Essential medicines and health products

Monitoring and evaluation

Core Indicator Package

WHO has developed a core indicator package to monitor and evaluate country pharmaceutical situations. With this cost-efficient assessment easily repeated at regular intervals, WHO supports Ministries of Health in assessing the current pharmaceutical situation, facilitating access to information which MoH can use as a guide in determining priority areas for intervention, tracking progress, planning programs, assessing program effectiveness, co-ordinating donors and raising funds. WHO can use the data to target programs and resources to best tailor its expertise to individual country needs.

The core indicator package has three levels of assessment:

  • Level I: the Questionnaire on Structures and Processes of Country Pharmaceutical Situation measures structures and processes at the level of national governments, including policies, regulations, quality control measures, essential medicines list, supply system, financing, access, production, rational use and intellectual property rights legislation. The Questionnaire is distributed every 4 years to all Member States, most recently in 2003. WHO uses this Questionnaire to assess the global pharmaceutical situation, evaluate progress achieved towards goals set in the WHO Medicines Strategy, and make plans and set targets for WHO work for the next four years.
  • Level II: the WHO Operational Package for Monitoring and Assessing Country Pharmaceutical Situations is a practical and cost-efficient survey tool used by Ministries of Health to assess outcomes, including access, quality and safety, and rational use of essential medicines, at public health facilities and their pharmacies; central/district warehouses; private, NGO and mission pharmacies as appropriate to country situation and households. The tool provides an evidence-base for prioritising health programmes, developing and implementing plans, tracking progress, co-ordinating donors, and raising funds. More than 40 Member States have used this tool at least once to date.
  • Level III: a series of detailed survey packages to assess specific aspects of the pharmaceutical sector, such as medicines prices, the supply system, or traditional medicines. A country may implement a Level III survey in order to learn more about a specific area of the medicines sector, for instance after the results of the Level II survey pointed to an area as needing more analysis.

While results of the Level I survey are comparable between countries, care must be taken to ensure comparability of the results of Level II and Level III surveys before such comparisons are made.

Data and Reports

Data from the 1999 and 2003 distributions of the Questionnaire on Structures and Processes of Country Pharmaceutical Situation are available via the TCM database.

Member States implementing the WHO Operational Package for Monitoring and Assessing Country Pharmaceutical Situations or a Level III survey are urged to make available any resulting survey reports for our website. See the relevant country pages for available reports.

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