a significant matter. On the other hand, that harvesting of energy wood impede the harvesting of commercial timber was seen as a more significant matter. In the future the end-users of energy wood would like to have more competition in the energy wood markets. However, the energy wood suppliers were desired to be relative large so that the reliability of deliveries could be ensured. Simultaneously as the end-users wanted to decrease the price of forest chips, the machine entrepreneurs estimated the price to

  16. Differences and similarities on the approaches of buyers from X and Y generations regarding sustainable procurement

    OpenAIRE

    Lacour, Maxime

    2016-01-01

    Responsible procurement has become a real challenge for companies following the current trends of Corporate Social Responsibility (CSR) and more and more ethic-oriented customers. Differing from the concept of green procurement this concept of responsible procurement supports the willingness of companies to have ethic and sustainable supplies. The usual criteria in procurement such as price performances innovation terms and time of payment have increasingly been coupled with more ethic-orient...

  17. Price projections of feedstocks for biofuels and biopower in the U.S

    International Nuclear Information System (INIS)

    Langholtz, Matthew; Graham, Robin; Eaton, Laurence; Perlack, Robert; Hellwinkel, Chad; De La Torre Ugarte, Daniel G.

    2012-01-01

    The economic availability of biomass resources is a critical component in evaluating the commercial viability of biofuels. To evaluate projected farmgate prices and grower payments needed to procure 295 million dry Mg (325 million dry tons) of biomass in the U.S. by 2022, this research employs POLYSYS, an economic model of the U.S. agriculture sector. A price-run simulation suggests that a farmgate price of $58.42 Mg −1 ($53.00 dry ton −1 ) is needed to procure this supply, while a demand-run simulation suggests that prices of $34.56 and $71.61 Mg −1 ($30.00 and $62.00 dry ton −1 ) in are needed in 2012 and 2022, respectively, to procure the same supply, under baseline yield assumptions. Grower payments are reported as farmgate price minus resource-specific harvest costs. - Highlights: ► We model biomass prices needed to meet projected demand for biofuels and biopower. ► Combined projected demand is 295 million dry Mg of biomass by 2022. ► A farmgate price of $58.42 Mg −1 in 2022 meets demand under a price-run scenario. ► A farmgate price of $71.61 Mg −1 in 2022 meets demand under a demand-run scenario. ► Higher farmgate prices incentivize adoption of dedicated crops.

  18. 45 CFR 2543.45 - Cost and price analysis.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Cost and price analysis. 2543.45 Section 2543.45... ORGANIZATIONS Post-Award Requirements Property Standards § 2543.45 Cost and price analysis. Some form of cost or price analysis shall be made and documented in the procurement files in connection with every...

  19. 41 CFR 51-2.7 - Fair market price.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Fair market price. 51-2.7... WHO ARE BLIND OR SEVERELY DISABLED § 51-2.7 Fair market price. (a) The Committee is responsible for determining fair market prices, and changes thereto, for commodities and services on the Procurement List. The...

  20. Photovoltaic procurement strategies: an assessment of supply issues

    Energy Technology Data Exchange (ETDEWEB)

    Posner, D.; Costello, D.

    1980-02-01

    This review report presents the results of an analysis of alternative approaches to the design of a federal photovoltaics procurement program. Advantages and disadvantages of large purchases at fixed prices and smaller purchases for testing and demonstrating the technology are presented. The objectives and possible impacts of these purchase programs on the photovoltaic industry are described. The reactions of the industry to alternative purchase programs were assessed using personal interviews with selected companies currently active in photovoltaics. The report begins with a review of the impacts of federal procurements on other innovations, including the electronics industry, and suggests the relation of these procurements to photovoltaics. The methodology for conducting the interviews is presented next. The results of the interviews are summarized into possible scenarios of future developments in the industry and into discussions of key issues in the design of a procurement program. An appendix on the current structure of the photovoltaic industry is provided.

  1. Access to hepatitis C virus treatment: Lessons from implementation of strategies for increasing access to antiretroviral treatment.

    Science.gov (United States)

    Assefa, Yibeltal; Hill, Peter S; Williams, Owain D

    2018-05-01

    At September's 2017 United Nations General Assembly, a state-of-the-art HIV medicine was announced to be made available at just $75 per person per year. There have been a number of strategies that the global AIDS community and countries have utilized to reduce prices and make antiretrovirals (ARVs) accessible for people living with HIV/AIDS. There appears to be an opportunity for the treatment of hepatitis C virus infection using direct-acting antivirals (DAAs) to benefit from the often painful and laboured history of driving down the prices of ARVs. In general, the success of lowering prices for ARVs has stemmed from the politics needed to initially support generic entry into the on-patent market. The use of flexibilities present in the World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) have been used to overcome patent barriers, with the use of compulsory licenses and/or the threat of their use as instruments for strengthening the bargaining power in price negotiations. These strategies have been combined with new financing mechanisms that have promoted more effective procurement and price negotiations. Partnership among the different stakeholders has also been critical in this regard. Countries have also invested in their health systems and implemented several strategies to reduce stigma and discrimination to increase access to and improve utilization of ARVs. This article suggests that any future international initiatives to increase access to DAAs can learn from these lessons surrounding price reduction, improved financing, advocacy, as well as health systems strengthening and stigma reduction. Adopting and reconfiguring these strategies will also incur substantial savings in time, money and lives. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

  2. Analysis of the Impact of Transparency, Corruption, Openness in Competition and Tender Procedures on Public Procurement in the Czech Republic

    Directory of Open Access Journals (Sweden)

    František Ochrana

    2014-01-01

    Full Text Available This study analyses the impact of transparency and openness to competition in public procurement in the Czech Republic. The problems of the Czech procurement market have been demonstrated on the analysis of a sample of contracts awarded by local government entities. From among a set of factors influencing the efficiency of public procurement, we closely analyse transparency, resilience against corruption, openness, effective administrative award procedure, and formulation of appropriate evaluation criteria for selecting the most suitable bid. Some assumptions were confirmed, including a positive effect of open procedures on the level of competition on the supply side as well as the dominant use of price criteria only. The latter case is probably often caused by low skills of workers at the contracting entities, as well as the lack of resources in public budgets. However, we have to reject the persistent legend of “undershooting” tender prices and subsequently increasing the final prices of public contracts. Increases of final prices are very limited. Based on the results of the analyses presented, we argue that the main problem of the Czech public procurement market lies in a rather low competence of administrators who are not able to use non-price criteria more often.

  3. IEA Task 24 Solar procurement 2000

    Energy Technology Data Exchange (ETDEWEB)

    Ellehauge, K.; Oestergaard, I. [Teknologisk Institut, Taastrup. SolEnergiCentret (Denmark); Gramkow, L. [Esbensen, Copenhagen (Denmark)

    2002-04-01

    The objective of the project is to develop and improve large procurements of solar heating systems in order to be able to place large orders with manufacturers and suppliers. The project work will be carried out as an international co-operation under IEA Task 24 with the title 'Solar Procurement'. By co-ordinating the effort between the 4-6 participating countries, the objective is to purchase at least 10,000 solar heating systems, of this amount 1,000-2,000 in Denmark. Such large orders make it possible for manufacturers and suppliers to deliver systems considerably cheaper, and it will be possible to develop systems for given specifications on output and efficiency. These co-ordinated large orders are expected to improve the price/efficiency conditions by up to 50%. The so called 'procurement process' (co-ordinated international procurement based on goal-oriented system development in co-operation between customers and suppliers/manufacturers) will in the project be followed up by information/marketing, education, financing schemes, service schemes, quality assurance and technical support. The project is divided into two main areas (IEA subtasks). 1: 'Procurement and Marketing' and 2: 'Creation of Tools'. Denmark has been requested to be the project manager of subtask 2, 'Creation of Tools'. (EHS)

  4. Energy price risk management

    International Nuclear Information System (INIS)

    Evans, J.W.G.

    1998-01-01

    While long term, fixed price contracts for fuel procurement and export of excess power may lock in the economics of a CHP plant, these do not necessarily give the best pricing opportunities that may exist during the life of those contracts. A more prudent approach may be to vary the length of the contracts and markets are now developing in gas and electricity to assist in the management of such a portfolio. (Author)

  5. Strategy for the procurement of electronics for the LHC experiments

    CERN Document Server

    2002-01-01

    At its meeting on 14 March 2001 the Finance Committee requested the preparation of a document outlining the strategy for future procurement of electronics for the LHC experiments. The bulk of the electronics for the LHC experiments is based on custom-developed designs, the manufacturing of which will be contracted out to industry using the CERN purchasing procedures to ensure competitive prices. Analysis of on-going procurement activities for the electronics for the LHC experiments shows that in almost all cases the application of the CERN purchasing procedures has resulted in bids from a sufficient number of qualified companies to ensure competitive prices and a reasonable distribution of returns between CERN Member States. There is no reason to expect that this pattern will change significantly for the electronics that still remains to be purchased to complete the construction of the LHC experiments.

  6. 22 CFR 226.45 - Cost and price analysis.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Cost and price analysis. 226.45 Section 226.45 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.45 Cost and price analysis. Some...

  7. Optimizing antiretroviral product selection: a sample approach to improving patient outcomes, saving money, and scaling-up health services in developing countries.

    Science.gov (United States)

    Amole, Carolyn D; Brisebois, Catherine; Essajee, Shaffiq; Koehler, Erin; Levin, Andrew D; Moore, Meredith C; Brown Ripin, David H; Sickler, Joanna J; Singh, Inder R

    2011-08-01

    Over the last decade, increased funding to support HIV treatment programs has enabled millions of new patients in developing countries to access the medications they need. Today, although demand for antiretrovirals continues to grow, the financial crisis has severely constrained funding leaving countries with difficult choices on program prioritization. Product optimization is one solution countries can pursue to continue to improve patient care while also uncovering savings that can be used for further scale up or other health system needs. Program managers can make procurement decisions that actually reduce program costs by considering additional factors beyond World Health Organization guidelines when making procurement decisions. These include in-country product availability, convenience, price, and logistics such as supply chain implications and laboratory testing requirements. Three immediate product selection opportunities in the HIV space include using boosted atazanavir in place of lopinovir for second-line therapy, lamivudine instead of emtricitabine in both first-line and second-line therapy, and tenofovir + lamivudine over abacavir + didanosine in second-line therapy. If these 3 opportunities were broadly implemented in sub-Saharan Africa and India today, approximately $300 million of savings would be realized over the next 5 years, enabling hundreds of thousands of additional patients to be treated. Although the discussion herein is specific to antriretrovirals, the principles of product selection are generalizable to diseases with multiple treatment options and fungible commodity procurement. Identifying and implementing approaches to overcome health system inefficiencies will help sustain and may expand quality care in resource-limited settings.

  8. How (not) to design procurement mechanisms: A laboratory experiment

    NARCIS (Netherlands)

    Onderstal, S.; van de Meerendonk, A.

    2008-01-01

    In this paper, we examine the relative performance of three commonly used procurement mechanisms: price-only auctions, scoring auctions, and benchmarking. We do so both in theory and in a laboratory experiment. We find that the auctions yield the same level of welfare, and welfare dominate

  9. Optimal combined purchasing strategies for a risk-averse manufacturer under price uncertainty

    Directory of Open Access Journals (Sweden)

    Qiao Wu

    2015-09-01

    Full Text Available Purpose: The purpose of our paper is to analyze optimal purchasing strategies when a manufacturer can buy raw materials from a long-term contract supplier and a spot market under spot price uncertainty. Design/methodology/approach: This procurement model can be solved by using dynamic programming. First, we maximize the DM’s utility of the second period, obtaining the optimal contract quantity and spot quantity for the second period. Then, maximize the DM’s utility of both periods, obtaining the optimal purchasing strategy for the first period. We use a numerical method to compare the performance level of a pure spot sourcing strategy with that of a mixed strategy. Findings: Our results show that optimal purchasing strategies vary with the trend of contract prices. If the contract price falls, the total quantity purchased in period 1 will decrease in the degree of risk aversion. If the contract price increases, the total quantity purchased in period 1 will increase in the degree of risk aversion. The relationship between the optimal contract quantity and the degree of risk aversion depends on whether the expected spot price or the contract price is larger in period 2. Finally, we compare the performance levels between a combined strategy and a spot sourcing strategy. It shows that a combined strategy is optimal for a risk-averse buyer. Originality/value: It’s challenging to deal with a two-period procurement problem with risk consideration. We have obtained results of a two-period procurement problem with two sourcing options, namely contract procurement and spot purchases. Our model incorporates the buyer’s risk aversion factor and the change of contract prices, which are not addressed in early studies.

  10. Microeconomics of the Productivity, Price Indicators and Farm Incomes. Analytical Approach

    Directory of Open Access Journals (Sweden)

    Włodzimierz Rembisz

    2011-07-01

    Full Text Available The paper develops a farm producer behavior type model to analyze the impact of a input productivity and price change on farm incomes. The theoretical analysis shows the consequences of the balance between the increase of production factor prices and their productivity improvement in the condition of stable procurement price for the farm producers income. The cost effect of the production factors price increment and its neutralization by productivity (TFP-type growth is examined as well as some aspects of the inputs shares (returns and costs in the produce value. The article argues that labor input productivity as an endogenous factor, is an essential for farm incomes growth assuming the specified type of the farm producer utility function (its equations and variables as well as no the compensative procurement price change conditions. Some empirical evidence is attached however more work in that respect is foreseen.

  11. Prices and availability of locally produced and imported medicines in Ethiopia and Tanzania.

    Science.gov (United States)

    Ewen, M; Kaplan, W; Gedif, T; Justin-Temu, M; Vialle-Valentin, C; Mirza, Z; Regeer, B; Zweekhorst, M; Laing, R

    2017-01-01

    To assess the effect of policies supporting local medicine production to improve access to medicines. We adapted the WHO/HAI instruments measuring medicines availability and prices to differentiate local from imported products, then pilot tested in Ethiopia and Tanzania. In each outlet, prices were recorded for all products in stock for medicines on a country-specific list. Government procurement prices were also collected. Prices were compared to an international reference and expressed as median price ratios (MPR). The Ethiopian government paid more for local products (median MPR = 1.20) than for imports (median MPR = 0.84). Eight of nine medicines procured as both local and imported products were cheaper when imported. Availability was better for local products compared to imports, in the public (48% vs. 19%, respectively) and private (54% vs. 35%, respectively) sectors. Patient prices were lower for imports in the public sector (median MPR = 1.18[imported] vs. 1.44[local]) and higher in the private sector (median MPR = 5.42[imported] vs. 1.85[local]). In the public sector, patients paid 17% and 53% more than the government procurement price for local and imported products, respectively. The Tanzanian government paid less for local products (median MPR = 0.69) than imports (median MPR = 1.34). In the public sector, availability of local and imported products was 21% and 32% respectively, with patients paying slightly more for local products (median MPR = 1.35[imported] vs. 1.44[local]). In the private sector, local products were less available (21%) than imports (70%) but prices were similar (median MPR = 2.29[imported] vs. 2.27[local]). In the public sector, patients paid 135% and 65% more than the government procurement price for local and imported products, respectively. Our results show how local production can affect availability and prices, and how it can be influenced by preferential purchasing and mark-ups in the public

  12. Pro short-term procurement - Broker/trader

    International Nuclear Information System (INIS)

    Hoellen, E.E.

    1990-01-01

    The author presents his opinion on the issue of short-term versus long-term procurement of uranium and enrichment and the impact on reliability of supply. The progression of the market has been one of increasing commoditization. Utility buyers have moved towards purchasing uranium on the spot market and linking long-term contracts to spot-market pricing. There is some logic to the argument that utilities and the industry in general would be best served by this approach. Inventories would be worked off much more quickly, and unnecessary supply would be shut off until prices recovered to profitable levels. The result would be a healthier market with no detriment to the reliability of supply

  13. Intervening in global markets to improve access to HIV/AIDS treatment: an analysis of international policies and the dynamics of global antiretroviral medicines markets.

    Science.gov (United States)

    Waning, Brenda; Kyle, Margaret; Diedrichsen, Ellen; Soucy, Lyne; Hochstadt, Jenny; Bärnighausen, Till; Moon, Suerie

    2010-05-25

    Universal access to antiretroviral therapy (ART) in low- and middle-income countries faces numerous challenges: increasing numbers of people needing ART, new guidelines recommending more expensive antiretroviral (ARV) medicines, limited financing, and few fixed-dose combination (FDC) products. Global initiatives aim to promote efficient global ARV markets, yet little is known about market dynamics and the impact of global policy interventions. We utilize several data sources, including 12,958 donor-funded, adult first-line ARV purchase transactions, to describe the market from 2002-2008. We examine relationships between market trends and: World Health Organization (WHO) HIV/AIDS treatment guidelines; WHO Prequalification Programme (WHO Prequal) and United States (US) Food and Drug Administration (FDA) approvals; and procurement policies of the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM), US President's Emergency Plan for AIDS Relief (PEPFAR) and UNITAID. WHO recommended 7, 4, 24, and 6 first-line regimens in 2002, 2003, 2006 and 2009 guidelines, respectively. 2009 guidelines replaced a stavudine-based regimen ($88/person/year) with more expensive zidovudine- ($154-260/person/year) or tenofovir-based ($244-465/person/year) regimens. Purchase volumes for ARVs newly-recommended in 2006 (emtricitabine, tenofovir) increased >15-fold from 2006 to 2008. Twenty-four generic FDCs were quality-approved for older regimens but only four for newer regimens. Generic FDCs were available to GFATM recipients in 2004 but to PEPFAR recipients only after FDA approval in 2006. Price trends for single-component generic medicines mirrored generic FDC prices. Two large-scale purchasers, PEPFAR and UNITAID, together accounted for 53%, 84%, and 77% of market volume for abacavir, emtricitabine, and tenofovir, respectively, in 2008. PEPFAR and UNITAID purchases were often split across two manufacturers. Global initiatives facilitated the creation of fairly efficient markets

  14. Tuberculosis drug issues: prices, fixed-dose combination products and second-line drugs.

    Science.gov (United States)

    Laing, R O; McGoldrick, K M

    2000-12-01

    Access to tuberculosis drugs depends on multiple factors. Selection of a standard list of TB drugs to procure is the first step. This paper reviews the advantages and disadvantages of procuring and using fixed-dose combination (FDC) products for both the intensive and continuation phases of treatment. The major advantages are to prevent the emergence of resistance, to simplify logistic management and to reduce costs. The major disadvantage is the need for the manufacturers to assure the quality of these FDCs by bioavailability testing. The paper reports on the inclusion of second-line TB drugs in the 1999 WHO Essential Drug List (EDL). The need to ensure that these drugs are used within established DOTS-Plus programs is stressed. The price of TB drugs is determined by many factors, including producer prices, local taxes and duties as well as mark-ups and fees. TB drug prices for both the public and private sectors from industrialized and developing countries are reported. Price trends over time are also reported. The key findings of this study are that TB drug prices have generally declined in developing countries while they have increased in developed countries, both for the public and private sectors. Prices vary between countries, with the US paying as much as 95 times the price paid in a specific developing country. The prices of public sector first-line TB drugs vary little between countries, although differences do exist due to the procurement methods used. The price of tuberculin, a diagnostic agent, has increased dramatically in the US, with substantial inter-country variations in price. The paper suggests that further research is necessary to identify the reasons for the price disparities and changes over time, and suggests methods which can be used by National Tuberculosis Programme managers to ensure availability of quality assured TB drugs at low prices.

  15. Strategies for price reduction of HIV medicines under a monopoly situation in Brazil

    Directory of Open Access Journals (Sweden)

    Gabriela Costa Chaves

    2015-01-01

    Full Text Available ABSTRACT OBJECTIVE To analyze Government strategies for reducing prices of antiretroviral medicines for HIV in Brazil. METHODS Analysis of Ministry of Health purchases of antiretroviral medicines, from 2005 to 2013. Expenditures and costs of the treatment per year were analyzed and compared to international prices of atazanavir. Price reductions were estimated based on the terms of a voluntary license of patent rights and technology transfer in the Partnership for Productive Development Agreement for atazanavir. RESULTS Atazanavir, a patented medicine, represented a significant share of the expenditures on antiretrovirals purchased from the private sector. Prices in Brazil were higher than international references, and no evidence was found of a relationship between purchase volume and price paid by the Ministry of Health. Concerning the latest strategy to reduce prices, involving local production of the 200 mg capsule, the price reduction was greater than the estimated reduction. As for the 300 mg capsule, the amounts paid in the first two years after the Partnership for Productive Development Agreement were close to the estimated values. Prices in nominal values for both dosage forms remained virtually constant between 2011 (the signature of the Partnership for Productive Development Agreement, 2012 and 2013 (after the establishment of the Partnership. CONCLUSIONS Price reduction of medicines is complex in limited-competition environments. The use of a Partnership for Productive Development Agreement as a strategy to increase the capacity of local production and to reduce prices raises issues regarding its effectiveness in reducing prices and to overcome patent barriers. Investments in research and development that can stimulate technological accumulation should be considered by the Government to strengthen its bargaining power to negotiate medicines prices under a monopoly situation.

  16. Strategies for price reduction of HIV medicines under a monopoly situation in Brazil

    Science.gov (United States)

    Chaves, Gabriela Costa; Hasenclever, Lia; Osorio-de-Castro, Claudia Garcia Serpa; Oliveira, Maria Auxiliadora

    2016-01-01

    ABSTRACT OBJECTIVE To analyze Government strategies for reducing prices of antiretroviral medicines for HIV in Brazil. METHODS Analysis of Ministry of Health purchases of antiretroviral medicines, from 2005 to 2013. Expenditures and costs of the treatment per year were analyzed and compared to international prices of atazanavir. Price reductions were estimated based on the terms of a voluntary license of patent rights and technology transfer in the Partnership for Productive Development Agreement for atazanavir. RESULTS Atazanavir, a patented medicine, represented a significant share of the expenditures on antiretrovirals purchased from the private sector. Prices in Brazil were higher than international references, and no evidence was found of a relationship between purchase volume and price paid by the Ministry of Health. Concerning the latest strategy to reduce prices, involving local production of the 200 mg capsule, the price reduction was greater than the estimated reduction. As for the 300 mg capsule, the amounts paid in the first two years after the Partnership for Productive Development Agreement were close to the estimated values. Prices in nominal values for both dosage forms remained virtually constant between 2011 (the signature of the Partnership for Productive Development Agreement), 2012 and 2013 (after the establishment of the Partnership). CONCLUSIONS Price reduction of medicines is complex in limited-competition environments. The use of a Partnership for Productive Development Agreement as a strategy to increase the capacity of local production and to reduce prices raises issues regarding its effectiveness in reducing prices and to overcome patent barriers. Investments in research and development that can stimulate technological accumulation should be considered by the Government to strengthen its bargaining power to negotiate medicines prices under a monopoly situation. PMID:26759969

  17. GOVERNMENT ELECTRONIC PURCHASING: AN ASSESSMENT OF BRAZILIAN STATE GOVERNMENTS' E-PROCUREMENT WEBSITES

    OpenAIRE

    Alves, Tomaz Rodrigo; Universidade de São Paulo; Souza, Cesar Alexandre; Universidade de São Paulo

    2011-01-01

    One of the electronic government applications that has been fast developing in Brazil is e-procurement. It’s a field that allows relatively objective measuring, regarding price cuts and savings generated by the reduction of bureaucracy. This research evaluated the quality of the e-procurement portals of the 26 Brazilian state governments and also the Federal District, considering primarily features that could be useful to suppliers. In order to do so, a scoring method was developed, in which ...

  18. (DeCentralization of Public Procurement at the Local Level in the EU

    Directory of Open Access Journals (Sweden)

    Boštjan BREZOVNIK

    2015-10-01

    Full Text Available The so-called decentralization of public procurement in EU Member States is accepted as the most suitable design of the public procurement system, often justifi ed by greater economic effi ciency and by the possibility of boosting the development of small and medium-sized enterprises, which act on the public procurement market as providers of goods, services and works. Despite the existence of highly decentralized public procurement systems which refl ect the decentralization of administrative systems, especially after the recession, there is a stronger tendency for centralization of public procurement in the EU. The so-called aggregation of demand by contracting authorities can be done in order to achieve economies of scale, including lower prices and transaction costs as well as to improve and professionalize the management of procurement procedures (as highlighted in the Directive 2014/24/EU by the European Parliament and the EU Council. However, even in the context of public procurement centralization, local contracting authorities (i.e., public administration authorities and organizations in Member States should be provided with a suffi ciently wide range of possible (centralized organizational structures and contractual (vertical and horizontal public-public partnerships which will allow them to select the most suitable and most economically effective organizational structure for the execution of public procurement.

  19. Volatile behaviour of enrichment uranium in the total nuclear fuel price

    International Nuclear Information System (INIS)

    Arnaiz, J.; Inchausti, J. M.; Tarin, F.

    2004-01-01

    In this article the historical high volatile behaviour of the total nuclear fuel price is evaluated quantitatively and it is concluded that it has been due mainly to the fluctuations of the price of the principal components of enriched uranium (concentrates and enrichment). In order to avoid the negative effects of this volatiles behaviour as far as possible, a basic strategy in the uranium procurement activities is recommended (union of buyers, diversification of supplier, stock management, optimisation of contract portfolio and suitable currency management that guarantees a reliable uranium supply at reasonable prices. These guidelines are those that ENUSA has been following on behalf of the Spanish Utilities in the Commission of Uranium Procurement (CAU in Spanish). (Author) 11 refs

  20. The Compensative Effects of Tobacco Leaf Price Changes on Tax Revenue in China

    OpenAIRE

    Cai, Hailong; Kinnucan, Henry W.

    2009-01-01

    Tobacco production in China is influenced by a government-set procurement price for tobacco leaf, and an excise tax on tobacco leaf revenue. This study examines the increase in the procurement price needed to keep tax revenue constant in the face of a 50% reduction in the tax rate. This “compensative effect” is important because reductions in the tax rate are contemplated and tobacco tax revenue is a major source of funding for rural communities. Based on an equilibrium-displacement model of ...

  1. Cost-savings accruable to removing value added tax from antiretrovirals in the South African private health sector

    Directory of Open Access Journals (Sweden)

    Varsha Bangalee

    2017-10-01

    Full Text Available Background: Despite the important and essential role that medicines play in any society, all medicines, including those identified as essential, are uniformly subjected to 14% value added tax (VAT, regardless of their therapeutic value in the private healthcare sector of South Africa. The aim of this article is to demonstrate the potential cost-saving attained from the removal of VAT from the private sector pricing of essential medicines, using antiretroviral treatment as an example. Methods: An empirical analysis was undertaken to illustrate the potential cost-saving achieved by removing VAT from the Single Exit Price and the dispensing fee of essential medicines. This outcome was demonstrated by applying the methodology to an adult fixed dose combination 1st line antiretroviral regimen as well as to a group of 3rd line antiretroviral medicines. Results: The potential saving for the lowest priced generic and originator 1st line antiviral regimen accrued to ZAR 693.84 and ZAR 1085.04 over a year respectively. Regarding the 3rd line antiretroviral drugs, results yielded an annual saving of ZAR 1678.68 (darunavir, ZAR5741.04 (maraviroc and ZAR 159.48 (rilpivirine. Conclusions: Lobbying for the removal of VAT from the supply chain of medicines should be intensified. Policy development to monitor and recover lost government revenue through the removal of taxes should be explored.

  2. Gas pricing in Europe. Pt. 1. Wholesale markets

    International Nuclear Information System (INIS)

    Donath, R.

    1996-01-01

    The article investigates gas pricing in the European procurement market and the wholesale markets of the most important EU consumer markets. It demonstrates that value-oriented pricing principles override cost-oriented pricing principles. For one thing, and independently of pricing principles, two- or three-part demand price systems or basic price systems are common. For another, the frequently encountered opportunities for the differentiation of prices show that as long as there is merely substitution competition instead of direct competition, gas suppliers have a certain degree of freedom in fixing their prices. By contrast, the introduction of direct competition in Great Britain has reduced suppliers' individual price fixing margins, because short-term supply and demand variations in the now created spot market are decisive for gas pricing. (orig.) [de

  3. Trends in medicines procurement by the Brazilian federal government from 2006 to 2013.

    Science.gov (United States)

    Chama Borges Luz, Tatiana; Garcia Serpa Osorio-de-Castro, Claudia; Magarinos-Torres, Rachel; Wettermark, Bjorn

    2017-01-01

    The costs of medicines pose a growing burden on healthcare systems worldwide. A comprehensive understanding of current procurement processes provides strong support for the development of effective policies. This study examined Brazilian Federal Government pharmaceutical procurement data provided by the Integrated System for the Administration of General Services (SIASG) database, from 2006 to 2013. Medicine purchases were aggregated by volume and expenditure for each year. Data on expenditure were adjusted for inflation using the Extended National Consumer Price Index (IPCA) for December 31, 2013. Lorenz distribution curves were used to study the cumulative proportion of purchased therapeutic classes. Expenditure variance analysis was performed to determine the impact of each factor, price and/or volume, on total expenditure variation. Annual expenditure on medicines increased 2.72 times, while the purchased volume of drugs increased 1.99 times. A limited number of therapeutic classes dominated expenditure each year. Drugs for infectious diseases drove the increase in expenditures from 2006 to 2009 but were replaced by antineoplastic and immunomodulating agents beginning in 2010. Immunosuppressants (L04), accounted for one third of purchases since 2010, showing the most substantial growth in expenditures during the period (250-fold increase). The overwhelming price-related increase in expenditures caused by these medicines is bound to have a relevant impact on the sustainability of the pharmaceutical supply system. We observed increasing trends in expenditures, especially in specific therapeutic classes. We propose the development and implementation of better medicine procurement systems, and strategies to allow for monitoring of product price, effectiveness, and safety. This must be done with ongoing assessment of pharmaceutical innovations, therapeutic value and budget impact.

  4. Trends in medicines procurement by the Brazilian federal government from 2006 to 2013.

    Directory of Open Access Journals (Sweden)

    Tatiana Chama Borges Luz

    Full Text Available The costs of medicines pose a growing burden on healthcare systems worldwide. A comprehensive understanding of current procurement processes provides strong support for the development of effective policies. This study examined Brazilian Federal Government pharmaceutical procurement data provided by the Integrated System for the Administration of General Services (SIASG database, from 2006 to 2013. Medicine purchases were aggregated by volume and expenditure for each year. Data on expenditure were adjusted for inflation using the Extended National Consumer Price Index (IPCA for December 31, 2013. Lorenz distribution curves were used to study the cumulative proportion of purchased therapeutic classes. Expenditure variance analysis was performed to determine the impact of each factor, price and/or volume, on total expenditure variation. Annual expenditure on medicines increased 2.72 times, while the purchased volume of drugs increased 1.99 times. A limited number of therapeutic classes dominated expenditure each year. Drugs for infectious diseases drove the increase in expenditures from 2006 to 2009 but were replaced by antineoplastic and immunomodulating agents beginning in 2010. Immunosuppressants (L04, accounted for one third of purchases since 2010, showing the most substantial growth in expenditures during the period (250-fold increase. The overwhelming price-related increase in expenditures caused by these medicines is bound to have a relevant impact on the sustainability of the pharmaceutical supply system. We observed increasing trends in expenditures, especially in specific therapeutic classes. We propose the development and implementation of better medicine procurement systems, and strategies to allow for monitoring of product price, effectiveness, and safety. This must be done with ongoing assessment of pharmaceutical innovations, therapeutic value and budget impact.

  5. Controlling fuel costs: Procurement strategies and regulatory standards

    International Nuclear Information System (INIS)

    Einhorn, H.A.; Levi, B.I.

    1992-01-01

    Since the oil price shocks and inflation of the 1970s, regulatory authorities and utilities have devoted considerable attention to controlling energy costs while maintaining reliable service. Although much of this concern has been directed towards capital cost containment, increasing scrutiny has been applied to a broad range of variable costs, especially to fuel procurement expenditures. With some 40% to 65% of the electric utility industry's annual operation and maintenance expenses paid to secure fuel supplies, even a small difference in fuel costs could have a substantial impact on costs to ratepayers. This increased attention to fuel cost containment can be expected to intensify as implementation of the 1990 amendments to the Clean Air Act affects fuel purchase decisions. To assure that fuel is purchased in a responsible and cost-effective manner, some state jurisdictions have initiated periodic reviews (audits) of the procurement practices that electric utilities follow when purchasing fuel. While a utility must demonstrate how it purchases fuel, there is wide variation in interest and scope of audits among jurisdictions. In this paper, the authors review: (1) the regulatory environment within which fuel procurement and audits occur, and (2) some particularly controversial issues that will receive increasing attention as the practice of conducting fuel procurement audits spreads

  6. PROCUREMENT IN THE SUPPLY CHAIN: AN ELEMENT OF HOTEL PRODUCT COMPETITIVENESS

    Directory of Open Access Journals (Sweden)

    Edna Mrnjavac

    2016-12-01

    organization is essential for the application of the supply-chain principles, but it can also have the opposite effect. The principles of supply chain organization and management are present in all investigated hotels, but to varying degrees. While obtaining the lowest price is singled out as the primary goal of procurement, the need to take into account other elements, such as the quality of procurement, products and services, is also emphasized because this makes it possible to create a hotel product that guests will be satisfied with. Conclusion: The presence of supply-chain elements in hotel procurement correlates with the size of the hotel enterprise, but not with the type of hotel or its location (type of tourist destination. The organizational basis of stand-alone hotels is better suited for the development of supply chains. Their less-formal business organization and decentralized procurement provide a suitable environment for focusing on and effectively managing the business process to enhance product quality. In contrast, centralized procurement embedded in the more rigid organization of hotel enterprises contains a number of barriers that go against the supply chain concept. Partly for this reason, the primary goal of hotel enterprises is price, while quality is only a secondary goal. Networked supply-chain structures are present in both cases, and high on the list of procurement goals is the importance of building sound relationships with prominent suppliers. Also important is that procurement organized in this way focuses on the long term; the supplier market and procurement terms are analyzed periodically and, if necessary, changes are made regarding suppliers and supplier relationships.

  7. Multi-market energy procurement for a large consumer using a risk-aversion procedure

    Energy Technology Data Exchange (ETDEWEB)

    Zare, Kazem [Tarbiat Modares University, Tehran, P.O. Box 14115-111 (Iran); Conejo, Antonio J. [Castilla-La Mancha University, Ciudad Real (Spain); Carrion, Miguel [Castilla-La Mancha University, Toledo (Spain); Moghaddam, Mohsen Parsa [Tarbiat Modares University, Tehran (Iran)

    2010-01-15

    This paper provides a technique to derive the bidding strategy in the day-ahead market of a large consumer that procures its electricity demand in both the day-ahead market and a subsequent adjustment market. Price uncertainty is modeled using concepts derived from information gap decision theory, which allows deriving robust decisions with respect to price volatility. Risk aversion is built implicitly within the proposed model. Correlations among prices in the day-ahead and the adjustment markets are properly modeled. The proposed technique is illustrated through a realistic case study. (author)

  8. Multi-market energy procurement for a large consumer using a risk-aversion procedure

    International Nuclear Information System (INIS)

    Zare, Kazem; Conejo, Antonio J.; Carrion, Miguel; Moghaddam, Mohsen Parsa

    2010-01-01

    This paper provides a technique to derive the bidding strategy in the day-ahead market of a large consumer that procures its electricity demand in both the day-ahead market and a subsequent adjustment market. Price uncertainty is modeled using concepts derived from information gap decision theory, which allows deriving robust decisions with respect to price volatility. Risk aversion is built implicitly within the proposed model. Correlations among prices in the day-ahead and the adjustment markets are properly modeled. The proposed technique is illustrated through a realistic case study. (author)

  9. Medicine prices, availability, and affordability in 36 developing and middle-income countries: a secondary analysis.

    Science.gov (United States)

    Cameron, A; Ewen, M; Ross-Degnan, D; Ball, D; Laing, R

    2009-01-17

    WHO and Health Action International (HAI) have developed a standardised method for surveying medicine prices, availability, affordability, and price components in low-income and middle-income countries. Here, we present a secondary analysis of medicine availability in 45 national and subnational surveys done using the WHO/HAI methodology. Data from 45 WHO/HAI surveys in 36 countries were adjusted for inflation or deflation and purchasing power parity. International reference prices from open international procurements for generic products were used as comparators. Results are presented for 15 medicines included in at least 80% of surveys and four individual medicines. Average public sector availability of generic medicines ranged from 29.4% to 54.4% across WHO regions. Median government procurement prices for 15 generic medicines were 1.11 times corresponding international reference prices, although purchasing efficiency ranged from 0.09 to 5.37 times international reference prices. Low procurement prices did not always translate into low patient prices. Private sector patients paid 9-25 times international reference prices for lowest-priced generic products and over 20 times international reference prices for originator products across WHO regions. Treatments for acute and chronic illness were largely unaffordable in many countries. In the private sector, wholesale mark-ups ranged from 2% to 380%, whereas retail mark-ups ranged from 10% to 552%. In countries where value added tax was applied to medicines, the amount charged varied from 4% to 15%. Overall, public and private sector prices for originator and generic medicines were substantially higher than would be expected if purchasing and distribution were efficient and mark-ups were reasonable. Policy options such as promoting generic medicines and alternative financing mechanisms are needed to increase availability, reduce prices, and improve affordability.

  10. Woodfuel procurement strategies of district heating plants

    International Nuclear Information System (INIS)

    Roos, A.; Bohlin, F.; Hektor, B.; Hillring, B.

    2003-01-01

    Woodfuel use in the Swedish district heating sector increased significantly from 1985 to 1999. This study analysed strategies and considerations concerning woodfuel procurement in district heating plants. Priorities and concerns in the industry involved an increased woodfuel share, ambitions to create an environmental image, cost minimisation, awareness about the role of energy policies for fuel choice, improvement of woodfuel quality and the ambition to maintain a competitive woodfuel market with several suppliers. Factor analysis yielded five dimensions in the woodfuel procurement strategies among the district heating companies: (1) increased woodfuel use; (2) import; (3) spot market woodfuel purchases; (4) focus on refined woodfuels; and (5) using price only when deciding whether to use woodfuels or other fuels. Five clusters were defined along the three strategy dimensions (1)-(3). The clusters differed concerning size, experiences from the introduction of woodfuels, perceptions about woodfuels and strategies employed to date. This paper describes different strategies that the district heating companies apply on the woodfuel market. The conclusion is that policies should consider this diversity in procurement strategies, mitigate their negative side-effects and assist to make them cost-effective. (author)

  11. Evolution of antiretroviral drug costs in Brazil in the context of free and universal access to AIDS treatment.

    Science.gov (United States)

    Nunn, Amy S; Fonseca, Elize M; Bastos, Francisco I; Gruskin, Sofia; Salomon, Joshua A

    2007-11-13

    Little is known about the long-term drug costs associated with treating AIDS in developing countries. Brazil's AIDS treatment program has been cited widely as the developing world's largest and most successful AIDS treatment program. The program guarantees free access to highly active antiretroviral therapy (HAART) for all people living with HIV/AIDS in need of treatment. Brazil produces non-patented generic antiretroviral drugs (ARVs), procures many patented ARVs with negotiated price reductions, and recently issued a compulsory license to import one patented ARV. In this study, we investigate the drivers of recent ARV cost trends in Brazil through analysis of drug-specific prices and expenditures between 2001 and 2005. We compared Brazil's ARV prices to those in other low- and middle-income countries. We analyzed trends in drug expenditures for HAART in Brazil from 2001 to 2005 on the basis of cost data disaggregated by each ARV purchased by the Brazilian program. We decomposed the overall changes in expenditures to compare the relative impacts of changes in drug prices and drug purchase quantities. We also estimated the excess costs attributable to the difference between prices for generics in Brazil and the lowest global prices for these drugs. Finally, we estimated the savings attributable to Brazil's reduced prices for patented drugs. Negotiated drug prices in Brazil are lowest for patented ARVs for which generic competition is emerging. In recent years, the prices for efavirenz and lopinavir-ritonavir (lopinavir/r) have been lower in Brazil than in other middle-income countries. In contrast, the price of tenofovir is US$200 higher per patient per year than that reported in other middle-income countries. Despite precipitous price declines for four patented ARVs, total Brazilian drug expenditures doubled, to reach US$414 million in 2005. We find that the major driver of cost increases was increased purchase quantities of six specific drugs: patented lopinavir

  12. Evolution of antiretroviral drug costs in Brazil in the context of free and universal access to AIDS treatment.

    Directory of Open Access Journals (Sweden)

    Amy S Nunn

    2007-11-01

    Full Text Available Little is known about the long-term drug costs associated with treating AIDS in developing countries. Brazil's AIDS treatment program has been cited widely as the developing world's largest and most successful AIDS treatment program. The program guarantees free access to highly active antiretroviral therapy (HAART for all people living with HIV/AIDS in need of treatment. Brazil produces non-patented generic antiretroviral drugs (ARVs, procures many patented ARVs with negotiated price reductions, and recently issued a compulsory license to import one patented ARV. In this study, we investigate the drivers of recent ARV cost trends in Brazil through analysis of drug-specific prices and expenditures between 2001 and 2005.We compared Brazil's ARV prices to those in other low- and middle-income countries. We analyzed trends in drug expenditures for HAART in Brazil from 2001 to 2005 on the basis of cost data disaggregated by each ARV purchased by the Brazilian program. We decomposed the overall changes in expenditures to compare the relative impacts of changes in drug prices and drug purchase quantities. We also estimated the excess costs attributable to the difference between prices for generics in Brazil and the lowest global prices for these drugs. Finally, we estimated the savings attributable to Brazil's reduced prices for patented drugs. Negotiated drug prices in Brazil are lowest for patented ARVs for which generic competition is emerging. In recent years, the prices for efavirenz and lopinavir-ritonavir (lopinavir/r have been lower in Brazil than in other middle-income countries. In contrast, the price of tenofovir is US$200 higher per patient per year than that reported in other middle-income countries. Despite precipitous price declines for four patented ARVs, total Brazilian drug expenditures doubled, to reach US$414 million in 2005. We find that the major driver of cost increases was increased purchase quantities of six specific drugs

  13. Intervening in global markets to improve access to HIV/AIDS treatment: an analysis of international policies and the dynamics of global antiretroviral medicines markets

    Directory of Open Access Journals (Sweden)

    Hochstadt Jenny

    2010-05-01

    Full Text Available Abstract Background Universal access to antiretroviral therapy (ART in low- and middle-income countries faces numerous challenges: increasing numbers of people needing ART, new guidelines recommending more expensive antiretroviral (ARV medicines, limited financing, and few fixed-dose combination (FDC products. Global initiatives aim to promote efficient global ARV markets, yet little is known about market dynamics and the impact of global policy interventions. Methods We utilize several data sources, including 12,958 donor-funded, adult first-line ARV purchase transactions, to describe the market from 2002-2008. We examine relationships between market trends and: World Health Organization (WHO HIV/AIDS treatment guidelines; WHO Prequalification Programme (WHO Prequal and United States (US Food and Drug Administration (FDA approvals; and procurement policies of the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM, US President's Emergency Plan for AIDS Relief (PEPFAR and UNITAID. Results WHO recommended 7, 4, 24, and 6 first-line regimens in 2002, 2003, 2006 and 2009 guidelines, respectively. 2009 guidelines replaced a stavudine-based regimen ($88/person/year with more expensive zidovudine- ($154-260/person/year or tenofovir-based ($244-465/person/year regimens. Purchase volumes for ARVs newly-recommended in 2006 (emtricitabine, tenofovir increased >15-fold from 2006 to 2008. Twenty-four generic FDCs were quality-approved for older regimens but only four for newer regimens. Generic FDCs were available to GFATM recipients in 2004 but to PEPFAR recipients only after FDA approval in 2006. Price trends for single-component generic medicines mirrored generic FDC prices. Two large-scale purchasers, PEPFAR and UNITAID, together accounted for 53%, 84%, and 77% of market volume for abacavir, emtricitabine, and tenofovir, respectively, in 2008. PEPFAR and UNITAID purchases were often split across two manufacturers. Conclusions Global initiatives

  14. E-PROCUREMENT AS AN INSTRUMENT FOR HOTEL SUPPLY CHAIN MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Lidija Pulevska IVANOVSKA

    2007-06-01

    Full Text Available The flow of goods, services, and information in the hotel industry, should be designed in a way that enables efficient transformation of raw materials into finished products or services with values. Procurement technology plays a vital role in the hotel business, because hotels usually purchase a large quantity of supplies for maintaining daily operations and quality. Today, a major goal of a hotel’s supply chain management is to efficiently apply information technology to its procurement systems. Moving away from traditional offline purchase processing to online sequencing presents significant savings, improved productivity and enhanced operational efficiencies. Better communication between hotels and suppliers and support services may provide more favourable price offerings and related activities for the hotels customers. This article elaborates the e-procurement as a very useful instrument for the hotel supply chain management following the approach of Kothari et al.

