Online Program

Strengthening Health Systems through Strategic Medical Re-Supply in the Balkans and Tanzania

Monday, November 2, 2015

Katie Kowalski, MPH, Global Health, Project HOPE, Millwood, VA
Katerina Takovska, Project HOPE, Skopje, Macedonia
Sandra Dalebout, Monitoring & Evaluation Department, Project HOPE, Millwood, VA

Health systems endeavor to improve the quality of their products and services while facing enormous challenges such as conflict, aging facilities, and medical and financial shortages.  The Strategic Medical Re-Supply Program (SMRP) was created in the Balkans region to reduce costs for essential medicines and supplies and re-invest savings to strengthen health systems.


Project HOPE brings together Ministries of Health (MOH), industry, medical institutions and civil society to address specific health problems through targeted donations of medicines and supplies.  Local medical institutions prioritize their needs and MOH issues product and materials requests.  Health facilities and patients receive products free-of-charge. Project HOPE arranges the donations and works with recipient institutions to bolster tracking systems, develop delivery plans and conduct stringent monitoring.  The program trains local pharmacists and physicians to increase their capacity in product utilization and monitoring. Partners regularly discuss outcomes, achievements and needed improvements.   


Expanded reach from 1 to 8 countries in 5 years. 500 health facilities participated with an established network of 80 facilities.  1.2 million patients benefited.  $70 million of medical products and supplies donated by 20 global pharmaceutical and medical device companies.  98% of product used effectively before expiration.  Over 80 pharmacists and physicians trained.  100% of savings invested into priority infrastructure improvements, health provider training and equipment renewals.


SMRP provides high-quality medications and supplies that benefit patients and channel resources into sustainable health improvements.  This effective model can be replicated to strengthen other developing health systems.      

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related education

Learning Objectives:
List 5 ways that strategic medical re-supply programs strengthen local health systems

Keyword(s): Public/Private Partnerships, International Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I ham an MPH and have provided technical and programmatic support to international health programs receiving public and private support for the past 13 years. I focus on working closely with field and headquarters-based gift-in-kind staff to develop innovative public private partnerships that provide benefit to people and have a positive impact on health systems in developing countries.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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