Is bypassing regulatory oversight, including evaluation, the answer to solving medicines shortages that were caused by not only dollar shortages but sheer inefficiency, lethargy, lack of coordination and procrastination? Are walk-in offers by unregistered pharma companies ok?
While grateful for #India's credit line for medical supplies, and while appreciating that it mandates procurement via #Indian companies, did India ask #SriLanka to bypass regulatory oversight?
Did #Indian suppliers influence #SriLanka's health ministry to list all manner of non-essential, non-urgent medicines, including shampoo and cough medicines, on the procurement lists? If not, why is Sri Lanka borrowing for such items when even vital cancer drugs are unavailable?
If the health ministry starts popularising this method for drugs procurement, what incentive is there to return the stringent but necessary regulation of medical supplies? Then what happens to medical oversight? Why should any company follow the rules?
Why did the National Medicines Regulatory Authority (NMRA) chairman and CEO participate in this fiasco, rubberstamping the ministry's/minister's requests? Is it time to examine how these positions are filled?
What action outside of entertaining unsolicited proposals has the minister/ministry taken to improve procurement under regular procedures?
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Here’s a medical supplies issue I’ve covered for weeks but was too tired to tweet about. It’s related to drugs shortages, procurement and Indian credit. Specialists are repeatedly warning it poses a significant danger to public health.
The Health Ministry is using the Indian credit line (ICL) to procure drugs from Indian manufacturers outside of registration by the National Medicines Regulatory Authority (NMRA and without evaluation, citing “urgency”. The medical community is furious.
Will the Indian regulatory authority permit the same for its public? Will the US Food and Drug Administration? Then why is the Indian Foreign Minister participating in this process which is STRONGLY objected to by Sri Lanka’s medical community?
While I understand the sentiment, it is time #SriLanka accepts that electing or defeating--or, for that matter, dramatically chasing out--an individual will not change anything. Nothing. Because new people come in and abuse entrenched systems.
This was one of the key reasons for why the #aragalaya didn't lead to a fundamental improvement in the state of this country. There was euphoria at chasing @GotabayaR out. Then what? Other people waltzed in and took over.
The real struggle is long and it's persistent. It takes years. It lies in secretaries and officials saying "no", irrespective of the person at the top. In following due procedures, laid down for the protection of everyone's rights. In decades of endless fighting.
#SriLanka's National Audit Office has found that drugs shortages aren't just caused by the forex crisis. Officials are to blame. Computer systems aren't updated. There's no coordination. And procurement schedules are ignored. sundaytimes.lk/220626/news/me…
It also found a sharp drop in the financial allocation and expenditure for medical supplies. The Health Ministry’s total net allocation was Rs. 85.9bn in 2020, of which 99 percent went towards medical supplies...
...Last year, the total net allocation was Rs. 151.9bn, of which just 50 percent was for medical supplies. But this is STILL higher than the quarterly average expenditure for medical supplies this year....
A Four Corners investigation, in collaboration with Colombo's @TimesOnlineLK also established that Aspen Medical has been embroiled in an international criminal probe into corruption and money laundering. Airing tonight. #SriLanka
//However, Aspen Medical's first transaction in Sri Lanka — the payment of 1.4 million euros ($2.1 million) to a mysterious British-Virgin Islands-domiciled company called Sabre Vision Holdings — is what caught the attention of Colombo police.//
//The company was secretly owned by a middleman, Nimal Perera, notorious for his links to the Rajapaksa family which has dominated Sri Lankan politics for decades.//
Remember post-war #SriLanka, when @PresRajapaksa was in charge and triumphalism ruled? Do you know how much money was quietly being poured into Hambantota at the time? We tried to track it and got nowhere near the complete figure. But here's what we found (1) #PowerCutLK
.@TimesOnlineLK tried to compile a list of major completed and ongoing infrastructure projects in Hambantota. Each figure was checked, to the extent possible, with the relevant Government agency. Hambantota. Some statistics or project details could not be obtained. (2)
For instance, it doesn't include money spent on village roads/irrigation/schemes. An addition of available numbers showed that an amount of Rs. 676.353 billion has already been spent or is in the process of being spent on the district. The actual figure is much bigger. (3)