  15. Economic theory and the application of incentive contracts to procure operating reserves

    International Nuclear Information System (INIS)

    Wang, L.; Yu, C.W.; Wen, F.S.

    2007-01-01

    The ancillary services market plays an important role in the operation of an electricity market, especially for achieving a high level of reliability. Among all ancillary services, operating reserve is an important research focus, with the attention mainly on the optional procurement and pricing methods. These methods differ in many aspects, including the objective, allocation of risks, and feasibility. In this paper, a new approach is proposed to analyze the users' reserve procurement problem and a novel reserve trade mechanism is developed between electricity users and the retailer of the market. First, the differences between the procurement of operating reserve in decentralized and centralized ways are analyzed. The comparison of the equilibrium solutions reveals that the centralized procurement that results in a systemic optimal solution is better than the decentralized procurement that results in a Nash equilibrium solution. Furthermore, an incentive contract based on a Principal-agent model, that is able to induce a systemic optimality as well as a Pareto equilibrium and manage risks at the same time is designed. The proposed model is equitable and beneficial to all participants. An example is served to illustrate the features of the model and the methodology. (author)

  16. Economic analysis of the influence of milk market concentration on procurement efficiency in the defense system

    Directory of Open Access Journals (Sweden)

    Mihajlović Milan

    2016-01-01

    Full Text Available Increasing efficiency during realization of procurements in the defence system imposes the requirement to analyze the market, in order to detect all of its characteristics and to make conclusions which would benefit during planning of budgetary assets by one comprehensive process. Procuring milk and milk products represents a significant part of defence system's procurements which represents that a significant segment of the consumer standard of the Serbian Army, which implies the interest of authors to point to the significance of the concentration of the supply branch on the realization of procurements on the example of this market. The aim of this paper is to display the state and actual trends on the market of production and processing of milk, define methodological framework and point to the intensity and terms of competition and their influence on procurement criteria, especially price in the defence system of the Republic of Serbia.

  17. Identifying and predicting economic regimes in supply chains using sales and procurement information

    NARCIS (Netherlands)

    Hogenboom, F.P.; Ketter, W.; Dalen, van Jan; Kaymak, U.; Collins, J.; Gupta, Alok

    2009-01-01

    We investigate the effects of adding procurement information (component offer prices) to a sales-based economic regime model, which is used for strategic, tactical, and operational decision making in dynamic supply chains. The performance of the regime model is evaluated through experiments with the

  18. Economic Regime identification and prediction in TAC SCM using sales and procurement information

    NARCIS (Netherlands)

    Hogenboom, F.P.; Ketter, W.; Dalen, van Jan; Kaymak, U.; Collins, J.; Gupta, Alok

    2009-01-01

    Our research is focused on the effects of the additionof procurement information (offer prices) to a sales-based economic regime model. This model is used for strategic, tactical, and operational decision making in dynamic supply chains. We evaluate the performance of the regime model through

  19. Government procurement of peak capacity in the New Zealand electricity market

    International Nuclear Information System (INIS)

    Poletti, Steve

    2009-01-01

    This paper analyzes the impact of government procurement of reserve electricity generation capacity on the long-run equilibrium in the electricity market. The approach here is to model the electricity market in a context where the supply companies have market power. The model is then used to analyze the impact of government direct supply of peak capacity on the market. We find that the firms build less peak-generation capacity when the government procures peak generating capacity. The long-run equilibrium with N firms and government capacity of K G results in an increase of total peak generation capacity of K G /(N+1) compared to the long-run equilibrium with no government capacity. Supply disruptions of baseline capacity during the peak time period are also considered. It is found that peak prices do not go up any further with (anticipated) supply disruptions. Instead the entire cost of the extra peakers is borne by customers on traditional meters and off-peak customers who face real-time pricing. (author)

  20. Healthy Food Procurement Policies and Their Impact

    Science.gov (United States)

    Niebylski, Mark L.; Lu, Tammy; Campbell, Norm R. C.; Arcand, Joanne; Schermel, Alyssa; Hua, Diane; Yeates, Karen E.; Tobe, Sheldon W.; Twohig, Patrick A.; L’Abbé, Mary R.; Liu, Peter P.

    2014-01-01

    Unhealthy eating is the leading risk for death and disability globally. As a result, the World Health Organization (WHO) has called for population health interventions. One of the proposed interventions is to ensure healthy foods are available by implementing healthy food procurement policies. The objective of this systematic review was to evaluate the evidence base assessing the impact of such policies. A comprehensive review was conducted by searching PubMed and Medline for policies that had been implemented and evaluated the impact of food purchases, food consumption, and behaviors towards healthy foods. Thirty-four studies were identified and found to be effective at increasing the availability and purchases of healthy food and decreasing purchases of unhealthy food. Most policies also had other components such as education, price reductions, and health interventions. The multiple gaps in research identified by this review suggest that additional research and ongoing evaluation of food procurement programs is required. Implementation of healthy food procurement policies in schools, worksites, hospitals, care homes, correctional facilities, government institutions, and remote communities increase markers of healthy eating. Prior or simultaneous implementation of ancillary education about healthy eating, and rationale for the policy may be critical success factors and additional research is needed. PMID:24595213

  1. Impact of price deregulation policy on the affordability of essential medicines for women's health: a panel data analysis.

    Science.gov (United States)

    Liu, Junjie; Wang, Liming; Liu, Chenxi; Zhang, Xinping

    2017-12-01

    A new policy which required deregulation on prices of off-patent medicines for women's health during procurement was introduced in China in September 2015. The current study examines this policy's impact on the affordability of essential medicines for women's health. Based on product-level panel data, a fixed effect regression model is employed by using procurement records from Hubei Centralist Tender for Drug Purchase platform. In the model, Affordability was measured with prices. The Competition consists of two parts: generic competition and therapeutic class competition which are measured with generic competitors and therapeutic substitutes. Instrument variable is used to deal with endogeneity. The policy helped control prices of essential medicines for women's health. Generic competition helped control prices, however, therapeutic class competition caused higher prices. The new policy helped enhance the affordability of essential medicines for women's health as expected, which provides empirical evidence on price deregulation. Besides, generic competition is important in price control despite strict regulatory system in China.

  2. A theoretical analysis of procurement auctions for tertiary control in Germany

    International Nuclear Information System (INIS)

    Mueller, Gernot; Rammerstorfer, Margarethe

    2008-01-01

    As far as energy policy is concerned, the design of the regulatory framework for energy transmission and distribution is a key issue. Consequently, also the embodiment of balancing power markets drives mainly the effectiveness of political implications for the energy sector. Initially, tertiary control in Germany was solely offered by transmission system operators of the respective power control areas and their associated power plant. The recast of the Energy Industry Act of 2005 led in last consequence to a common procurement auction for the supply of tertiary control, which starts on December 1, 2006. Admittedly, the reform has fallen short of expectations so far, first concerning the intensification of market entry of tertiary control providers as well as the desired decline of the price level. Hence, this article examines the effects of the changeover on observable demand charges. In order to identify attributes of the common procurement auction for tertiary control hampering market entry of providers, giving stimuli to collusion and strategic behavior, reducing intensity of competition and encouraging an upswing of prices, we analyze the design under an auction theoretical approach and deduce empirically whether structural components of the auction design have to be touched up again

  3. Building Procurement

    DEFF Research Database (Denmark)

    Andersson, Niclas

    2007-01-01

    evolves from a simple establishment of a contractual relationship to a central and strategic part of construction. The authors relate to cultural, ethical and social and behavioural sciences as the fundamental basis for analysis and understanding of the complexity and dynamics of the procurement system......‘The procurement of construction work is complex, and a successful outcome frequently elusive’. With this opening phrase of the book, the authors take on the challenging job of explaining the complexity of building procurement. Even though building procurement systems are, and will remain, complex...... despite this excellent book, the knowledge, expertise, well-articulated argument and collection of recent research efforts that are provided by the three authors will help to make project success less elusive. The book constitutes a thorough and comprehensive investigation of building procurement, which...

  4. Gas price and oil price: a new level of competition; Gaspreis und Oelpreis. Eine neue Stufe des Wettbewerbs

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, Wolfgang; Poepperl, Claudia [Energie Consulting GmbH, Kehl (Germany)

    2012-01-15

    With a marked delay relative to electricity the gas market has now too come under the reign of competition. The dissociation of gas prices from oil prices was not only the result of successive deregulation but was also catalysed by the drop in demand attending the economic slump in 2008 and 2009. In response to the changing market environment the procurement processes of industrial and commercial customers have undergone lasting changes in the course of the past three years. At the same time, fierce competition has developed between the two energy carriers crude oil and natural gas.

  5. Inflated medicine prices in Vietnam: a qualitative study.

    Science.gov (United States)

    Nguyen, Tuan Anh; Knight, Rosemary; Mant, Andrea; Razee, Husna; Brooks, Geoffrey; Dang, Thu Ha; Roughead, Elizabeth Ellen

    2017-06-01

    One third of the world's population lacks regular access to essential medicines partly because of the high cost of medicines. In Vietnam, the cost to patients of medicines was 47 times the international reference price for originator brands and 11 times the price for generic equivalents in the public sector. In this article, we report the results of a qualitative study conducted to identify the principal reasons for inflated medicine prices in Vietnam.Between April 2008 and December 2009, 29 semi-structured interviews were conducted with staff from pharmaceutical companies, private pharmacies, the Ministry of Health, and the Ministry of Finance of Vietnam. Study participants were recruited using a combination of purposive and snowball sampling techniques. Interviews were recorded, transcribed and coded using NVivo8® software and analyzed using a framework of structure-conduct-performance (SCP).Participants attributed high prices of originator medicines to a monopoly of supply. The prices of generic medicines were also considered to be excessive, reportedly due to the need to recoup the cost of financial inducements paid to prescribers and procurement officers. These inducements constituted a dominant cost component of the end price of generic medicines. Poor market intelligence about current world prices, as well as failure to achieve economies of scale because of unwarranted duplication in pharmaceutical production and distribution system were also factors contributing to high prices. This was reported to be further compounded by multiple layers in the supply chain and unregulated retail mark-ups.To address these problems a multifaceted approach is needed encompassing policy and legislative responses. Policy options include establishing effective monitoring of medicine quality assurance, procurement, distribution and use. Rationalization of the domestic pharmaceutical production and distribution system to achieve economies of scale is also required. Appropriate

  6. Modeling of demand response in electricity markets : effects of price elasticity

    International Nuclear Information System (INIS)

    Banda, E.C.; Tuan, L.A.

    2007-01-01

    A design mechanism for the optimal participation of customer load in electricity markets was presented. In particular, this paper presented a modified market model for the optimal procurement of interruptible loads participating in day-ahead electricity markets. The proposed model considers the effect of price elasticity and demand-response functions. The objective was to determine the role that price elasticity plays in electricity markets. The simulation model can help the Independent System Operator (ISO) identify customers offering the lowest price of interruptible loads and load flow patterns that avoid problems associated with transmission congestion and transmission losses. Various issues associated with procurement of demand-response offerings such as advance notification, locational aspect of load, and power factor of the loads, were considered. It was shown that demand response can mitigate price volatility by allowing the ISO to maintain operating reserves during peak load periods. It was noted that the potential benefits of the demand response program would be reduced when price elasticity of demand is taken into account. This would most likely occur in actual developed open electricity markets, such as Nordpool. This study was based on the CIGRE 32-bus system, which represents the Swedish high voltage power system. It was modified for this study to include a broad range of customer characteristics. 18 refs., 2 tabs., 14 figs

  7. Stochastic energy procurement of large electricity consumer considering photovoltaic, wind-turbine, micro-turbines, energy storage system in the presence of demand response program

    International Nuclear Information System (INIS)

    Nojavan, Sayyad; Aalami, Habib allah

    2015-01-01

    Highlights: • A stochastic energy procurement cost function in presence of DRP is proposed. • The load, price and output power of PV and wind uncertainties are modeled. • Four case studies are used to assess the effects of ESS and DRP on SEPP. • Case 4 is considered the effects of ESS and DRP simultaneously. • The expected energy procurement cost of case 4 is lower than cases 1, 2 and 3. - Abstract: This paper proposes a stochastic energy procurement problem (SEPP) for large electricity consumer (LEC) with multiple energy procurement sources (EPSs) considering the effects of demand response program (DRP) and energy storage system (ESS). The EPSs contain power market (PM), bilateral contracts (BCs), micro-turbines (MTs), and renewable energy sources (RESs). Moreover, the RESs include photovoltaic (PV) systems and wind-turbines (WT). The ESS and DRP are incorporated in the SEPP by the LEC’s decision-maker to reduce the expected energy procurement cost (EEPC). Meanwhile, the uncertainty models of market price, load and RES output power are considered in the SEPP formulation. The error of forecasting of market price, load, temperature and radiation of PV systems are modeled using the normal distribution for generating the related scenarios. Also, the weibull distribution is used to generate variable wind speed scenarios for WT output power uncertainty modeling. Furthermore, the fast forward selection based on Kantorovich distance approach is used for the scenarios reduction. Finally, the influences of ESS and DRP on EEPC are investigated, and four case studies are used to illustrate the capability of the proposed SEPP. The obtained results demonstrate the efficiency of the proposed stochastic program

  8. Price Reversal Pattern of ARV Drugs: A Transaction-Cost Approach Digression

    Directory of Open Access Journals (Sweden)

    Frank LORNE

    2015-05-01

    Full Text Available A price reversal pattern of ARV drugs was noted across lower and middle income countries in that the lower-income countries have higher prices relative to higher-income countries based on a 2008-2009 Summary Report by World Health Organization. The transaction costs affecting AVR drug pricing can be broadly classified into two kinds: One between the final users and the opinion/knowledge experts, and the other between the opinion/knowledge experts and the manufacturers. Economist’s version of price discrimination needs to be modified by including transaction costs. Transaction costs also point to institution creditability factors that will affect NGO procurement.

  9. Managing the Newsvendor Modeled Product System with Random Capacity and Capacity-Dependent Price

    Directory of Open Access Journals (Sweden)

    Qingying Li

    2015-01-01

    Full Text Available We consider a newsvendor modeled product system, where the firm provides products to the market. The supply capacity of the product is random, so the firm receives either the amount of order quantity or the realized capacity, whichever is smaller. The market price is capacity dependent. We consider two types of production cost structures: the procurement case and the in-house production case. The firm pays for the received quantity in the former case and for the ordered quantity in the latter case. We obtain the optimal order quantities for both cases. Comparing with the traditional newsvendor model, we find that the optimal order quantity in both the procurement case and the in-house production case are no greater than that in the traditional newsvendor model with a fixed selling price. We also find that the optimal order quantity for the procurement case is greater than that for the in-house production case. Numerical study is conducted to investigate the sensitivity of the optimal solution versus the distribution of the random capacity/demand.

  10. HIV drug resistance early warning indicators in cohorts of individuals starting antiretroviral therapy between 2004 and 2009: World Health Organization global report from 50 countries.

    Science.gov (United States)

    Bennett, Diane E; Jordan, Michael R; Bertagnolio, Silvia; Hong, Steven Y; Ravasi, Giovanni; McMahon, James H; Saadani, Ahmed; Kelley, Karen F

    2012-05-01

    The World Health Organization developed a set of human immunodeficiency virus drug resistance (HIVDR) early warning indicators (EWIs) to assess antiretroviral therapy clinic and program factors associated with HIVDR. EWIs are monitored by abstracting data routinely recorded in clinical records, and the results enable clinics and program managers to identify problems that should be addressed to minimize preventable emergence of HIVDR in clinic populations. As of June 2011, 50 countries monitored EWIs, covering 131 686 patients initiating antiretroviral treatment between 2004 and 2009 at 2107 clinics. HIVDR prevention is associated with patient care (appropriate prescribing and patient monitoring), patient behavior (adherence), and clinic/program management efforts to reduce treatment interruptions (follow up, retention on first-line ART, procurement and supply management of antiretroviral drugs). EWIs measure these factors and the results have been used to optimize patient and population treatment outcomes.

  11. The California ISO experience with price spikes and search for remedies

    Energy Technology Data Exchange (ETDEWEB)

    Barkovich, B. R. [Barkovich and Yap, Inc., San Francisco, CA (United States)

    2000-07-01

    An overview of the conditions under which price spikes have occurred in California, and the attempts to eliminate those conditions are discussed. Several periods of price spikes have occurred since the competitive electricity market became a reality in California, usually at times of high system load.. Price spikes in the ancillary services (A/S) (one of the two markets run by the California Independent System Operator (CAISO), the other being balancing or real-time energy), occurred when the supply of competitive bids has been restricted either by bid insufficiency or gaming. Bid insufficiency is the failure of the market to produce enough bids for a particular product. Gaming is defined as taking advantage of an occasion when there is likely to be short supply due to transmission constraints or geographical distribution of generation and using the occasion to maximize prices. The key tool used by the CAISO to reduce price spikes has been to reduce and adjust procurement of A/S by instituting additional enforcement of market participants' ability to meet their requirements to provide A/S on command. If they fail to do so, they do not receive payment for capacity that has been bid, with the bids accepted, but not provided. Changes in the scheduling system to facilitate inter-Scheduling Coordinator trades of A/S obligations, designed to reduce procurement through the CAISO markets and thus potentially lower market clearing prices for A/S in those markets, has been another technique used. The institution of 'Rational Buyer' has been yet another, and more substantial, means used to reduce price spikes. This mechanism, involving demand substitution across the markets for A/S, has the effect of defeating attempts by a generator to place a high-priced bid in a generally lower value market in the expectation of a smaller number of bids in that market. Significant decline in the amount of A/S procured, and a significant decline in the ratio of the total cost

  12. The California ISO experience with price spikes and search for remedies

    International Nuclear Information System (INIS)

    Barkovich, B. R.

    2000-01-01

    An overview of the conditions under which price spikes have occurred in California, and the attempts to eliminate those conditions are discussed. Several periods of price spikes have occurred since the competitive electricity market became a reality in California, usually at times of high system load.. Price spikes in the ancillary services (A/S) (one of the two markets run by the California Independent System Operator (CAISO), the other being balancing or real-time energy), occurred when the supply of competitive bids has been restricted either by bid insufficiency or gaming. Bid insufficiency is the failure of the market to produce enough bids for a particular product. Gaming is defined as taking advantage of an occasion when there is likely to be short supply due to transmission constraints or geographical distribution of generation and using the occasion to maximize prices. The key tool used by the CAISO to reduce price spikes has been to reduce and adjust procurement of A/S by instituting additional enforcement of market participants' ability to meet their requirements to provide A/S on command. If they fail to do so, they do not receive payment for capacity that has been bid, with the bids accepted, but not provided. Changes in the scheduling system to facilitate inter-Scheduling Coordinator trades of A/S obligations, designed to reduce procurement through the CAISO markets and thus potentially lower market clearing prices for A/S in those markets, has been another technique used. The institution of 'Rational Buyer' has been yet another, and more substantial, means used to reduce price spikes. This mechanism, involving demand substitution across the markets for A/S, has the effect of defeating attempts by a generator to place a high-priced bid in a generally lower value market in the expectation of a smaller number of bids in that market. Significant decline in the amount of A/S procured, and a significant decline in the ratio of the total cost of A

  13. Organ procurement: Spanish transplant procurement management.

    Science.gov (United States)

    Manyalich, Martí; Mestres, Carlos A; Ballesté, Chloë; Páez, Gloria; Valero, Ricard; Gómez, María Paula

    2011-06-01

    Transplantation is an accepted therapeutic option to save or improve the quality of life when organ failure occurs or tissue replacements are needed. However, the lack of organs is the major limitation. The deceased organ procurement organization and professionals provide the solution to this international problem. In this review, we identify the elements involved in the organ procurement management process to analyze the possibility of implementation of deceased organ procurement for a transplantation program. While the donation rates are subject to several negative factors including religious, economic, cultural, and legal issues, the existence of well-trained professionals may considerably increase them. Professional training in organ donation along with the establishment of a solid organizational system has been identified as the crucial factor in developing efficient organ donation and transplantation programs.

  14. Pricing structures in US coal supply contracts

    Science.gov (United States)

    Kacker, Kanishka

    The subject of my dissertation is the study of coal procurement by electric utilities in the US over 2 decades, from 1979 to 2000. Energy markets are typically characterized by severe contracting problems. Buyers and sellers therefore employ various instruments, such as contract length or complex pricing arrangements, to restrict these problems. Relationship specific investment, wherein buyers make investments specific to their suppliers, has been advanced as a prominent explanation for contractual length. Investment decisions are however endogenous in length or pricing, making causal identification of the role of investment specificity difficult. In my first chapter, I attempt a resolution. I use the 1990 Clean Air Act Amendment as an exogenous shifter of the extent of relationship specific investment. A key feature of the Amendment's design helps me define a difference-in-difference model arguably free of the endogeneity issues discussed above. I find that the plants forced into switching - Phase I plants located in the US Midwest - are more likely to choose fixed price contracts than those that were not. Further they also write contracts of shorter terms, with the reduction being approximately 30%. Considerably little is known about the performance implications of contractual choices. These form the basis for Chapter 2. Here I find prices to be lower, by between 5% to 20% of the total transaction price, but the probability of renegotiation higher, under fixed price contracts than under escalator or cost-plus contracts. Contract choices appear consistent with a trade-off between establishing incentives ex-ante and lowering negotiation costs ex-post, with relationship specific investments in particular making such a trade-off compelling. Chapter 3 considers the regulatory environment these utilities were subject to. Both incentive based regulation as well as the restructuring of electricity generation are smaller in comparison to relationship specific investment

  15. Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

    NARCIS (Netherlands)

    Hontelez, J.A.C.; Newell, M.L.; Bland, R.M.; Munnelly, K.; Lessells, R.J.; Barnighausen, T.

    2012-01-01

    ABSTRACT: BACKGROUND: Although access to life-saving treatment for patients infected with HIV patients in South Africa has improved substantially since 2004, treating all eligible patients (universal access) remains elusive. As the prices of antiretroviral drugs have dropped over the past years,

  16. Local and Regional Food Aid Procurement: An Assessment of Experience in Africa and Elements of Good Donor Practice

    OpenAIRE

    Tschirley, David L.; del Castillo, Anne Marie

    2008-01-01

    This Policy Synthesis is a summary of a longer report that discusses the procurement of food aid within the country or region where it is needed. Referred to as local and regional procurement – LRP – this practice has become a major element in multilateral food aid response over the past decade1. The paper examines the relevance and the rationale for using LRP, reviews the efficiency of World Food Program (WFP) LRP activities in Africa relative to inkind food aid and to prices in the markets ...

  17. How is service procurement different from goods procurement? Exploring ex ante costs and ex post problems in IT procurement

    NARCIS (Netherlands)

    Wynstra, Finn; Rooks, Gerrit; Snijders, Chris

    2018-01-01

    Several studies suggest that, in practice, service procurement is more challenging than goods procurement. The underlying but largely implicit argument is that the procurement process for services involves higher buyer uncertainty and therefore requires extra efforts to mitigate this uncertainty.

  18. Indonesia - Country Procurement Assessment Report : Reforming the Public Procurement System

    OpenAIRE

    World Bank

    2001-01-01

    The main objectives of the Country Procurement Assessment Review (CPAR) are to diagnose the public procurement system in Indonesia, assess actual compliance with the country's procurement laws and regulations on the ground, and identify reforms to improve the existing system in line with internationally accepted principles. Section 1 gives an overview. Section 2 describes Indonesia's exist...

  19. The transition to flexible, sales-oriented procurement: new paradigms for gas distribution; Der Uebergang zur vertriebsorientierten strukturierten Beschaffung. Neue Paradigmen fuer den Gasvertrieb

    Energy Technology Data Exchange (ETDEWEB)

    Alkadi, Ari [energie quader GmbH, Darmstadt (Germany); Bollheimer, Thomas [Stadtwerke Frankental GmbH, Frankenthal (Germany)

    2011-05-15

    Gas-to-gas competition is hitting public utilities with vehemence. In the past only newcomers and independent dealers profited from prices in the trading markets. Now public utilities have also begun to adopt flexible gas procurement policies. This article uses the example of Stadtwerke Frankenthal GmbH (SWiFT) to illustrate the transition to a flexible procurement policy and outline the new paradigms involved.

  20. Experience with the source evaluation board method of procuring technical components for the Fermilab Main Injector

    International Nuclear Information System (INIS)

    Harding, D.J.; Collins, J.P.; Kobliska, G.R.; Chester, N.S.; Pewitt, E.G.; Fowler, W.B.

    1993-01-01

    Fermilab has adopted the Source Evaluation Board (SEB) method for procuring certain major technical components of the Fermilab Main Injector. The SEB procedure is designed to ensure the efficient and effective expenditure of Government funds at the same time that it optimizes the opportunity for attainment of project objectives. A qualitative trade-off is allowed between price and technical factors. The process involves a large amount of work and is only justified for a very limited number of procurements. Fermilab has gained experience with the SEB process in awarding subcontracts for major subassemblies of the Fermilab Main Injector dipoles

  1. Evolving Procurement Organizations

    DEFF Research Database (Denmark)

    Bals, Lydia; Laiho, Aki; Laine, Jari

    Procurement has to find further levers and advance its contribution to corporate goals continuously. This places pressure on its organization in order to facilitate its performance. Therefore, Procurement organizations constantly have to evolve in order to match these demands. A conceptual model...... is presented and results of a first case study discussed. The findings highlight the importance of taking a contingency perspective on Procurement organization, understanding the internal and internal contingency factors. From a theoretical perspective, it opens up insights that can be furthermore leveraged...... in future studies in the fields of hybrid procurement organizations, global sourcing organizations as well as international procurement offices (IPOs). From a practical standpoint, an assessment of external and internal contingencies provides the opportunity to consciously match organization to its...

  2. Optimal Sizing of Energy Storage Systems for the Energy Procurement Problem in Multi-Period Markets under Uncertainties

    Directory of Open Access Journals (Sweden)

    Ryusuke Konishi

    2018-01-01

    Full Text Available In deregulated electricity markets, minimizing the procurement costs of electricity is a critical problem for procurement agencies (PAs. However, uncertainty is inevitable for PAs and includes multiple factors such as market prices, photovoltaic system (PV output and demand. This study focuses on settlements in multi-period markets (a day-ahead market and a real-time market and the installation of energy storage systems (ESSs. ESSs can be utilized for time arbitrage in the day-ahead market and to reduce the purchasing/selling of electricity in the real-time market. However, the high costs of an ESS mean the size of the system needs to be minimized. In addition, when determining the size of an ESS, it is important to identify the size appropriate for each role. Therefore, we employ the concept of a “slow” and a “fast” ESS to quantify the size of a system’s role, based on the values associated with the various uncertainties. Because the problem includes nonlinearity and non-convexity, we solve it within a realistic computational burden by reformulating the problem using reasonable assumptions. Therefore, this study identifies the optimal sizes of ESSs and procurement, taking into account the uncertainties of prices in multi-period markets, PV output and demand.

  3. Sales analysis as a basis for optimising gas procurement; Absatzanalyse als Grundlage optimierter Gasbeschaffung

    Energy Technology Data Exchange (ETDEWEB)

    Jungblut, Ralf [RWE Vertrieb AG, Dortmund (Germany). Produktmanagement, Marketing und Datenmanagement

    2012-01-15

    German energy suppliers are finding themselves in an increasingly difficult situation in the gas market. With the natural gas glut subsiding and global demand picking up, gas prices are expected to rise over the long term. Counter to the global trend, gas demand in Germany is expected to decrease. Furthermore, short-term fluctuations in economic activity with a potential for impacting on the demand for and price level of natural gas may pose significant economic risks. A detailed knowledge of one's own sales portfolio is therefore extremely important when it comes to gas procurement.

  4. Application of Derivatives Market for Controlling Risks of Commodity Prices

    Directory of Open Access Journals (Sweden)

    Rasuolė Drazdauskienė

    2015-05-01

    Full Text Available The issue of raw milk procurement cost level and fluctuation which inhibits strengthening negotiating positions of dairy product fabricants and probability of them staying competitive in the European Union, is examined. Scientific literature that analyzes risks of staple prices is overviewed in the article. The paper provides statistical data representing the situation of Lithuania in contrast with European Union rates. Global usage of prospective transactions and their possible influence on price regulation are analyzed. After examining statistical data and academic literature, conclusions are provided.

  5. Transportation Service Procurement Bid Construction Problem from Less Than Truckload Perspective

    Directory of Open Access Journals (Sweden)

    Fang Yan

    2018-01-01

    Full Text Available This paper presents mixed integer programming for a transportation service procurement bid construction problem from a less than full truckload perspective, in which the bidders (carriers generate their best bid (package using a bundled price to maximize their utility and increase the chance of winning the business. The models are developed from both the carriers and shippers perspectives to establish a relationship between the quoted price and the likelihood of winning to assist the carriers in balancing the potential benefits and the possibility of winning the bid. An intelligent algorithm based on Particle Swarm Optimization is then designed to solve the proposed model and hypothetical data sets are used to test the effectiveness and efficiency of the proposed model and algorithm.

  6. Infrastructure procurement skills gap amongst procurement personnel in Nigeria’s public sector

    OpenAIRE

    Mahamadu, A.-M. ed; Manu, P.; Booth, C.; Olomolaiye, P.; Coker, A.; Ibrahim, A. ed; Lamond, J.

    2018-01-01

    Purpose - Procurement of public infrastructure that is fit for purpose partly depends on the competencies of procurement personnel. In many developing countries in Sub-Saharan Africa, including Nigeria, there is a deficit in the quantity and quality of infrastructure and their procurement is further riddled with deficiencies in the capacity of public procuring entities. It is, however, unclear from the extant literature, what are the critical skills development needs of public personnel invol...

  7. The European Union Joint Procurement Agreement for cross-border health threats: what is the potential for this new mechanism of health system collaboration?

    Science.gov (United States)

    Azzopardi-Muscat, Natasha; Schroder-Bäck, Peter; Brand, Helmut

    2017-01-01

    The Joint Procurement Agreement (JPA) is an innovative instrument for multi-country procurement of medical countermeasures against cross-border health threats. This paper aims to assess its potential performance. A literature review was conducted to identify key features of successful joint procurement programmes. Documentary analysis and a key informants' interview were carried out to analyse the European Union (EU) JPA. Ownership, equity, transparency, stable central financing, standardisation, flexibility and gradual development were identified as important prerequisites for successful establishment of multi-country joint procurement programmes in the literature while security of supply, favourable prices, reduction of operational costs and administrative burden and creation of professional expert networks were identified as desirable outcomes. The EU JPA appears to fulfil the criteria of ownership, transparency, equity, flexibility and gradual development. Standardisation is only partly fulfilled and central EU level financing is not provided. Security of supply is an important outcome for all EU Member States (MS). Price savings, reduction in administrative burden and creation of professional networks may be particularly attractive for the smaller MS. The JPA has the potential to increase health system collaboration and efficiency at EU level provided that the incentives for sustained commitment of larger MS are sufficiently attractive.

  8. How does procurement capability maturity affect e-Procurement adoption and leverage purchasing in supply chain

    Directory of Open Access Journals (Sweden)

    Pongpanga Pongsuwan

    2016-11-01

    Full Text Available This study refers to the research model of Batenburg (2008 which defined procurement functions to six maturity dimensions; strategy, processes, control, organization, information, e-Technology as the starting point and indicates twenty two items to support capability maturity measurement which is called “Procurement Competitive Capability Maturity”(PCCM. This model is used for a company to assess current practices of procurement function and perceives the level of its capabilities. The data collection is from a survey of fifty-two selected procurement organizations in Southeast Asia (SEA countries; from Thailand, Vietnam, Philippines, Indonesia, Malaysia and Singapore. The objective of this study is to demonstrate the significant value of industry type, size of spending and centralized/decentralized procurement that affect procurement capability maturity. The results show that the industry has no relation to the capability maturity; the size of procurement spend has a positive relation to the capability maturity; and the centralized procurement has higher capability maturity than the decentralized. Moreover, this study extends the knowledge of e-Procurement and digital context to leverage procurement processes and visible procurement integration in an organization and across the supply chain.

  9. Green Component Procurement Collaboration for Improving Supply Chain Management in the High Technology Industries: A Case Study from the Systems Perspective

    Directory of Open Access Journals (Sweden)

    Min-Ren Yan

    2016-01-01

    Full Text Available The impacts of high technology industries have been growing increasingly to technological innovations and global economic developments, while the concerns in sustainability are calling for facilitating green materials and cleaner production in the industrial value chains. Today’s manufacturing companies are not striving for individual capacities but for the effective working with green supply chains. However, in addition to environmental and social objectives, cost and economic feasibility has become one of the most critical success factors for improving supply chain management with green component procurement collaboration, especially for the electronics OEM (original equipment manufacturing companies whose procurement costs often make up a very high proportion of final product prices. This paper presents a case study from the systems perspective by using System Dynamics simulation analysis and statistical validations with empirical data. Empirical data were collected from Taiwanese manufacturing chains—among the world’s largest manufacturing clusters of high technology components and products—and their global green suppliers to examine the benefits of green component procurement collaborations in terms of shared costs and improved shipping time performance. Two different supply chain collaboration models, from multi-layer ceramic capacitor (MLCC and universal serial bus 3.0 (USB 3.0 cable procurements, were benchmarked and statistically validated. The results suggest that the practices of collaborative planning for procurement quantity and accurate fulfillment by suppliers are significantly related to cost effectiveness and shipping time efficiency. Although the price negotiation of upstream raw materials for the collaborative suppliers has no statistically significant benefit to the shipping time efficiency, the shared cost reduction of component procurement is significantly positive for supply chain collaboration among green

  10. Access to antiretroviral drugs and AIDS management in Senegal.

    Science.gov (United States)

    Desclaux, Alice; Ciss, Mounirou; Taverne, Bernard; Sow, Papa S; Egrot, Marc; Faye, Mame A; Lanièce, Isabelle; Sylla, Omar; Delaporte, Eric; Ndoye, Ibrahima

    2003-07-01

    Description and analysis of the Senegalese Antiretroviral Drug Access Initiative (ISAARV), the first governmental highly active antiretroviral therapy (HAART) treatment programme in Africa, launched in 1998. ISAARV was initially an experimental project designed to evaluate the feasibility, efficacy and acceptability of HAART in an African context. It was based on four principles: collective definition of the strategy, with involvement of the health professionals who would be called on to execute the programme; matching the objectives to available means (gradual enrollment according to drug availability); monitoring by several research programmes; and ongoing adaptation of treatment and follow-up according to the latest international recommendations. Persons qualifying for antiretroviral (ARV) therapy are selected on the basis of immunological and clinical criteria, regardless of economic and social considerations. A system of subsidies was created to favor access to ARV. Following the ARV price reductions that occurred in November 2000, 100% subsidies were created for the poorest participants. Optimal adherence was ensured by monthly follow-up by pharmacists and support groups held by social workers and patient associations. The chosen supply and distribution system allowed drug dispensing to be strictly controlled. The ISAARV programme demonstrates that HAART can be successfully prescribed in Africa. This experience has served as the basis for the creation of a national treatment programme in Senegal planned to treat 7000 patients by 2006.

  11. Availability, price and affordability of cardiovascular medicines: A comparison across 36 countries using WHO/HAI data

    Directory of Open Access Journals (Sweden)

    Cameron Alexandra

    2010-06-01

    Full Text Available Abstract Background The global burden of cardiovascular disease (CVD continues to rise. Successful treatment of CVD requires adequate pharmaceutical management. The aim was to examine the availability, pricing and affordability of cardiovascular medicines in developing countries using the standardized data collected according to the World Health Organization/Health Action International methodology. Methods The following medicines were included: atenolol, captopril, hydrochlorothiazide, losartan and nifedipine. Data from 36 countries were analyzed. Outcome measures were percentage availability, price ratios to international reference prices and number of day's wages needed by the lowest-paid unskilled government worker to purchase one month of chronic treatment. Patient prices were adjusted for inflation and purchasing power, procurement prices only for inflation. Data were analyzed for both generic and originator brand products and the public and private sector and summarized by World Bank Income Groups. Results For all measures, there was great variability across surveys. The overall availability of cardiovascular medicines was poor (mean 26.3% in public sector, 57.3% private sector. Procurement prices were very competitive in some countries, whereas others consistently paid high prices. Patient prices were generally substantially higher than international references prices; some countries, however, performed well. Chronic treatment with anti-hypertensive medication cost more than one day's wages in many cases. In particular when monotherapy is insufficient, treatment became unaffordable. Conclusions The results of this study emphasize the need of focusing attention and financing on making chronic disease medicines accessible, in particular in the public sector. Several policy options are suggested to reach this goal.

  12. Diagnostics and Minimization of Business Risks and the State Customer in the System of Public e-Procurement

    Directory of Open Access Journals (Sweden)

    Oksana Klyuvak

    2018-01-01

    Full Text Available The purpose of the article is to develop the diagnostics of the system of public e-procurement in terms of the risks of its subjects and to develop an approach to minimize the risk associated with changes in the purchase price. It is determined that the most widespread risks in the public e-procurement system in Ukraine, classified on the basis of a subjective approach, are: 1 a conspiracy of participants in the tender process; 2 insufficient level of professionalism; 3 change of purchase price. It has been determined that risk management in the system of public e-procurement should be understood as the diagnostic process (identification, analysis, evaluation, prevention, minimization and elimination of the risks of the customer, supplier and common risks in the stages of post-accession, tender and post-tandem procedures in order to balance financial and legal interests of the state and business. It is established that calculation of the correction of the purchase price (taking into account macroeconomic fluctuations should take into account the following elements (components: 1 commodity-material element (direct commodity-material expenses as of the base date (opening of a tender offer and on the date of delivery or start of implementation of the state order; 2 the human element (labor costs (average wage, qualification upgrading by the base date (opening a tender offer and as of the date of delivery or start of execution of the state order; 3 an element related to other attendance costs (costs of bank servicing of payments, the amount of duty in the case of export-import operations, logistics costs as of the base date (opening a tender offer and as of the date of delivery or start of execution of the state order; 4 fixed item (percentage in % of purchase price. The prospect of further research in this direction is to improve the system of polycriterial diagnostics of the activities of enterprises, taking into account the presented research

  13. Fighting corruption in tactical procurement

    NARCIS (Netherlands)

    Obanda Wanyama, Peter

    2010-01-01

    Vast amount of public resources are spent on procurement. Effective public procurement yields additional budget space, hence it ought to be conducted with due diligence. However, public procurement most especially tactical procurement in local governments in Uganda is vulnerable to corruption. In

  14. Risk Pricing in Construction Tenders - How, Who, What

    Directory of Open Access Journals (Sweden)

    Marcus Tower

    2012-11-01

    Full Text Available Construction projects are most commonlyprocured in Australia by means of a traditionaldesign–tender–build model, whereby design islargely completed then contractors submittenders in a competitive environment.Construction contractors must consider riskswithin their tenders. This paper reports theresearch findings into pricing for risk incompetitive tenders by constructioncontractors. The research is based onstructured interviews with 10 contractingpersonnel; supplemented by 23 responses ofconstruction personnel from an online survey.Two common methods to price for risk are atrade-by-trade basis or an overall percentageor lump sum addition to the base estimate.Experience and intuition plays a significant rolein pricing for risk in tenders and the numberand type of people involved varies with projectsize, with greater involvement as project sizeincreases. The most significant risks priced intenders were: availability of resources; designor documentation errors; incomplete design;buildability issues; and inclement weather. Themost significant project factors considered bycontractors when pricing for risk in tenders are:value of liquidated damages; type ofcontract/procurement; completeness ofdocumentation; project complexity; and currentworkload. These risks and project factors areprimarily those over which the contractor haslimited or no control.

