According to the WHO framework for health systems (1), a well-functioning health system ensures equitable access to essential medical products, vaccines and technologies of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use. To achieve these objectives, the following are needed:
  • procurement, supply and storage, and distribution systems that minimize leakage and other waste; and
  • support for rational use of medicines, commodities and equipment, through guidelines and strategies to assure adherence, reduce resistance, maximize patient safety and training.1
Goal 1 To standardize operating procedures related to medicine, medical supplies and technologies.
  • To strengthen the standard guidelines and policy for pharmacy management
  • To strengthen the standard guidelines and policy for supply chain management
  • To strengthen the standard guidelines and policy for procurement
  • To educate the private pharmacies within each village
  • To revise the essential medicine list with consideration of priority interventions and health needs of vulnerable groups
Goal 2 To improve the usage of medicines in safe, efficient, equitable and effective ways.
  • Review and update treatment protocols and guidelines
  • To improve pharmacy management by building capacity of the pharmacy health workers
  • To revise and implement tools for clinic and team level management and monitoring of pharmacy and medical equipment
  • To revise tools and trainings for patient communication on medicine use, options, effectiveness and risks


Download MTC’s Health System Strengthening Strategic Plan 2016-2019 here


  1. World Health Organization, ed. Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and Their Measurement Strategies. Geneva: World Health Organization, 2010.