  15. Services procurement under the WTO’s agreement on government procurement: whither market access?

    OpenAIRE

    Shingal, Anirudh

    2010-01-01

    This paper studies the government procurement of services from foreign suppliers by conducting a statistical analysis of data submitted by Japan and Switzerland to the WTO's Committee on Government Procurement. Using several metrics, the paper examines if the WTO’s Agreement on Government Procurement (GPA) has led to greater market access for foreign suppliers in services procurement. Our results indicate that despite the GPA, the proportions of services contracts awarded to foreigners have d...

  16. Environmental Criteria in the Spanish Public Works Procurement Process

    Directory of Open Access Journals (Sweden)

    José Luis Fuentes-Bargues

    2017-02-01

    Full Text Available Green Public Procurement (GPP is defined as a process of contracting products, services, and works with the least possible damage to the environment during their life cycle. In order to improve the knowledge about GPP, a study of the use of environmental tendering criteria in the Spanish public construction sector has been performed. The results of this study show that the use of environmental criteria in Spanish public sector construction procurement is low in comparison to a certain group of countries, known as “Green 7”, in the European Union. Environmental criteria is the fourth criterion in importance, but its weight in the global of the process is much lower than other criteria such as price, memory of the construction process and the delivery time. National administrations use environmental criteria more frequently because they have more resources and staff training about environmental issues. Environmental criteria are more used in the tendering of civil projects and works whose budget exceeds ten million euro due to the environmental impact of these kind and/or size of projects.

  17. The view of Japanese utilities on uranium procurement

    International Nuclear Information System (INIS)

    Kishida, Tetsuji

    1991-01-01

    Since Japan is entirely dependent on imports to meet its demand for uranium, its foremost consideration is security of supply. From this point of view, the long-term strategy for uranium procurement followed by the Japanese Government and utilities can be summarized in four points; diversification of supply sources, long term contracts, holding of sufficient inventory and self-supply (ie. involvement in exploration activity and mine development). Under this basic strategy, Japanese utilities have made decisions on which suppliers they buy uranium from, and which purchasing method to adopt, based on the principles of securing stable sources of supply and stable prices. This position is reviewed and discussed. (author)

  18. Fighting corruption in tactical procurement

    OpenAIRE

    Obanda Wanyama, Peter

    2010-01-01

    Vast amount of public resources are spent on procurement. Effective public procurement yields additional budget space, hence it ought to be conducted with due diligence. However, public procurement most especially tactical procurement in local governments in Uganda is vulnerable to corruption. In this thesis we analyze how tactical procurement can be managed to fight corruption and promote integrity in the decentralized context in local governments in Uganda. Specifically, we identify the mos...

  19. Public procurement process

    African Journals Online (AJOL)

    NESG Policy Brief: April 2017. Public ... transparency in public procurement; and greater concerns about efficiency, fairness, and equity. ... government enacted the Public Procurement Act (2007) [1] which provides legislative framework for.

  20. Procurement Career Management Handbook.

    Science.gov (United States)

    Department of the Treasury, Washington, DC.

    This handbook is the result of the Treasury Department's efforts to increase professionalism among its procurement employees nationwide through its Procurement Career Management Program. First, the scope and objectives of the Procurement Career Management Program are discussed. The remaining sections of the handbook deal with the following program…

  1. Public Procurement and Innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    be understood as a special case of innovation, where social processes – and consequently the institutions governing these social processes – need to be considered. This book contributes to our understanding with a detailed institutional analysis of the public procurement of innovation.......Max Rolfstam examines the increasing emphasis on public procurement as a means to stimulate innovation and the theoretical implications of this policy development. While ‘regular’ public procurement may be regarded as the outcome of anonymous market processes, public procurement of innovation must...

  2. Monitoring What Governments “Give for” and “Spend on” Vaccine Procurement: Vaccine Procurement Assistance and Vaccine Procurement Baseline

    OpenAIRE

    Nelson, E. A. S.; Bloom, David E.; Mahoney, Richard T.

    2014-01-01

    BACKGROUND: The Global Vaccine Action Plan will require, inter alia, the mobilization of financial resources from donors and national governments - both rich and poor. Vaccine Procurement Assistance (VPA) and Vaccine Procurement Baseline (VPB) are two metrics that could measure government performance and track resources in this arena. VPA is proposed as a new subcategory of Official Development Assistance (ODA) given for the procurement of vaccines and VPB is a previously suggested measure of...

  3. Ukraine : Country Procurement Assessment Report

    OpenAIRE

    World Bank

    2001-01-01

    The main objectives of the country procurement assessment are to diagnose the public procurement system in Ukraine, assess compatibility of the country's laws, policies and procedures with international best practices, review compliance with the procurement laws and regulations and identify areas for improvement of the procurement system in Ukraine. With due recognition of the considerable...

  4. A robust internet-based auction to procure electricity forwards

    International Nuclear Information System (INIS)

    Woo, C.K.; Lloyd, D.; Borden, M.; Warrington, R.; Baskette, C.

    2004-01-01

    Securing forward contracts to manage procurement-cost risk is an intuitively appealing and economically reasonable strategy for a load-serving local distribution company (LDC) in today's volatile electricity marketplace. However, knowing what to buy does not guarantee least-cost implementation. The forward-contract price quoted by a prospective seller may not be the 'best deal' that an LDC could have obtained, especially when the forward contract desired by the LDC is not actively traded. This paper reports the results from five internet-based auctions for electricity forward contracts with non-firm delivery and varying hourly quantities held monthly by a Florida municipal utility (MU) from September 2002 to January 2003. The results confirm that a multi-round auction design is robust in realizing competitive price offers made by credit-worthy sellers, time-efficient contracting, and consistent cost savings to the MU. Thus, the Anglo-Dutch auction described herein is a reasonable substitute for generation ownership by an LDC. (author)

  5. Predicting Global Fund grant disbursements for procurement of artemisinin-based combination therapies

    Directory of Open Access Journals (Sweden)

    O'Brien Megan E

    2008-10-01

    Full Text Available Abstract Background An accurate forecast of global demand is essential to stabilize the market for artemisinin-based combination therapy (ACT and to ensure access to high-quality, life-saving medications at the lowest sustainable prices by avoiding underproduction and excessive overproduction, each of which can have negative consequences for the availability of affordable drugs. A robust forecast requires an understanding of the resources available to support procurement of these relatively expensive antimalarials, in particular from the Global Fund, at present the single largest source of ACT funding. Methods Predictive regression models estimating the timing and rate of disbursements from the Global Fund to recipient countries for each malaria grant were derived using a repeated split-sample procedure intended to avoid over-fitting. Predictions were compared against actual disbursements in a group of validation grants, and forecasts of ACT procurement extrapolated from disbursement predictions were evaluated against actual procurement in two sub-Saharan countries. Results Quarterly forecasts were correlated highly with actual smoothed disbursement rates (r = 0.987, p Conclusion This analysis derived predictive regression models that successfully forecasted disbursement patterning for individual Global Fund malaria grants. These results indicate the utility of this approach for demand forecasting of ACT and, potentially, for other commodities procured using funding from the Global Fund. Further validation using data from other countries in different regions and environments will be necessary to confirm its generalizability.

  6. Calculation of direct antiretroviral treatment costs and potential cost savings by using generics in the German HIV ClinSurv cohort.

    Directory of Open Access Journals (Sweden)

    Matthias Stoll

    Full Text Available UNLABELLED: BACKGROUND/AIM OF THE STUDY: The study aimed to determine the cost impacts of antiretroviral drugs by analysing a long-term follow-up of direct costs for combined antiretroviral therapy, cART, -regimens in the nationwide long-term observational multi-centre German HIV ClinSurv Cohort. The second aim was to develop potential cost saving strategies by modelling different treatment scenarios. METHODS: Antiretroviral regimens (ART from 10,190 HIV-infected patients from 11 participating ClinSurv study centres have been investigated since 1996. Biannual data cART-initiation, cART-changes, surrogate markers, clinical events and the Centre of Disease Control- (CDC-stage of HIV disease are reported. Treatment duration was calculated on a daily basis via the documented dates for the beginning and end of each antiretroviral drug treatment. Prices were calculated for each individual regimen based on actual office sales prices of the branded pharmaceuticals distributed by the license holder including German taxes. RESULTS: During the 13-year follow-up period, 21,387,427 treatment days were covered. Cumulative direct costs for antiretroviral drugs of €812,877,356 were determined according to an average of €42.08 per day (€7.52 to € 217.70. Since cART is widely used in Germany, the costs for an entire regimen increased by 13.5%. Regimens are more expensive in the advanced stages of HIV disease. The potential for cost savings was calculated using non-nucleotide-reverse-transcriptase-inhibitor, NNRTI, more frequently instead of ritonavir-boosted protease inhibitor, PI/r, in first line therapy. This calculation revealed cumulative savings of 10.9% to 19.8% of daily treatment costs (50% and 90% substitution of PI/r, respectively. Substituting certain branded drugs by generic drugs showed potential cost savings of between 1.6% and 31.8%. CONCLUSIONS: Analysis of the data of this nationwide study reflects disease-specific health services research

  7. Calculation of direct antiretroviral treatment costs and potential cost savings by using generics in the German HIV ClinSurv cohort.

    Science.gov (United States)

    Stoll, Matthias; Kollan, Christian; Bergmann, Frank; Bogner, Johannes; Faetkenheuer, Gerd; Fritzsche, Carlos; Hoeper, Kirsten; Horst, Heinz-August; van Lunzen, Jan; Plettenberg, Andreas; Reuter, Stefan; Rockstroh, Jürgen; Stellbrink, Hans-Jürgen; Hamouda, Osamah; Bartmeyer, Barbara

    2011-01-01

    BACKGROUND/AIM OF THE STUDY: The study aimed to determine the cost impacts of antiretroviral drugs by analysing a long-term follow-up of direct costs for combined antiretroviral therapy, cART, -regimens in the nationwide long-term observational multi-centre German HIV ClinSurv Cohort. The second aim was to develop potential cost saving strategies by modelling different treatment scenarios. Antiretroviral regimens (ART) from 10,190 HIV-infected patients from 11 participating ClinSurv study centres have been investigated since 1996. Biannual data cART-initiation, cART-changes, surrogate markers, clinical events and the Centre of Disease Control- (CDC)-stage of HIV disease are reported. Treatment duration was calculated on a daily basis via the documented dates for the beginning and end of each antiretroviral drug treatment. Prices were calculated for each individual regimen based on actual office sales prices of the branded pharmaceuticals distributed by the license holder including German taxes. During the 13-year follow-up period, 21,387,427 treatment days were covered. Cumulative direct costs for antiretroviral drugs of €812,877,356 were determined according to an average of €42.08 per day (€7.52 to € 217.70). Since cART is widely used in Germany, the costs for an entire regimen increased by 13.5%. Regimens are more expensive in the advanced stages of HIV disease. The potential for cost savings was calculated using non-nucleotide-reverse-transcriptase-inhibitor, NNRTI, more frequently instead of ritonavir-boosted protease inhibitor, PI/r, in first line therapy. This calculation revealed cumulative savings of 10.9% to 19.8% of daily treatment costs (50% and 90% substitution of PI/r, respectively). Substituting certain branded drugs by generic drugs showed potential cost savings of between 1.6% and 31.8%. Analysis of the data of this nationwide study reflects disease-specific health services research and will give insights into the cost impacts of

  8. Sustainable Procurement in Practice: Explaining the Degree of Sustainable Procurement from an Organisational Perspective

    NARCIS (Netherlands)

    J. Grandia (Jolien); S.M. Groeneveld (Sandra); B.S. Kuipers (Ben); A.J. Steijn (Bram)

    2013-01-01

    textabstractSustainable procurement is often used to reduce negative environmental impacts related to production and consumption. Several studies in the sustainable procurement literature have identified potential drivers of and barriers to sustainable procurement, which are often organisational in

  9. Antiretroviral therapy: current drugs.

    Science.gov (United States)

    Pau, Alice K; George, Jomy M

    2014-09-01

    The rapid advances in drug discovery and the development of antiretroviral therapy is unprecedented in the history of modern medicine. The administration of chronic combination antiretroviral therapy targeting different stages of the human immunodeficiency virus' replicative life cycle allows for durable and maximal suppression of plasma viremia. This suppression has resulted in dramatic improvement of patient survival. This article reviews the history of antiretroviral drug development and discusses the clinical pharmacology, efficacy, and toxicities of the antiretroviral agents most commonly used in clinical practice to date. Published by Elsevier Inc.

  10. Evolution in public procurement and the impact of e-procurement platforms: A case study

    OpenAIRE

    Leal, Pedro Manuel Mariano

    2010-01-01

    A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics The aim of this project is to understand the evolution that occurred in the public procurement due to the new Public Contracts Code that changed the procurement procedures and forced public entities to use electronic procurement platforms. This work is a contribution to the understanding of the main procurement changes with this ...

  11. Croatia : Country Procurement Assessment Report

    OpenAIRE

    World Bank

    2005-01-01

    Based on the CPAR's analysis of the legislative framework, procurement practices, institutional capacity and the opportunity for corruption, the assessment found that the environment for conducting public procurement in Croatia is average. This report makes a series of recommendations designed to strengthen the public procurement environment of Croatia, including legislative reform, improving procurement procedures and practices, institutional reform, capacity building, and the development of...

  12. Monitoring what governments "give for" and "spend on" vaccine procurement: Vaccine Procurement Assistance and Vaccine Procurement Baseline.

    Science.gov (United States)

    Nelson, E A S; Bloom, David E; Mahoney, Richard T

    2014-01-01

    The Global Vaccine Action Plan will require, inter alia, the mobilization of financial resources from donors and national governments - both rich and poor. Vaccine Procurement Assistance (VPA) and Vaccine Procurement Baseline (VPB) are two metrics that could measure government performance and track resources in this arena. VPA is proposed as a new subcategory of Official Development Assistance (ODA) given for the procurement of vaccines and VPB is a previously suggested measure of the share of Gross Domestic Product (GDP) that governments spend on their own vaccine procurement. To determine realistic targets for VPA and VPB. Organization for Economic Co-Operation and Development (OECD) and World Bank data for 2009 were analyzed to determine the proportions of bilateral ODA from the 23 Development Assistance Committee (DAC) countries disbursed (as % of GDP in current US$) for infectious disease control. DAC country contributions to the GAVI Alliance for 2009 were assessed as a measure of multilateral donor support for vaccines and immunization programs. In 2009, total DAC bilateral ODA was 0.16% of global GDP and 0.25% of DAC GDP. As a percentage of GDP, Norway (0.013%) and United Kingdom (0.0085%) disbursed the greatest proportion of bilateral ODA for infectious disease control, and Norway (0.024%) and Canada (0.008%) made the greatest contributions to the GAVI Alliance. In 2009 0.02% of DAC GDP was US$7.61 billion and 0.02% of the GDP of the poorest 117 countries was US$2.88 billion. Adopting 0.02% GDP as minimum targets for both VPA and VPB is based on realistic estimates of what both developed and developing countries should spend, and can afford to spend, to jointly ensure procurement of vaccines recommended by national and global bodies. New OECD purpose codes are needed to specifically track ODA disbursed for a) vaccine procurement; and b) immunization programs.

  13. Selection of procurement systems in the South African construction industry: An exploratory study

    Directory of Open Access Journals (Sweden)

    W. D. Thwala

    2012-12-01

    Full Text Available Purpose of this paper: Procurement systems are vital in ensuring the successful implementation of construction projects precisely in all the phases of any particular project. Therefore, this paper aims to investigate in a systematic manner the factors that influence the selection of a procurement system in the South African construction industry. Research methodology: An extensive theory and literature review of procurement systems was conducted. The literature reviewed included a sample of case studies of procurement systems successfully implemented in completed building and civil engineering projects in South Africa. A questionnaire using a four-round Delphi survey method was used to conduct the empirical study in order to obtain participants' opinions about factors influencing the selection of procurement systems as well as the utility value of various procurement systems on each factor as identified. Finally, data analysis of both qualitative and quantitative techniques was performed using the Statistical Package for Social Sciences (SPSS. Findings: After qualitative analysis, findings of the literature reviewed suggest that factors that influence the selection of procurement systems cut across all the phases of the project as identified in this paper. Therefore, these factors are categorically classified into internal and external factors. Factors from the internal environment were further classified into client characteristics and project characteristics, with client characteristics comprising of variables such as clients' level of knowledge and control, political and social consideration, familiarity of procurement systems, competition, funding arrangement, government public/private sector projects and risk allocation whereas project characteristics comprise of factors (variables such as size and technical complexity of the project, influence of the project life cycle, expedited project delivery, time, quality and price certainty. Factors

  14. 40 CFR 35.6565 - Procurement methods.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

  15. THE BARRIERS OF IMPLEMENTING E-PROCUREMENT

    Directory of Open Access Journals (Sweden)

    Corina Pop Sitar

    2011-01-01

    Full Text Available The concept of e-procurement has many different meanings ranging from shopping on theinternet (through reverse auction to collaborative initiatives taking place in virtualmeetings. There are many forms of e-procurement that can be found in the literature. In thispaper we define the most important forms of e-procurement. Next, we present the mainbarriers of implementing an e-procurement found in the literature. Furthermore, we presenta matrix with the main barriers of e-procurement classified in four main categories. Finally,we elaborated for managers some guidelines in order to overcome the barriers ofimplementing e-procurement.

  16. Public Procurement of Innovation in Sweden

    DEFF Research Database (Denmark)

    Rolfstam, Max; Ågren, Robert

    2014-01-01

    Sweden is often thought of as a country with a strong tradition for using public procurement as a means to stimulate innovation. Early on, Sweden recognized and developed procedures for using public procurement as a technologydevelopment tool. After a period where emphasis was put on this aspect ...... government authorities to engage in public procurement for innovation, and by issuing guidance on the topic.......Sweden is often thought of as a country with a strong tradition for using public procurement as a means to stimulate innovation. Early on, Sweden recognized and developed procedures for using public procurement as a technologydevelopment tool. After a period where emphasis was put on this aspect...... of public procurement Sweden dropped many policy initiatives within this field. This was in part due to neo-liberal movements during the 1980s which in interaction with a distributed institutional setup led to the removal of incentives for a procuring authority to engage in public procurement of innovation...

  17. PROCUREMENT INSOURCING VS. PROCUREMENT OUTSOURCING: EVIDENCE FROM SERBIA

    Directory of Open Access Journals (Sweden)

    Slobodan Acimovic

    2016-11-01

    Full Text Available One of the most important strategic decisions of a company is to choose whether to insource or outsource a particular group of activities or a business function. The trend of outsourcing those activities which do not form a part of the company core competences is becoming more and more present in business practice. The aim of the analysis within this paper is to review the mentioned trend from the position of organizing the company procurement activities. The analysis shows that there is no unique trend concerning outsourcing all logistics activities, which do not form a part of the company core competences. Unlike the majority of other logistics activities, which as non-basic, tend to be outsourced, procurement dominantly stays insourced. Finally, based on the empirical evidence obtained from a survey carried out among 52 companies in Serbia, it is concluded that even if procurement is outsourced, this trend is more present among service than production companies.

  18. The International Experience in Public Procurement

    Directory of Open Access Journals (Sweden)

    Pysmenna Mariia S.

    2017-11-01

    Full Text Available The article is aimed at generalizing the foreign experience of implementing public procurement, analyzing peculiarities of organizational, normative and procedural provision of public procurement in the Member States of the European Union. The relevance of the research topic is due to the need to harmonize the procurement policy of the Government of Ukraine with the international legal framework and with broad political objectives within the European integration strategy. The organizational framework and principles of implementing public procurement in the EU Member States were analyzed. Special attention was paid to normative provision of public procurement by the EU Member States; peculiarities of the use of national or harmonized rules of public procurement in accordance with the amount of the procurement contract; restrictions and conditions for public authorities in the selection of applicants for bidding. Five types of public procurement procedures used in the EU have been characterized, namely: open procedure, limited procedure, negotiation procedure, competitive dialog, electronic auctions. The need to address the social and legal aspects of public procurement in international practice has been substantiated and the possibilities for resolving these problems have been presented.

  19. Farmgate Private Standards and Price Premium: Evidence From the GlobalGAP Scheme in Kenya's French Beans Marketing

    OpenAIRE

    Kariuki, Isaac Maina; Loy, Jens-Peter; Herzfeld, Thomas

    2012-01-01

    The proliferation of private quality and assurance schemes in international trade is defining market access in high value chains. The prime concern for small-scale producers is whether price premiums are realizable due to compliance. Using French beans marketing, the authors find that GlobalGAP certification, produce traceability, number of suppliers, competition for supplies, direct procurement, a good road network, and supply contracts have positive farmgate price effects for smallholders. ...

  20. PUBLIC PROCUREMENT IN GHANA: THE IMPLEMENTATION CHALLENGES TO THE PUBLIC PROCUREMENT LAW 2003 (ACT 663

    Directory of Open Access Journals (Sweden)

    Ameyaw, Collins

    2012-08-01

    Full Text Available The purpose of this study was to identify various implementation bottlenecks to the Ghana Public Procurement Law 2003 (Act 663. The study adopted multiple research approaches, including; review of relevant literature, interviews and questionnaire survey of 49 District Assemblies and Metropolitan and Municipal Assemblies in the Ashanti and Brong Ahafo Regions of Ghana. The study identified low capacity of procurement professionals, low interaction between procurement entities and Public Procurement Authority (PPA, deliberate controlling of competition, non-compliance with provisions of the law, splitting of contracts into smaller lots, lack of funds and non-cooperativeness of suppliers, as the major challenges militating against the implementation of the Public Procurement Law.

  1. Monitoring what governments "give for" and "spend on" vaccine procurement: Vaccine Procurement Assistance and Vaccine Procurement Baseline.

    Directory of Open Access Journals (Sweden)

    E A S Nelson

    Full Text Available BACKGROUND: The Global Vaccine Action Plan will require, inter alia, the mobilization of financial resources from donors and national governments - both rich and poor. Vaccine Procurement Assistance (VPA and Vaccine Procurement Baseline (VPB are two metrics that could measure government performance and track resources in this arena. VPA is proposed as a new subcategory of Official Development Assistance (ODA given for the procurement of vaccines and VPB is a previously suggested measure of the share of Gross Domestic Product (GDP that governments spend on their own vaccine procurement. OBJECTIVE: To determine realistic targets for VPA and VPB. METHODS: Organization for Economic Co-Operation and Development (OECD and World Bank data for 2009 were analyzed to determine the proportions of bilateral ODA from the 23 Development Assistance Committee (DAC countries disbursed (as % of GDP in current US$ for infectious disease control. DAC country contributions to the GAVI Alliance for 2009 were assessed as a measure of multilateral donor support for vaccines and immunization programs. FINDINGS: In 2009, total DAC bilateral ODA was 0.16% of global GDP and 0.25% of DAC GDP. As a percentage of GDP, Norway (0.013% and United Kingdom (0.0085% disbursed the greatest proportion of bilateral ODA for infectious disease control, and Norway (0.024% and Canada (0.008% made the greatest contributions to the GAVI Alliance. In 2009 0.02% of DAC GDP was US$7.61 billion and 0.02% of the GDP of the poorest 117 countries was US$2.88 billion. CONCLUSIONS: Adopting 0.02% GDP as minimum targets for both VPA and VPB is based on realistic estimates of what both developed and developing countries should spend, and can afford to spend, to jointly ensure procurement of vaccines recommended by national and global bodies. New OECD purpose codes are needed to specifically track ODA disbursed for a vaccine procurement; and b immunization programs.

  2. Procurement Tracking System (PTS)

    Data.gov (United States)

    Office of Personnel Management — The Procurement Tracking System (PTS) is used solely by the procurement staff of the Office of the Inspector General (OIG) at the U.S. Office of Personnel Management...

  3. Procurement and production of biofuels - a Finnish example of private entrepreneurship

    Energy Technology Data Exchange (ETDEWEB)

    Tuomi, S

    1998-12-31

    A conference paper. In Finland, heating entrepreneurship, i.e. supplying customers with heat energy from wood raw material, is a new form of rural enterprise. The entrepreneur is mainly responsible for supplying heat energy to municipal real estates in the form of chipped wood. He procures the fuel and supervises the heating plant and is paid on the basis of the amount of heat generated. The price of the supplied heat is usually bound to the price of light fuel oil, but agreements based on the price development of district heat and chips are also used. At the end of 1996 there were 36 examples of heating enterprises in Finland and about 20 new ones are planned to start in 1997. Twenty-nine of the operational targets supplied by heating-energy entrepreneurs were single-building heating plants and seven were district heating plants, all using oil for additional or reserve energy. Heating entrepreneurship provides extra income, especially for farmers, who have otherwise unmarketable potential fuelwood in their wood lot, underutilized timber harvesting equipment, experience of using fuel chips, and lack of supplementary income opportunities. 1 figure, 6 tabs.

  4. Procurement and production of biofuels - a Finnish example of private entrepreneurship

    International Nuclear Information System (INIS)

    Tuomi, S.

    1997-01-01

    A conference paper. In Finland, heating entrepreneurship, i.e. supplying customers with heat energy from wood raw material, is a new form of rural enterprise. The entrepreneur is mainly responsible for supplying heat energy to municipal real estates in the form of chipped wood. He procures the fuel and supervises the heating plant and is paid on the basis of the amount of heat generated. The price of the supplied heat is usually bound to the price of light fuel oil, but agreements based on the price development of district heat and chips are also used. At the end of 1996 there were 36 examples of heating enterprises in Finland and about 20 new ones are planned to start in 1997. Twenty-nine of the operational targets supplied by heating-energy entrepreneurs were single-building heating plants and seven were district heating plants, all using oil for additional or reserve energy. Heating entrepreneurship provides extra income, especially for farmers, who have otherwise unmarketable potential fuelwood in their wood lot, underutilized timber harvesting equipment, experience of using fuel chips, and lack of supplementary income opportunities. 1 figure, 6 tabs

  5. Brexit and government procurement

    OpenAIRE

    Dawar, Kamala

    2017-01-01

    This briefing paper looks at some of the legal issues that will affect the UK’s public procurement laws and policies following Brexit. For, once the UK revokes the European Communities Act 1972, it will no longer be obligated to follow the EU Procurement Directives, nor will it be subject to the commitments the EU has signed up to on behalf of the UK in the WTO Government Procurement Agreement (GPA) and in Preferential Trade Agreements (PTAs). Additionally, under the Devolution Settlement of ...

  6. The World Bank Group and Public Procurement--An Independent Evaluation : Volume 1. Building Procurement Capacity and Systems

    OpenAIRE

    Independent Evaluation Group

    2014-01-01

    Good public procurement practices are a major determinant of the effectiveness of public expenditure. On behalf of their citizens, governments typically spend as much as 5-20 percent of their gross domestic product on procurement of goods and services, and effective procurement policies enable better use of government budgets. Good national procurement practices are therefore an essential ...

  7. Tanzania : Country Procurement Assessment Report

    OpenAIRE

    World Bank

    2003-01-01

    This Country Procurement Assessment Report (CPAR)intends to determine the compatibility of national procurement law, and practices, with the principles of economy, and with international procurement practices. This CPAR, the second of its kind in Tanzania, looks at the legislative framework, the performance of regulatory functions, the enforcement regime, and the capacity of public sector ...

  8. Industry activities to resolve utility procurement issues

    International Nuclear Information System (INIS)

    Rosch, F.

    1993-01-01

    There are several industry organizations which are active in assisting the utilities in their equipment procurement enhancement. They include the Nuclear Management Resources Council (NUMARC), the Electric Power Research Institute (EPRI), and the Nuclear Procurement Issues Committee (NUPIC). The products include the NUMARC Procurement Initiatives, EPRI procurement related guidelines and databases, and NUPIC joint audits and commercial grade surveys. The industry procurement activities and products are reviewed, and their use by utilities to enhance their procurement process is related. 1 fig

  9. Procurement strategic analysis of nuclear safety equipment

    International Nuclear Information System (INIS)

    Wu Caixia; Yang Haifeng; Li Xiaoyang; Li Shixin

    2013-01-01

    The nuclear power development plan in China puts forward a challenge on procurement of nuclear safety equipment. Based on the characteristics of the procurement of nuclear safety equipment, requirements are raised for procurement process, including further clarification of equipment technical specification, establishment and improvement of the expert database of the nuclear power industry, adoption of more reasonable evaluation method and establishment of a unified platform for nuclear power plants to procure nuclear safety equipment. This paper makes recommendation of procurement strategy for nuclear power production enterprises from following aspects, making a plan of procurement progress, dividing procurement packages rationally, establishing supplier database through qualification review and implementing classified management, promoting localization process of key equipment continually and further improving the system and mechanism of procurement of nuclear safety equipment. (authors)

  10. Affordable HIV drug-resistance testing for monitoring of antiretroviral therapy in sub-Saharan Africa.

    Science.gov (United States)

    Inzaule, Seth C; Ondoa, Pascale; Peter, Trevor; Mugyenyi, Peter N; Stevens, Wendy S; de Wit, Tobias F Rinke; Hamers, Raph L

    2016-11-01

    Increased provision of antiretroviral therapy in sub-Saharan Africa has led to a growing number of patients with therapy failure and acquired drug-resistant HIV, driving the demand for more costly further lines of antiretroviral therapy. In conjunction with accelerated access to viral load monitoring, feasible and affordable technologies to detect drug-resistant HIV could help maximise the durability and rational use of available drug regimens. Potential low-cost technologies include in-house Sanger and next-generation sequencing in centralised laboratories, and point mutation assays and genotype-free systems that predict response to antiretroviral therapy at point-of-care. Strengthening of centralised high-throughput laboratories, including efficient systems for sample referral and results delivery, will increase economies-of-scale while reducing costs. Access barriers can be mitigated by standardisation of in-house assays into commercial kits, use of polyvalent instruments, and adopting price-reducing strategies. A stepwise rollout approach should improve feasibility, prioritising WHO-recommended population-based surveillance and management of complex patient categories, such as patients failing protease inhibitor-based antiretroviral therapy. Implementation research, adaptations of existing WHO guidance, and political commitment, will be key to support the appropriate investments and policy changes. In this Personal View, we discuss the potential role of HIV drug resistance testing for population-based surveillance and individual patient management in sub-Saharan Africa. We review the strengths and challenges of promising low-cost technologies and how they can be implemented. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Access to Paediatric Essential Medicines: A Survey of Prices, Availability, Affordability and Price Components in Shaanxi Province, China

    Science.gov (United States)

    Wang, Xiao; Fang, Yu; Yang, Shimin; Jiang, Minghuan; Yan, Kangkang; Wu, Lina; Lv, Bing; Shen, Qian

    2014-01-01

    Objective To evaluate the prices and availability of paediatric essential medicines in Shaanxi Province, China. Methods Price and availability data for 28 paediatric essential medicines were collected from 60 public hospitals and 60 retail pharmacies in six areas of Shaanxi Province using a standardised methodology developed by the World Health Organization and Health Action International, during November to December 2012. Affordability was measured as the number of days’ wages required for the lowest-paid unskilled government worker to purchase standard treatments for common conditions. Data on medicine price components were collected from hospitals, wholesalers and distributors to obtain price mark-ups. Findings The mean availabilities of originator brands (OBs) and lowest-priced generics (LPGs) were 10.8% and 27.3% in the public hospitals and 11.9% and 20.6% in the private pharmacies. The public procurement and retail prices were 2.25 and 2.59 times the international reference prices (IRPs) for three OBs, and 0.52 and 0.93 times for 20 LPGs. In the private sector, the final prices for OBs and LPGs were 3.89 and 1.25 times their IRPs. The final price in the private sector was 2.7% lower than in the public sector for OBs, and 14.1% higher for LPGs. Generally, standard treatments cost less than 1 day’s wages in both sectors. Distribution mark-ups applied to brand salbutamol in Xi'an was 65.5%, and up to 185.3% for generic. Cumulative mark-ups for LPGs in Ankang were also high, from 33% to 50%. The manufacturer’s selling price is the largest contributor to the final price in both areas. Conclusions The government should approve a list of national paediatric essential medicines. The availability, price and affordability of these should be improved in both public hospitals and private pharmacies to enable children to obtain effective treatment. Measures should be taken to improve the efficiency of the centralised medicine purchasing system. PMID:24595099

  12. Access to paediatric essential medicines: a survey of prices, availability, affordability and price components in Shaanxi Province, China.

    Directory of Open Access Journals (Sweden)

    Xiao Wang

    Full Text Available OBJECTIVE: To evaluate the prices and availability of paediatric essential medicines in Shaanxi Province, China. METHODS: Price and availability data for 28 paediatric essential medicines were collected from 60 public hospitals and 60 retail pharmacies in six areas of Shaanxi Province using a standardised methodology developed by the World Health Organization and Health Action International, during November to December 2012. Affordability was measured as the number of days' wages required for the lowest-paid unskilled government worker to purchase standard treatments for common conditions. Data on medicine price components were collected from hospitals, wholesalers and distributors to obtain price mark-ups. FINDINGS: The mean availabilities of originator brands (OBs and lowest-priced generics (LPGs were 10.8% and 27.3% in the public hospitals and 11.9% and 20.6% in the private pharmacies. The public procurement and retail prices were 2.25 and 2.59 times the international reference prices (IRPs for three OBs, and 0.52 and 0.93 times for 20 LPGs. In the private sector, the final prices for OBs and LPGs were 3.89 and 1.25 times their IRPs. The final price in the private sector was 2.7% lower than in the public sector for OBs, and 14.1% higher for LPGs. Generally, standard treatments cost less than 1 day's wages in both sectors. Distribution mark-ups applied to brand salbutamol in Xi'an was 65.5%, and up to 185.3% for generic. Cumulative mark-ups for LPGs in Ankang were also high, from 33% to 50%. The manufacturer's selling price is the largest contributor to the final price in both areas. CONCLUSIONS: The government should approve a list of national paediatric essential medicines. The availability, price and affordability of these should be improved in both public hospitals and private pharmacies to enable children to obtain effective treatment. Measures should be taken to improve the efficiency of the centralised medicine purchasing system.

  13. Discriminatory public procurement policies

    NARCIS (Netherlands)

    Ssennoga, Francis

    2010-01-01

    To achieve social economic objectives, governments usually institute discriminatory practices in their country’s public procurement framework. Discriminatory procurement is the practice by governments to favour their own domestic suppliers over foreign firms for advertised contracts. Favouring

  14. Slovakia : Country Procurement Assessment Report

    OpenAIRE

    World Bank

    2001-01-01

    This update of the 1995 CPAR is based on the September 1999 PPA and the findings of the Bank CPAR mission to Slovakia in November 1999. The 1999 Public Procurement Act (PPA) is an improvement upon the previous PPAs in some respects, including the creation of an OPP, more detailed and clear procurement procedures, accreditation of procurement professionals, introduction of the Public Procu...

  15. ONLINE PROCUREMENT IN SME`s

    Directory of Open Access Journals (Sweden)

    Daniela ICHIM

    2017-12-01

    Full Text Available E-Marketplaces are new business places for buying, selling products and services in many industries to support customers. The emergence of business-to-business (B2B in the online environment has opened up opportunities for effective online transactions between businesses. Research in this area is not enough to offer only fragmented perspectives in this area. Therefore, the targeted research problem was designed to investigate how business performance of online B2B purchases can be analyzed. The proposed study focuses on the online procurement in. Specifically, they try to answer questions such as: Does site, product, and vendor characteristics affect the online procurement in? Does online buying experience influence online procurement by? Participants are that use the Internet to procure products or services. Study respondents were SME managers who believe that online procurement will save time, money and effort, reducing costs.

  16. Public Procurement of Innovation as Endogenous

    DEFF Research Database (Denmark)

    Rolfstam, Max

    Public procurement used as an innovation policy instrument has attracted attention the last decade. It has been argued that public procurement can be used to stimulate innovation from the demand-side. This paper problematizes ‘demand’ understood as a problem defined by a public procurer given...... to potential suppliers to solve. By drawing on a cross-case analysis of two similar projects the paper attempts to explicate an understanding of the role of public procurement of innovation not primarily as a ‘demand-side innovation instrument’, as such thinking might run the risk of ignoring important...... underlying mechanisms critical for success. Instead the paper views public procurement of innovation as an instrument of endogenous- exogenous knowledge conversion....

  17. HIV/AIDS drugs for Sub-Saharan Africa: how do brand and generic supply compare?

    Directory of Open Access Journals (Sweden)

    Colleen V Chien

    Full Text Available BACKGROUND: Significant quantities of antiretroviral drugs (ARVs to treat HIV/AIDS have been procured for Sub-Saharan Africa for the first time in their 20-year history. This presents a novel opportunity to empirically study the roles of brand and generic suppliers in providing access to ARVs. METHODOLOGY/PRINCIPAL FINDINGS: An observational study of brand and generic supply based on a dataset of 2,162 orders of AIDS drugs for Sub-Saharan Africa reported to the Global Price Reporting Mechanism at the World Health Organization from January 2004-March 2006 was performed. Generic companies supplied 63% of the drugs studied, at prices that were on average about a third of the prices charged by brand companies. 96% of the procurement was of first line drugs, which were provided mostly by generic firms, while the remaining 4%, of second line drugs, was sourced primarily from brand companies. 85% of the generic drugs in the sample were manufactured in India, where the majority of the drugs procured were ineligible for patent protection. The remaining 15% was manufactured in South Africa, mostly under voluntary licenses provided by brand companies to a single generic company. In Sub-Saharan African countries, four first line drugs in the dataset were widely patented, however no general deterrent to generic purchasing based on a patent was detected. CONCLUSIONS/SIGNIFICANCE: Generic and brand companies have played distinct roles in increasing the availability of ARVs in Sub-Saharan Africa. Generic companies provided most of the drugs studied, at prices below those charged by brand companies, and until now, almost exclusively supplied several fixed-dose combination drugs. Brand companies have supplied almost all second line drugs, signed voluntary licenses with generic companies, and are not strictly enforcing patents in certain countries. Further investigation into how price reductions in second line drugs can be achieved and the cheapest drugs can

  18. 22 CFR 226.46 - Procurement records.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procurement records. 226.46 Section 226.46 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.46 Procurement records...

  19. 10 CFR 21.31 - Procurement documents.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Procurement documents. 21.31 Section 21.31 Energy NUCLEAR REGULATORY COMMISSION REPORTING OF DEFECTS AND NONCOMPLIANCE Procurement Documents § 21.31 Procurement documents. Each individual, corporation, partnership, dedicating entity, or other entity subject to the...

  20. 10 CFR 436.43 - Procurement planning.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Procurement planning. 436.43 Section 436.43 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION FEDERAL ENERGY MANAGEMENT AND PLANNING PROGRAMS Agency Procurement of Energy Efficient Products § 436.43 Procurement planning. (a) Agencies should consider the...

  1. 7 CFR 1780.72 - Procurement methods.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

  2. Launch of the "MICE Procurement" website for your future events

    CERN Multimedia

    The MICE Office team

    2014-01-01

    The number of MICE (Meeting, Incentive, Conference and Event) requests is on the increase and our hotel offer is constantly being developed.   The MICE Office has decided to create a dedicated website in order to offer the best possible service to its users. This site is accessible from the FP webpage (MICE Procurement) using your NICE login. It gives you access to the list of the establishments which have a contract with CERN, grouped by geographic area/star rating, and all related information. The establishments listed on this website can accommodate your local events, organised by CERN or in partnership with an institution. They were selected following a market survey and as a result of a price enquiry in accordance with CERN's Purchasing Rules. We offer a number of standard packages, but we will try to respond to any specific requirements. On the same site you can also access a longer list of hotels (also accessible via the GS website) for which prices and conditions have been nego...

  3. 76 FR 43988 - Procurement List; Additions

    Science.gov (United States)

    2011-07-22

    ... this work, based on applicable experience. Finally, the purpose of the JWOD Act and the responsibility... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Additions... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be...

  4. Monitoring What Governments “Give for” and “Spend on” Vaccine Procurement: Vaccine Procurement Assistance and Vaccine Procurement Baseline

    Science.gov (United States)

    Nelson, E. A. S.; Bloom, David E.; Mahoney, Richard T.

    2014-01-01

    Background The Global Vaccine Action Plan will require, inter alia, the mobilization of financial resources from donors and national governments – both rich and poor. Vaccine Procurement Assistance (VPA) and Vaccine Procurement Baseline (VPB) are two metrics that could measure government performance and track resources in this arena. VPA is proposed as a new subcategory of Official Development Assistance (ODA) given for the procurement of vaccines and VPB is a previously suggested measure of the share of Gross Domestic Product (GDP) that governments spend on their own vaccine procurement. Objective To determine realistic targets for VPA and VPB. Methods Organization for Economic Co-Operation and Development (OECD) and World Bank data for 2009 were analyzed to determine the proportions of bilateral ODA from the 23 Development Assistance Committee (DAC) countries disbursed (as % of GDP in current US$) for infectious disease control. DAC country contributions to the GAVI Alliance for 2009 were assessed as a measure of multilateral donor support for vaccines and immunization programs. Findings In 2009, total DAC bilateral ODA was 0.16% of global GDP and 0.25% of DAC GDP. As a percentage of GDP, Norway (0.013%) and United Kingdom (0.0085%) disbursed the greatest proportion of bilateral ODA for infectious disease control, and Norway (0.024%) and Canada (0.008%) made the greatest contributions to the GAVI Alliance. In 2009 0.02% of DAC GDP was US$7.61 billion and 0.02% of the GDP of the poorest 117 countries was US$2.88 billion. Conclusions Adopting 0.02% GDP as minimum targets for both VPA and VPB is based on realistic estimates of what both developed and developing countries should spend, and can afford to spend, to jointly ensure procurement of vaccines recommended by national and global bodies. New OECD purpose codes are needed to specifically track ODA disbursed for a) vaccine procurement; and b) immunization programs. PMID:24586899

  5. Forward Commitment Procurement : A practical methodology that helps to manage risk in procuring innovative goods and services

    NARCIS (Netherlands)

    Whyles, G.; Meerveld, H. van; Nauta, N.J.

    2015-01-01

    The Forward Commitment Procurement (FCP) is a Public Procurement of Innovation (PPI) methodology. It was specifically designed to both provide a practical methodology for procurers to follow and to manage the perceived risk of the customer and supplier in innovation investments. The paper describes

  6. public procurement, governance and economic growth

    African Journals Online (AJOL)

    GRACE

    Development (OECD) sees public procurement ―as a strategic policy lever to advance ... financial markets and provision of advisory services to businesses and government. ... Procurement established by the Section 3 of the Act. The BPP is the ... present annual reports to the Minister on the public procurement processes;.

  7. Manifestações otoneurológicas associadas à terapia anti-retroviral Otoneurological manifestations associated with antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Andrêza Batista Cheloni Vieira

    2008-02-01

    Full Text Available Ototoxicidade e terapia anti-retroviral parecem estar associadas. O objetivo desse estudo foi avaliar essa possível correlação. Foram avaliados 779 prontuários médicos de pacientes infectados pelo HIV e regularmente acompanhados, sendo 162 tratados com terapia anti-retroviral e 122 não tratados (controle. Pacientes em tratamento eram mais velhos (média 42 anos, com maior tempo de confirmação sorológica (80 meses e com menor carga viral (p=0,00. CD4+ foi semelhante entre os grupos (P=0,60. No grupo tratado, três (1,8% casos de perda auditiva idiopática e dois (1,3% de perda auditiva relacionada a otosclerose foram observadas e ambas iniciadas após terapia anti-retroviral. Nenhuma diferença estatística relacionada à perda auditiva idiopática foi encontrada entre os grupos. Enquanto estudos descritivos consideram possível ototoxidade associada à terapia anti-retroviral, esse possível efeito adverso não foi relacionado à terapia anti-retroviral neste estudo. Contrariamente, otosclerose poderia estar correlacionada à terapia anti-retroviral. Este assunto merece ser estudado.Ototoxicity and antiretroviral therapy seem to be associated. The aim of this study was to evaluate this possible correlation. Evaluations were carried out on 779 medical records from HIV-infected patients who were being regularly followed up, of whom 162 were being treated with antiretroviral therapy and 122 were untreated (controls. The patients undergoing treatment were older (mean: 42 years, had had serological confirmation for longer times (80 months and had smaller viral loads (P = 0.00. CD4+ was similar between the groups (P = 0.60. In the treated group, three cases (1.8% of idiopathic hearing loss and two (1.3% of otosclerosis-related hearing loss were observed, which both started after antiretroviral therapy. No statistical difference relating to idiopathic hearing loss was found between the groups. While descriptive studies consider possible

  8. CORRELATES OF PROCUREMENT PERFORMANCE OF ...

    African Journals Online (AJOL)

    Osondu

    2013-02-22

    Feb 22, 2013 ... Purpose of this study is to investigate if procurement challenges, contractual procedures, designer's experience ... Design and Build, Project Management, Direct. Labour and ..... Government Procurement Performance in.

  9. 78 FR 37525 - Procurement List; Deletions

    Science.gov (United States)

    2013-06-21

    .... Contracting Activity: Dept of the Air Force, FA7014 AFDW A7KI, Andrews AFB, MD. Service Type/Location: Laundry... Procurement List. SUMMARY: This action deletes products and services from the Procurement List that were... products and services listed below are no longer suitable for procurement by the Federal Government under...

  10. 32 CFR 37.1330 - Procurement contract.

    Science.gov (United States)

    2010-07-01

    ... REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Definitions of Terms Used in This Part § 37.1330 Procurement contract. A Federal Government procurement contract. It is a legal instrument which, consistent with 31 U.S... 32 National Defense 1 2010-07-01 2010-07-01 false Procurement contract. 37.1330 Section 37.1330...

  11. Cost-Effectiveness of Highly Active Antiretroviral Therapy in South Africa.

    Directory of Open Access Journals (Sweden)

    2005-12-01

    Full Text Available BACKGROUND: Little information exists on the impact of highly active antiretroviral therapy (HAART on health-care provision in South Africa despite increasing scale-up of access to HAART and gradual reduction in HAART prices. METHODS AND FINDINGS: Use and cost of services for 265 HIV-infected adults without AIDS (World Health Organization [WHO] stage 1, 2, or 3 and 27 with AIDS (WHO stage 4 receiving HAART between 1995 and 2000 in Cape Town were compared with HIV-infected controls matched for baseline WHO stage, CD4 count, age, and socioeconomic status, who did not receive antiretroviral therapy (ART; No-ART group. Costs of service provision (January 2004 prices, US$1 = 7.6 Rand included local unit costs, and two scenarios for HAART prices for WHO recommended first-line regimens: scenario 1 used current South African public-sector ART drug prices of $730 per patient-year (PPY, whereas scenario 2 was based on the anticipated public-sector price for locally manufactured drug of $181 PPY. All analyses are presented in terms of patients without AIDS and patients with AIDS. For patients without AIDS, the mean number of inpatient days PPY was 1.08 (95% confidence interval [CI]: 0.97-1.19 for the HAART group versus 3.73 (95% CI: 3.55-3.97 for the No-ART group, and 8.71 (95% CI: 8.40-9.03 versus 4.35 (95% CI: 4.12-5.61, respectively, for mean number of outpatient visits PPY. Average service provision PPY was $950 for the No-ART group versus $1,342 and $793 PPY for the HAART group for scenario 1 and 2, respectively, whereas the incremental cost per life-year gained (LYG was $1,622 for scenario 1 and $675 for scenario 2. For patients with AIDS, mean inpatients days PPY was 2.04 (95% CI: 1.63-2.52 for the HAART versus 15.36 (95% CI: 13.97-16.85 for the No-ART group. Mean outpatient visits PPY was 7.62 (95% CI: 6.81-8.49 compared with 6.60 (95% CI: 5.69-7.62 respectively. Average service provision PPY was $3,520 for the No-ART group versus $1,513 and $964

  12. Cost-effectiveness of highly active antiretroviral therapy in South Africa.

    Directory of Open Access Journals (Sweden)

    Motasim Badri

    2006-01-01

    Full Text Available Little information exists on the impact of highly active antiretroviral therapy (HAART on health-care provision in South Africa despite increasing scale-up of access to HAART and gradual reduction in HAART prices.Use and cost of services for 265 HIV-infected adults without AIDS (World Health Organization [WHO] stage 1, 2, or 3 and 27 with AIDS (WHO stage 4 receiving HAART between 1995 and 2000 in Cape Town were compared with HIV-infected controls matched for baseline WHO stage, CD4 count, age, and socioeconomic status, who did not receive antiretroviral therapy (ART; No-ART group. Costs of service provision (January 2004 prices, USD 1 = 7.6 Rand included local unit costs, and two scenarios for HAART prices for WHO recommended first-line regimens: scenario 1 used current South African public-sector ART drug prices of $730 per patient-year (PPY, whereas scenario 2 was based on the anticipated public-sector price for locally manufactured drug of $181 PPY. All analyses are presented in terms of patients without AIDS and patients with AIDS. For patients without AIDS, the mean number of inpatient days PPY was 1.08 (95% confidence interval [CI]: 0.97-1.19 for the HAART group versus 3.73 (95% CI: 3.55-3.97 for the No-ART group, and 8.71 (95% CI: 8.40-9.03 versus 4.35 (95% CI: 4.12-5.61, respectively, for mean number of outpatient visits PPY. Average service provision PPY was $950 for the No-ART group versus $1,342 and $793 PPY for the HAART group for scenario 1 and 2, respectively, whereas the incremental cost per life-year gained (LYG was $1,622 for scenario 1 and $675 for scenario 2. For patients with AIDS, mean inpatients days PPY was 2.04 (95% CI: 1.63-2.52 for the HAART versus 15.36 (95% CI: 13.97-16.85 for the No-ART group. Mean outpatient visits PPY was 7.62 (95% CI: 6.81-8.49 compared with 6.60 (95% CI: 5.69-7.62 respectively. Average service provision PPY was $3,520 for the No-ART group versus $1,513 and $964 for the HAART group for scenario 1

  13. 7 CFR 225.17 - Procurement standards.

    Science.gov (United States)

    2010-01-01

    ...) Procurements by public sponsors comply with applicable State or local laws and the standards set forth in 7 CFR part 3016; and (2) Procurements by private nonprofit sponsors comply with standards set forth in 7 CFR... 7 Agriculture 4 2010-01-01 2010-01-01 false Procurement standards. 225.17 Section 225.17...

  14. 10 CFR 603.1300 - Procurement contract.

    Science.gov (United States)

    2010-01-01

    ... Used in this Part § 603.1300 Procurement contract. A Federal Government procurement contract. It is a... 10 Energy 4 2010-01-01 2010-01-01 false Procurement contract. 603.1300 Section 603.1300 Energy... Government and a State, a local government, or other non-government entity when the principal purpose of the...

  15. The organization of organ procurement.

    Science.gov (United States)

    Prottas, J M

    1989-01-01

    The American organ procurement system has improved and matured in the last five years. At the same time, the basic challenges facing it have remained substantially the same because the moral and legal framework of the system has not changed. Success at organ procurement continues to depend on the voluntary cooperation of medical professionals and the families of potential organ donors. The generosity of the American public is so great that the primary challenge facing organ procurement agencies is obtaining cooperation from hospitals and medical professionals. This calls for a "marketing" orientation aimed at those hospitals and professionals who are most likely to treat potential donors. The last five years have seen a more general acceptance of this appreciation of the central task of organ procurement. As a result, the overall effectiveness of the system has improved, as measured by the number of organs procured on a per capita basis and by the number of multiorgan donors obtained. Much of this improvement can be attributed to the diffusion of organizational techniques and approaches, and this diffusion has been encouraged by the involvement of national organizations and public bodies in the organ procurement community. The system remains uneven in its effectiveness and further improvement is possible. It is also possible that the next general round of improvement will result from the application of businesslike information management and marketing techniques.

  16. Procurement engineering - the productivity factor

    Energy Technology Data Exchange (ETDEWEB)

    Bargerstock, S.B. (TENERA, L.P., Chattanooga, TN (United States))

    1993-01-01

    The industry is several years on the road to implementation of the Nuclear Management and Resources Council (NUMARC) initiatives on commercial-grade item dedication and procurement. Utilities have taken several approaches to involve engineering in the procurement process. A common result for the approaches is the additional operations and maintenance (O M) cost imposed by the added resource requirements. Procurement engineering productivity is a key element in controlling this business area. Experience shows that 400 to 500% improvements in productivity are possible with a 2-yr period. Improving the productivity of the procurement engineering function is important in today's competitive utility environment. Procurement engineering typically involves four distinct technical evaluation responsibilities along with several administrative areas. Technical evaluations include the functionally based safety classification of replacement components and parts (lacking a master parts list), the determination of dedication requirements for safety-related commercial-grade items, the preparation of a procurement specification to maintain the licensed design bases, and the equivalency evaluation of alternate items not requiring the design-change process. Administrative duties include obtaining technical review of vendor-supplied documentation, identifying obsolete parts and components, resolving material nonconformances, initiating the design-change process for replacement items (as needed), and providing technical support to O M. Although most utilities may not perform or require all the noted activities, a large percentage will apply to each utility station.

  17. Procurement engineering - the productivity factor

    International Nuclear Information System (INIS)

    Bargerstock, S.B.

    1993-01-01

    The industry is several years on the road to implementation of the Nuclear Management and Resources Council (NUMARC) initiatives on commercial-grade item dedication and procurement. Utilities have taken several approaches to involve engineering in the procurement process. A common result for the approaches is the additional operations and maintenance (O ampersand M) cost imposed by the added resource requirements. Procurement engineering productivity is a key element in controlling this business area. Experience shows that 400 to 500% improvements in productivity are possible with a 2-yr period. Improving the productivity of the procurement engineering function is important in today's competitive utility environment. Procurement engineering typically involves four distinct technical evaluation responsibilities along with several administrative areas. Technical evaluations include the functionally based safety classification of replacement components and parts (lacking a master parts list), the determination of dedication requirements for safety-related commercial-grade items, the preparation of a procurement specification to maintain the licensed design bases, and the equivalency evaluation of alternate items not requiring the design-change process. Administrative duties include obtaining technical review of vendor-supplied documentation, identifying obsolete parts and components, resolving material nonconformances, initiating the design-change process for replacement items (as needed), and providing technical support to O ampersand M. Although most utilities may not perform or require all the noted activities, a large percentage will apply to each utility station

  18. 48 CFR 752.225-71 - Local procurement.

    Science.gov (United States)

    2010-10-01

    ... 1997) (a) Local procurement involves the use of appropriated funds to finance the procurement of goods... currency of the cooperating country. (b) All locally-financed procurements must be covered by source/origin...

  19. The integration of price/cost modelling and construction planning - the automated generation of construc­tion operation

    Directory of Open Access Journals (Sweden)

    P. A. Bowen

    1997-07-01

    Full Text Available The fact that traditional price/cost models are unrelated to the construction process renders them largely unsuited to the provision of meaningful price/cost advice. The nature and lengthiness of the construction planning process has precluded its incorporation into price/cost modelling during the pre-tender phase of the traditional building procurement process. The nub of the modelling problem has been how to integrate the complex process of construction planning into the pre-tender price/cost modelling process. In this paper the authors propose the synthesis of artificial intelligence techniques and construction planning techniques, resulting in a conceptual framework for a network-based cost modelling system for use by quantity surveyors in the cost modelling of buildings.

  20. Multicriteria analysis in public procurement

    Directory of Open Access Journals (Sweden)

    Dejan T. Tošev

    2012-07-01

    Full Text Available The public procurement is one of the most important processes in modern company daily business. The quality of that process and its realization affect the overall company success and reputation. For that purpose, the management is obliged to prepare and carry out the procurement process carefully. The process is based on multicriteria tendering and the purpose of this paper is to present the analytical and hierarchical procurement methods in order to minimize failing in the selection and decision making process.

  1. Procurement management in scientific research and production project

    International Nuclear Information System (INIS)

    Wan Yi

    2008-01-01

    To meet the requirement of development trend of scientific research and production, it is necessary to incorporate the modern procurement management theory in the whole procurement process for the items used in scientific research and production.This paper provided some suggestions to improve the procurement management by introducing the experiences in the application of the modern procurement management methods in the procurement of parts production. (author)

  2. Ethics and regulation in organ procurement research.

    Science.gov (United States)

    Ackerman, Terrence F; Winsett, Rebecca P

    2002-12-01

    This article explores the role of ethics and regulation in human research conducted by organ procurement agencies; basic ethical principles for human research are outlined. Organ procurement agencies are not required to observe federal regulations; however, voluntary adherence will ensure that procurement research is conducted according to current standards of ethical practice. Although most organ procurement research will qualify for exempt status, this determination should be made by an institutional review board. Even if studies qualify for exempt status, there is a moral presumption that informed consent should be sought, unless certain narrow conditions for waiver of consent are satisfied. Finally, when future research utilizing organ procurement records is anticipated, procurement coordinators should provide sufficiently detailed information to families about such plans to permit their advance informed consent to research activities.

  3. The logical underpinnings and benefits of pooled pharmaceutical procurement: a pragmatic role for our public institutions?

    Science.gov (United States)

    Huff-Rousselle, Maggie

    2012-11-01

    Multi-national pharmaceutical companies have long operated across national boundaries, and exercised significant leverage because of the breadth and depth of their market control. The goals of public health can be better served by redressing the imbalance in market leverage between supply and demand. Consolidation of purchasing power across borders, as well as within countries across organizational entities, is one means to addressing this imbalance. In those existing pooled procurement models that consolidate purchasing across national boundaries, benefits have included: 1) reductions in unit purchase prices; 2) improved quality assurance; 3) reduction or elimination of procurement corruption; 4) rationalized choice through better-informed selection and standardization; 5) reduction of operating costs and administrative burden; 6) increased equity between members; 7) augmented practical utility in the role of the host institutions (regional or international) administering the system; and finally, 8) increased access to essential medical products within each participating country. Many barriers to implementation of a multi-country pooled procurement system are eliminated when the mechanism is established within a regional or international institution, especially where participating countries are viewed (and view themselves) as clients/members of the institution, so that they have some sense of ownership over the procurement mechanism. This review article is based on two literature reviews, conducted between 2007 and 2009 (including publications from 1996 through 2009), and interviews with key informants. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Challenges of public procurement in EU funded projects

    Directory of Open Access Journals (Sweden)

    Marko Šostar

    2017-01-01

    Full Text Available Membership in the European Union implies adjustment of EU projects to the rules of Structural Funds, but also adoption of legal regulations, thus influencing the process of implementation of the public procurement in EU funded projects. Each successful applicant who expressed the need for procurement of goods, services and works of a certain value, must respect the principles of public procurement. Irregularities in the procurement process can lead to the failure of returning the EU funds even several years after the end of the project. Therefore, the knowledge and proper implementation of public procurement is the main precondition for the correct implementation of each project. In order to obtain information about the current absorption capacity of the public procurement liable parties, and to identify key obstacles that stakeholders face in procurement procedures, the research was conducted by surveying 30 entities that are subject of public procurement in Croatia. Research results imply the poor quality of public procurement in the implemented projects, which often results in financial corrections, disapproving project reports, etc.

  5. 75 FR 49481 - Procurement List; Additions and Deletion

    Science.gov (United States)

    2010-08-13

    ... added to the Procurement List: Services Service Type/Locations: Laundry Service, Atlanta VA Medical...: Additions to and deletion from the Procurement List. SUMMARY: This action adds services to the Procurement... disabilities and deletes a service from the Procurement List previously furnished by such agency. DATES...

  6. Evolving Procurement Organizations

    DEFF Research Database (Denmark)

    Bals, Lydia; Laine, Jari; Mugurusi, Godfrey

    Procurement has to find further levers and advance its contribution to corporate goals continuously. This places pressure on its organization in order to facilitate its performance. Therefore, procurement organizations constantly have to evolve in order to match these demands. A conceptual model...... and external contingency factors and having a more detailed look at the structural dimensions chosen, beyond the well-known characteristics of centralization, formalization, participation, specialization, standardization and size. From a theoretical perspective, it opens up insights that can be leveraged...

  7. World uranium resources and Japan's status on its procurement

    International Nuclear Information System (INIS)

    Imaizumi, Tsunemasa

    1979-01-01

    The features of uranium are that it is not versatile in use, that its substitutes as nuclear fuel cannot be found, that it cannot be used as fuel unless the processing is made, that it has the nuclear fission property, and that there is some time limit in its value. Therefore uranium lacks charm as the object of resource industries. The market of uranium started as military procurement, and its effects still remain now in some extent. Many mines were closed when the oversupply and the rapid drop of price of uranium occurred once, and such fear is felt even now. The relationship between the suppliers and the consumers of uranium is one to one correspondence, accordingly the mutual cooperation is necessary. One problem is that the intervention by governments into uranium market is unavoidable. In order to bring up the sound and stable market, the obstructing factors must be eliminated. The uranium resources in the free world are about 4.4 million tons. The import of uranium resources is carried out according to the long term procurement contracts. For the consumer countries, there are the risk of embargo, the problems related to the cartel, and the restriction based on nuclear non-proliferation. The trade by establishing the multi-lateral organization, the independent development of foreign mines, and the exploration of resources in Japan are discussed. (Kako, I.)

  8. What Is the Status of Indonesian E-Procurement?

    OpenAIRE

    Achmad Nurmandi

    2013-01-01

    E-procurement is an important intrument to prevent corruption in goods and services procurement budget. Indonesia has been implementing the e-procurement project since 2008 based on Presidential Decree. President has stipulating annual order (presidential instruction) has to be obey by all ministries and local governments to procure their budget through r-procurement mechanism. However, untill 2012 fiscal year, this research found that only around 10.26% of central government institution proc...

  9. 78 FR 21916 - Procurement List; Addition And Deletions

    Science.gov (United States)

    2013-04-12

    ..., the following service is added to the Procurement List: Service Service Type/Location: Laundry Service...: Addition to and Deletions from the Procurement List. SUMMARY: This action adds a service to the Procurement... disabilities, and deletes products and services from the Procurement List previously furnished by such agencies...

  10. PROMIS (Procurement Management Information System)

    Science.gov (United States)

    1987-01-01

    The PROcurement Management Information System (PROMIS) provides both detailed and summary level information on all procurement actions performed within NASA's procurement offices at Marshall Space Flight Center (MSFC). It provides not only on-line access, but also schedules procurement actions, monitors their progress, and updates Forecast Award Dates. Except for a few computational routines coded in FORTRAN, the majority of the systems is coded in a high level language called NATURAL. A relational Data Base Management System called ADABAS is utilized. Certain fields, called descriptors, are set up on each file to allow the selection of records based on a specified value or range of values. The use of like descriptors on different files serves as the link between the falls, thus producing a relational data base. Twenty related files are currently being maintained on PROMIS.

  11. Agent-Based Modeling of Day-Ahead Real Time Pricing in a Pool-Based Electricity Market

    Directory of Open Access Journals (Sweden)

    Sh. Yousefi

    2011-09-01

    Full Text Available In this paper, an agent-based structure of the electricity retail market is presented based on which day-ahead (DA energy procurement for customers is modeled. Here, we focus on operation of only one Retail Energy Provider (REP agent who purchases energy from DA pool-based wholesale market and offers DA real time tariffs to a group of its customers. As a model of customer response to the offered real time prices, an hourly acceptance function is proposed in order to represent the hourly changes in the customer’s effective demand according to the prices. Here, Q-learning (QL approach is applied in day-ahead real time pricing for the customers enabling the REP agent to discover which price yields the most benefit through a trial-and-error search. Numerical studies are presented based on New England day-ahead market data which include comparing the results of RTP based on QL approach with that of genetic-based pricing.

  12. Risk Management in Public Procurement Process

    Directory of Open Access Journals (Sweden)

    Ioana Manea

    2010-12-01

    Full Text Available Public procurement represents an important part of the current economy reality. Throughout the procurement process, due to the effect of the interaction among the components of the public procurement system, certain actions with significant negative effects on its optimal operation may occur. Risks may turn into certainty either because of a simple error in the development and administration of the procurement process, or because of a deliberate deviation from the existing legal provisions. Therefore, there is an imperative for the implementation of certain risk-avoiding measures, as well as of measures aiming to reduce their negative effects in case of their occurrence.

  13. Towards the procurement of the ITER divertor

    International Nuclear Information System (INIS)

    Merola, M.; Tivey, R.; Martin, A.; Pick, M.

    2006-01-01

    The procurement of the ITER divertor is planned to start in 2009. On the basis of the present common understanding of the sharing of the ITER components, the Japanese Participating Team (JAPT) will supply the outer vertical target, the Russian Federation (RF) PT the dome liner and will perform the high heat flux testing, the EU PT will supply the inner vertical targets and the cassette bodies, including final assembly of the divertor plasma-facing components (PFCs). The manufacturing of the PFCs of the ITER divertor represents a challenging endeavor due to the high technologies which are involved, and due to the unprecedented series production. To mitigate the associated risks, special arrangements need to be put in place prior to and during procurement to ensure quality and to keep to the time schedule. Before procurement can start, an ITER review of the qualification and production capability of each candidate PT is planned. Well in advance of the assumed start of the procurement, each PT which would like to contribute to the divertor PFC procurement, should first demonstrate its technical qualification to carry out the procurement with the required quality, and in an efficient and timely manner. Appropriate precautions, like subdivision of the procurement into stages, are also to be adopted during the procurement phase to mitigate the consequences of possible unexpected manufacturing problems. In preparation for writing the procurement specification for the vertical targets, the topic of setting acceptance criteria is also being addressed. This activity has the objective of defining workable acceptance criteria for the PFC armour joints. A complete set of analyses is also in progress to assess the latest design modifications against the design requirements. This task includes neutronic, shielding, thermo-mechanical and electromagnetic analyses. More than half of the ITER plasma parameters that must be measured and the related diagnostics are located in the

  14. 76 FR 26279 - Procurement List; Proposed Additions

    Science.gov (United States)

    2011-05-06

    ...-service area; clean and sanitize food service equipment, utensil cleaning, and dishwashing; clean pots... additions to the Procurement List. SUMMARY: The Committee is proposing to add services to the Procurement... in this notice will be required to procure the services listed below from nonprofit agencies...

  15. Development of modified rational buyer auction for procurement of ancillary services utilizing participation matrix

    International Nuclear Information System (INIS)

    Jamalzadeh, R.; Ardehali, M.M.; Rashidinejad, M.

    2008-01-01

    The rational buyer auction is based on a simultaneous auction that is the redesigned auction mechanism for ancillary services by the California independent system operator (CAISO). The incentive for the rational buyer auction is CAISO's intent to adopt a common sense rule of substituting higher-quality lower-cost services for lower-quality higher-cost services, when it results in reduced total procurement cost. For the purposes of designing a desirable auction where the minimum cost for the objective function as well as prevention of price reversal are achieved, either the payment cost in marginal pricing auction must be lowered or price reversal in rational buyer auction must be avoided. The objectives of this study are (a) to develop a newly proposed 'modified rational buyer' auction that does not allow price reversal and (b) to propose and validate a solution procedure that is based on participation matrix and discrete programming. The validation of the proposed solution procedure is accomplished through examination of two case studies available in the literature. Based on the first case study data, it is shown that the newly developed modified rational buyer auction avoids price reversal occurrence, while the total payment of ISO is increased by 5.8%, as compared with rational buyer auction. Also in comparison with marginal pricing auction, the ISO payment is lowered by 38.8%, when the newly developed modified rational buyer auction is utilized. For future work, it is recommended that the application of the modified rational buyer auction to joint dispatch of energy and ancillary services is investigated

  16. Transformation of fraud activities in procurement system in Indonesia

    Science.gov (United States)

    Setiani, N.; Huda, S. N.; Pulungan, R.; Winarko, E.

    2017-03-01

    E-procurement has been applied in Indonesia since 2008 through the adoption of Electronic Procurement System (SPSE). The purpose of the use of SPSE in the procurement process is to improve the efficiency of goods or services procurement. In the bidding process, intensive communication and data exchange between providers and organizers are urgently needed. Through SPSE, the frequency of face to face meetings between providers and the committee can be reduced. This is expected to minimize potential fraud behaviors in the goods or services procurement conducted through the tender process. There exists a transformation of activities in the procurement through SPSE from the tender process that was previously done manually. In this paper, we analyze this transformation between manual procurement process and SPSE-based procurement process. The result of the analysis is exploited for investigating the possibility of fraud behavior transformations in every phase of e-procurement activities.

  17. NPP electrical price and tariff in the world

    International Nuclear Information System (INIS)

    Mochamad Nasrullah and Sriyana

    2010-01-01

    Construction of a Nuclear Power Plant (NPP) is always become a controversial issue. Nuclear utility and other party which support the NPP present a calculation of NPP electricity cost too optimistic. However for utility and other party that contra to nuclear present a calculation of NPP electricity cost too pessimistic. This study present to reduce the controversy of nuclear cost. In this study, capital cost (Engineering Procurement Construction, EPC) was taken from Asian, America and Europe, operating and maintenance cost uses experience data of PLN, and nuclear fuel cost uses data year of 2008 with high price, low price and average price scenario. The methodological tools used to compare electricity generation cost was LEGECOST, a program developed by IAEA (International Atomic Energy Agency), while for electricity tariff- price calculation using a program developed by PLN research and development center. With the discount rate 10%, the result shows that the cheapest electricity generation cost of NPP is less than 40 mills/kWh, and average electricity tariff was 55 mills/kWh. In the Europe countries the electricity tariff more expensive than NPP in Asia. However generating cost and electricity tariff of NPP in United Stated of America (USA) less competitive because investment cost more expensive. Generating cost and electricity tariff was different at each country depend on salary, labor wage, materials price, construction specification, regulation related to NPP and environment aspect. (author)

  18. Mexico - The Federal Procurement System : Challenges and Opportunities

    OpenAIRE

    World Bank

    2007-01-01

    The World Bank carried out the first country procurement assessment review (CPAR) jointly with the Government in 2001, focusing on the features and performance of the federal procurement system. Based on the action plan included in the 2001 CPAR, the government reformed federal procurement laws and regulations in 2005 and furthered the development of Government Procurement Electronic Syste...

  19. Decentralized Procurement in Light of Strategic Inventories

    DEFF Research Database (Denmark)

    Frimor, Hans; Arya, Anil; Mittendorf, Brian

    2015-01-01

    The centralization versus decentralization choice is perhaps the quintessential organizational structure decision. In the operations realm, this choice is particularly critical when it comes to the procurement function. Why firms may opt to decentralize procurement has been often studied and conf......The centralization versus decentralization choice is perhaps the quintessential organizational structure decision. In the operations realm, this choice is particularly critical when it comes to the procurement function. Why firms may opt to decentralize procurement has been often studied...... and confirmed to be a multifaceted choice. This paper complements existing studies by detailing the trade-offs in the centralization versus decentralization decision in light of firm's decision to cede procurement choices to its individual devisions can help moderate inventory levels and provide a natural salve...

  20. The World Bank Group and Public Procurement--An Independent Evaluation : Volume 2: Achieving Development Effectiveness through Procurement in Bank Financial Assistance

    OpenAIRE

    Independent Evaluation Group

    2014-01-01

    Good public procurement practices are a major determinant of the effectiveness of public expenditure. On behalf of their citizens, governments typically spend as much as 5-20 percent of their gross domestic product on procurement of goods and services, and effective procurement policies enable better use of government budgets. Good national procurement practices are therefore an essential ...

  1. Modeling HIV/AIDS Drug Price Determinants in Brazil: Is Generic Competition a Myth?

    OpenAIRE

    Meiners, Constance; Sagaon-Teyssier, Luis; Hasenclever, Lia; Moatti, Jean-Paul

    2011-01-01

    BACKGROUND: Brazil became the first developing country to guarantee free and universal access to HIV/AIDS treatment, with antiretroviral drugs (ARVs) being delivered to nearly 190,000 patients. The analysis of ARV price evolution and market dynamics in Brazil can help anticipate issues soon to afflict other developing countries, as the 2010 revision of the World Health Organization guidelines shifts demand towards more expensive treatments, and, at the same time, current evolution of internat...

  2. 7 CFR 210.21 - Procurement.

    Science.gov (United States)

    2010-01-01

    ... Responsibilities § 210.21 Procurement. (a) General. State agencies and school food authorities shall comply with... violation of law are to be referred to the local, State, or Federal authority that has proper jurisdiction... title are followed. A school food authority may use its own procurement procedures which reflect...

  3. Measuring effects of public procurement of innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    Underway for quite some time now has been the discussion on using public procurement as a means to stimulate innovation. However - with some exceptions this has been mainly a conceptual discussion vastly surpassed a corresponding development of appropriate monitoring tools. Also, even if both...... qualitative and quantitative studies have been made, they tend to lack connection to the underlying mechanisms envisaged in the conceptual and/or case based literature. A challenge in this endeavour prevails in the nature of how public procurement of innovation works. Some of the effects rendered may...... about the usefulness of public procurement of innovation are at all realistic and feasible in practice. After reviewing different currently available means to measure both public procurement of innovation measures, as well as public procurement of innovation, the paper outlines a case-based approach...

  4. The Informing Needs of Procurement Officers in Israel

    Directory of Open Access Journals (Sweden)

    Yahel Giat

    2017-06-01

    Full Text Available Aim/Purpose: To develop and introduce a questionnaire that investigates the informing needs, information-seeking behavior, and supplier selection of procurement officers in Israel. The questionnaire’s internal consistency reliability is given. Additionally, we describe the demographic description of the procurement officers in Israel. Background: Procurement science is an important field that affects firms’ profits in the private sector and is significant to growth, innovation, sustainability, and welfare in the public sector. There is little research about the informing needs of procurement officers in general and particularly in Israel. Methodology: A quantitative questionnaire that is sent to all the procurement officers in Israel’s procuring association. Contribution: The questionnaire that is developed in this paper may be used by other researchers and practitioners to evaluate the information needs of procurement officers. Findings: The typical procurement officer is male, with a bachelor degree and is digitally proficient. Recommendations for Practitioners: The procuring side can use the questionnaire to develop better tools for obtaining information efficiently. The supplying side can use this knowledge to improve its exposure to potential customers and address its customer’s needs better. Recommendation for Researchers: The questionnaire can address theoretical questions such as how digital literacy affects the procuring process and provide empirical findings about active research areas such as supplier selection and information-seeking behavior. Future Research: Future research will examine the relationship between the various variables and demographic features to understand why specific information needs and information-seeking behaviors arise.

  5. Effects of County Public Hospital Reform on Procurement Costs and Volume of Antibiotics: A Quasi-Natural Experiment in Hubei Province, China.

    Science.gov (United States)

    Tang, Yuqing; Liu, Chaojie; Liu, Junjie; Zhang, Xinping; Zuo, Keyuan

    2018-04-18

    The overuse of antibiotics has become a major public health challenge worldwide, especially in low- and middle-income countries, including China. In 2009, the Chinese government launched a series of measures to de-incentivise over-prescription in public health facilities, including decoupling the link between facility income and the sale of medicines. We evaluated the effects of these measures on procurement costs and the volume of antibiotics in county public hospitals. The study was undertaken in the Hubei province of China, where 64 county public hospitals implemented the reform in sequence at three different stages. A quasi-natural experiment design was employed. We performed generalised linear regressions with a difference-in-differences approach using 22,713 procurement records of antibiotics from November 2014 to December 2016. The regression results showed that the reform contributed to a 14.79% increase in total costs for antibiotics (p = 0.013), particularly costs for injectable antibiotics (p = 0.022) and first-line antibiotics (p = 0.030). The procurement prices for antibiotics remained largely comparable to those in the control group, but the reform led to a 17.30% increase in the procurement volume (expressed as defined daily doses) of second-line antibiotics (p = 0.032). County public hospitals procured more antibiotics and greater numbers of expensive antibiotics, such as those administered via injection, to compensate for the loss of income from the sale of medicines, leading to an increased total cost of antibiotics.

  6. Public perspectives on biospecimen procurement: what biorepositories should consider.

    Science.gov (United States)

    L'Heureux, Jamie; Murray, Jeffrey C; Newbury, Elizabeth; Shinkunas, Laura; Simon, Christian M

    2013-06-01

    Human biospecimens are central to biobanking efforts, yet how members of the public think about biobank procurement strategies is not well understood. This study aimed to explore public perspectives toward the procurement of residual clinical material versus "direct" procurement strategies such as the drawing of blood. Members of the public residing in and beyond the biobank catchment area of the University of Iowa Hospitals and Clinics were randomly selected to participate in focus groups and a telephone survey. The majority of survey participants (75%, n=559) found both residual and direct procurement strategies equally workable. Small proportions preferred either residual (15%; n=117) or direct (5%; n=40) procurement. Focus group participants (n=48) could identify benefits to both procurement strategies, but raised concerns about possible donor inconvenience/discomfort and reduced biospecimen accrual in the case of direct procurement. Residual procurement raised concerns about lower-quality samples being procured without full donor awareness. Biobanks should consider that members of the public in their research programs may be willing to make specimen donations regardless of whether a residual or direct procurement strategy is employed. Limiting patient discomfort and inconvenience may make direct procurement strategies more acceptable to some members of the public. Ensuring donor awareness through effective informed consent may allay public concerns about the indirectness of donating clinical biospecimens.

  7. EIA and green procurement: Opportunities for strengthening their coordination

    International Nuclear Information System (INIS)

    Uttam, Kedar; Faith-Ell, Charlotta; Balfors, Berit

    2012-01-01

    EIA plays an important role in enhancing the environmental performance of the construction sector. In recent years, the construction sector has been developing green procurement practices. Green procurement is a process that involves the incorporation of environmental requirements during the procurement of services and products. However, discussion on green procurement is rarely seen during the EIA phase. This paper addresses possible opportunities for improving the coordination between EIA and green procurement within the construction sector. The linking of EIA and green procurement has been postulated in the paper as an aid to strengthen the coordination between project planning and implementation. The paper is based on a literature review and is an outcome of an on-going research project concerning EIA and green procurement. This study indicated that it would be appropriate to introduce green procurement during the pre-decision phase of an EIA. In the present study, the opportunities for integrating green procurement at the stage of EIA are associated with the integration of project planning and EIA. Future research should investigate the mechanism through which the link can be established. - Highlights: ► This paper identifies opportunities to link EIA and green procurement. ► Pre-decision phase of EIA could be appropriate for planning green procurement. ► Future research should investigate the mechanism for establishing the link.

  8. EIA and green procurement: Opportunities for strengthening their coordination

    Energy Technology Data Exchange (ETDEWEB)

    Uttam, Kedar, E-mail: kedar@kth.se [Department of Land and Water Resources Engineering, Royal Institute of Technology, Stockholm (Sweden); Faith-Ell, Charlotta, E-mail: charlotta.faith-ell@WSPGroup.se [WSP Sweden (Sweden); Balfors, Berit, E-mail: balfors@kth.se [Department of Land and Water Resources Engineering, Royal Institute of Technology, Stockholm (Sweden)

    2012-02-15

    EIA plays an important role in enhancing the environmental performance of the construction sector. In recent years, the construction sector has been developing green procurement practices. Green procurement is a process that involves the incorporation of environmental requirements during the procurement of services and products. However, discussion on green procurement is rarely seen during the EIA phase. This paper addresses possible opportunities for improving the coordination between EIA and green procurement within the construction sector. The linking of EIA and green procurement has been postulated in the paper as an aid to strengthen the coordination between project planning and implementation. The paper is based on a literature review and is an outcome of an on-going research project concerning EIA and green procurement. This study indicated that it would be appropriate to introduce green procurement during the pre-decision phase of an EIA. In the present study, the opportunities for integrating green procurement at the stage of EIA are associated with the integration of project planning and EIA. Future research should investigate the mechanism through which the link can be established. - Highlights: Black-Right-Pointing-Pointer This paper identifies opportunities to link EIA and green procurement. Black-Right-Pointing-Pointer Pre-decision phase of EIA could be appropriate for planning green procurement. Black-Right-Pointing-Pointer Future research should investigate the mechanism for establishing the link.

  9. Tanzania : Country Procurement Assessment Report, Executive Summary

    OpenAIRE

    World Bank

    2004-01-01

    This Country Procurement Assessment Report (CPAR)intends to determine the compatibility of national procurement law, and practices, with the principles of economy, and with international procurement practices. This CPAR, the second of its kind in Tanzania, looks at the legislative framework, the performance of regulatory functions, the enforcement regime, and the capacity of public sector ...

  10. [Non-antiretroviral drugs uses among HIV-infected persons receiving antiretroviral therapy in Senegal: Costs and factors associated with prescription].

    Science.gov (United States)

    Diouf, A; Youbong, T J; Maynart, M; Ndoye, M; Diéye, F L; Ndiaye, N A; Koita-Fall, M B; Ndiaye, B; Seydi, M

    2017-08-01

    In addition to antiretroviral therapy, non-antiretroviral drugs are necessary for the appropriate care of people living with HIV. The costs of such drugs are totally or partially supported by the people living with HIV. We aimed to evaluate the overall costs, the costs supported by the people living with HIV and factors associated with the prescription of non-antiretroviral drugs in people living with HIV on antiretroviral therapy in Senegal. We conducted a retrospective cohort study on 331 people living with HIV who initiated antiretroviral therapy between 2009 and 2011 and followed until March 2012. The costs of non-antiretroviral drugs were those of the national pharmacy for essential drugs; otherwise they were the lowest costs in the private pharmacies. Associated factors were identified through a logistic regression model. The study population was 61 % female. At baseline, 39 % of patients were classified at WHO clinical stage 3 and 40 % at WHO clinical stage 4. Median age, body mass index and CD4 cells count were 41 years, 18kg/m 2  and 93 cells/μL, respectively. After a mean duration of 11.4 months of antiretroviral therapy, 85 % of patients received at least one prescription for a non-antiretroviral drug. Over the entire study period, the most frequently prescribed non-antiretroviral drugs were cotrimoxazole (78.9 % of patients), iron (33.2 %), vitamins (21.1 %) and antibiotics (19.6 %). The mean cost per patient was 34 Euros and the mean cost supported per patient was 14 Euros. The most expensive drugs per treated patient were antihypertensives (168 Euros), anti-ulcer agents (12 Euros), vitamins (8.5 Euros) and antihistamines (7 Euros). The prescription for a non-antiretroviral drug was associated with advanced clinical stage (WHO clinical stage 3/4 versus stage 1/2): OR=2.25; 95 % CI=1.11-4.57 and viral type (HIV-2 versus HIV-1/HIV-1+HIV-2): OR=0.36; 95 % CI=0.14-0.89. Non-antiretroviral drugs are frequently prescribed to

  11. 22 CFR 201.23 - Procurement under private sector procedures.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procurement under private sector procedures... § 201.23 Procurement under private sector procedures. (a) General requirements. Procurements under private sector procedures will normally be carried out by importers using negotiated procurement...

  12. An evaluation of transit procurement training.

    Science.gov (United States)

    Noland, Robert B; Weiner, Marc D; Klein, Nicholas J; Puniello, Orin D

    2017-04-01

    We evaluated a training course called "Orientation to Transit Procurement", designed and conducted by the National Transit Institute. This course is designed to provide Federal Transit Administration (FTA) grantees an overview of regulations and best practices related to the procurement process. Our objective in conducting the evaluation was to understand how transit agency staff made changes in procurement practices in response to the course training. The evaluation was mixed mode: an Internet survey followed by in-depth interviews with a small group of respondents. Survey respondents were also provided with an open-ended question providing us with additional context for our evaluation. Results show that the training is substantially successful at meeting the goal of improving procurement practices at transit agencies; indeed, most respondents report making changes at their agencies as the proximate result of the training. This was at odds with our exploration of knowledge of procurement topics, as most respondents gave inaccurate answers on multiple-choice "knowledge questions". This may have been due to question structure or, more likely, the nature of online surveys. Suitable training on the procurement of information technology was also a main concern. The lack of training in this area is indicative of the broader challenge facing public transit agencies in how to incorporate new forms of technology into their existing practices and bureaucratic structures. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Study on Comparison of Bidding and Pricing Behavior Distinction between Estimate Methods

    Science.gov (United States)

    Morimoto, Emi; Namerikawa, Susumu

    The most characteristic trend on bidding and pricing behavior distinction in recent years is the increasing number of bidders just above the criteria for low-price bidding investigations. The contractor's markup is the difference between the bidding price and the execution price. Therefore, the contractor's markup is the difference between criteria for low-price bidding investigations price and the execution price in the public works bid in Japan. Virtually, bidder's strategies and behavior have been controlled by public engineer's budgets. Estimation and bid are inseparably linked in the Japanese public works procurement system. The trial of the unit price-type estimation method begins in 2004. On another front, accumulated estimation method is one of the general methods in public works. So, there are two types of standard estimation methods in Japan. In this study, we did a statistical analysis on the bid information of civil engineering works for the Ministry of Land, Infrastructure, and Transportation in 2008. It presents several issues that bidding and pricing behavior is related to an estimation method (several estimation methods) for public works bid in Japan. The two types of standard estimation methods produce different results that number of bidders (decide on bid-no bid strategy) and distribution of bid price (decide on mark-up strategy).The comparison on the distribution of bid prices showed that the percentage of the bid concentrated on the criteria for low-price bidding investigations have had a tendency to get higher in the large-sized public works by the unit price-type estimation method, comparing with the accumulated estimation method. On one hand, the number of bidders who bids for public works estimated unit-price tends to increase significantly Public works estimated unit-price is likely to have been one of the factors for the construction companies to decide if they participate in the biddings.

  14. The Malaysian Public Procurement's Prevalent System and its Weaknesses

    OpenAIRE

    Rohana Othman; Husein Zakaria; Norlaili Nordin; Zamzam Shahidan; Kamaruzaman Jusoff

    2010-01-01

    Problem statement: This study examined the public procurement system as prevalent in the Malaysian government system of administration. Various aspects of public procurement are outlined including types and the processes that entail public procurement. This study also highlighted the weaknesses in the manual public procurement processes that are opened to potential abuse and mismanagement resulting in corruption. This study places the Malaysian Government public procurement system under the s...

  15. Integrated Procurement Management System, Version II

    Science.gov (United States)

    Collier, L. J.

    1985-01-01

    Integrated Procurement Management System, Version II (IPMS II) is online/ batch system for collecting developing, managing and disseminating procurementrelated data at NASA Johnson Space Center. Portions of IPMS II adaptable to other procurement situations.

  16. What Canada could learn from U.S. defence procurement: Issues, best practices and recommendations

    Directory of Open Access Journals (Sweden)

    Anessa L. Kimball

    2015-04-01

    Full Text Available Despite differences in scale, Canada and the U.S. face common challenges in military procurement and there is much Canada can learn as both countries pursue reforms. The U.S. employs a system of systems approach, based on requirements, resource allocation and acquisition. The process begins with the Joint Capabilities and Development System, focused on identifying and prioritizing needs and assessing alternatives. This is followed by the Planning, Programming, Budgeting and Execution System, which leads to the creation of a budget and provides guidance for the project’s execution. The third and final step is the Defense Acquisition System, which oversees the development and purchase of the new equipment. While deceptively simple in summary, U.S. defence procurement is dogged by problems — particularly cost overruns, a surfeit of key players and delayed schedules which degrade troops’ performance in the field. Additionally, the defence products market is restricted, inevitably limiting competition, encouraging misbehaviour on the part of business and driving up prices. The DoD is in the midst of consultations with contractors and Congress is undertaking an effort to rewrite acquisition laws. But the most pressing questions remain: Does a best procurement practice exist? If so, what criteria define it? In light of Canada’s new Defence Procurement Strategy (DPS, some lessons are clear. Further analysis is needed to figure out whether reforms can succeed in so narrow a marketplace. More attention must be paid to shaping contracts and clarifying expectations about sticking to schedules. And Ottawa must think carefully about the military’s needs, as it pushes ahead with the DPS. In surveying change at the DoD, this brief draws pointed conclusions to which Canada’s defence planners must pay heed, if they’re to leave the military stronger than they found it.

  17. International public procurement: From scant facts to hard data

    OpenAIRE

    Cernat, Lucian; Kutlina-Dimitrova, Zornitsa

    2015-01-01

    Public procurement is a negotiating area gaining in importance at multilateral and bilateral level, as evidenced by a brief review of procurement provisions in existing trade agreements. The size of procurement spending stands in most developed economies at double-digit percentage points of GDP. However, despite the size and importance of these markets, the factual information available to trade negotiators remains scarce. Although public procurement patterns (e.g. size of procurement markets...

  18. Risk Factors Influencing Construction Procurement Performance in Nigeria

    Directory of Open Access Journals (Sweden)

    Alhassan Dahiru

    2015-08-01

    Full Text Available One of the challenges facing construction procurement performance is the failure to determine the risk related factors limiting its success. These risk factors can cause a significant increase in the procurement cost leading to an increase in the overall project cost. The purpose of this study is to identify and evaluate the risk factors influencing construction procurement performance with a view to achieve the overall project performance. The objectives are to establish a relative significance index score for the most important risk factors limiting the procurement performance of the projects. A self administered questionnaire was employed to the construction industry professionals for responses. A total of 78 questionnaires were distributed to these professionals (architects, quantity surveyors, engineers, and contractors but 62 were returned and analyzed using influential index and later ranked in order of importance. Results of the analysis indicate a disparity in terms of ranking of the factors influencing construction procurement performance. Corruption related risk, conflict of interest, ineffective project technical feasibility, and lack of commitment to transparency were found to be the most significant factors limiting construction procurement performance. Communication barriers and unconfidential tender evaluation process were found to be the low weighted risk factors. The findings can serve as a supportive mechanism for risks management in public construction procurement management. Therefore, construction procurement personnel at all levels of government may find this study relevant, while improving construction procurement performance in the country. It is recommended that construction procurement system should be focused on risks related to corruption, conflict of interest, and effective technical feasibility for improving the overall project performance.

  19. Regional trade agreements & procurement rules : facilitators or hindrances?

    OpenAIRE

    ANDERSON, Robert D.; MÜLLER, Anna Caroline; PELLETIER, Philippe

    2015-01-01

    This Working Paper considers the significance of government procurement chapters in regional trade agreements (RTAs), both in their own right and vis-à-vis the WTO Agreement on Government Procurement (GPA). The paper finds, inter alia, that: (i) a strong complementarity exists between government procurement trade commitments and general goods and services trade commitments, making integration of procurement commitments in a more general system such as the WTO Agreements desirable; (ii) govern...

  20. Sustainable Bridge Infrastructure Procurement

    DEFF Research Database (Denmark)

    Safi, Mohammed; Du, Guangli; Simonsson, Peter

    2016-01-01

    The lack of a flexible but systematic approach for integrating lifecycle aspects into bridge investment decisions is a major obstacle hindering the procurement of sustainable bridge infrastructures. This paper addresses this obstacle by introducing a holistic approach that agencies could use...... to procure the most “sustainable” (lifecycle-efficient) bridge through a fair design-build (D-B) tendering process, considering all the main aspects: life-cycle cost (LCC), service life-span, aesthetic demands and environmental impacts (LCA)....

  1. Small Business Procurement Event

    Science.gov (United States)

    2014-08-13

    Small Business Procurement Event 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK...NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Department of the Navy,Office of Small Business Programs,720 Kennon...distribution unlimited 13. SUPPLEMENTARY NOTES NDIA 27th Navy Gold Coast Small Business Procurement Event, 12-13 Aug 2014, San Diego, CA. 14. ABSTRACT

  2. Flexible procurement systems is key to supply chain sustainability

    Directory of Open Access Journals (Sweden)

    Surajit Bag

    2016-04-01

    Full Text Available Background: In this dynamic business environment, manufacturers are focusing primarily on delivery performance and competitive pricing to win orders. It is essential that manufacturers adopt flexible procurement systems (FPSs in such an uncertain environment for business sustainability. Objectives: The purpose of the study is to identify the elements of FPSs and model the interrelationships between elements of FPSs and, finally, to understand how FPSs are linked with supply chain sustainability. Method: Besides providing a brief conceptual review of FPSs, the study largely illustrates the use of an innovative multi-criteria decision-making approach called total interpretive structural modelling (TISM. Results: The total interpretive structural modelling–based model evaluates the causality and illustrates elements with interpretation of relations and suggests that bottom-level elements are vital for sustainability in FPSs and avert risks. Secondly, strategic sourcing is positively influencing supplier integration. Thirdly, supplier integration positively influences supplier responsiveness. Fourthly, skills of flexible procurement workforce positively influence supplier integration. Fifthly, it is found that supplier integration positively influences flexible transportation. The sixth finding suggests that supplier integration positively influences eco-friendly packaging. The seventh finding highlights that supplier integration positively influences ISO 14001 certifications. The eighth finding explains that supplier responsiveness positively influences customer satisfaction. It is also observed that flexible transport reduces operational cost and environmental costs. The second last finding explains eco-friendly packaging and reduction in environmental cost by careful selection of packing material and chemicals. Lastly, it is found that ISO 14001/environmental certifications reduce environmental costs by greening suppliers and pressurises them

  3. Uzbekistan : Country Procurement Assessment Report

    OpenAIRE

    World Bank

    2003-01-01

    Uzbekistan inherited the Soviet system for the procurement of goods, works and services for State needs. This system was suitable for a command economy but lacks the essential elements of competitiveness, transparency and accountability, which are the hallmarks of a market-based approach to government contracting. This Country Procurement Assessment Report (CPAR) comes at a time when a num...

  4. CD4+ Count-Guided Interruption of Antiretroviral Treatment. The Strategies for Mangement of Antiretroviral Therapy (SMART) Study Group

    DEFF Research Database (Denmark)

    El-Sadr, WM; Lundgren, Jens Dilling; Neaton, JD

    2006-01-01

    had a CD4+ cell count of more than 350 per cubic millimeter to the continuous use of antiretroviral therapy (the viral suppression group) or the episodic use of antiretroviral therapy (the drug conservation group). Episodic use involved the deferral of therapy until the CD4+ count decreased to less......BACKGROUND: Despite declines in morbidity and mortality with the use of combination antiretroviral therapy, its effectiveness is limited by adverse events, problems with adherence, and resistance of the human immunodeficiency virus (HIV). METHODS: We randomly assigned persons infected with HIV who...... the risk of adverse events that have been associated with antiretroviral therapy. (ClinicalTrials.gov number, NCT00027352 [ClinicalTrials.gov].). Copyright 2006 Massachusetts Medical Society....

  5. Delivery of antiretroviral treatment services in India: Estimated costs incurred under the National AIDS Control Programme.

    Science.gov (United States)

    Agarwal, Reshu; Rewari, Bharat Bhushan; Shastri, Suresh; Nagaraja, Sharath Burugina; Rathore, Abhilakh Singh

    2017-04-01

    Competing domestic health priorities and shrinking financial support from external agencies necessitates that India's National AIDS Control Programme (NACP) brings in cost efficiencies to sustain the programme. In addition, current plans to expand the criteria for eligibility for antiretroviral therapy (ART) in India will have significant financial implications in the near future. ART centres in India provide comprehensive services to people living with HIV (PLHIV): those fulfilling national eligibility criteria and receiving ART and those on pre-ART care, i.e. not on ART. ART centres are financially supported (i) directly by the NACP; and (ii) indirectly by general health systems. This study was conducted to determine (i) the cost incurred per patient per year of pre-ART and ART services at ART centres; and (ii) the proportion of this cost incurred by the NACP and by general health systems. The study used national data from April 2013 to March 2014, on ART costs and non-ART costs (human resources, laboratory tests, training, prophylaxis and management of opportunistic infections, hospitalization, operational, and programme management). Data were extracted from procurement records and reports, statements of expenditure at national and state level, records and reports from ART centres, databases of the National AIDS Control Organisation, and reports on use of antiretroviral drugs. The analysis estimates the cost for ART services as US$ 133.89 (?8032) per patient per year, of which 66% (US$ 88.66, ?5320) is for antiretroviral drugs and 34% (US$ 45.23, ?2712) is for non-ART recurrent expenditure, while the cost for pre-ART care is US$ 33.05 (?1983) per patient per year. The low costs incurred for patients in ART and pre-ART care services can be attributed mainly to the low costs of generic drugs. However, further integration with general health systems may facilitate additional cost saving, such as in human resources.

  6. 22 CFR 226.44 - Procurement procedures.

    Science.gov (United States)

    2010-04-01

    ... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.44 Procurement procedures. (a... and assistance, as appropriate, of such organizations as the Small Business Administration and the...

  7. International Research Study of Public Procurement

    NARCIS (Netherlands)

    Telgen, Jan; Harland, C.; Callender, G.; Harland, C.; Nassimbeni, G.; Schneller, E.

    2012-01-01

    In this chapter we examine the specific issue of public procurement, its importance to local, regional, national, and international economies as evidenced in a unique international comparative research study – the International Research Study of Public Procurement (IRSPP). First the public

  8. Drug procurement and management.

    Science.gov (United States)

    Salhotra, V S

    2003-03-01

    A strong drug procurement and management system under the RNTCP is critical to programme success. Significant improvements in manufacturing, inspection, supply, storage and quality control practices and procedures have been achieved due to an intensive RNTCP network. Drugs used in RNTCP are rifampicin, isoniazid, ethambutol, pyrazinamide and streptomycin. Patients of TB are categorised into I, II and III and each category has a different standarised treatment. Procurement, distribution system and quality assurance of drugs are narrated in brief in this article.

  9. 76 FR 78248 - Procurement List; Addition and Deletions

    Science.gov (United States)

    2011-12-16

    .... Service Type/Location: Laundry Service, Stratton Medical Center, 113 Holland Ave, Albany, NY. [[Page 78249...: Addition to and Deletions from the Procurement List. SUMMARY: This action adds a service to the Procurement... disabilities, and deletes products and services from the Procurement List previously furnished by such agencies...

  10. Effects of Procurement Related Factors on Construction Project ...

    African Journals Online (AJOL)

    Several Literatures in construction management support the view that procurements have impacts on project performance. Aim of this study is to investigate the effects of procurement related factors of procurement selection criteria, tendering methods and variation orders on project performance. Purpose of the study is to ...

  11. 32 CFR 22.205 - Distinguishing assistance from procurement.

    Science.gov (United States)

    2010-07-01

    ... procurement contract, is the appropriate instrument, based on the following: (a) Purpose. (1) The grants... purpose is acquisition, then the grants officer shall judge that a procurement contract is the appropriate... 32 National Defense 1 2010-07-01 2010-07-01 false Distinguishing assistance from procurement. 22...

  12. Networking for knowledge capacity building of procurement professionals in Ghana

    Directory of Open Access Journals (Sweden)

    Kissi Ernest

    2016-12-01

    Full Text Available The role of public procurement professionals in achieving value for money in public procurement activities is widely acknowledged around the globe. This has inspired the organisation of training programmes and workshops for procurement professionals, particularly those in developing countries in order to hone their knowledge and skills for proper management of government projects. This paper sought to explore the opportunities in networking for knowledge capacity building of procurement professionals in Ghana. The study adopted quantitative research methods for both data collection and analysis. The paper revealed that professional networking can offer procurement professionals the opportunity to acquire new knowledge from external professionals, know global trends about procurement practice, and obtain new information from other institutions about procurement. It is recommended that a platform that can support a network of procurement professionals in Ghana should be developed in order to ensure effective interaction and communication among procurement professionals for their capacity building.

  13. Procurement Service launches new eLearning module

    CERN Multimedia

    2015-01-01

    The Procurement Service has launched a training module covering “Procurement of supplies at CERN up to 200,000 CHF” in the form of an eLearning, accessible to all users involved in the procurement process. A long version (30 minutes) and a short version (10 minutes) are now available via this link.   The objectives of this eLearning module are as follows: To improve users' knowledge of the Procurement Rules to facilitate the successful completion of a DAI. This will ensure their DAI is processed as quickly as possible; To decrease the number of single tender requests and to avoid non compliant procurement practices such as the fragmentation of requirements into smaller orders. The eLearning module in its short version covers a range of topics, including the role of the technical officer, estimation of order amount (and the subsequent procedure to follow) and preparation and completion of the DAI form. The longer version also includes useful informati...

  14. Health and federal budgetary effects of increasing access to antiretroviral medications for HIV by expanding Medicaid.

    Science.gov (United States)

    Kahn, J G; Haile, B; Kates, J; Chang, S

    2001-09-01

    OBJECTIVES. This study modeled the health and federal fiscal effects of expanding Medicaid for HIV-infected people to improve access to highly active antiretroviral therapy. A disease state model of the US HIV epidemic, with and without Medicaid expansion, was used. Eligibility required a CD4 cell count less than 500/mm3 or viral load greater than 10,000, absent or inadequate medication insurance, and annual income less than $10,000. Two benefits were modeled, "full" and "limited" (medications, outpatient care). Federal spending for Medicaid, Medicare, AIDS Drug Assistance Program, Supplemental Security Income, and Social Security Disability Insurance were assessed. An estimated 38,000 individuals would enroll in a Medicaid HIV expansion. Over 5 years, expansion would prevent an estimated 13,000 AIDS diagnoses and 2600 deaths and add 5,816 years of life. Net federal costs for all programs are $739 million (full benefits) and $480 million (limited benefits); for Medicaid alone, the costs are $1.43 and $1.17 billion, respectively. Results were sensitive to awareness of serostatus, highly active antiretroviral therapy cost, and participation rate. Strategies for federal cost neutrality include Medicaid HIV drug price reductions as low as 9% and private insurance buy-ins. Expansion of the Medicaid eligibility to increase access to antiretroviral therapy would have substantial health benefits at affordable costs.

  15. 7 CFR 248.21 - Procurement and property management.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Procurement and property management. 248.21 Section... Provisions § 248.21 Procurement and property management. (a) Requirements. State agencies shall comply with the requirements of 7 CFR part 3016 for procurement of supplies, equipment and other services with...

  16. Organ procurement after euthanasia: Belgian experience.

    Science.gov (United States)

    Ysebaert, D; Van Beeumen, G; De Greef, K; Squifflet, J P; Detry, O; De Roover, A; Delbouille, M-H; Van Donink, W; Roeyen, G; Chapelle, T; Bosmans, J-L; Van Raemdonck, D; Faymonville, M E; Laureys, S; Lamy, M; Cras, P

    2009-03-01

    Euthanasia was legalized in Belgium in 2002 for adults under strict conditions. The patient must be in a medically futile condition and of constant and unbearable physical or mental suffering that cannot be alleviated, resulting from a serious and incurable disorder caused by illness or accident. Between 2005 and 2007, 4 patients (3 in Antwerp and 1 in Liège) expressed their will for organ donation after their request for euthanasia was granted. Patients were aged 43 to 50 years and had a debilitating neurologic disease, either after severe cerebrovascular accident or primary progressive multiple sclerosis. Ethical boards requested complete written scenario with informed consent of donor and relatives, clear separation between euthanasia and organ procurement procedure, and all procedures to be performed by senior staff members and nursing staff on a voluntary basis. The euthanasia procedure was performed by three independent physicians in the operating room. After clinical diagnosis of cardiac death, organ procurement was performed by femoral vessel cannulation or quick laparotomy. In 2 patients, the liver, both kidneys, and pancreatic islets (one case) were procured and transplanted; in the other 2 patients, there was additional lung procurement and transplantation. Transplant centers were informed of the nature of the case and the elements of organ procurement. There was primary function of all organs. The involved physicians and transplant teams had the well-discussed opinion that this strong request for organ donation after euthanasia could not be waived. A clear separation between the euthanasia request, the euthanasia procedure, and the organ procurement procedure is necessary.

  17. Value-based procurement of medical devices: Application to devices for mechanical thrombectomy in ischemic stroke.

    Science.gov (United States)

    Trippoli, Sabrina; Caccese, Erminia; Marinai, Claudio; Messori, Andrea

    2018-03-01

    In the acute ischemic stroke, endovascular devices have shown promising clinical results and are also likely to represent value for money, as several modeling studies have shown. Pharmacoeconomic evaluations in this field, however, have little impact on the procurement of these devices. The present study explored how complex pharmacoeconomic models that evaluate effectiveness and cost can be incorporated into the in-hospital procurement of thrombectomy devices. As regards clinical modeling, we extracted outcomes at three months from randomized trials conducted for four thrombectomy devices, and we projected long-term results using standard Markov modeling. In estimating QALYs, the same model was run for the four devices. As regards economic modeling, we firstly estimated for each device the net monetary benefit (NMB) per patient (threshold = $60,000 per QALY); then, we simulated a competitive tender across the four products by determining the tender-based score (on a 0-to-100 scale). Prices of individual devices were obtained from manufacturers. Extensive sensitivity testing was applied to our analyses. For the four devices (Solitaire, Trevo, Penumbra, Solumbra), QALYs were 1.86, 1.52, 1,79, 1.35, NMB was $101,824, $83,546, $101,923, $69,440, and tender-based scores were 99.70, 43.43, 100, 0, respectively. Sensitivity analysis confirmed findings from base-case. Our results indicate that, in the field of thrombectomy devices, incorporating the typical tools of cost-effectiveness into the processes of tenders and procurement is feasible. Bridging the methodology of cost-effectiveness with the every-day practice of in-hospital procurement can contribute to maximizing the health returns that are generated by in-hospital expenditures for medical devices. Copyright © 2018 Elsevier B.V. All rights reserved.

  18. 75 FR 22745 - Procurement List Additions

    Science.gov (United States)

    2010-04-30

    ... General Services Administration. Services Service Type/Location: Laundry Services, Alaska VA Healthcare... Procurement List. SUMMARY: This action adds to the Procurement List products and services to be furnished by... concerning capability of qualified nonprofit agencies to provide the products and services and impact of the...

  19. 77 FR 27736 - Procurement List Additions

    Science.gov (United States)

    2012-05-11

    ... Research Laboratory, Washington, DC. Service Type/Location: Laundry, Refurbishment, and Warehouse Services... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be... products and services and impact of the additions on the current or most recent contractors, the Committee...

  20. E-PROCUREMENT: IMPORTANCIA Y APLICACIÓN

    Directory of Open Access Journals (Sweden)

    Isabel Fernández Quesada

    2003-04-01

    Full Text Available En el trabajo se aborda uno de los aspectos externos del e-business: el e-procurement. Se valora la importancia de la utilización de la red en general y en la función logística y de compras, en particular. Partiendo de las actividades tradicionales de compras, se explicitan las ventajas que supone respecto a ellas el e-procurement y la importancia estratégica de su aplicación. Asimismo, se profundiza en el propio concepto de e-procurement y en su arquitectura desde el punto de vista de su implantación empresarial.

  1. 'Procurement quality engineering': A measurement driven system to assure quality at each step in the procurement process

    International Nuclear Information System (INIS)

    Rinderman, R.R.

    1993-01-01

    The 'Procurement Quality Function' is an element of the Body of Knowledge of Quality Engineering, as defined by the American Society for Quality Control (ASQC). This paper describes the Procurement Quality function which has been installed as an integral part of the Quality Engineering group of the Technical and Management Support Services (T ampersand MSS) contractor to the United States Department of Energy (DOE) Yucca Mountain Site Characterization Project. Each of the elements of the T ampersand MSS Procurement Quality Engineering (PQE) system is discussed along with the measurements obtained. With the installation and development of the PQE system we have attained more meaningful evaluation of supplier capability, reduction of procurement document review reject ratios from 31% to less than 2% per quarter, more effective measurement and control of supplier performance, and the ability to enter into a meaningful teaming effort with T ampersand MSS suppliers

  2. Sustainable Procurement

    DEFF Research Database (Denmark)

    Telles, Pedro; Ølykke, Grith Skovgaard

    2017-01-01

    and within it how sustainable requirements have increased the level of compliance required, particularly regulatory compliance. Compliance was already present in previous EU public procurement frameworks, but its extent on Directive 2014/24/EU leads the authors to consider the current legal framework...

  3. THE EFFECTIVENESS OF BUDGET ALLOCATION IN PUBLIC PROCUREMENT

    Directory of Open Access Journals (Sweden)

    Irina Yu. Fedorova

    2015-01-01

    Full Text Available This article deals with the problem of budget allocation in the state order inRussia. Assesses the effectiveness of the financial mechanism of the public procurement business entities, purchasing activities are regulated by Federal Law №44-FZ and №223-FZ. The dynamics of financing the procurement process and reveal its features by using the most common methods of procurement through competitive bidding and without bidding. Identifies the causes of inefficient spending budget as a result of the non-competitive procurement methods by certain categories of business entities. 

  4. Playing the game of public procurement of innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    Given the emergence and diffusion of policies aiming at promoting the utilisation of public procurement as an innovation policy instrument, it is remarkable that very little scholarly attention has been given to the teaching of public procurement of innovation. This paper sets out to contribute...... towards mending this gap, by discussing some considerations made in the context of the development and set up of a university course in public procurement of innovation. A major challenge for such an endeavour is how to bring the complexities of real-life public procurement into a university class...

  5. Innovation public procurement in Russia: problems of institutional arrangements

    Directory of Open Access Journals (Sweden)

    Korytcev Maxim, A.

    2015-12-01

    Full Text Available The paper explores the problems of public procurement in innovation sphere in Russia, its institutional organization. In international practice, some strategies of innovation stimulation (by public procurement are developing. There is necessity to use more elements of these strategies in Russian National Procurement System. The active National Public Procurement System has no enough effective methods and instruments for stimulating innovation development now.

  6. Minimising the expectation value of the procurement cost in electricity markets based on the prediction error of energy consumption

    OpenAIRE

    Yamaguchi, Naoya; Hori, Maiya; Ideguchi, Yoshinari

    2018-01-01

    In this paper, we formulate a method for minimising the expectation value of the procurement cost of electricity in two popular spot markets: {\\it day-ahead} and {\\it intra-day}, under the assumption that expectation value of unit prices and the distributions of prediction errors for the electricity demand traded in two markets are known. The expectation value of the total electricity cost is minimised over two parameters that change the amounts of electricity. Two parameters depend only on t...

  7. Indonesia - Procurement Modernization

    Data.gov (United States)

    Millennium Challenge Corporation — The evaluation seeks to establish evidence on the possible effects of an intervention designed to modernize public procurement: effects on cost savings, performance...

  8. Government Procurement Agreements and Telecommunications Business

    Directory of Open Access Journals (Sweden)

    Shin-Won Kang

    2001-12-01

    Full Text Available The opening of the telecommunications market is acceleration due to the world trends of deregulation and privatization under the WTO basic telecommunications agreements. Diversification of services and fast and efficient equipment procurement are becoming necessary conditions for the survival of telecommunications operators. However, the issue here is that telecommunications operators are still bound by the GPA (Government Procurement Agreement based on conditions of monopoly even though the procurement market in Korean is open substantially since 1997. Under such conditions, the continued application of the GPA on telecommunications operator who is highly competitive may result in a negative impact on the telecommunications business and quality of telecommunications service by undermining the autonomy of operator and decreasing operator’s procurement competitiveness. Therefore, this study examines the GPA and the issues raised by the agreement, and also attempts to suggest revisions or means of abrogating the unfair GPA with regards to the development and deregulation of the telecommunications business.

  9. NASA Procurement Career Development Program

    Science.gov (United States)

    1987-01-01

    The NASA Procurement Career Development Program establishes an agency-wide framework for the management of career development activity in the procurement field. Within this framework, installations are encouraged to modify the various components to meet installation-specific mission and organization requirements. This program provides a systematic process for the assessment of and planning for the development, training, and education required to increase the employees' competence in the procurement work functions. It includes the agency-wide basic knowledge and skills by career field and level upon which individual and organizational development plans are developed. Also, it provides a system that is compatible with other human resource management and development systems, processes, and activities. The compatibility and linkage are important in fostering the dual responsibility of the individual and the organization in the career development process.

  10. Study on Comparative Efficiencies in Vaccine Procurement Mechanisms

    OpenAIRE

    Bumpas, Janet

    2008-01-01

    Vaccinations are amongst the most cost-effective public health interventions. Vaccine procurement is a complex issue that interweaves the domains of public health, commodity security, ethics, and procurement. Its cross-disciplinary nature means that neither a straightforward analysis stemming from just one discipline nor a cookie-cutter application of World Bank procurement principles of e...

  11. Factors influencing e-Procurement adoption in the Nigerian building industry

    Directory of Open Access Journals (Sweden)

    Eziyi Offia Ibem

    2016-12-01

    Full Text Available Against the backdrop of increasing adoption of e-Procurement in supply chain management, there is a need for adequate knowledge of the factors that influence the decision by organizations in the building industry to use e-Procurement. This study aims to fill the knowledge gap through investigating the factors influencing e-Procurement adoption based on the data sourced in a questionnaire survey involving 213 organizations in the building industry. The survey was conducted between June and November 2015 in Nigeria. Descriptive statistics, factor and categorical regression analyses were used to analyze the data. The results show that the three most important factors influencing the adoption of e-Procurement amongst the participants, in order of importance, were: the benefits of e-Procurement in enhancing efficiency in project delivery; eliminating geographic barriers and effective communication among project team members. The 29 factors were investigated in seven different dimensions - the benefits of e-Procurement use; level of awareness on e-Procurement in construction; and the availability and cost of e-Procurement applications emerged as the three most significant predictors of e-Procurement adoption in the survey. The study concludes by identifying strategies that should be engaged in increasing the uptake and maximizing the benefits of e-Procurement in the Nigerian building industry.

  12. The impact of e-Procurement practice in Indonesia government: A Preliminary Study (The case of Electronic Procurement Service at Bekasi District)

    Science.gov (United States)

    Candra, S.; E Gunawan, F.

    2017-01-01

    In digital economy, government of Indonesia uses the internet to deliver services and to communicate with citizens and organizations. One of applications are e-Procurement and LPSE is a unit to hold the service system of e-Procurement. Procurement of goods and services electronically in addition will increase transparency and accountability, improve market access and healthy competition, as well as improving the efficiency of the procurement process. Based on the background and specific objectives to be achieved, then the research will be viewed from e-Marketplace participation, Trust and its impact on the performance of existing procurement within the institution. Methods of data analysis used in this research is by using analysis of Structural Equation Modelling (SEM) by using the program Partial Least Square (PLS) to examine the relationship between variables. The population used in this study is an enterprise as well as other clients using the system LPSE Bekasi District. There are three part in this study population, namely the provision of a company, customer, and supplier of LPSE users amounted to 60 users. From data analysis, there are one hypothesis that rejected. The implication of this study are implementation of e-procurement and e-marketplace participation giving impact to procurement performance.

  13. 76 FR 80345 - Procurement List; Additions

    Science.gov (United States)

    2011-12-23

    ... ARMY, W6QL ECC MIAMI DIV, MIAMI, FL. Service Type/Location: Industrial Laundry Service, Bureau of... Procurement List. SUMMARY: This action adds services to the Procurement List that will be provided by... concerning capability of qualified nonprofit agencies to provide the services and impact of the additions on...

  14. 75 FR 47550 - Procurement List; Additions

    Science.gov (United States)

    2010-08-06

    ...--Macintosh Apple NSN: MR 473--Fresh Linen NPA: Industries for the Blind, Inc., West Allis, WI Contracting... Service, 5777 S. Aviation Blvd., N. Charleston, SC NPA: Goodwill Industries of Lower South Carolina, Inc... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be...

  15. public procurement, governance and economic growth

    African Journals Online (AJOL)

    GRACE

    (2003: 2), ―strong procurement management in the public sector is a tool for achieving political, economic and social goals‖. Thus .... professionalism in the public sector procurement system (Section 4, PPA, 2007). The functions and powers of the ..... K., Bose, N. and Haque, M.E. (2004). Public Expenditures, Bureaucratic.

  16. 78 FR 45183 - Procurement List Additions

    Science.gov (United States)

    2013-07-26

    ... Requirement as aggregated by the General Services Administration. NSN: 7920-00-NIB-0564--Towel, Cleaning, Non... Procurement List. SUMMARY: This action adds a products and services to the Procurement List that will be... presented to it concerning capability of qualified nonprofit agencies to provide the products and services...

  17. Nepal : Electronic Government Procurement Readiness Assessment and Roadmap

    OpenAIRE

    World Bank

    2007-01-01

    The assessment focused on the degree of readiness of Government of Nepal's (GoN's) current public procurement environment for making a transition from a traditional paper-based, manual procurement transaction processing and communication to electronic government procurement (e-GP). Some 20 public and private sector organizations, involved in a wide range of functions that relate to public...

  18. Maldives : Electronic Government Procurement Readiness Assessment and Roadmap

    OpenAIRE

    World Bank

    2007-01-01

    The assessment focuses on the degree of readiness of Government of The Maldives's (GoTM's) current public procurement environment for making a transition from traditional paper-based, manual methods of procurement transaction processing and communication to electronic government procurement (e-GP). The e-GP Assessment was discussed individually with informed respondents in the public and p...

  19. Medicine prices, availability, and affordability in the Shaanxi Province in China: implications for the future.

    Science.gov (United States)

    Jiang, Minghuan; Zhou, Zhongliang; Wu, Lina; Shen, Qian; Lv, Bing; Wang, Xiao; Yang, Shimin; Fang, Yu

    2015-02-01

    In 2009, China implemented the National Essential Medicines System (NEMS) to improve access to high-quality low-cost essential medicines. To measure the prices, availability and affordability of medicines in China following the implementation of the NEMS. 120 public hospitals and 120 private pharmacies in ten cities in Shaanxi Province, Western China. The standardized methodology developed by the World Health Organization and Health Action International was used to collect data on prices and availability of 49 medicines. Median price ratio; availability as a percentage; cost of course of treatment in days' wages of the lowest-paid government workers. In the public hospitals, originator brands (OBs) were procured at 8.89 times the international reference price, more than seven times higher than the lowest-priced generics (LPGs). Patients paid 11.83 and 1.69 times the international reference prices for OBs and generics respectively. A similar result was observed in the private pharmacies. The mean availabilities of OBs and LPGs were 7.1 and 20.0 % in the public hospitals, and 12.6 and 29.2 % in the private pharmacies. Treatment with OBs is therefore largely unaffordable, but the affordability of the LPGs is generally good. High prices and low availability of survey medicines were observed. The affordability of generics, but not OBs, is reasonable. Effective measures should be taken to reduce medicine prices and improve availability and affordability in Shaanxi Province.

  20. Price Determinants of the Tendering Process for Pharmaceuticals in the Cyprus Market.

    Science.gov (United States)

    Petrou, Panagiotis; Talias, Michael A

    2015-09-01

    Tendering has been a promising approach for procuring pharmaceuticals. Significant price reductions have been well documented by several authors. To our knowledge, there are limited data detailing the impact of variables in the tendering process. In this article, our objective was to evaluate the impact of potentially exploratory variables, which included innovation status, total value and volume of sales of each product, health care setting administration (hospital/outpatient), patent status (branded/generic), tendering type, and wholesale price, on price reduction in the tendering process. Financial data of public sector sales during 2011 were analyzed. On the basis of these data, we selected 178 medicines with corresponding sales of €49 million, out of a total market value of €104 million. Medicines were selected according to volume, value, and therapeutic value across all therapeutic areas. We performed a beta regression for the assessment of impact of variables and applied the same methodology to different subgroups. The generic status of medicines is statistically significantly associated with a higher price reduction. Tendering type by alternative, high wholesale prices, and high volume are robust estimators for price reduction. Innovation status does not have any effect on price reduction. Outpatient medicines reach lower prices as compared with hospital medicines. A rather unexpected finding is the negative correlation of high sales value with price reduction. These findings will lead to better understanding of the tendering framework, enabling us to further evolve its operational capacity, aiming to generate more savings. Moreover, our study indicates areas in which a more optimized approach is needed. Copyright © 2015 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  1. Potential fraudulent behaviors in e-procurement implementation in Indonesia

    Science.gov (United States)

    Huda, S. N.; Setiani, N.; Pulungan, R.; Winarko, E.

    2017-03-01

    Corruptions in public procurement have occurred in various parts of the world, especially in developing countries. Implementation of SPSE (electronic procurement system) as the e-procurement system in Indonesia is based on the government’s intentions towards clean and good governance by fighting corruption, collusion, and nepotism. Procurement in Indonesia is carried out through SPSE, which is developed by LKPP (Government Policy on Procurement of Goods/Services). Although this system has brought many positive effects, there are still found many practices of fraud occurring in the implementation of the system. In this paper, we try to identify these practices and then to systematically categorize and analyze them.

  2. Country and regional variations in purchase prices for essential cancer medications.

    Science.gov (United States)

    Cuomo, Raphael E; Seidman, Robert L; Mackey, Tim K

    2017-08-24

    Accessibility to essential cancer medications in low- and middle-income countries is threatened by insufficient availability and affordability. The objective of this study is to characterize variation in transactional prices for essential cancer medications across geographies, medication type, and time. Drug purchase prices for 19 national and international buyers (representing 29 total countries) between 2010 and 2014 were obtained from Management Sciences for Health. Median values for drug pricing were computed, to address outliers in the data. For comparing purchase prices across geographic units, medications, and over time; Mann-Whitney U tests were used to compare two groups, Kruskal Wallis H tests were used to compare more than two groups, and linear regression was used to compare across continuous independent variables. During the five-year data period examined, the median price paid for a package of essential cancer medication was $12.63. No significant differences in prices were found based on country-level wealth, country-level disease burden, drug formulation, or year when medication was purchased. Statistical tests found significant differences in prices paid across countries, regions, individual medications, and medication categories. Specifically, countries in the Africa region appeared to pay more for a package of essential cancer medication than countries in the Latin America region, and cancer medications tended to be more expensive than anti-infective medications and cardiovascular medications. Though preliminary, our study found evidence of variation in prices paid by health systems to acquire essential cancer medications. Primarily, variations in pricing based on geographic location and cancer medication type (including when comparing to essential medicines that treat cardiovascular and infectious diseases) indicate that these factors may impact availability, affordability and access to essential cancer drugs. These factors should be taken into

  3. 42 CFR 457.940 - Procurement standards.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Procurement standards. 457.940 Section 457.940... Integrity § 457.940 Procurement standards. (a) A State must submit to CMS a written assurance that title XXI... public or private payment rates for comparable services for comparable populations, consistent with...

  4. 7 CFR 220.16 - Procurement standards.

    Science.gov (United States)

    2010-01-01

    ... nature. Matters concerning violation of law are to be referred to the local, State or Federal authority... § 3016.60(b) and (c) of this title are followed. The school food authority may use its own procurement procedures which reflect applicable State and local laws and regulations, provided that procurements made...

  5. An Identification of Problems Relating to Federal Procurement of Library Materials Prepared for Commission on Government Procurement.

    Science.gov (United States)

    Federal Library Committee, Washington, DC.

    The Federal Library Committee through the Task Force on Procurement Procedures in Federal Libraries is examining all problems and is recommending policies, procedures, and practices which will maximize the efficient procurement of library materials. It is suggested that the vehicle for this investigation be the appropriate Commission on Government…

  6. Procurement and participation opportunities

    International Nuclear Information System (INIS)

    Lovatt, D.

    1998-01-01

    The elements which drive the Sable Offshore Energy Project and its procurement processes were described. The project is privately financed, hence business practices must adhere to strict principles to be able to compete with alternative energy sources and to ensure success for all stakeholders including owners, contractors, suppliers and the business community. One of the objectives of the project is to adhere to the requirements of applicable legislation and not to compromise health, safety and environmental standards. To ensure this compliance by all concerned, the regulatory requirements are embedded in the contracting and procurement procedures. Details of the procurement cycle are described. A list of some of the successes that Nova Scotian companies have had in getting work on the project was provided as an illustration of the ingenuity and foresight of these companies to develop appropriate quality assurance and health, safety and environmental procedures, and to bring in the needed capacity and technology through the formation of joint ventures and alliances. The list of contracts represents more than 100 million dollars worth of work to date. 3 figs

  7. Turning the Kaleidoscope: Five Perspectives on Procurement

    DEFF Research Database (Denmark)

    Munkgaard Møller, Morten; Vammen, Søren

    Purpose of this paper The purpose of the paper is to provide a conceptual foundation to enhance the body of knowledge related to procurement and sourcing through a framework consisting of five perspectives. The perspectives are: (1) Strategic, (2) Organizational, (3) Capability, (4) Supplier......, and a (5) Customer Perspectives. The aim is to develop a holistic perspective of procurement by applying these five essential, but very different perspectives in order to achieve a holistic picture of the function. Design/methodology/approach The foundation is derived from various well-established theories...... within the five perspectives. Specifically, procurement was viewed from the perspective of organizational theory, network theory, resource/knowledge based views of the firm, transaction cost theory and various theories within the strategic field of research Findings By viewing procurement through...

  8. 75 FR 14576 - Procurement List Additions

    Science.gov (United States)

    2010-03-26

    ... Inspection Service, Minneapolis, MN. M.R. Laundry Products NSN: MR 1103--Heavy Duty Laundry Bag. NSN: MR 1104... procurement list. SUMMARY: This action adds to the Procurement List products and services to be furnished by... products and services and impact of the additions on the current or most recent contractors, the Committee...

  9. Bioanalysis, metabolism & clinical pharmacology of antiretroviral drugs

    NARCIS (Netherlands)

    Heine, R. ter

    2009-01-01

    The aims of all studies described in this thesis were to develop new bioanalytical and more patient friendly methods for studying the clinical pharmacology of antiretroviral drugs and to ultimately improve antiretroviral treatment.

  10. Critical factors for sustainable food procurement in zoological collections.

    Science.gov (United States)

    Hanson, Jonathan H

    2015-01-01

    Food procurement can play an important role in sustainable food supply chain management by zoos, linking organizational operations to the biodiversity conservation and sustainability mission of zoological collections. This study therefore examines the critical factors that shape sustainable food procurement in zoo and aquariums. Using a web-based survey data was collected from 41 members of the British and Irish Association of Zoos and Aquariums (BIAZA). This included information on the sustainable food procurement practices of these institutions for both their human and animal food supply chains, as well as profile information and data on the factors contributing to and inhibiting sustainable procurement practices. Zoological collections operated by charities, and those with a certified sustainability standard, were found to have significantly higher levels of sustainable food procurement. Zoos and aquariums whose human food operations were not contracted to an external party were also found to have significantly higher levels of sustainable food procurement in their human food supply chain. The most important drivers of sustainable food procurement were cost savings, adequate financial support and improved product quality. The highest ranking barriers were higher costs, other issues taking priority and a lack of alternative suppliers. The results suggest that a number of critical factors shape sustainable food procurement in zoological collections in the British Isles. Financial factors, such as cost savings, were important considerations. The significance of mission-related factors, such as charity status, indicated that core values held by zoos and aquariums can also influence their food procurement practices. © 2015 Wiley Periodicals, Inc.

  11. Antiretroviral therapy programme on control of HIV transmission in ...

    African Journals Online (AJOL)

    Antiretroviral therapy programme on control of HIV transmission in Morogoro municipality, Tanzania: A challenge for development. ... The government and partners should improve access to ART services to enable many PLHIV to access the services. Key words: Antiretroviral Therapy, Highly Active Antiretroviral Treatment, ...

  12. 41 CFR 101-26.501-5 - Procurement time schedules.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Procurement time schedules. 101-26.501-5 Section 101-26.501-5 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT...

  13. If it ain't broke, don't price fix it: the OFT and the PPRS.

    Science.gov (United States)

    Towse, Adrian

    2007-07-01

    The Office of Fair Trading (OFT) Report on the UK Pharmaceutical Price Regulation Scheme (PPRS) recommends that when the current five-year PPRS expires in 2010 it be replaced with 'value-based pricing' which involves pre-launch centralised government price setting based on a cost-per-QALY threshold plus periodic ex post reviews. I examine the validity of the OFTs criticisms of the existing PPRS, review its proposals and propose an alternative way forward. I conclude that PPRS has performed well as a procurement bargain between industry and the UK government. It does not, however, incentivise efficient relative prices. That is not its job. I identify a number of problems with the OFT proposals. I recommend that key elements of a reformed UK pharmaceutical environment for 2010 should include an expanded role for HTA but with companies retaining freedom to set prices at launch; HTA use targeted via a contingent value of information approach; a retained backstop PPRS, perhaps moving to an RPI-X type control; the use of risk sharing and non-linear pricing arrangements; measures to ensure more effective therapeutic switching at local level; and measures to improve the take up of cost-effective treatments. Copyright (c) 2007 John Wiley & Sons, Ltd.

  14. 7 CFR 235.9 - Procurement and property management standards.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Procurement and property management standards. 235.9... Procurement and property management standards. (a) Requirements. State agencies shall comply with the requirements of 7 CFR part 3016 concerning the procurement of supplies, equipment and other services with State...

  15. 41 CFR 101-26.507-2 - Procurement time schedule.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Procurement time schedule. 101-26.507-2 Section 101-26.507-2 Public Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND...

  16. Price-Based Acquisition. Issues and Challenges for Defense Department Procurement of Weapon Systems

    Science.gov (United States)

    2005-01-01

    requirement for cost or pricing data on proposals—even including the requirement for full TINA certifica- tion—were tepid at best.10 Yet another area of...sition University’s Acquisition Community Connection Web site (http://acc.dau.mil/ simplify/ev.php?ID=5944_201&ID2=DO_TOPIC): “Alpha Acquisition is a...as DoD’s increas- ingly broad and lax application of its statutory authority to grant TINA waivers. Critics argued that DoD was granting too many

  17. 76 FR 53113 - Guidelines for Designating Biobased Products for Federal Procurement

    Science.gov (United States)

    2011-08-25

    ... Designating Biobased Products for Federal Procurement AGENCY: Office of Procurement and Property Management... that the Department of Agriculture, Office of Procurement and Property Management, is hereby requesting... comments to: Ron Buckhalt, USDA, Office of Procurement and Property Management, Room 361, Reporters...

  18. Improving the effectiveness of public entities procurement practices

    OpenAIRE

    2013-01-01

    M. Com. (Business Management) The media and the Auditor General have extensively reported on the ineffective and unethical conduct of public sector employees regarding the procurement of goods and services. The Auditor General’s report demonstrates that there is evidence that public sector procurement processes are less than adequate to achieve constitutional procurement goals, which are to conduct processes that are fair, equitable, transparent, competitive and cost-effective The delivery...

  19. Nuclear power equipment procurement management under EPC mode

    International Nuclear Information System (INIS)

    Shuai Yuezhi

    2014-01-01

    Nuclear power equipment procurement is one of the major constraints and management difficulties in the process of domestic nuclear power project construction for a long time. The construction of Hainan Changjiang Project can not meet the milestones due to the major equipment supply delay. Through the introduction to the organization and features of Changjiang project equipment procurement under EPC mode, and the main problems in the procurement process and its reason analysis, the purpose of this paper is to put forward ideas and suggestions of these items, i.e. selection of equipment suppliers, equipment localization, mass material design and procurement, complete system equipment supply, spare parts delivery and storage, owner process management, providing reference for follow-up projects. (author)

  20. ANALYSIS OF THE FOREIGN GOVERNMENT AND CORPORATE PROCUREMENT MANAGEMENT EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Vladimir Vladimirovich Savchenko

    2016-01-01

    Full Text Available This article presents a synthesis of the experience of foreign government and corporate procurement management. Set out key aspects of the organization of procurement for government and corporate needs, disclosed issues of centralization and decentralization of procurement, as well as given clarifi cation of the concept of "procurement management system" and structured the main elements that make up this system. The purpose / goal. The purpose of the work is to study the nature and characteristics of the functioning of government and corporate experience in procurement management, identifying problems and prospects of its development. Methodology. To perform this work were used legal, comparative and statistical analysis methods. Results. As part of the presentation of the present article the author has examined the nature, objectives and stages of public and corporate procurement management.

  1. 41 CFR 101-26.602-4 - Procurement of coal.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Procurement of coal. 101... PROGRAM 26.6-Procurement Sources Other Than GSA § 101-26.602-4 Procurement of coal. (a) Federal agencies desiring to participate in the Defense Fuel Supply Center coal contracting program for carload delivery...

  2. 78 FR 48656 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-08-09

    ... Oceanic and Atmospheric Administration, Boulder, CO. Service Type/Location: Laundry Service, US Coast... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... required to procure the products and services listed below from nonprofit agencies employing persons who...

  3. 7 CFR 215.14a - Procurement standards.

    Science.gov (United States)

    2010-01-01

    ... to the local, State or Federal authority that has proper jurisdiction. (c) Procedures. The State... food authority or child care institution may use its own procurement procedures which reflect applicable State or local laws and regulations, provided that procurements made with nonprofit school food...

  4. Optimizing Eco-Efficiency Across the Procurement Portfolio.

    Science.gov (United States)

    Pelton, Rylie E O; Li, Mo; Smith, Timothy M; Lyon, Thomas P

    2016-06-07

    Manufacturing organizations' environmental impacts are often attributable to processes in the firm's upstream supply chain. Environmentally preferable procurement (EPP) and the establishment of environmental purchasing criteria can potentially reduce these indirect impacts. Life-cycle assessment (LCA) can help identify the purchasing criteria that are most effective in reducing environmental impacts. However, the high costs of LCA and the problems associated with the comparability of results have limited efforts to integrate procurement performance with quantitative organizational environmental performance targets. Moreover, environmental purchasing criteria, when implemented, are often established on a product-by-product basis without consideration of other products in the procurement portfolio. We develop an approach that utilizes streamlined LCA methods, together with linear programming, to determine optimal portfolios of product impact-reduction opportunities under budget constraints. The approach is illustrated through a simulated breakfast cereal manufacturing firm procuring grain, containerboard boxes, plastic packaging, electricity, and industrial cleaning solutions. Results suggest that extending EPP decisions and resources to the portfolio level, recently made feasible through the methods illustrated herein, can provide substantially greater CO2e and water-depletion reductions per dollar spend than a product-by-product approach, creating opportunities for procurement organizations to participate in firm-wide environmental impact reduction targets.

  5. Procurement of medical equipment in Sweden

    Directory of Open Access Journals (Sweden)

    Heikki Terio

    2010-02-01

    Full Text Available In many hospitals in Sweden the importance of technology management is already accepted and accepted since the hospital managements have recognised that technology is an integral part of all major policy and planning decisions. Today’s medical devices are technically complex and sometimes a system of interacting devices is required to achieve the desired clinical function. If the hospitals want to use the latest, modern technology, then they need to make substantial investments in both equipment and competence. Complex technology, large investments and need of highly qualii ed personnel to handle the medical devices are factors that indicate a need of well-dei ned procurement process as an essential part of the total health technology management system that should be used in a hospital. In such a procurement process, carefully prepared planning of technology investments can reduce the running costs and costs for maintenance substantially. In addition, a well-dei ned procurement process contributes to increase the patient safety. In Karolinska University Hospital goods and services are purchased for more than 20% of the hospital’s €1.2 billion turnover. It is therefore very important that the procurement is carried out ef ectively.

  6. NEW DRUGS NEW TARGETS AND NOVEL ANTIRETROVIRALS

    African Journals Online (AJOL)

    2005-11-02

    Nov 2, 2005 ... Highly active antiretroviral therapy (HAART) has to date been based on use of a triple combination of drugs chosen from three classes of antiretrovirals (ARVs), nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs).

  7. Long-Acting Antiretrovirals: Where Are We now?

    Science.gov (United States)

    Nyaku, Amesika N; Kelly, Sean G; Taiwo, Babafemi O

    2017-04-01

    Current HIV treatment options require daily use of combination antiretroviral drugs. Many persons living with HIV experience treatment fatigue and suboptimal adherence as a result. Long-acting antiretroviral drugs are being developed to expand options for HIV treatment. Here, we review the agents in development, and evaluate data from recent clinical trials. In addition, we anticipate challenges to successful widespread use of long-acting antiretrovirals. Parenteral nanosuspensions of cabotegravir and rilpivirine, and dapivirine vaginal ring are the farthest in clinical development. Long-acting modalities in earlier development stages employ drug-loaded implants, microparticles, or targeted mutagenesis, among other innovations. Long-acting antiretroviral drugs promise new options for HIV prevention and treatment, and ways to address poor adherence and treatment fatigue. Further studies will identify the long-acting agents or combinations that are suitable for routine use. Creative solutions will be needed for anticipated implementation challenges.

  8. Greening Non-Product-Related Procurement

    DEFF Research Database (Denmark)

    Mosgaard, Mette; Riisgaard, Henrik; Huulgaard, Rikke Dorothea

    2013-01-01

    link to the strategy for greening private consumption, as similarities exist and the purchasers lean on their private experiences when purchasing non-product related items; and finally, 3) Intensify the efforts in product categories in which strict normative legislation makes management more motivated....... environmental benefits of millions of procurement decisions do add up to large environmental improvement potentials. Thus, non-product-related procurement focuses on the similarities in the purchases made across different sectors. Explorative interviews with purchasers in Danish companies form the basis...

  9. Impact of future price increase on ordering policies for deteriorating items under quadratic demand

    Directory of Open Access Journals (Sweden)

    Nita H. Shah

    2016-06-01

    Full Text Available When a supplier announces a price increase at a certain time in the future, for each retailer it is important to choose whether to purchase supplementary stock to take benefit of the current lower price or procure at a new price. This article focuses on the possible effects of price increase on a retailer’s replenishment strategy for constant deterioration of items. Here, quadratic demand is debated; which is appropriate for the products for which demand increases initially and subsequently it starts to decrease with the new version of the substitute. We discuss two scenarios in this study: (I when the special order time coincides with the retailer’s replenishment time and (II when the special order time falls during the retailer’s sales period. We determine an optimal ordering policy for each case by maximizing total cost savings between special and regular orders during the depletion time of the special order quantity. Scenarios are established and illustrated with numerical examples. Through, sensitivity analysis important inventory parameters are classified. Graphical results, in two and three dimensions, are exhibited with supervisory decision.

  10. The problems of accountable and analytical procuring of enterprise management

    Directory of Open Access Journals (Sweden)

    Kovalova Tatiana Volodymyrivna

    2016-02-01

    Full Text Available This article investigated main aspects of accountable and analytical procuring of enterprise management. It was found essence of accountable and analytical procuring of enterprise management, purpose, functions and tasks. It was determined main elements and essence of accountable and analytical information taking into consideration needs of modern management. In the article are exposed structural elements of accountable and analytical procuring. It was formed conceptual approaches of building accountable and analytical procuring of enterprise management. It was analyzed main problems of improving accountable and analytical informational procuring of taking managerial decisions with the aim of solving economic problems due to current situation of national economy.

  11. Procurement Engineering Process for Commercial Grade Item Dedication

    International Nuclear Information System (INIS)

    Park, Jong-Hyuck; Park, Jong-Eun; Kwak, Tack-Hun; Yoo, Keun-Bae; Lee, Sang-Guk; Hong, Sung-Yull

    2006-01-01

    Procurement Engineering Process for commercial grade item dedication plays an increasingly important role in operation management of Korea Nuclear Power Plants. The purpose of the Procurement Engineering Process is the provision and assurance of a high quality and quantity of spare, replacement, retrofit and new parts and equipment while maximizing plant availability, minimizing downtime due to parts unavailability and providing reasonable overall program and inventory cost. In this paper, we will review the overview requirements, responsibilities and the process for demonstrating with reasonable assurance that a procured item for potential nuclear safety related services or other essential plant service is adequate with reasonable assurance for its application. This paper does not cover the details of technical evaluation, selecting critical characteristics, selecting acceptance methods, performing failure modes and effects analysis, performing source surveillance, performing quality surveys, performing special tests and inspections, and the other aspects of effective Procurement Engineering and Commercial Grade Item Dedication. The main contribution of this paper is to provide the provision of an overview of Procurement Engineering Process for commercial grade item

  12. PRICE AND PRICING STRATEGIES

    OpenAIRE

    SUCIU Titus

    2013-01-01

    In individual companies, price is one significant factor in achieving marketing success. In many purchase situations, price can be of great importance to customers. Marketers must establish pricing strategies that are compatible with the rest of the marketing mix. Management should decide whether to charge the same price to all similar buyers of identical quantities of a product (a one-price strategy) or to set different prices (a flexible price strategy). Many organizations, especially retai...

  13. Monitoring and evaluation of green public procurement programs

    Energy Technology Data Exchange (ETDEWEB)

    Adell, Aure [Ecoinstitut, Barcelona (Spain); Schaefer, Bettina [Ecoinstitut, Barcelona (Spain); Ravi, Kavita [US Department of Energy, Washington, DC (United States); Corry, Jenny [Collaborative Labeling and Appliance Standards Program (United States)

    2013-10-15

    Effective procurement policies can help governments save considerable amounts of money while also reducing energy consumption. Additionally, private sector companies which purchase large numbers of energy-consuming devices can benefit from procurement policies that minimize life-cycle energy costs. Both public and private procurement programs offer opportunities to generate market-transforming demand for energy efficient appliances and lighting fixtures. In recent years, several governments have implemented policies to procure energy efficient products and services. When deploying these policies, efforts have focused on developing resources for implementation (guidelines, energy efficiency specifications for tenders, life cycle costing tools, training, etc.) rather than defining monitoring systems to track progress against the set objectives. Implementation resources are necessary to make effective policies; however, developing Monitoring and Evaluation (M and E) mechanisms are critical to ensure that the policies are effective. The purpose of this article is to provide policy makers and procurement officials with a preliminary map of existing approaches and key components to monitor Energy Efficient Procurement (EEP) programs in order to contribute to the improvement of their own systems. Case studies are used throughout the paper to illustrate promising approaches to improve the M and E of EEP programs, from the definition of the system or data collection to complementary instruments to improve both the monitoring response and program results.

  14. 77 FR 29596 - Procurement List Proposed Additions

    Science.gov (United States)

    2012-05-18

    .../Location: Laundry Service, Veterans Administration Medical Center (VAMC), (offsite: 1809 W 2nd Avenue... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... identified in this notice will be required to procure the products and services listed below from nonprofit...

  15. Efek Samping Obat terhadap Kepatuhan Pengobatan Antiretroviral Orang dengan HIV/AIDS

    Directory of Open Access Journals (Sweden)

    Fachri Latif

    2014-12-01

    Full Text Available Tingkat kepatuhan pengobatan antiretroviral di Indonesia sangat rendah, yaitu 40 - 70%, yang masih di bawah target nasional dengan tingkat kepatuhan 95%. Berbeda dengan rata-rata nasional, Puskesmas Jumpandang Baru justru memiliki tingkat kepatuhan pengobatan antiretroviral pasien HIV/AIDS di atas 95%. Penelitian ini bertujuan untuk menganalisis faktor yang paling berpengaruh terhadap kepatuhan pengobatan antiretroviral orang dengan HIV/AIDS (ODHA. Jenis penelitian bersifat observasional analitik dengan pendekatan potong lintang. Populasi penelitian adalah 121 ODHA yang aktif menjalani pengobatan antiretroviral di Puskesmas Jumpandang Baru yang dipilih dengan menggunakan teknik exhaustive sampling. Sampel dalam penelitian ini adalah 121 sampel. Penelitian dilakukan pada 22 April hingga 28 Juni 2014 di klinik Voluntary Counseling and Test Puskesmas Jumpandang Baru Makassar. Analisis data menggunakan uji kai kuadrat dan regresi logistik. Hasil uji kai kuadrat menunjukkan ada hubungan antara pengetahuan, persepsi, riwayat efek samping obat, dukungan keluarga dan teman, serta interaksi antara pasien dengan petugas layanan antiretroviral terhadap kepatuhan pengobatan antiretroviral ODHA. Analisis regresi logistik menunjukan bahwa pengetahuan yang baik, persepsi positif terhadap pengobatan, serta efek samping obat yang tidak dirasakan adalah faktor yang berhubungan dengan kepatuhan pengobatan antiretroviral. Penelitian ini menunjukkan ODHA yang tidak merasakan efek samping obat memiliki kecenderungan terbesar untuk patuh terhadap pengobatan antiretroviral dengan OR sebesar 13,452. Drug Side Effects on Adherence to Antiretroviral Treatment among People Living with HIV/AIDS The rate of adherence to antiretroviral treatment in Indonesia is very low, at 40 - 70%, which is still below our national target (95%. Different phenomena happens at Jumpandang Baru Primary Health Care, whose level of antiretroviral treatment adherence above 95%. This study aimed to

  16. Management of Contracts for F110 Engine Procurements

    National Research Council Canada - National Science Library

    Granetto, Paul

    2001-01-01

    This audit was performed in response to an allegation to the Defense Hotline that the Wright-Patterson Air Force Base Procurement Contracting Office made poor procurement decisions on F110 aircraft engine contracts...

  17. Bulk material engineering and procurement management of NPS

    International Nuclear Information System (INIS)

    Fu Sanhong; Fan Kai

    2005-01-01

    In a nuclear power project, bulk material is often not in an outstanding position, compared to equipment, yet bulk material is one of most difficult part in engineering and procurement management. If the schedule is not in good control, it will seriously hamper the progress of the whole project. The article explores bulk material engineering and procurement management of NPS, illustrated with tables and graphs. First, major difficult aspects of bulk material procurement are described. On one hand, bulk material is really bulky in kind. We must have detail information of manufacturers, manufacture duration, and take good control of bidding schedule. On the other hand, when an order is placed, we need to make clear everything in the procurement package, such as material types, delivery batches, quantity of each batch and delivery schedule, which is a tremendous work. Then, a schedule conflict is analyzed: when an order is placed, the detail type and quantity cannot be defined (since the construction design is not finished yet). To settle this conflict, the concept 'Requirement Schedule Curve' is brought forward, along with the calculation method. To get this curve, we need to make use of the technical data of the reference power station, along with the site construction schedule, to produce a site quantity requirement curve varying from time, for each type of material. Last, based on the 'Requirement Schedule Curve', we are able to build a unified database to control the engineering, procurement, manufacturing and delivery schedule, so as to procure precisely, manufacture on time, and optimize the storage. In this way, the accurate control of bulk material engineering and procurement schedule can be achieved. (authors)

  18. Optimal Coordinated Strategy Analysis for the Procurement Logistics of a Steel Group

    Directory of Open Access Journals (Sweden)

    Lianbo Deng

    2014-01-01

    Full Text Available This paper focuses on the optimization of an internal coordinated procurement logistics system in a steel group and the decision on the coordinated procurement strategy by minimizing the logistics costs. Considering the coordinated procurement strategy and the procurement logistics costs, the aim of the optimization model was to maximize the degree of quality satisfaction and to minimize the procurement logistics costs. The model was transformed into a single-objective model and solved using a simulated annealing algorithm. In the algorithm, the supplier of each subsidiary was selected according to the evaluation result for independent procurement. Finally, the effect of different parameters on the coordinated procurement strategy was analysed. The results showed that the coordinated strategy can clearly save procurement costs; that the strategy appears to be more cooperative when the quality requirement is not stricter; and that the coordinated costs have a strong effect on the coordinated procurement strategy.

  19. Public procurement as a tool to drive innovation in South Africa ...

    African Journals Online (AJOL)

    This article is an analysis of the use of public procurement as a tool to drive innovation. It explores the meaning of innovative procurement or public procurement of innovation, as well as the rationale for using public procurement to drive innovation. It then focuses on South Africa and evaluates whether there is scope within ...

  20. Dual antiretroviral therapy for HIV infection.

    Science.gov (United States)

    Soriano, Vicente; Fernandez-Montero, Jose Vicente; Benitez-Gutierrez, Laura; Mendoza, Carmen de; Arias, Ana; Barreiro, Pablo; Peña, José M; Labarga, Pablo

    2017-08-01

    For two decades, triple combinations of antiretrovirals have been the standard treatment for HIV infection. The challenges of such lifelong therapy include long-term side effects, high costs and reduced drug adherence. The recent advent of more potent and safer antiretrovirals has renewed the interest for simpler HIV regimens. Areas covered: We discuss the pros and cons of dual antiretroviral therapies in both drug-naïve and in treatment-experienced patients with viral suppression (switch strategy). Expert opinion: Some dual antiretroviral regimens are safe and efficacious, particularly as maintenance therapy. At this time, combinations of dolutegravir plus rilpivirine represent the best dual regimen. Longer follow-up and larger study populations are needed before supporting dolutegravir plus lamivudine. In contrast, dual therapy based on maraviroc is less effective. Although dual regimens with boosted protease inhibitors plus either lamivudine or raltegravir may be effective, they are penalized by metabolic side effects and risk for drug interactions. The newest dual regimens could save money, reduce toxicity and spare drug options for the future. For the first time in HIV therapeutics, less can be more. Dual therapy switching has set up a new paradigm in HIV treatment that uses induction-maintenance.

  1. Preliminary investigation of adherence to antiretroviral therapy ...

    African Journals Online (AJOL)

    Treatment of HIV with highly active antiretroviral therapy (HAART) has resulted in declining morbidity and mortality rates from HIV-associated diseases, but concerns regarding access and adherence are growing. To determine the adherence level and the reasons for non-adhering to antiretroviral therapy (ART) among ...

  2. E-government and e-business integration model in public procurement

    OpenAIRE

    Junevičius, Algis; Ereminaitė, Simona

    2011-01-01

    Public procurement is one of the most actual problems of economics and potential instrument of successful public policy, which can control money flows and manipulate the appearance of corruption opportunities. By 2010, all EU countries should have been installed electronic public procurement systems and at least 50 percent public procurement should have been made by this way. Thus for a membership of different countries' procurers is essential for EU and domestic economy of the Republic of Li...

  3. URGENSI STUDI TENTANG PROCUREMENT CONTRACT

    Directory of Open Access Journals (Sweden)

    Yohanes Sogar Simamora

    2006-01-01

    Full Text Available Contractualization is kind of goverment activity in acquiring goods, services and infrastructure as well. Procurement contract has several important function especially in enhancing economic development in a state. In Indonesia, this kind of contract also has function in empowering micro economic scale. Since the aim of procurement study is to provide equal protection between public fund interest in one hand and privat sector in the other hand, general principle of contract law must be taken into consideration together with transparency as the most important principle in government contract.

  4. Innovation and Public Procurement: Terminology, Concepts, and Applications

    DEFF Research Database (Denmark)

    Obwegeser, Nikolaus; Müller, Sune Dueholm

    2018-01-01

    as well as research gaps and opportunities for future research are identified. Based on analysis of existing research, the proposed framework provides an overview of state- of-the-art knowledge, a unified terminology, and a holistic understanding of innovation in public procurement. The framework is both...... review of the literature on innovation in public procurement. From categorizing publications based on innovation drivers, concepts, and research approaches, the emerging structure of the field is described and synthesized into a framework of innovation in public procurement. The proposed framework......The growing awareness of public procurement as an innovation policy tool has recently sparked the interest of both policy makers and researchers. While an increasing number of studies is being published every year, an overview of the field is missing. Researchers, practitioners, and policy makers...

  5. Best Value Procurement - The Practical Approach

    OpenAIRE

    Storteboom, Arnoud

    2017-01-01

    Traditional procurement methods leave much room for improving risk management and value creation. However, Best Value Procurement (BVP) is designed to increase project value by mitigating risks and increasing the transparency by underscoring the pre-award phase. This shift in paradigm is reached by following a sequence of elements with the principles of transparency, performance information measuring and contractor clarification. The BVP philosophy is developed in the USA. Following is ...

  6. Procurement maturity, alignment and performance: a Dutch hospital case comparison.

    NARCIS (Netherlands)

    Plomp, M.; Batenburg, R.

    2009-01-01

    Procurement is an important supporting business function, with which competitive advantage can potentially be achieved. In this paper, the relation between maturity and alignment in procurement on the one hand, and procurement performance on the other, is investigated in the case study setting of

  7. Procurement Maturity, Alignment and Performance: a Dutch Hospital Case Comparison

    NARCIS (Netherlands)

    Plomp, M.G.A.; Batenburg, R.S.

    2009-01-01

    Procurement is an important supporting business function, with which competitive advantage can potentially be achieved. In this paper, the relation between maturity and alignment in procurement on the one hand, and procurement performance on the other, is investigated in the case study setting of

  8. An investigation into the effectiveness of public entities’ procurement practices

    Directory of Open Access Journals (Sweden)

    Moitswadi Mofokeng

    2014-11-01

    Full Text Available The delivery of services through the procurement of goods and services requires proper strategic leadership and management processes. Inappropriate planning, under-spending of budgets and ineffective procurement form part of the root causes of poor service delivery, as this restricts the movement of resources to the right places. This study identified the leading procurement practices as: procurement strategy and leadership, the procurement process, human resource management, procurement information systems, supplier management and procurement performance management. These practices were then tested in public entities, mainly in Gauteng Province, South Africa, to determine the extent to which they are applied. The study found that there is a major divide between the perception of the level of application of the leading practices and actual implementation. Processes, skills, performance management, information technology (IT systems and supplier management are applied inadequately or inappropriately. Most entities thus show a poor understanding of customer needs and there seems to be a general lack of customer focus. The study highlighted the best practice areas in which public entities are able to focus their efforts to better achieve excellent customer service and thus service delivery.

  9. ANALISIS FAKTOR YANG MEMPENGARUHI PARTISIPASI DAN NILAI PENAWARAN PESERTA LELANG ELEKTRONIK (E-PROCUREMENT JASA KONSTRUKSI DI KABUPATEN BULELENG

    Directory of Open Access Journals (Sweden)

    Made Respawan

    2017-01-01

    Full Text Available Abstract: Starting in 2012 the procurement of government goods/services in Buleleng done electronically (E -Procurement to the procedure E -Tendering. In the implementation of participation and the bid price tends to decrease the auction participants both during the auction at the current conventional and electronic auctions. This study aims to determine the factors that influence participation and value of the electronic auction participants offer construction services in Buleleng, and what factors influence most dominant. The sample used in this study as many as 53 companies contracting in Buleleng that the sample collection was done by using a non probability sampling with purposive sampling and data collection using questionnaires and interviews. Data was analyzed using factor analysis. The factor analysis forms 11 new factors that influence the participation of bidders with cumulative variance 79,198%, which is made up of 42 variables. The most dominant factors, indicated by eigenvalues of 20.738 and variance of 42.323% is formed by 11 variables, namely, project location, great value for the project, environmental security project, started the project approaching the end of the year, without face-to-face opportunities to minimize collusion, corruption and nepotism, term timing of the access road to the project site, implementation of the rainy season, the terms of ISO certificate, the terms of financial support of banks and variable auctioneer. While the analysis of the factors affecting the bid price auction participants generate 10 new factors with cumulative variance 78,925%, which is made up of 43 variables. The most dominant factors indicated by eigenvalues of 22.756 and  variance of 47.409% is formed by nine variables, namely, fluctuations in material prices, the return on investment, fluctuations in foreign exchange rates (dollars, the access road to the project site, the opportunity to gain a larger project, the risks of investing

  10. 25 CFR 900.49 - What procurement standards apply to subcontracts?

    Science.gov (United States)

    2010-04-01

    ... ASSISTANCE ACT Standards for Tribal or Tribal Organization Management Systems Procurement Management System Standards § 900.49 What procurement standards apply to subcontracts? Each subcontract entered into under the... 25 Indians 2 2010-04-01 2010-04-01 false What procurement standards apply to subcontracts? 900.49...

  11. Meeting Food Aid and Price Stabilization Objectives through Local Grain Purchase: A Review of the 1996 Experience

    OpenAIRE

    Amha, Wolday; Stepanek, Julie; Jayne, Thomas S.; Negassa, Asfaw

    1997-01-01

    The objective of this paper is to identify factors that can improve the ability of future local purchase activities to achieve a range of national food policy objectives. This analysis reviews the design and implementation of 1996 local purchase activities in Ethiopia in relation to three key policy objectives: price stabilization for farmers; promoting the development of a competitive and low-cost food marketing system; and procuring food aid resources in a cost effective manner.

  12. Energy-efficient Public Procurement: Best Practice in Program Delivery

    Energy Technology Data Exchange (ETDEWEB)

    Payne, Christopher [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Weber, Andrew [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division; Semple, Abby [Public Procurement Analysis, London (United Kingdom)

    2013-02-15

    This document illustrates the key issues and considerations involved in implementing energy-efficient public procurement. Our primary sources of information have been our partners in the Super Efficient Equipment and Appliance Deployment (SEAD) Initiative Procurement Working Group. Where applicable, we have highlighted specific ways in which working group participants have successfully overcome barriers to delivering effective programs. The following key points emerge from this analysis of programs for energy-efficient public procurement. Lessons for both developed and developing programs are highlighted throughout the guide. 1. Policy: Policy provides the initiative to begin a transition from first cost to life-cycle cost based purchasing methods and culture. Effective policy is well-communicated, establishes accountability from top to bottom of organizations and simplifies the processes necessary to comply. Flexibility and responsiveness are essential in policy development and implementation. Mandatory and voluntary policies may complement one another. 2. Procurement Criteria: Procurement staff must be confident that energy-efficient procurement criteria offer the best long-term value for their organization’s money and represent real environmental gains. Involving multiple stakeholders at the early stages of the criteria creation process can result in greater levels of cooperation from private industry. Criteria should make comparison of products easy for purchasers and require minimal additional calculations. Criteria will need to be regularly updated to reflect market developments. 3. Training: Resources for the creation of training programs are usually very limited, but well-targeted training is necessary in order for a program to be effective. Training must emphasize a process that is efficient for purchasers and simplifies compliance. Purchaser resources and policy must be well designed for training to be effective. Training program development is an

  13. Prices and Price Setting

    NARCIS (Netherlands)

    R.P. Faber (Riemer)

    2010-01-01

    textabstractThis thesis studies price data and tries to unravel the underlying economic processes of why firms have chosen these prices. It focuses on three aspects of price setting. First, it studies whether the existence of a suggested price has a coordinating effect on the prices of firms.

  14. OAS :: Accountability :: Procurement

    Science.gov (United States)

    OAS, including its organizational structure, each organizational unit's staffing, vacant posts, and a list of procurement notices for formal bids, links to the performance contract and travel control Performance Contract reports from January 2013 to June 2017 may be found.) Travel Information and Control

  15. Critical analysis of procurement techniques in construction management sectors

    Science.gov (United States)

    Tiwari, Suman Tiwari Suresh; Chan, Shiau Wei; Faraz Mubarak, Muhammad

    2018-04-01

    Over the last three decades, numerous procurement techniques have been one of the highlights of the Construction Management (CM) for ventures, administration contracting, venture management as well as design and construct. Due to the development and utilization of those techniques, various researchers have explored the criteria for their choice and their execution in terms of time, cost and quality. Nevertheless, there is a lack of giving an account on the relationship between the procurement techniques and the progressed related issues, for example, supply chain, sustainability, innovation and technology development, lean construction, constructability, value management, Building Information Modelling (BIM) as well as e-procurement. Through chosen papers from the reputable CM-related academic journals, the specified scopes of these issues are methodically assessed with the objective to explore the status and trend in procurement related research. The result of this paper contributes theoretically as well as practically to the researchers and industrialist in order to be aware and appreciate the development of procurement techniques.

  16. Combined antiretroviral and anti- tuberculosis drug resistance ...

    African Journals Online (AJOL)

    these epidemics, many challenges remain.[3] Antiretroviral and anti-TB drug resistance pose considerable threats to the control of these epidemics.[4,5]. The breakdown in HIV/TB control within prisons is another emerging threat.[6,7] We describe one of the first reports of combined antiretroviral and anti-TB drug resistance ...

  17. Greening Operations Management: An Online Sustainable Procurement Course for Practitioners

    Science.gov (United States)

    Walker, Helen L.; Gough, Stephen; Bakker, Elmer F.; Knight, Louise A.; McBain, Darian

    2009-01-01

    In the Operations Management field, sustainable procurement has emerged as a way to green the purchasing and supply process. This paper explores issues in sustainable procurement training. The authors formed an interdisciplinary team to design, deliver and evaluate a training programme to promote and develop sustainable procurement in the United…

  18. Strengthening Procurement Systems in Latin America and the ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... and the development of MSMEs and electronic commerce. Information and Communication Technologies (ICTs) are key to modernizing public administration systems in general and public procurement in particular. In 2002, national government procurement bodies established the Inter-American Network for Government ...

  19. 2015 Status Report on Major Defence Equipment Procurements

    Directory of Open Access Journals (Sweden)

    David Perry

    2015-12-01

    Full Text Available Federal elections may be good for democracy, but the campaigns — particularly the lengthy one recently held in Canada — can be crippling for plans to better arm our military. Just before the election was called, there were public signs of important progress being made in what has long been a frustratingly slow and bureaucratically complex procurement process. But then the campaign left the Department of National Defence and other federal departments unable to secure approvals from either a defence minister or the Treasury Board, until the election ended and the new prime minister appointed the current cabinet. There had already been upheaval prior to that: In the first seven months of 2015, the three senior leaders at the Canadian Forces and the Defence Department (including the minister had been replaced, along with many other people critical to the procurement process. In addition, there had been changes in the Public Works Department and the Defence Procurement Strategy Secretariat. Frustrating and disappointing delays have long been a matter of course in Canada’s defence procurement process. In 2014/15, the number of ministerial or Treasury Board approvals to allow projects to proceed was half of that in 2009/10. Yet the demand for approvals has not abated. In addition to the turnover of key figures involved in the procurement and approval process, delays have come from a number of major steps added to the process, making an already lengthy and complex system even more so. To be sure, these steps were added in the pursuit of improved financial management and project management, with the aim of addressing longstanding problems. But it will take years to see if those objectives have been realized. An irony here is that the budget for military procurement has increased. Between 2004 and 2009, the Defence Department’s procurement budget nearly doubled. But the funding was never matched by the capacity to manage it. In 2003, the Material

  20. Platelet count kinetics following interruption of antiretroviral treatment

    DEFF Research Database (Denmark)

    Zetterberg, Eva; Neuhaus, Jacqueline; Baker, Jason V

    2013-01-01

    To investigate the mechanisms of platelet kinetics in the Strategies for Management of Antiretroviral Therapy (SMART) study that demonstrated excess mortality with CD4 guided episodic antiretroviral therapy (ART) drug conservation compared with continuous treatment viral suppression. Follow...

  1. System Establishment and Method Application for Quantitatively Evaluating the Green Degree of the Products in Green Public Procurement

    Directory of Open Access Journals (Sweden)

    Shengguo Xu

    2016-09-01

    Full Text Available The government green purchase is widely considered to be an effective means of promoting sustainable consumption. However, how to identify the greener product is the biggest obstacle of government green purchase and it has not been well solved. A quantitative evaluation method is provided to measure the green degree of different products of the same use function with an indicator system established, which includes fundamental indicators, general indicators, and leading indicators. It can clearly show the products’ green extent by rating the scores of different products, which provides the government a tool to compare the green degree of different products and select greener ones. A comprehensive evaluation case of a project purchasing 1635 desk computers in Tianjin government procurement center is conducted using the green degree evaluation system. The environmental performance of the products were assessed quantitatively, and the evaluation price, which was the bid price minus the discount (the discount rate was according to the total scores attained by their environmental performance, and the final evaluation price ranking from low to high in turn is supplier C, D, E, A, and B. The winner, supplier C, was not the lowest bid price or the best environmental performance, but it performed well at both bid price and environmental performance so it deserved the project. It shows that the green extent evaluation system can help classify the different products by evaluating their environment performance including structure and connection technology, selection of materials and marks, prolonged use, hazardous substances, energy consumption, recyclability rate, etc. and price, so that it could help to choose the greener products.

  2. Adherence to anti-retroviral drugs in pregnant and lactating HIV ...

    African Journals Online (AJOL)

    Background: Anti-retroviral drugs reduce morbidity and mortality due to HIV and prevent transmission from mother to child. But compliance on anti-retroviral treatment is an essential element for the success of therapeutic goals. Objective: To assess the level of compliance of anti-retroviral treatment in pregnant and lactating ...

  3. CROI 2016: Advances in Antiretroviral Therapy.

    Science.gov (United States)

    Taylor, Barbara S; Olender, Susan A; Tieu, Hong-Van; Wilkin, Timothy J

    2016-01-01

    The 2016 Conference on Retroviruses and Opportunistic Infections highlighted exciting advances in antiretroviral therapy, including important data on investigational antiretroviral drugs and clinical trials. Clinical trials demonstrated benefits from a long-acting injectable coformulation given as maintenance therapy, examined intravenous and subcutaneous administration of a monoclonal antibody directed at the CD4 binding site of HIV-1, and provided novel data on tenofovir alafenamide. Several studies focused on the role of HIV drug resistance, including the significance of minority variants, transmitted drug resistance, use of resistance testing, and drug class-related resistance. Novel data on the HIV care continuum in low- and middle-income settings concentrated on differentiated HIV care delivery models and outcomes. Data on progress toward reaching World Health Organization 90-90-90 targets as well as outcomes related to expedited initiation of HIV treatment and adherence strategies were presented. Results from a trial in Malawi showed reduced rates of mother-to-child transmission among HIV-infected women who initiated antiretroviral therapy prior to pregnancy, and several studies highlighted the effect of antiretroviral therapy in pediatric populations. A special session was dedicated to the findings of studies of Ebola virus disease and treatment during the outbreak in West Africa.

  4. Audit the effectiveness of the electronic system of public (state) procurement

    OpenAIRE

    Pysmenna, М.

    2017-01-01

    The study deals with the methodology of the audit the effectiveness of e-environment for public procurement. The purpose of this paper is deepening theoretical and methodological framework for auditing electronic systems for public (government) procurement. Research methods included analysis of legislation in the area of procurement, monitoring of individual transactions of public (state) procurement, interview with the responsible persons of budgetary funds on the assessment of the effective...

  5. 76 FR 5142 - Procurement List; Additions and Deletion

    Science.gov (United States)

    2011-01-28

    ... and Deletion AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Additions to and deletion from the Procurement List. SUMMARY: This action adds services to the Procurement.... Contracting Activity: Department of Transportation, Federal Aviation Administration, Jamaica, NY. Deletion On...

  6. The EU Public Procurement regime - Does It Work?

    DEFF Research Database (Denmark)

    Nielsen, Jørgen Ulff-Møller; Hansen, Lars Gottlieb

    2001-01-01

    Has the Single Market for public procurement had the expected effects after six years in progress? The following article attempts to answer this question by first presenting alternative theoretical approaches to analysing the EU liberalisation of the public procurement market and then confronting...

  7. Medium-term energy hub management subject to electricity price and wind uncertainty

    International Nuclear Information System (INIS)

    Najafi, Arsalan; Falaghi, Hamid; Contreras, Javier; Ramezani, Maryam

    2016-01-01

    Highlights: • A new model for medium-term energy hub management is proposed. • Risk aversion is considered in medium-term energy hub management. • Stochastic programing is used to solve the medium-term energy hub management problem. • Electricity price and wind uncertainty are considered. - Abstract: Energy hubs play an important role in implementing multi-carrier energy systems. More studies are required in both their modeling and operating aspects. In this regard, this paper attempts to develop medium-term management of an energy hub in restructured power systems. A model is presented to manage an energy hub which has electrical energy and natural gas as inputs and electrical and heat energy as outputs. Electricity is procured in various ways, either purchasing it from a pool-based market and bilateral contracts, or producing it from a Combined Heat and Power (CHP) unit, a diesel generator unit and Wind Turbine Generators (WTGs). Pool prices and wind turbine production are subject to uncertainty, which makes energy management a complex puzzle. Heat demand is also procured by a furnace and a CHP unit. Energy hub managers should make decisions whether to purchase electricity from the electricity market and gas from the gas network or to produce electricity using a set of generators to meet the electrical and heat demands in the presence of uncertainties. The energy management objective is to minimize the total cost subject to several technical constraints using stochastic programming. Conditional Value at Risk (CVaR), a well-known risk measure, is used to reduce the unfavorable risk of costs. In doing so, the proposed model is illustrated using a sample test case with actual prices, load and wind speed data. The results show that the minimum cost is obtained by the best decisions involving the electricity market and purchasing natural gas for gas facilities. Considering risk also increases the total expected cost and decreases the CVaR.

  8. Opportunities for public procurement procedures efficiency and optimization improvement

    OpenAIRE

    Junevičius, Algis; Ereminaitė, Simona

    2010-01-01

    Public procurement is one of the most actual problems of economics and a potential instrument of successful public policy, which can control money flows and manipulate the appearance of corruption opportunities. Procurement practices are relatively new in the public sector, but everyone knows the complicated regulation and coordination of this process. Despite the fact that society often discus about public procurement problems, the regulation of this process requires an in-depth evaluation b...

  9.  The potential nephrotoxicity of antiretroviral drugs

    Directory of Open Access Journals (Sweden)

    Zofia Marchewka

    2012-09-01

    Full Text Available  The intensive studies carried out in many scientific laboratories and the efforts of numerous pharmaceutical companies have led to the development of drugs which are able to effectively inhibitHIV proliferation. At present, a number of antiretroviral agents with different mechanisms of actionare available. Unfortunately, long-term use of antiretroviral drugs, however, does not remainindifferent to the patient and can cause significant side effects.In the present work, the antiretroviral drugs with a nephrotoxicity potential most commonly usedin clinical practice are described. In the review attention has also been focused on the nephropathyresulting from the HIV infection alone and the influence of genetic factors on the occurrenceof pathological changes in the kidney.

  10. Strategic contracting practices to improve procurement of health commodities.

    Science.gov (United States)

    Arney, Leslie; Yadav, Prashant; Miller, Roger; Wilkerson, Taylor

    2014-08-01

    Public-sector entities responsible for procurement of essential medicines and health commodities in developing countries often lack the technical capacity to efficiently ensure supply security. Under strict public scrutiny and pressures to be transparent, many agencies continue to use archaic procurement methods and to depend on inflexible forecasts and cumbersome tendering processes. On the basis of semi-structured literature reviews and interviews, we identified framework agreements as a strategic procurement practice used by the U.S. federal government that may also be suitable for global health supply chains. Framework agreements are long-term contracts that provide the terms and conditions under which smaller repeat purchasing orders may be issued for a defined period of time. Such agreements are common in U.S. and United Nations procurement systems and in other developed countries and multilateral organizations. In contrast, framework agreements appear to be seldom used in procurement of health commodities in countries of sub-Saharan Africa. The current practice of floating tenders multiple times a year contributes to long lead times and stock-outs, and it hampers the manufacturer's or supplier's ability to plan and respond to the government's needs. To date, government's use of strategic contracting practices in public procurement of health commodities has not received much attention in most developing countries. It may present an opportunity for substantial improvements in procurement efficiency and commodity availability. Enabling legislation and strengthened technical capacity to develop and manage long-term contracts could facilitate the use of framework contracts in sub-Saharan Africa, with improved supply security and cost savings likely to result.

  11. Technical Parts For Application E-Procurement in the Republic of Kosovo

    Directory of Open Access Journals (Sweden)

    Besnik HAJDARI

    2018-04-01

    Full Text Available Electronic procurement in the Republic of Kosovo has begun in 2012, had it not been for the accomplishment goals and development and implementation of electronic procurement in the Republic of Kosovo fully realized. e-Procurement is not only the publication of procurement results, but is a reflection of a defined legal process on procurement. The Internet are presented records of all claims, also via the Internet can be sent to all offers. Research: Through management system throughout the procurement process electronically will enable the preservation of technical and financial evaluation of bids. Thus, the presentation of this process in a transparent manner increases the reliability and efficiency. Method: Also through the management system of this process, according to the rights defined by law, each party can see the appeal process and remotely via the Internet. Implementation of e-procurement will enable the removal of barriers that were presented earlier, increasing the confidence of all parties involved. Access will be granted to all interested parties by allowing the approaches to the law, while in the case of restrictions should use electronic identification (e-ID. Result: The categorization of approaches will be for each separately, including contracting authority, contractors, bidders, complainers, the proxies of budgetary units, auditors and other categories defined under applicable laws. Security of information in e-procurement will be the maximum. As with any other service access to e-procurement will be provided through the state portal.

  12. Extinction of Chained Instrumental Behaviors: Effects of Procurement Extinction on Consumption Responding

    Science.gov (United States)

    Thrailkill, Eric A.; Bouton, Mark E.

    2015-01-01

    Instrumental behavior often consists of sequences or chains of responses that minimally include procurement behaviors that enable subsequent consumption behaviors. In such chains, behavioral units are linked by access to one another and eventually to a primary reinforcer, such as food or a drug. The present experiments examined the effects of extinguishing procurement responding on consumption responding after training of a discriminated heterogeneous instrumental chain. Rats learned to make a procurement response (e.g., pressing a lever) in the presence of a distinctive discriminative stimulus; making that response led to the presentation of a second discriminative stimulus that set the occasion for a consumption response (e.g., pulling a chain), which then produced a food-pellet reinforcer. Experiment 1 showed that extinction of either the full procurement-consumption chain or procurement alone weakened the consumption response tested in isolation. Experiment 2 replicated the procurement extinction effect and further demonstrated that the opportunity to make the procurement response, as opposed to simple exposure to the procurement stimulus alone, was required. In Experiment 3, rats learned 2 distinct discriminated heterogeneous chains; extinction of 1 procurement response specifically weakened the consumption response that had been associated with it. The results suggest that learning to inhibit the procurement response may produce extinction of consumption responding through mediated extinction. The experiments suggest the importance of an associative analysis of instrumental behavior chains. PMID:25915751

  13. 75 FR 41449 - Procurement List Additions and Deletion

    Science.gov (United States)

    2010-07-16

    ... Customs and Border Protection, Office of Procurement, Washington, DC Service Type/Locations: Laundry.../Locations: Laundry Service, Naval Hospital System, 2800 Child Street, Jacksonville, FL NPA: GINFL Services...: Additions to and deletion from the Procurement List. SUMMARY: This action adds products and services to the...

  14. 22 CFR 226.40 - Purpose of procurement standards.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Purpose of procurement standards. 226.40 Section 226.40 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.40 Purpose...

  15. Develop risk-based procurement management tools for SMEs

    NARCIS (Netherlands)

    Staal, Anne; Hagelaar, Geoffrey; Walhof, Gert; Holman, Richard

    2016-01-01

    This paper provides guidance for developing risk-based management tools to improve the procurement (purchasing) performance of SMEs. Extant academic literature only offers little support on developing such tools and does not consider the wide variety of SMEs. The paper defines a procurement tool for

  16. Corruption in Public Procurement: Finding the Right Indicators

    NARCIS (Netherlands)

    Ferwerda, J.; Deleanu, I.S.; Unger, B.

    2017-01-01

    Red flags are widely used to minimize the risk of various forms of economic misconduct, among which corruption in public procurement. Drawing on criminal investigations, the literature has developed several indicators of corruption in public procurements and has put them forward as viable risk

  17. Corruption in Public Procurement : Finding the Right Indicators

    NARCIS (Netherlands)

    Ferwerda, Joras; Deleanu, Ioana; Unger, Brigitte

    2017-01-01

    Red flags are widely used to minimize the risk of various forms of economic misconduct, among which corruption in public procurement. Drawing on criminal investigations, the literature has developed several indicators of corruption in public procurements and has put them forward as viable risk

  18. Implementing Sustainable Public Procurement : an organisational change perspective

    NARCIS (Netherlands)

    J. Grandia (Jolien)

    2015-01-01

    markdownabstractFor the execution of policies, as well as for its own operations, governments procure goods and services, ranging from paper and pencils to fighter planes, cleaning services and public road works. In the European Union public procurement represents 16% of the gross domestic product.

  19. Diagnostics of Procurement Activity of Industrial Enterprise

    OpenAIRE

    Veretennikova Anna B.

    2012-01-01

    The importance of procurement activity of industrial enterprise is substantiated in the article. The results of the critical analysis of the existing approaches to procurement effectiveness evaluating are presented. The main directions of diagnostics of procurement activity of industrial enterprise such as the quality of the organization and the resources, the effectiveness and efficiency, security of logistics operations.В статье обоснована актуальность диагностирования закупочной деятельнос...

  20. A Framework for Usability Evaluation in EHR Procurement.

    Science.gov (United States)

    Tyllinen, Mari; Kaipio, Johanna; Lääveri, Tinja

    2018-01-01

    Usability should be considered already by the procuring organizations when selecting future systems. In this paper, we present a framework for usability evaluation during electronic health record (EHR) system procurement. We describe the objectives of the evaluation, the procedure, selected usability attributes and the evaluation methods to measure them. We also present the emphasis usability had in the selection process. We do not elaborate on the details of the results, the application of methods or gathering of data. Instead we focus on the components of the framework to inform and give an example to other similar procurement projects.

  1. QA in the procurement of items and services

    International Nuclear Information System (INIS)

    Wilhelm, H.

    1980-01-01

    Procurement of items and services is one of the important elements during the design and construction of Nuclear Power Plants. The purchaser has to establish and implement controls over the procurement process to ensure that the quality criteria, quality level and other quality requirements specified for the particuliar item or service are taken into account. The effect on safety of an error in service or the malfunction of an item is the most important factor to be considered in determining the extent of quality assurance efforts. A typical example of a procurement process will be demonstrated for safety related mechanical components. (orig./RW)

  2. Does short-term virologic failure translate to clinical events in antiretroviral-naïve patients initiating antiretroviral therapy in clinical practice?

    NARCIS (Netherlands)

    Mugavero, Michael J; May, Margaret; Harris, Ross; Saag, Michael S; Costagliola, Dominique; Egger, Matthias; Phillips, Andrew; Günthard, Huldrych F; Dabis, Francois; Hogg, Robert; de Wolf, Frank; Fatkenheuer, Gerd; Gill, M John; Justice, Amy; D'Arminio Monforte, Antonella; Lampe, Fiona; Miró, Jose M; Staszewski, Schlomo; Sterne, Jonathan A C; Niesters, Bert

    2008-01-01

    OBJECTIVE: To determine whether differences in short-term virologic failure among commonly used antiretroviral therapy (ART) regimens translate to differences in clinical events in antiretroviral-naïve patients initiating ART. DESIGN: Observational cohort study of patients initiating ART between

  3. It is not easy being green: increasing sustainable public procurement behaviour

    NARCIS (Netherlands)

    Grandia, J.; Steijn, A.J.; Kuipers, B.S.

    2015-01-01

    To achieve greater sustainability, governments need to continuously adapt their purchasing activities to innovations in the market. Sustainable procurement is a decision-making process in which the decisions of procurers determine if the full potential of sustainable procurement is used. The

  4. It is not easy being green: increasing sustainable public procurement behaviour

    NARCIS (Netherlands)

    J. Grandia (Jolien); A.J. Steijn (Bram); B.S. Kuipers (Ben)

    2015-01-01

    markdownabstractTo achieve greater sustainability, governments need to continuously adapt their purchasing activities to innovations in the market. Sustainable procurement is a decision-making process in which the decisions of procurers determine if the full potential of sustainable procurement is

  5. Considerations regarding procurement activities in institutions of local authority

    OpenAIRE

    Mãdãlina ALBU

    2013-01-01

    Objectives which they propose a public authority requires, among others, providing the necessary resources, including the material occupy a large proportion. This is done through the public procurement system. The procurement is part of the legal and economic reality of the Romanian society and covers all rules and actions on public spending and the application launched by public bodies meets the proposed offer of an operator. This paper presents an analysis of the public procurement system i...

  6. Sustainable Public Procurement : a new policy paradigm in France ?

    OpenAIRE

    Le Velly, Ronan

    2010-01-01

    The purpose of this paper is to explore the “new paradigm” of sustainable public procurement in France, that is, its cognitive and normative frameworks. Firstly, the author shows that the newness of this paradigm has to do with the identification of sustainable procurement as a stake in its own right. Next, he shows that the good practices associated with sustainable procurement are also new (close relationships with suppliers, systematic thought about what is needed, innovative methods of co...

  7. 76 FR 37069 - Procurement List; Proposed Additions and Deletion

    Science.gov (United States)

    2011-06-24

    ... Certification The following products and service are proposed for addition to Procurement List for production by... following product is proposed for deletion from the Procurement List: Product Detergent, Laundry NSN: 7930...

  8. Multidimensional procurement auctions with unknown weights

    DEFF Research Database (Denmark)

    Greve, Thomas

    This paper studies the consequences of holding a procurement auction when the principal chooses not to show its preferences. My paper extends the procurement auction model of Che (1993) to a situation where both the principal and the agents have private information. Thus, unknown parameters of bo...... gives rise to an analysis of a principal that can not fully commit to the outcome induced by the scoring rule. Therefore, my result apply to contract theory and it’s problems with imperfect commitment....

  9. 7 CFR 1000.50 - Class prices, component prices, and advanced pricing factors.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Class prices, component prices, and advanced pricing... advanced pricing factors. Class prices per hundredweight of milk containing 3.5 percent butterfat, component prices, and advanced pricing factors shall be as follows. The prices and pricing factors described...

  10. Scientific Production about the Adherence to Antiretroviral Therapy

    Directory of Open Access Journals (Sweden)

    Regina Célia De Oliveira

    2017-09-01

    Full Text Available Objective: To identify the elite of authors about the subject adherence to antiretroviral therapy; to identify the journals turned to publishing articles about adherence to antiretroviral therapy; and to identify and analyze the most commonly used words in abstracts of articles about adherence to antiretroviral therapy. Method: A bibliometric study conducted through the Scopus base. We used articles published between 1996 and 2014, after application of the eligibility criteria, there were composed the sample with 24 articles. The data were analyzed descriptively. Were used the laws of bibliometric (Lotka, Bradford and Zipf and the conceptual cloud map of words, through the program Cmap tools. Results: Lotka's Law identified the 5 authors more productive (46% of the total published. Bradford is impaired in this study. Concerning Zipf, 3 zones were determined, 31.47% of the words with in the first zone, 26.46% in the second and 42.06% in the third. In the conceptual map, the words/factors that positively and negatively influence adherence were emphasized, among them the need for more research in the health services. Conclusion: There are few publications about the accession to antiretroviral therapy, and the scientific production is in the process of maturation. One can infer that the theme researched is not yet an obsolete topic. It should be noted that the Bibliometric was a relevant statistic tool to generate information about the publications about the antiretroviral therapy. Descriptors: Antiretroviral Therapy, Highly Active; Medication Adherence; Bibliometric; HIV; Acquired Immunodeficiency Syndrome

  11. Topical legal aspects of corruption counteraction in public procurement

    Directory of Open Access Journals (Sweden)

    Aleksandr Igorevich Zemlin

    2015-03-01

    Full Text Available Objective to analyze the current developments in the Russian legislation on corruption counteraction and the legislation on public procurement system on this basis to study legal conflicts and gaps and to develop proposals under the provisions of the National AntiCorruption Plan for 2014ndash2015. Methods historical formallegal logical and systemicfunctional structural and contextual approach to the study of law and theoretical propositions concerning the definition nature and characteristics of legal relations arising in the process of and relating to the corruption counteraction in the public procurement system. Results аn aggregate of theoretical conclusions and proposals aimed at perfection of anticorruption legislation and legislation on the contractual public procurement system is presented. Scientific novelty the results of the author39s interpretation of changes in the Russian anticorruption legislation and legislation on the contractual public procurement system existing legal conflicts and gaps. Practical significance developing proposals for improving the standards of anticorruption legislation and legislation on public procurement system under the provisions of the National AntiCorruption Plan for 2014ndash2015. nbsp

  12. Preventing Maladministration in Indonesian Public Procurement : A Good Public Procurement Law Approach and Comparison with the Netherlands and the United Kingdom

    NARCIS (Netherlands)

    Wibowo, R.A.

    2017-01-01

    The aim of this book is to make recommendations concerning the improvement of public procurement law in Indonesia. The author identifies five fundamental problems commonly arising in the pre-contractual phase in Indonesia: the procurement document may be prepared in a way that favours certain

  13. Survey of U.S. Organ Procurement Organizations Regarding Pediatric Organ Donor Management.

    Science.gov (United States)

    Ream, Robert S; Armbrecht, Eric S

    2016-10-01

    To describe the current practice of pediatric organ donor management in the United States for donors declared dead based upon neurologic criteria. The study directs particular attention to how pediatric donors are defined, the use of donor management guidelines, the use of donor management goals, and the involvement of pediatric critical care or transplantation expertise. Cross-sectional observational study using a web-based survey and follow-up telephone interview with respondents from U.S. organ procurement organizations. The study also incorporated organ procurement organization-specific data on organ yield for the 4-year period (2010-2013) preceding the study. The 58 U.S. organ procurement organizations. Respondents chosen by each organ procurement organization. None. All 58 U.S. organ procurement organizations participated in the study. Fifty-two respondents (90%) indicated that their organ procurement organization distinguished pediatric from adult donors resulting in 28 unique pediatric definitions. Thirty-nine organ procurement organizations utilized some form of written pediatric management guidelines, and 27 (47%) maintained pediatric donor management goals; compliance was infrequently monitored for both guidelines (28%) and goals (33%). A pediatric intensivist was always or usually involved in pediatric donor management at 47 organ procurement organizations (81%); transplant/organ recovery surgeons were always or usually involved at 12 organ procurement organizations (21%). There was an increase in the number of organs transplanted per donor among donors 11-17 years old for organ procurement organizations that used donor management goals for the duration of the period studied (p procurement organizations that always or usually consulted a transplant/organ recovery surgeon (p = 0.02) although this did not reach our threshold for statistical significance.. There is little consensus among organ procurement organizations regarding the definition of

  14. 76 FR 14942 - Procurement List; Additions and Deletions

    Science.gov (United States)

    2011-03-18

    ... DFAC. Service Type/Location: Laundry & Dry Cleaning Service, F.E. Warren, AFB, WY. NPA: Goodwill... Service Type/Location: Laundry Service, Atlanta VA Medical Center, Decatur, GA. NPA: GINFL Services, Inc...: Additions to and deletions from the Procurement List. SUMMARY: This action adds services to the Procurement...

  15. 78 FR 53733 - Procurement List Additions and Deletions

    Science.gov (United States)

    2013-08-30

    .../Location: Industrial Laundry Service, Bureau of Engraving and Printing, 9000 Blue Mound Road, Fort Worth...: Additions to and Deletions from the Procurement List. SUMMARY: This action adds products and services to the... severe disabilities, and deletes services from the Procurement List previously provided by such agencies...

  16. 20 CFR 638.806 - Property management and procurement.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Property management and procurement. 638.806 Section 638.806 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR JOB CORPS... management and procurement. The Job Corps Director shall develop procedures to establish and maintain a...

  17. Handbook for preparation of Individual Procurement Action Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The Procurement and Assistance Data System (PADS) provides a mechanism for collecting, assembling, organizing, and presenting acquisition and assistance data for the Department of Energy (DOE). This handbook and associated documents establish a uniform system to report acquisition/assistance data to PADS for the collection, processing, and dissemination of official statistical data on the Department`s acquisition and assistance actions. The data provides, based on information available at the time of request, a basis for any recurring and special reports to the senior procurement executive, Congress, General Accounting Office (GAO), Federal executive agencies, Office of management and Budget (OMB), and the general public. It provides information for measuring and assessing the extent to which small business firms and small disadvantages business enterprises are sharing in DOE placement, and for other acquisition and assistance policy and management control purposes. The Handbook for the Preparation of the Individual Procurement Action Report (IPAR) has been designed in two sections; Procurement and Financial Assistance to support the individual forms.

  18. New targets and novel antiretrovirals | Wood | Southern African ...

    African Journals Online (AJOL)

    Highly active antiretroviral therapy (HAART) has to date been based on use of a triple combination of drugs chosen from three classes of antiretrovirals (ARVs), nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs). These ARV classes ...

  19. Procurement in the Nuclear Industry, Quality, Safety and Decision Making

    International Nuclear Information System (INIS)

    Jakobsson, Marianne; Svenson, Ola; Salo, Ilkka

    2010-03-01

    The major purpose of the present study is partly to map and partly to make an analysis of the decision processes in the procurement routines in the nuclear industry in order to provide a basis for: 1. further development of safety inspections about procurements for Swedish Radiation Safety Authority 2. improvements of safety management in connection with procurement within a nuclear-power plant, 3 improvements of procurement routines in general in a nuclear power plant. The procurement processes at a nuclear power plant were analyzed from a decision theoretic perspective. Key staff at the plant was interviewed and written instructions as well as digitalized processes were used in the analysis. The results illustrate the most important moments during the procurement process with descriptions from interviews and documents. The staff at the nuclear power plant used a multi-attribute utility decision theory MAUT-inspired model in evaluation of alternatives and both compensatory (in which negative aspects can be compensated by positive aspects) and non-compensatory (in which certain 'pass' levels of attributes have to be exceeded for a choice) decision rules were used in the procurement process. Not surprising, nuclear safety was evaluated in a non-compensatory manner following regulatory criteria while costs were evaluated in trade-off compensatory rules, which means that a weakness in one consideration might be compensated by strength in another consideration. Thus, nuclear safety above the regulator's and law requirements are not integrated in a compensatory manner when procurement alternatives are evaluated. The nuclear plant assessed an organization's safety culture at an early stage of the purchasing process. A successful and a less successful procurement case were reported with the lessons learned from them. We find that the existing written instructions for purchase were well elaborated and adequate. There is a lack of personal resources when procurement teams

  20. United Kingdom: Procurement Related Nuclear Experience (Operating Experience)

    International Nuclear Information System (INIS)

    2016-01-01

    Procurement of nuclear facilities in the United Kingdom is subject to nuclear site licence conditions issued by the Government through the Office for Nuclear Regulation (ONR). Each nuclear facility in the United Kingdom must have a nuclear site licence and must comply with the 36 general conditions that are set out in the Licence Condition Handbook (October 2014). In addition, the ONR has published a technical assessment guide for the procurement of nuclear safety related items or services; a guide on intelligent customers and a guide on records management also apply to the procurement phase, and ONR interventions look across all three of these documents. Procurement governance arrangements need to be developed (including a policy, manual, procedures and template documents) and approved within the utility company. The ONR monitors the arrangements via interventions and deems the arrangements to be ‘adequate’. Some procurement contracts become lifetime records for nuclear safety related systems and need to be retained while the plant is in place. A formal record retention schedule needs to be created and managed by the procurement organization. The utility company may elect to set hold points during the various procurement stages and, importantly, obtain approval for the contract and its content from all technical stakeholders (with particular emphasis on the engineering, project management and design authority quality functions before contract award). For contracts with high nuclear safety significance, the ONR may enforce additional hold points before and/or after contract award. There is a general requirement that the utility puts in place adequate arrangements to ensure that suitably qualified and experienced personnel are employed to implement adequate management arrangements and to act as an intelligent customer. This includes being able to demonstrate that any contractor or supplier is suitable, capable and experienced, and has the necessary processes and

  1. SCAlING UP THE USE OF ANTIRETROVIRAlS IN THE PUBLIC ...

    African Journals Online (AJOL)

    2003-08-01

    Aug 1, 2003 ... access also has to grapple with the challenge of ensuring that people take drugs ... scaling up procurement: provision of affordable drugs, and ... outside government. ... South Africa provide useful models for the design of an.

  2. FORMATION OF THE PUBLIC PROCUREMENT SYSTEM IN THE EURASIAN ECONOMIC UNION

    Directory of Open Access Journals (Sweden)

    Vladimir Vladimirovich Savchenko

    2016-01-01

    Full Text Available The study revealed aspects of the organization of public procurement in the Eurasian Economic Union, outlines approaches to the study of the role of procurement management system in the formation of industrial capabilities to carry out competition in the market activity. The article assesses the eff ectiveness of the fi nancial mechanism in the public procurement system and discusses the dynamics of the procurement process and its features by using the most common competitive methods of procurement. The purpose / goal. The aim of the article is to identify further ways to optimize public procurement system in the Eurasian Economic Union. Tasks article. Develop an acceptable doctrinal foundations for today system of organization of public procurement in the Eurasian Economic Union. Methodology. The author began his research with the setting and the formation of the research objectives. The author defi ned the subject of the study, prepared by the empirical basis of the study. In terms of methodology, this work is an analytical and historical overview of the economic and socio-political processes taking place at the level of individual countries, regions of the world, and the world economy as a whole. Results. This article provides practical recommendations that can be used to create an eff ective integrated system of public procurement in the Eurasian Economic Union.

  3. 78 FR 75912 - Procurement List; Addition and Deletion

    Science.gov (United States)

    2013-12-13

    ... and Deletion AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Addition to and deletion from the Procurement List. SUMMARY: This action adds a service to the Procurement...: General Services Administration, Fort Worth, TX Deletion On 11/1/2013 (78 FR 65618), the Committee for...

  4. 7 CFR 246.24 - Procurement and property management.

    Science.gov (United States)

    2010-01-01

    ... concerning violation of law are to be referred to such local, State or Federal authority as may have proper jurisdiction. (c) State regulations. The State or local agency may use its own procurement regulations which reflect applicable State and local regulations, provided that procurements made with Program funds adhere...

  5. 7 CFR 249.21 - Procurement and property management.

    Science.gov (United States)

    2010-01-01

    ... to such local, State or Federal authority as may have proper jurisdiction. (c) State regulations. The... applicable State and local regulations; and (2) Any procurements made with SFMNP funds adhere to the... 7 Agriculture 4 2010-01-01 2010-01-01 false Procurement and property management. 249.21 Section...

  6. 19 CFR 162.11 - Authority to procure warrants.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Authority to procure warrants. 162.11 Section 162.11 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) INSPECTION, SEARCH, AND SEIZURE Search Warrants § 162.11 Authority to procure...

  7. Sequential improvements in organ procurement increase the organ donation rate.

    Science.gov (United States)

    Billeter, Adrian T; Sklare, Seth; Franklin, Glen A; Wright, Jerry; Morgan, Gary; O'Flynn, Paul E; Polk, Hiram C

    2012-11-01

    Organ demand exceeds availability of transplantable organs. Organ procurement continues to suffer from failures to identify potential donors, inability to obtain consent for donation, as well as failures to retrieve certain organs as donor demographics change. The purpose of this article is to propose how sequentially introduced measures can increase organ donation rates as well as improve organ procurement. We analysed the effect of stepwise improvements in the organ procurement process patients in a university-based surgical intensive care unit over a 20-year period. We related newly introduced measures in the organ retrieval process with changes in donation rates. We specifically targeted these three main steps in the donation process: donor identification, conversion of potential donors to actual donors, and organ protection during the procurement process. Finally, we assessed the effect of the same measures on organ procurement after introduction in other hospitals of the same organ procurement region. Introduction of quality improvement steps increased all of the observed parameters. The number of organ donors was stabilised due to a better identification of potential donors, a major increase in conversion from potential to actual donors, and an increase in extended criteria donor. Improvements in organ protection led to higher rates of organs transplanted per donor and increased recovery of lungs and hearts despite increasing donor age. The same measures were introduced successfully in other hospitals in our organ procurement region. Sequential improvements in organ procurement can increase the yield of retrieved organs. The same measures can be applied to other hospitals and lead to comparable improvements in organ donation. Published by Elsevier Ltd.

  8. The role of specification in public procurement of innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    A taken for granted assertion in the literature discussing how public procurement can be used as a way of stimulating innovation is that functional specification should be applied. Unlike technical specification, where the exact details of the item to be procured is defined, it is assumed that......, by specifying only the function or envisaged performance of the item to be procured, this would allow the submission of bids involving innovative technology and solutions previously unknown to the procurer. The starting point for the article is the perception that these views are commonly held assertions which...... have received limited systematic scholarly attention. The article therefore analyzes specification in relation to buying situations, as knowledge conversion, in terms of resource requirements in relation to different specification levels. The generic conclusion the paper arrives...

  9. Determinants of procurement strategy for construction works: quantity surveyors’ perspectives

    Directory of Open Access Journals (Sweden)

    Olanrewaju AbdulLateef

    2016-01-01

    Full Text Available The selection of the ‘appropriate’ procurement strategy is a prerequisite to the success or failure of a construction project. This paper investigates the factors determining the selection of appropriate procurement strategy for construction works in Nigeria. Data for the study was collected through an online survey questionnaire. The survey administration involves only quantity surveyors. Quantity surveyors were targeted because they advise clients and other stakeholders on procurement and contractual issues on construction works. A total of 33 usable responses were received and analysed for this study. On the basis of the results, it is concluded that the selection of procurement strategies for construction depend on complex interrelated factors. The study could not detect a particular factor or few factors responsible for a procurement strategy selection. The findings of this study is useful because it argues that the construction sector needs to broaden its considerations on the procurement strategy’s determinants rather than focusing solely on the client’s type and nature of projects as is often cited. Future research could segment these factors in terms of class of construction works or increase the sample size, which might lead to different findings.

  10. Current Administrative court practice in the procedure of Public Procurement

    Directory of Open Access Journals (Sweden)

    Silvio Čović

    2017-01-01

    Full Text Available Under the current conditions of complex and difficult economic and social circumstances and given the comparative possibilities and economic effects, the system of public procurement which is firstly at a legal level regulated by the Public Procurement Act 8 (Zakon o javnoj nabavi of 2011 (further referred to as: PPA (ZN, is of particular importance for the entire legal, political and economic system of the Republic of Croatia. Public procurement in essence represents contracting the procurement of goods, works or services. The specifities of that system are comprised, above all, of regulation of entering contractual relations between the public and private sector. Therefore, this system in principle must be formal in order to protect equality of competitors in the public procurement procedure and also in the general interest. Appreciating the legal tradition and indigenous particularities, the author’s fundamental aims consisted of providing and analysing administrative court practice in the context of international legal acquis communautaire showing some legal regulation in practice of disputable aspects of the system of public procurement in Croatia and the doubts emerging from current administrative court practice.

  11. An Empirical Evaluation Of The Potential Of Public E-Procurement To Reduce Corruption

    Directory of Open Access Journals (Sweden)

    Arjun Neupane

    2014-06-01

    Full Text Available One of the significant potential benefits of e-procurement technology is reducing opportunities for corruption in public procurement processes. The authors identified anti-corruption capabilities of e-procurement through an extensive literature review and a theoretical model representing the impact of three latent variables: monopoly of power, information asymmetry, and transparency and accountability upon the dependent variable, the intent-to-adopt e-procurement. This research was guided by the Principal-Agent theory and collected the perceptions of 46 government officers of the potential of public e-procurement to reduce corruption in public procurement processes. Results were analysed using the Partial Least Squares Structural Equation Modeling (PLS-SEM approach. The findings suggest that the intent-to-adopt e-procurement has a positive and significant relationship with the independent variables that might inform developing countries in strategies to combat corruption in public procurement.

  12. Transplant Procurement Management Model Training: Marked Improvement in the Mindset of In-Hospital Procurement Coordinators at Hyogo Prefecture, Japan.

    Science.gov (United States)

    Yoshikawa, M; Yoshinaga, K; Imamura, Y; Hayashi, T; Osako, T; Takahashi, K; Kaneko, M; Fujisawa, M; Kamidono, S

    2016-09-01

    The organ donation rate in Japan is much lower than that in other developed countries for several reasons. An advanced educational program for in-hospital procurement coordinators is a possible solution for this. We introduced a Transplant Procurement Management (TPM) educational program at Hyogo Prefecture, Japan. Ten healthcare professionals at Hyogo Prefecture participated in the Advanced International TPM course to educate themselves on TPM and held 2 TPM Model Organ Procurement Training Workshops at Hyogo Prefecture for in-hospital procurement coordinators. Furthermore, we held 2 workshops outside Hyogo Prefecture and at the same time undertook a pre-workshop questionnaire survey to evaluate the ability and motivation with respect to organ donation. To evaluate the effectiveness of the workshops, we conducted post-workshop and 3-months-after workshop questionnaire surveys. The results of the pre-workshop survey revealed that in-hospital procurement coordinators lacked the knowledge regarding the entire organ donation process, the current status of organ donation in Japan, and the definition of brain death. Moreover, they did not completely understand the meaning of "organ donation." The results of the post-workshop questionnaire survey showed that the educational program was effective to improve the knowledge and skills of organ donation and motivated behavioral changes among the participants. The survey results showed that our TPM model educational program offered sufficient knowledge and skills to increase organ donation at Hyogo Prefecture. We will continue this program and make an effort to further contribute to the Japanese organ donation activities. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. MODELLING OF FINANCIAL EFFECTIVENESS AND COMPARATIVE ANALYSIS OF PUBLIC-PRIVATE PARTNERSHIP PROJECTS AND PUBLIC PROCUREMENT

    Directory of Open Access Journals (Sweden)

    Kuznetsov Aleksey Alekseevich

    2017-10-01

    following methods were applied in the research: general scientific theoretical methods, such as idealization and formalization; general scientific experimental methods, such as modelling of objects under study. Results: the main result of this research is development of modelling for comparative analysis of PPP projects and traditional public procurement. This enables us to estimate the “price-quality” ratio and, based on it, analyze critical parameters of the project. Conclusions: despite the objective complexity of the analysis of effectiveness of PPP projects both individually and especially when compared with traditional forms of public procurement, there is a relatively simple way to perform such an analysis by means of modelling and comparison of cash flows of all parties of the PPP process. Proposed model makes the criteria for PPP projects effectiveness more intuitive for interpretation while preserving all key parameters. The relative simplicity of the analysis, calculation of limiting values, and interpretation of the results make the model a useful practical tool both for bodies of the public sector and potential private investors.

  14. Economic risks of the system of state and municipal procurement

    Directory of Open Access Journals (Sweden)

    Belokrylova Olga, S.

    2015-12-01

    Full Text Available In the paper the audit of economic risks at all stages of procurement for state and municipal needs from both customers and bidders is carried out on the basis of the implementation of the integrated approach . Stages in the procurement under a single contract system, which is characterized by the high economic risks are planning, supplier selection, conclusion and execution of the contract. A number of the measures according to the localization of economic risks are offered, in particular the implementation of compliance programs, which institutionalize the compliance by the organization, anti-corruption legislation; increasing qualification of specialists in public procurement and increased control through centralization of procurement.

  15. Procuring load curtailment from local customers under uncertainty.

    Science.gov (United States)

    Mijatović, Aleksandar; Moriarty, John; Vogrinc, Jure

    2017-08-13

    Demand side response (DSR) provides a flexible approach to managing constrained power network assets. This is valuable if future asset utilization is uncertain. However there may be uncertainty over the process of procurement of DSR from customers. In this context we combine probabilistic modelling, simulation and optimization to identify economically optimal procurement policies from heterogeneous customers local to the asset, under chance constraints on the adequacy of the procured DSR. Mathematically this gives rise to a search over permutations, and we provide an illustrative example implementation and case study.This article is part of the themed issue 'Energy management: flexibility, risk and optimization'. © 2017 The Author(s).

  16. Procurement guideline for oil recovery boats; Oeljyntorjuntaveneen hankintaohje

    Energy Technology Data Exchange (ETDEWEB)

    Pajala, J.

    2011-12-15

    These guidelines have been compiled to assist in the procurement of oil recovery boats, with the intention of ensuring that new boats meet the future needs of oil spill response operations and that procurement will be carried out in a manner that is economically sound and technologically well-founded. Furthermore, the guidelines are intended to encourage the development and adoption of new solutions for oil recovery boats. The issues covered by these guidelines include: Multiple uses of boats, classification of boats and class-specific requirements, the principle of sustainable development and the boats' lifecycle, qualification to be set for the crews, procurement timeline, regulations and guidelines, inspections and approvals. (orig.)

  17. 78 FR 27369 - Procurement List; Additions and Deletion

    Science.gov (United States)

    2013-05-10

    ... and Deletion AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Additions to and Deletion from the Procurement List. SUMMARY: This action adds products to the Procurement..., Philadelphia, PA. Deletion On 4/5/2013 (78 FR 20622-20623), the Committee for Purchase From People Who Are...

  18. Routines and Communities of Practice in Public Environmental Procurement Processes

    OpenAIRE

    Larsen, Katarina; Svane, Örjan

    2005-01-01

    Environmental procurement has received increasing attention as a policy tool promoting change towards sustainable consumption and production. The successful implementation of public environmental procurement policy requires the establishment of new routines for user-producer-supplier relationships that enable the integration of environmental aspects. The aim of the study is to analyse the roles of different communities of practice and learning patterns in environmental procurement processes. ...

  19. Design of reactive power procurement in deregulated electricity market

    African Journals Online (AJOL)

    user

    novel reactive power procurement model is proposed, which ensure secure and ..... The simulation is performed in the Matlab. .... focus of this paper is a reactive procurement market model, which is a basically two-step optimization process.

  20. A Conjecture on Institutional Rationalities and Property Rights in Public Procurement of Innovation

    DEFF Research Database (Denmark)

    Ågren, Robert; Rolfstam, Max

    2013-01-01

    The increased interest in using public procurement as a policy tool for innovation has renewed a need for understanding the procurement process. A conjecture on institutional rationalities and property rights is offered to explain the hurdles present for conducting successful procurement projects....... If an efficient negotiation solution is to be achieved participants in procurement projects need to be aware of the other participants’ institutional rationalities and actively consider these while concluding the terms of procurement projects. Consequently, future policy efforts towards increased innovation have...... to be targeting the process of public procurement of innovation, rather than focusing on regulatory issues....

  1. Corporate Social Responsibility and Sustainability in Danish Public Procurement

    DEFF Research Database (Denmark)

    Andrecka, Marta

    2017-01-01

    understand the continuously developing concepts of SPP, as well as to identify the drivers and barriers that promote or hinder its further implementation. This article firstly deals with the relationship between the concepts of sustainability, Corporate Social Responsibility (CSR) and public procurement....... Secondly, as Denmark has been known as a pioneer in sustainable development, including implementation of it in public purchasing this article focuses on recent developments in the areas of CSR and sustainable public procurement in Denmark, and analyses relevant Danish Public Procurement Complaints Board...

  2. Future Capacity Procurements Under Unknown Demand and Increasing Costs

    OpenAIRE

    Apostolos Burnetas; Stephen Gilbert

    2001-01-01

    In this paper we study a situation in which a broker must manage the procurement of a short-life-cycle product. As the broker observes demand for the item, she learns about the demand process. However, as is often the case in practice, it becomes either more difficult or more expensive to procure the item as the selling season advances. Thus, the broker must trade off higher procurement costs against the benefit of making ordering decisions with better information about demand. Problems of th...

  3. The Investigation and Elimination of Public Procurement Fraud in Government Sectors (A Case Study in Indonesia’s Procurement System: Cases from 2006 to 2012)

    OpenAIRE

    Maulidi, Ach

    2017-01-01

    This paper offers insights to enhance our understanding of public procurement fraud through analyzing current 173 cases during 2006 to 2012 in Indonesia’s procurement system using various points of view. These insights are synthesized from current research findings and contemporary thinking elaborated by practical knowledge and skills, the aim of which is to produce accurate analysis. The main aim of this paper is to participate in terms of combating procurement fraud by suggesting plausible ...

  4. Systematic review of antiretroviral-associated lipodystrophy: lipoatrophy, but not central fat gain, is an antiretroviral adverse drug reaction.

    Directory of Open Access Journals (Sweden)

    Reneé de Waal

    Full Text Available BACKGROUND: Lipoatrophy and/or central fat gain are observed frequently in patients on antiretroviral therapy (ART. Both are assumed to be antiretroviral adverse drug reactions. METHODS: We conducted a systematic review to determine whether fat loss or gain was more common in HIV-infected patients on ART than in uninfected controls; was associated with specific antiretrovirals; and would reverse after switching antiretrovirals. RESULTS: Twenty-seven studies met our inclusion criteria. One cohort study reported more lipoatrophy, less subcutaneous fat gain, but no difference in central fat gain in HIV-infected patients on ART than in controls. Randomised controlled trials (RCTs showed more limb fat loss (or less fat gain with the following regimens: stavudine (versus other nucleoside reverse transcriptase inhibitors (NRTIs; efavirenz (versus protease inhibitors (PIs; and NRTI-containing (versus NRTI-sparing. RCTs showed increased subcutaneous fat after switching to NRTI-sparing regimens or from stavudine/zidovudine to abacavir/tenofovir. There were no significant between-group differences in trunk and/or visceral fat gain in RCTs of various regimens, but results from efavirenz versus PI regimens were inconsistent. There was no significant between-group differences in central fat gain in RCTs switched to NRTI-sparing regimens, or from PI-containing regimens. CONCLUSIONS: There is clear evidence of a causal relationship between NRTIs (especially thymidine analogues and lipoatrophy, with concomitant PIs possibly having an ameliorating effect or efavirenz causing additive toxicity. By contrast, central fat gain appears to be a consequence of treating HIV infection, because it is not different from controls, is not linked to any antiretroviral class, and doesn't improve on switching.

  5. Procuring complex performance:case: public infrastructure projects

    OpenAIRE

    Leppänen, T. (Tero)

    2015-01-01

    Abstract This research studies procuring complex performance (PCP) in the case of public infrastructure projects. Focus of the research is on the interface between public clients and private sector contractors. Purpose of this research is to find out what are the main challenges of different project delivery methods according to literature (RQ1) and what are the practical challenges of public procurement (RQ2). As an end re...

  6. The global pediatric antiretroviral market: analyses of product availability and utilization reveal challenges for development of pediatric formulations and HIV/AIDS treatment in children.

    Science.gov (United States)

    Waning, Brenda; Diedrichsen, Ellen; Jambert, Elodie; Bärnighausen, Till; Li, Yun; Pouw, Mieke; Moon, Suerie

    2010-10-17

    Important advances in the development and production of quality-certified pediatric antiretroviral (ARV) formulations have recently been made despite significant market disincentives for manufacturers. This progress resulted from lobbying and innovative interventions from HIV/AIDS activists, civil society organizations, and international organizations. Research on uptake and dispersion of these improved products across countries and international organizations has not been conducted but is needed to inform next steps towards improving child health. We used information from the World Health Organization Prequalification Programme and the United States Food and Drug Administration to describe trends in quality-certification of pediatric formulations and used 7,989 donor-funded, pediatric ARV purchase transactions from 2002-2009 to measure uptake and dispersion of new pediatric ARV formulations across countries and programs. Prices for new pediatric ARV formulations were compared to alternative dosage forms. Fewer ARV options exist for HIV/AIDS treatment in children than adults. Before 2005, most pediatric ARVs were produced by innovator companies in single-component solid and liquid forms. Five 2-in1 and four 3-in-1 generic pediatric fixed-dose combinations (FDCs) in solid and dispersible forms have been quality-certified since 2005. Most (67%) of these were produced by one quality-certified manufacturer. Uptake of new pediatric FDCs outside of UNITAID is low. UNITAID accounted for 97-100% of 2008-2009 market volume. In total, 33 and 34 countries reported solid or dispersible FDC purchases in 2008 and 2009, respectively, but most purchases were made through UNITAID. Only three Global Fund country recipients reported purchase of these FDCs in 2008. Prices for pediatric FDCs were considerably lower than liquids but typically higher than half of an adult FDC. Pediatric ARV markets are more fragile than adult markets. Ensuring a long-term supply of quality, well

  7. First-line antiretroviral drug discontinuations in children.

    Directory of Open Access Journals (Sweden)

    Melony Fortuin-de Smidt

    Full Text Available There are a limited number of paediatric antiretroviral drug options. Characterising the long term safety and durability of different antiretrovirals in children is important to optimise management of HIV infected children and to determine the estimated need for alternative drugs in paediatric regimens. We describe first-line antiretroviral therapy (ART durability and reasons for discontinuations in children at two South African ART programmes, where lopinavir/ritonavir has been recommended for children <3 years old since 2004, and abacavir replaced stavudine as the preferred nucleoside reverse transcriptase inhibitor in 2010.We included children (<16 years at ART initiation who initiated ≥3 antiretrovirals between 2004-2014 with ≥1 follow-up visit on ART. We estimated the incidence of first antiretroviral discontinuation using Kaplan-Meier analysis. We determined the reasons for antiretroviral discontinuations using competing risks analysis. We used Cox regression to identify factors associated with treatment-limiting toxicity.We included 3579 children with median follow-up duration of 41 months (IQR 14-72. At ART initiation, median age was 44 months (IQR 13-89 and median CD4 percent was 15% (IQR 9-21%. At three and five years on ART, 72% and 26% of children respectively remained on their initial regimen. By five years on ART, the most common reasons for discontinuations were toxicity (32%, treatment failure (18%, treatment simplification (5%, drug interactions (3%, and other or unspecified reasons (18%. The incidences of treatment limiting toxicity were 50.6 (95% CI 46.2-55.4, 1.6 (0.5-4.8, 2.0 (1.2-3.3, and 1.3 (0.6-2.8 per 1000 patient years for stavudine, abacavir, efavirenz and lopinavir/ritonavir respectively.While stavudine was associated with a high risk of treatment-limiting toxicity, abacavir, lopinavir/ritonavir and efavirenz were well-tolerated. This supports the World Health Organization recommendation to replace stavudine with

  8. Challenges facing procurement professionals in developing economies: Unlocking value through professional international purchasing

    Directory of Open Access Journals (Sweden)

    Marian Tukuta

    2015-04-01

    Objectives: The purpose of this article was to examine the critical role played by the procurement function in business and to reveal the challenges faced by procurement professionals in developing economies as well as to suggest solutions to these challenges. Method: A sequential literary analysis was used, complemented by cross-country qualitative data gathered from one hundred diverse procurement practitioners from Botswana, Namibia and Zimbabwe. These were primarily participants in a series of procurement workshops run by the researchers from January to June 2014. Results: Findings suggested that limited recognition, increasing unethical behaviour, poor supplier service delivery, poor regulatory environment, varying supplier standards and poor corporate governance are the main challenges faced by the procurement profession in these countries. Conclusion: The study’s findings imply that there is limited understanding regarding the role procurement plays in both government and non-government institutions in developing economies. The article suggests solutions which procurement professionals and organisations can implement in order to unlock the potential value in the procurement function.

  9. Sustainable Procurement in the United Nations

    DEFF Research Database (Denmark)

    Lund-Thomsen, Peter; Costa, Nives

    2011-01-01

    are highly contested among UN procurement officers and member states. However, so far the debate has mostly been based on assumptions about how the implementation of SP might affect developing country stakeholders. In fact, very few academic studies have been made of the economic, social and environmental......This paper deals with the integration of economic, social and environmental criteria into the purchasing practices of the United Nations (UN) system--also known as the UN engagement in sustainable procurement (SP). We argue that the debates about the pros and cons of the UN engaging in SP...

  10. Advancing Respect for Labour Rights Globally through Public Procurement

    Directory of Open Access Journals (Sweden)

    Olga Martin-Ortega

    2017-12-01

    Full Text Available Governments are mega-consumers of many manufactured products and services. As such they should in principle be able to influence workers’ rights abroad via the terms of purchase contracts. Yet to date little attention has been paid to the potential of public procurement to promote respect for labour rights globally besides the international trade law framework. Building on a limited emerging scholarship and policy developments, this article addresses this gap. Section 2 considers legal definitions of public procurement and distinguishes primary and secondary aims of procurement under key international and regional procurement regimes. This highlights that, although historically used to advance labour rights domestically, these regimes have restricted public buyers’ scope to advance labour rights beyond national borders. Section 3 explores new international policy frameworks on responsible global value chains and supply chains which by contrast appear to augur the greater use of public procurement to promote labour rights globally in future. Section 4 argues, supported by analysis of the limited examples available, that public buying has the potential to positively influence enjoyment of labour rights in practice. Concluding, Section 5 reflects on what the more specific impacts of public procurement in this context may be, and how public buying should complement other mechanisms for improving labour conditions across supply chains, such as social clauses in trade agreements. Finally, we outline issues for further research and the future policy agenda.

  11. 76 FR 51916 - Procurement of Commodities and Services Financed by USAID

    Science.gov (United States)

    2011-08-19

    ... procurements with donated funds received under USAID's gift authority, Section 635(d), Foreign Assistance Act... AGENCY FOR INTERNATIONAL DEVELOPMENT 22 CFR Part 228 [Aid Reg. 228] RIN 0412-AA70 Procurement of... of 1961, as amended (FAA), be used for procurement in the United States (U.S.), the recipient country...

  12. The role and duties of client in public procurement management

    Directory of Open Access Journals (Sweden)

    Joković Radomir V.

    2015-01-01

    Full Text Available Public procurement is given great importance in all developed countries. The subject of this paper is to present the application of basic concepts of project management from the standpoint of public procurement in the higher education institution. Previous research, by examining the literature of domestic and foreign authors, and analysis of project performance management model is defined by the public procurement in the higher education institution whose application can improve overall process performance lrojekta and contribute to economic and efficient implementation of planned activities and time for reaching the goals. One of the objectives of model application of project management procurement at a higher education institution is to identify and determine the type and quantity of goods, uspuga, works, studies of conditions that influence their purchase, as well as finding ways of ensuring that goods, services, papers are available on the project in due time. This paper presents a model of project management public procurement in the higher education institution.

  13. Good Governance in Public Procurement: A South African Case Study

    Directory of Open Access Journals (Sweden)

    R Roos

    2008-08-01

    Full Text Available In this article good governance in public procurement, with particular reference to accountability is discussed. The principle of providing adequate remedies in public procurement is put under the spotlight. This is done with reference to the decision in Steenkamp NO v Provincial Tender Board, Eastern Cape. In this case the Constitutional Court had to consider whether an initially successful tenderer could lodge a delictual claim for damages to compensate for expenses incurred after conclusion of a contract, which was subsequently rendered void on an application for review of the tender award. The applicable principles of good governance and the applicable provisions of the UNCITRAL Model Law on Public Procurement and the WTO plurilateral Government Procurement Agreement are analysed. This is done to enable an evaluation of the decision by the Constitutional Court in the above case. It is concluded that the South African public procurement system does in this instance comply with the basic principles of good governance with regard to accountability.

  14. 13 CFR 121.407 - What are the size procedures for multiple item procurements?

    Science.gov (United States)

    2010-01-01

    ... Requirements for Government Procurement § 121.407 What are the size procedures for multiple item procurements? If a procurement calls for two or more specific end items or types of services with different size... multiple item procurements? 121.407 Section 121.407 Business Credit and Assistance SMALL BUSINESS...

  15. Small Business Set-asides in Procurement Auctions: An Empirical Analysis

    OpenAIRE

    Jun Nakabayashi

    2010-01-01

    As part of public procurement, many governments adopt small business programs to pro- vide contract opportunities for businesses often with preferences for firms operated by mem- bers of groups designated as disadvantaged. The redistribution arising from such programs, however, can introduce significant added costs to government procurement budgets. In this paper, the extent to which small business set-asides increase government procurement costs is examined. The estimates employ data on Japa...

  16. Organ procurement from executed prisoners in China.

    Science.gov (United States)

    Sharif, A; Singh, M Fiatarone; Trey, T; Lavee, J

    2014-10-01

    Organ procurement from executed prisoners in China is internationally condemned, yet this practice continues unabated in 2014. This is despite repeated announcements from Chinese authorities that constructive measures have been undertaken to conform to accepted ethical standards. While there is unanimous agreement on the unethical nature of using organs from executed prisoners, due to its limitations on voluntary and informed consent, there is insufficient coverage of forced organ procurement from prisoners of conscience without consent. Strategies to influence positive change in China over the last few decades have failed to bring this practice to an end. While organ donation and transplantation services in China have undergone considerable structural changes in the last few years, fundamental attempts to shift practice to ethically sourced organs have floundered. In this article, we discuss the organ trade in China, reflect upon organ procurement from executed prisoners (including both capital prisoners and prisoners of conscience) and provide an overview of contradictory Chinese efforts to halt forced organ procurement from executed prisoners. Finally, we highlight current actions being taken to address this issue and offer comprehensive recommendations to bring this ethically indefensible practice to an immediate end. © Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons.

  17. United Kingdom's defence procurement: a period of smart enlightenment or halting culture

    OpenAIRE

    O Callaghan, D. M.

    2001-01-01

    The aim of this thesis is to map predominant cultures and examine their compatibility with the Smart Procurement Initiative. An initiative that was identified in the Strategic Defence Review to address the limitations of UK's defence procurement process that had previously failed to deliver defence equipment to cost, time and specification. The introduction reviews those factors, which influenced procurement since World War 11. The background to UK's current procurement process...

  18. Vaccine procurement and self-sufficiency in developing countries.

    Science.gov (United States)

    Woodle, D

    2000-06-01

    This paper discusses the movement toward self-sufficiency in vaccine supply in developing countries (and countries in transition to new economic and political systems) and explains special supply concerns about vaccine as a product class. It traces some history of donor support and programmes aimed at self-financing, then continues with a discussion about self-sufficiency in terms of institutional capacity building. A number of deficiencies commonly found in vaccine procurement and supply in low- and middle-income countries are characterized, and institutional strengthening with procurement technical assistance is described. The paper also provides information about a vaccine procurement manual being developed by the United States Agency for International Development (USAID) and the World Health Organization (WHO) for use in this environment. Two brief case studies are included to illustrate the spectrum of existing capabilities and different approaches to technical assistance aimed at developing or improving vaccine procurement capability. In conclusion, the paper discusses the special nature of vaccine and issues surrounding potential integration and decentralization of vaccine supply systems as part of health sector reform.

  19. 78 FR 21348 - Procurement List; Additions and Deletions; Recissions

    Science.gov (United States)

    2013-04-10

    ... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Additions and Deletions; Recissions AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Rescission of Previous Procurement List Decision. SUMMARY: The Committee for Purchase...

  20. Nurses' perceptions about Botswana patients' anti-retroviral therapy ...

    African Journals Online (AJOL)

    Anti-retroviral drugs(ARVs) are supplied free of charge in Botswana. Lifelong adherence to antiretroviral therapy (ART) is vital to improve the patient's state of well-being and to prevent the development of strains of the human immunodefi ciency virus (HIV) that are resistant to ART. Persons with ART-resistant strains of HIV ...

  1. Computerized engineering logic for procurement and dedication processes

    International Nuclear Information System (INIS)

    Tulay, M.P.

    1996-01-01

    This paper summarizes the work performed for designing the system and especially for calculating on-line expected performance and gives some significant results. In an attempt to better meet the needs of operations and maintenance organizations, many nuclear utility procurement engineering groups have simplified their procedures, developed on-line tools for performing the specification of replacement items, and developed relational databases containing part-level information necessary to automate the procurement process. Although these improvements have helped to reduce the engineering necessary to properly specify and accept/dedicate items for nuclear safety-related applications, a number of utilities have recognized that additional long-term savings can be realized by integrating a computerized logic to assist technical procurement engineering personnel

  2. Strategic FM Procurement: an issue of aligning services to business needs

    DEFF Research Database (Denmark)

    Katchamart, Akarapong; Shiem-shin, Danny Then

    2014-01-01

    Purpose – To illustrate the interdependence between business need and strategic decision on facilities management (FM) procurement model. This interdependence underpins the reason behind strategic decision on FM procurement. It would assist decision makers on FM services procurement that fulfills...... business needs and enriches business outcomes. Design/methodology/approach – By a systematic review of FM-related literature, this research structures and investigates on three aspects of this interdependence between business delivery and FM services: 1. What characteristics of core business impact on FM...... service and provision? 2. What are the interconnections between business support and FM procurement decisions? and 3. What are the available FM services procurement options? Findings – There are four types of core business characteristics that impacts on FM services and provision based on the degree...

  3. Tanzania : Country Procurement Assessment Report, Volume 2. Main Report and Annexes

    OpenAIRE

    World Bank

    2003-01-01

    This Country Procurement Assessment Report (CPAR)intends to determine the compatibility of national procurement law, and practices, with the principles of economy, and with international procurement practices. This CPAR, the second of its kind in Tanzania, looks at the legislative framework, the performance of regulatory functions, the enforcement regime, and the capacity of public sector ...

  4. International Government-Procurement Obligations of the United States: An Overview

    National Research Council Canada - National Science Library

    Tatelman, Todd B

    2005-01-01

    .... The most notable agreements are contained in the World Trade Organization (WTO) Agreement on Government Procurement and the procurement chapter of the North American Free Trade Agreement (NAFTA...

  5. Public Procurement and the Development of the Swedish Telecommunications Market

    OpenAIRE

    Lindskog, Helena

    2008-01-01

    This thesis describes and analyses public procurement and its processes in general against the framework of industrial marketing and purchasing. In particular, it focuses on the public procurement of telecommunications (“telecom”) and its effects on the de-monopolization and development of the Swedish telecom market based on empirical material from three case studies, interviews and publicly available written sources. Public procurement is a significant part of any country’s economy. There is...

  6. The prevalence of antiretroviral multidrug resistance in highly active antiretroviral therapy-treated patients with HIV/AIDS between 2004 and 2009 in South Korea.

    Science.gov (United States)

    Choi, Ju-yeon; Kwon, Oh-Kyung; Choi, Byeong-Sun; Kee, Mee-Kyung; Park, Mina; Kim, Sung Soon

    2014-06-01

    Highly active antiretroviral therapy (HAART) including protease inhibitors (PIs) has been used in South Korea since 1997. Currently, more than 20 types of antiretroviral drugs are used in the treatment of human immunodeficiency virus-infected/acquired immune deficiency syndrome patients in South Korea. Despite the rapid development of various antiretroviral drugs, many drug-resistant variants have been reported after initiating HAART, and the efficiency of HAART is limited by these variants. To investigate and estimate the annual antiretroviral drug resistance and prevalence of antiretroviral multi-class drug resistance in Korean patients with experience of treatment. The amplified HIV-1 pol gene in 535 patients requested for genotypic drug resistance testing from 2004 to 2009 by the Korea Centers for Disease Control and Prevention was sequenced and analyzed annually and totally. The prevalence of antiretroviral drug resistance was estimated based on "SIR" interpretation of the Stanford sequence database. Of viruses derived from 787 specimens, 380 samples (48.3%) showed at least one drug class-related resistance. Predicted NRTI drug resistance was highest at 41.9%. NNRTI showed 27.2% resistance with 23.3% for PI. The percent of annual drug resistance showed similar pattern and slightly declined except 2004 and 2005. The prevalence of multi-class drug resistance against each drug class was: NRTI/NNRTI/PI, 9.8%; NRTI/PI, 21.9%; NNRTI/PI, 10.4%; and NRTI/NNRTI, 21.5%. About 50% and less than 10% of patients infected with HIV-1 have multidrug and multiclass resistance linked to 16 antiretroviral drugs, respectively. The significance of this study lies in its larger-scale examination of the prevalence of drug-resistant variants and multidrug resistance in HAART-experienced patients in South Korea. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. (De)Centralization of Public Procurement at the Local Level in the EU

    OpenAIRE

    Boštjan BREZOVNIK; Žan Jan OPLOTNIK; Borut VOJINOVIĆ

    2015-01-01

    The so-called decentralization of public procurement in EU Member States is accepted as the most suitable design of the public procurement system, often justifi ed by greater economic effi ciency and by the possibility of boosting the development of small and medium-sized enterprises, which act on the public procurement market as providers of goods, services and works. Despite the existence of highly decentralized public procurement systems which refl ect the decentralization of administrativ...

  8. 48 CFR 2901.603-72 - Administrative procurement management reviews.

    Science.gov (United States)

    2010-10-01

    ... Authority, and Responsibilities 2901.603-72 Administrative procurement management reviews. (a) The Senior... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Administrative procurement management reviews. 2901.603-72 Section 2901.603-72 Federal Acquisition Regulations System DEPARTMENT OF...

  9. [Posthumous sperm procurement and use--ethical and legal dilemmas].

    Science.gov (United States)

    Crha, I; Dostál, J; Ventruba, P; Kudela, M; Záková, J

    2004-07-01

    To present a review of bioethical discussion and recommendations concerning posthumous sperm procurement and postmortem parenthood. Review article. Department of Obstetrics and Gynecology, Masaryk University, Brno, Department of Obstetrics and Gynecology, Palacky University, Olomouc. Literature search in Database of Abstracts of Reviews of the Evidence (DARE) and MEDLINEplus. Posthumous sperm procurement and cryopreservation must be performed within 36 hours after death. To established appropriate medical practice, it is important to consider all stakeholders in the decision-making process: the deceased, the requesting party, the child, the physician and the society. There are only few legislative measures concerning postmortem parenthood and posthumous sperm procurement. The essential elements for postmortem reproduction are: judicial order, ethics committee approval, bereavement period of at least 6 month before use. Posthumous sperm procurement is fraught with ethical and legal implications. All stakeholder should be considered. Society for reproductive medicine should prepare acceptable standard protocol.

  10. PROCUREMENT AND CONTRACT MANAGEMENT

    CERN Multimedia

    Training & Development Group; Linda Orr-Easo; Tel. 72460; Nathalie Dumeaux; Tel. 78144

    2001-01-01

    We are pleased to announce the launch of a new training on: Procurement and Contract Management (This seminar will be run by CERN experts in French or in English) Level 1 The aim is to raise awareness of the key issues involved. Date : 8 June 2001 This level is open to everyone. Participants should register via our Web page as soon as possible. Level 2 To develop the skills needed to effectively manage contracts, from the Technical, Commercial and Legal aspects. Dates : Three days, Autumn 2001 This Level is open to those who are/will be more directly responsible for procurement and contract management. Participants should have followed Level 1. For a description of the seminar, please consult:   Level 1: http://training.web.cern.ch/Training/MANCO/P9798/9-cm_e.htm Level 2: http://training.web.cern.ch/Training/MANCO/P9798/9-cm2_e.htm

  11. The impact of preferential procurement in South African construction ...

    African Journals Online (AJOL)

    The impact of preferential procurement in South African construction industry. ... The outcome of this study shows that there are problems in the implementation of PPPFA during tendering and procurement processes and procedures for achieving success in government projects. Key words: HDIs, PPPFA, Policies, ...

  12. Antiretroviral Therapy during the Neonatal Period | Nuttall | Southern ...

    African Journals Online (AJOL)

    Initiation of combination antiretroviral therapy (cART) at 6–9 weeks of age has been shown to reduce early infant mortality by 76% and HIV progression by 75% compared with cART deferred until clinical or CD4 criteria were met. In the landmark Children with HIV Early Antiretroviral Therapy (CHER) trial, although the ...

  13. Sustainable promotion nuclear power enterprise procurement bidding risk management

    International Nuclear Information System (INIS)

    Wu Yimin

    2014-01-01

    Nuclear power enterprise procurement bidding work faced with certain risk in recent years, the domestic nuclear power enterprises in the bidding work never stop research and explore the effective ways to guard against legal risks, and has made considerable progress, the eighteenth big country advocates the safety and efficiency of nuclear power development policy, in the face of the subsequent nuclear power construction projects have started, nuclear power enterprise bidding risk management work shoulder heavy responsibilities article through nuclear power enterprise procurement bidding risk management present situation, proposed the sustainable promotion nuclear power enterprise procurement bidding risk management countermeasures. (author)

  14. A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries

    Science.gov (United States)

    2011-01-01

    Background Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis), and pneumococcal vaccines. Discussion We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. Summary To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability, as it has proven superior

  15. A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries.

    Science.gov (United States)

    Moon, Suerie; Jambert, Elodie; Childs, Michelle; von Schoen-Angerer, Tido

    2011-10-12

    Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis), and pneumococcal vaccines. We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability, as it has proven superior to tiered pricing for reliably

  16. A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries

    Directory of Open Access Journals (Sweden)

    Childs Michelle

    2011-10-01

    Full Text Available Abstract Background Tiered pricing - the concept of selling drugs and vaccines in developing countries at prices systematically lower than in industrialized countries - has received widespread support from industry, policymakers, civil society, and academics as a way to improve access to medicines for the poor. We carried out case studies based on a review of international drug price developments for antiretrovirals, artemisinin combination therapies, drug-resistant tuberculosis medicines, liposomal amphotericin B (for visceral leishmaniasis, and pneumococcal vaccines. Discussion We found several critical shortcomings to tiered pricing: it is inferior to competition for achieving the lowest sustainable prices; it often involves arbitrary divisions between markets and/or countries, which can lead to very high prices for middle-income markets; and it leaves a disproportionate amount of decision-making power in the hands of sellers vis-à-vis consumers. In many developing countries, resources are often stretched so tight that affordability can only be approached by selling medicines at or near the cost of production. Policies that "de-link" the financing of R&D from the price of medicines merit further attention, since they can reward innovation while exploiting robust competition in production to generate the lowest sustainable prices. However, in special cases - such as when market volumes are very small or multi-source production capacity is lacking - tiered pricing may offer the only practical option to meet short-term needs for access to a product. In such cases, steps should be taken to ensure affordability and availability in the longer-term. Summary To ensure access to medicines for populations in need, alternate strategies should be explored that harness the power of competition, avoid arbitrary market segmentation, and/or recognize government responsibilities. Competition should generally be the default option for achieving affordability

  17. Analysis of Market Concentration in Selected Sectors of Public Procurement

    Directory of Open Access Journals (Sweden)

    Petr Svoboda

    2016-01-01

    Full Text Available The goal of this article is the analysis of influence of market concentration in selected areas of public procurement on chosen parameters of public procurement in years 2007 and 2011. Five concentration ratios and five parameters of contracts are calculated for each of five chosen areas of public tenders in 2007 and 2011. After this task, the correlation analysis between concentration ratios and parameters of contracts is done for finding out mutual relation between these two variables. Correlation analysis is then compared with four created hypotheses about the relationship between market concentration and parameters of public procurement The results of the analysis are surprising, because in most cases, the stated hypotheses were rejected, meaning that the correlations between the parameters of public procurement and market concentration were different than this study predicted based on economic theory. The possible reasons for this result, discussed in the article, are corruption and also poor quality of data from Information system of public procurement administered by the Ministry for Regional Development of Czech Republic.

  18. GPP Webinar: Solar Procurement Templates and Tools for Higher Education

    Science.gov (United States)

    Green Power Partnership webinar on solar procurement for Higher Education which features various tools and templates that schools can use to shape and manage the solar procurement process to a successful outcome.

  19. 76 FR 66913 - Procurement List Proposed Additions and Deletions

    Science.gov (United States)

    2011-10-28

    ...&M, Philadelphia, PA. Service Service Type/Location: Industrial Laundry Service, Bureau of Engraving... proposing to add products and service to the Procurement List that will be furnished by nonprofit agencies... identified in this notice will be required to procure the products and service listed below from nonprofit...

  20. 48 CFR 1323.404-70 - DOC affirmative procurement program.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false DOC affirmative procurement program. 1323.404-70 Section 1323.404-70 Federal Acquisition Regulations System DEPARTMENT OF..., OCCUPATIONAL SAFETY, AND DRUG-FREE WORKPLACE Use of Recovered Materials 1323.404-70 DOC affirmative procurement...

  1. Procurement strategy formation : (re-)designing rail infrastructure project alliances

    NARCIS (Netherlands)

    Plantinga, Henrico; Dorée, André

    2016-01-01

    Purpose – The purpose of this paper is to provide insights into the reasoning behind the development of new procurement approaches by public sector clients. Design/methodology/approach – A case study approach focuses on a procurement development process by a public sector client. It investigates the

  2. Sustainable Public Procurement: Realization of the Social Aspect in Republic of Lithuania

    Directory of Open Access Journals (Sweden)

    Virginijus Kanapinskas

    2014-12-01

    Full Text Available Public procurement concentrates large public sector’s purchasing power, and has a significant impact on each country’s economic development. The purpose of public procurement procedure is transparency, non-discrimination and accordance to the principles of fair competition in acquisition of goods, services and works necessary for the smooth functioning of the public administration. Besides, public procurement can be one of the most important instruments for sustainable development and other purposes useful to the whole society and the economy of the country. This article briefly discusses the concept of sustainable public procurement, reveals its main ideas and applications. One of them, the social sphere, was chosen the main object of the research. The possibility to decrease unemployment, to increase an integration of socially vulnerable group, and to achieve other socially-oriented goals through an effective implementation of the social aspect of sustainable public procurement has been illustrated. Thus, the article analyses the concept of social procurement, assesses the current situation in Lithuania, overviews the good practice of other countries and provides recommendations for measures to extend the application of socially oriented procurement.

  3. Challenges and perspectives of compliance with pediatric antiretroviral therapy in Sub-Saharan Africa.

    Science.gov (United States)

    Dahourou, D L; Leroy, V

    2017-12-01

    More than 3 million children aged less than 15years are infected with HIV worldwide, mainly in Sub-Saharan Africa. The survival of HIV-infected children depends on their access to antiretroviral therapy whose success mainly depends on a good life-long compliance with antiretroviral therapy. Given its complexity and specificity, assessment and monitoring of pediatric compliance with antiretroviral therapy is a major challenge. There is no consensus on a gold standard for monitoring compliance with antiretroviral therapy. Compliance is also influenced by many factors related to the child, the caregiver, the healthcare staff, the healthcare system, and antiretroviral drugs. This review aimed to assess scientific knowledge on pediatric compliance with antiretroviral therapy in Sub-Saharan Africa, and to identify areas for future interventions to improve compliance. Good compliance is essential to achieve the "90% coverage of children on antiretroviral therapy" gold standard of the World Health Organization, and to eliminate HIV infection by 2030. Copyright © 2017. Published by Elsevier SAS.

  4. University Procurement Officers’ Use of Technology When Seeking Information

    Directory of Open Access Journals (Sweden)

    Yahel Giat

    2016-05-01

    Full Text Available The transition from printed to electronic sources of information has resulted in a profound change to the way procurement officers seek information. Furthermore, in the past decade there have been additional technological revolutions that are expected to further affect the procurement process. In this paper, we conduct a survey among forty nine university procurement officers in Israel to examine to what extent procurement officers have adapted to smartphones and tablets by testing how frequently officers use notebooks, smartphones, and tablets for work-related and leisure purposes. We find that while officers prefer electronic sources of information over printed sources of information, officers have not yet adapted to the later technological advances (i.e., smartphones and tablets. Notebooks are more frequently used than either smartphones or tablets for work-related and leisure purposes. One explanation behind this result is that officers are not skilled in using smartphone and tablets applications. This implies that training officers in the use of these devices may improve their performance.

  5. 41 CFR 101-26.602-1 - Procurement of lubricating oils, greases, and gear lubricants.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Procurement of... Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND PROGRAM 26.6-Procurement Sources Other Than GSA § 101...

  6. Entering the United States Federal Procurement Market: success factors and barriers for foreign firms.

    NARCIS (Netherlands)

    Vehof, Tim; Telgen, Jan; Ruel, Hubertus Johannes Maria; Ruel, H.J.M.

    2012-01-01

    The US federal procurement market is the largest procurement market in the world. Therefore, it is an attractive market for foreign companies to enter. Existing literature indicates the success factors and barriers for public procurement market entry in general, however not for the US procurement

  7. Rethinking health sector procurement as developmental linkages in East Africa.

    Science.gov (United States)

    Mackintosh, Maureen; Tibandebage, Paula; Karimi Njeru, Mercy; Kariuki Kungu, Joan; Israel, Caroline; Mujinja, Phares G M

    2018-03-01

    Health care forms a large economic sector in all countries, and procurement of medicines and other essential commodities necessarily creates economic linkages between a country's health sector and local and international industrial development. These procurement processes may be positive or negative in their effects on populations' access to appropriate treatment and on local industrial development, yet procurement in low and middle income countries (LMICs) remains under-studied: generally analysed, when addressed at all, as a public sector technical and organisational challenge rather than a social and economic element of health system governance shaping its links to the wider economy. This article uses fieldwork in Tanzania and Kenya in 2012-15 to analyse procurement of essential medicines and supplies as a governance process for the health system and its industrial links, drawing on aspects of global value chain theory. We describe procurement work processes as experienced by front line staff in public, faith-based and private sectors, linking these experiences to wholesale funding sources and purchasing practices, and examining their implications for medicines access and for local industrial development within these East African countries. We show that in a context of poor access to reliable medicines, extensive reliance on private medicines purchase, and increasing globalisation of procurement systems, domestic linkages between health and industrial sectors have been weakened, especially in Tanzania. We argue in consequence for a more developmental perspective on health sector procurement design, including closer policy attention to strengthening vertical and horizontal relational working within local health-industry value chains, in the interests of both wider access to treatment and improved industrial development in Africa. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  8. Procurement Under The UNCITRAL Model Law: A Southern Africa Perspective

    Directory of Open Access Journals (Sweden)

    Stephen De La Harpe

    2015-12-01

    Full Text Available In Africa, economic integration, realised through regional integration, is seen as one of the driving factors that will improve the lives of its people. To enable regionalisation, economic growth and to unlock the potential of Africa its infrastructure will have to be improved. Infrastructure will on the whole be realised through public procurement. The stages for opening up procurement markets, referred to by Yukins and Schooner, is discussed and it is concluded that the states in SADC is still in the initial stages of opening its public procurement markets for regional competition. Although COMESA is not yet in full compliance with all four the stages great strides have been made and have elements of all stages been addressed. Because of the influence the Model Law has already played in COMESA, and the rest of Africa, it would be contra productive should SADC not take the same route as COMESA. If regard is had to the four categories of procurement rules that serves as barriers to national procurement markets, as set out by Arrowsmith it is clear that all of these are present in most SADC member states. Also in the case of COMESA these barriers still exist albeit to a lesser extent. What is necessary is a phased approach to address all of these barriers. This will be possible under the UNCITRAL Model Law as the 2011 Model Law does provide for the possibility of complying with international obligations and for states to allow for socio economic objectives in their procurement regimes. There can be little doubt that the 1994 Model Law has already had a marked influence on public procurement regulation in Africa and that the 2011 Model Law will in future continue to do so. Public procurement is essential for economic development and is the integration and harmonisation thereof on a regional basis the first step In this regard SADC, and especially South Africa, has an important role to play.

  9. Evaluating the practice of the Design-Build procurement method in South Africa

    Directory of Open Access Journals (Sweden)

    Babsola Olubunmi Ilori

    2017-12-01

    Full Text Available A well implemented good practice of Design-Build procurement method brings different disciplines and aspects of construction process together, which in turn minimizes the incidents of constructors having to repeat work, and thus, result in cost and time savings. This type of procurement method increases the probability of a successful project that meets the expectations of all stakeholders. A bad practice of Design–Build procurement method increases the probability that the project’s performance will be compromised and that some or all of the stakeholders disappointed. The aim of this research is to determine whether Design-build procurement method is rightly practiced in South Africa. Data were collected from consultants and contractors using a structured questionnaire via personal contact and email. The collected data were subjected to descriptive statistical analyses. This paper argues that design-build procurement is not correctly practiced in South Africa. This may be due to the late introduction and the level of understanding of the procurement method.

  10. Procurement Policy for Armored Vehicles

    National Research Council Canada - National Science Library

    Jolliffe, Richard B; Burton, Bruce A; Carros, Deborah L; Schaefer, Beth K; Truong, Linh; Palmer, Kevin A; Chun, Judy M; Smith, Jessica M; Abraham, Amanda M; Peters, Anthony R

    2007-01-01

    Congresswoman Louise M. Slaughter requested that the Inspector General (IG), DoD review the DoD procurement history for body armor and armored vehicles and determine whether officials properly followed contracting policies...

  11. Empirical Analysis of Competition in Procurement Auctions

    OpenAIRE

    Tukiainen, Janne

    2008-01-01

    A vast amount of public services and goods are contracted through procurement auctions. Therefore it is very important to design these auctions in an optimal way. Typically, we are interested in two different objectives. The first objective is efficiency. Efficiency means that the contract is awarded to the bidder that values it the most, which in the procurement setting means the bidder that has the lowest cost of providing a service with a given quality. The second objective is to maximize ...

  12. NASA's Electronic Procurement System and the Impact on Small Business

    Science.gov (United States)

    Dozier, Ken

    1998-01-01

    Three workshops, held in Lancaster, Orange County and Compton, were produced by the Los Angeles Regional Technology Alliance (LARTA) and NASA Far West Technology Transfer Center (FWRTTC). The workshops were held on December 12, 1997, February 5, 1998, and March 30, 1998, respectively. The purpose behind these workshops was to spread information regarding NASA procurement opportunities to small businesses in the region. This was accomplished by inviting economic and business development organizations to the three workshops, presenting NASA procurement resources to them, and asking them to distribute this information to the small businesses in their communities. With the assistance of LARTA, marketing and publicity in the form of direct mail, telemarketing, and promotion via a web site was implemented to publicize the workshops. These methods were remarkably effective because they enabled the workshops to attain its full capacity. Further publicity was provided by Wendy Reed of Valley Focus Magazine, an Antelope Valley Magazine aimed at business people. Her article entitled, "Doing Business with the Government" recapped the Lancaster workshop that she had attended and made references to several presentations. In the article, she discussed selling to the government via electronic commerce, and specifically mentioned Robert Medina, the NASA Dryden Small Business Specialist, as a contact person for those interested in pursuing procurement opportunities. The feedback provided by the participants is illustrated by the enclosed graphs and charts. These figures represent the number of participants who have frequented web sites presented at workshops, specifically the NASA procurement resources, and how extensive information dissemination was. Input from participants was favorable and encouraged more NASA Dryden workshops directly to the small business communities. There was an overwhelming response to the benefit of the NASA procurement opportunities presented at the

  13. 75 FR 36363 - Procurement List: Proposed Additions and Deletions

    Science.gov (United States)

    2010-06-25

    ... Homeland Security, U.S. Coast Guard, Washington, DC Service Type/Location: Laundry Service, USDA National... proposing to add products and services to the Procurement List that will be furnished by nonprofit agencies... Government identified in this notice will be required to procure the products and services listed below from...

  14. 7 CFR 1124.50 - Class prices, component prices, and advanced pricing factors.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Class prices, component prices, and advanced pricing factors. 1124.50 Section 1124.50 Agriculture Regulations of the Department of Agriculture (Continued... prices, and advanced pricing factors. See § 1000.50. ...

  15. 7 CFR 1030.50 - Class prices, component prices, and advanced pricing factors.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Class prices, component prices, and advanced pricing factors. 1030.50 Section 1030.50 Agriculture Regulations of the Department of Agriculture (Continued... prices, and advanced pricing factors. See § 1000.50. ...

  16. Gas prices and price process

    International Nuclear Information System (INIS)

    Groenewegen, G.G.

    1992-01-01

    On a conference (Gas for Europe in the 1990's) during the Gasexpo '91 the author held a speech of which the Dutch text is presented here. Attention is paid to the current European pricing methods (prices based on the costs of buying, transporting and distributing the natural gas and prices based on the market value, which is deducted from the prices of alternative fuels), and the transparency of the prices (lack of information on the way the prices are determined). Also attention is paid to the market signal transparency and gas-gas competition, which means a more or less free market of gas distribution. The risks of gas-to-gas competition for a long term price stability, investment policies and security of supply are discussed. Opposition against the Third Party Access (TPA), which is the program to implement gas-to-gas competition, is caused by the fear of natural gas companies for lower gas prices and lower profits. Finally attention is paid to government regulation and the activities of the European Commission (EC) in this matter. 1 fig., 6 ills., 1 tab

  17. Southern African HIV Clinicians Society adult antiretroviral therapy guidelines: Update on when to initiate antiretroviral therapy

    Directory of Open Access Journals (Sweden)

    Graeme Meintjes

    2015-12-01

    Full Text Available The most recent version of the Southern African HIV Clinicians Society’s adult antiretroviral therapy (ART guidelines was published in December 2014. In the 27 August 2015 edition of the New England Journal of Medicine, two seminal randomised controlled trials that addressed the optimal timing of ART in HIV-infected patients with high CD4 counts were published: Strategic timing of antiretroviral therapy (START and TEMPRANO ANRS 12136 (Early antiretroviral treatment and/or early isoniazid prophylaxis against tuberculosis in HIV-infected adults. The findings of these two trials were consistent: there was significant individual clinical benefit from starting ART immediately in patients with CD4 counts higher than 500 cells/μL rather than deferring until a certain lower CD4 threshold or clinical indication was met. The findings add to prior evidence showing that ART reduces the risk of onward HIV transmission. Therefore, early ART initiation has the public health benefits of potentially reducing both HIV incidence and morbidity. Given this new and important evidence, the Society took the decision to provide a specific update on the section of the adult ART guidelines relating to when ART should be initiated.

  18. 76 FR 76808 - Procurement Thresholds for Implementation of the Trade Agreements Act of 1979

    Science.gov (United States)

    2011-12-08

    ... Organization (WTO) Agreement on Government Procurement, Chapter 15 of the United States-Australia Free Trade... out U.S. trade agreement obligations under the WTO Agreement on Government Procurement, Chapter 15 of... Agreement on Government Procurement A. Central Government Entities Listed in U.S. Annex 1 (1) Procurement of...

  19. Efek Samping Obat terhadap Kepatuhan Pengobatan Antiretroviral Orang dengan HIV/AIDS

    OpenAIRE

    Latif, Fachri; Maria, Ida Leida; Syafar, Muhammad

    2014-01-01

    Tingkat kepatuhan pengobatan antiretroviral di Indonesia sangat rendah, yaitu 40 - 70%, yang masih di bawah target nasional dengan tingkat kepatuhan 95%. Berbeda dengan rata-rata nasional, Puskesmas Jumpandang Baru justru memiliki tingkat kepatuhan pengobatan antiretroviral pasien HIV/AIDS di atas 95%. Penelitian ini bertujuan untuk menganalisis faktor yang paling berpengaruh terhadap kepatuhan pengobatan antiretroviral orang dengan HIV/AIDS (ODHA). Jenis penelitian bersifat observasional ana...

  20. Controlled procurement for nuclear power plants

    International Nuclear Information System (INIS)

    MacFarlane, I.S.

    1985-01-01

    A method is presented for establishing a controlled materials management system that facilitates materials procurement at nuclear power plants. This method is based on the determination of informational data requirements, appropriate input and approvals, and extent of administrative controls. Implementation of the techniques described herein will ensure that the accuracy of important procurement information is not compromised by unauthorized initial input or changes and/or failure to maintain the information. Needed material can thus be ordered through the materials management system with a high degree of confidence that the correct items are ordered, with minimal internal lead time and minimum delays during the receiving process