By: Fred Yaw Sarpong
The
Minister for Health, Madam Sherry Aryittey has disclosed that the Ghanaian company
(name in the custody of the Daily Express but withheld for now) responsible for
the importation of the 130 million pieces of fake condoms for Ghana Health
Service (GHS) will be asked by the government to refund at least US$5 million
to the state.
The
‘Be Safe Condoms’ imported into the country by the company were confirmed to be
fake or substandard after an investigation.
The
Minister of Health, Madam Sherry Aryittey said government will not accept
replacement of the condoms. “The company must refund the money to the state,”
she affirmed.
“The
Ministry of Health will seek for a full return of funds from the supplier of
the sub-standard condoms and the supplier will bear
full responsibility for the proper disposal of the sub-standard condoms,” said
the Minister.
Hon.
Aryittey said this in Accra on Tuesday 26th November, 2013, after the committee
which investigated the procurement of the sub-standard condoms presented its
report to the Minister.
The
fake ‘Be Safe Condoms’ imported by the company and its partners numbered 128
million pieces, instead of 130 million pieces.
The
committee was inaugurated on the 14th of May 2013 by the Minister to
investigate the procurement processes leading to the award of contract for the
condom; find out whether the manufacturer registered with the Food and Drugs
Authority prior to the supply of the condoms; find out whether the necessary
rules were adhered to at the entry point at the harbour before delivery of the
condoms at the Central Medical Stores; investigate whether quality assurance
measures were put in place before and after
the distribution of the condoms; any other issues pertinent to the
investigation; and make recommendations to the Ministry to avoid future
recurrence.
The
Committee was tasked to finish its work within one month; however the Chairman
of the Committee, Prof. Alex Dodoo said they asked for extension and it took
them seven (7) months to complete their task due to the complex nature of the
whole system.
The
money spent on the importation of the 130 million pieces of condoms belonged to
the Global Fund and was meant to be used in the fight against HIV/AIDS and other
sexually transmitted diseases in the country.
“We
at the Ministry of Health will study the contents of the report; at least I can
say that we are not going to accept replacement and the supplier will have to
refund every money to this country because our integrity as a nation has been
dented in the international community,” she said.
According
to her, “If we have to go to the international court to get our money we will
do so.”
After
receiving the report, Madam Aryittey enlisted the advice and assistance of the
Attorney General's Department to prosecute all those who were part of the whole
condom procurement transaction.
“For
the criminality of the report we will rely on the Attorney General to advice us
on those who need to be criminally prosecuted and I think that we will stand by
the recommendations of the committee,” she added.
During
its investigation, the Committee, considered all issues relating to the
procurement of the condoms and identified lapses in the overall supply chain
process.
The
Committee found that the procurement and supply chain system is associated with
serious challenges. The existence of separate procurement units at the health
sector was also an issue of concern to the committee.
“The
lack of implementation of policy and institutional review of the procurement
and supply chain system has contributed to several loopholes. The lack of
adherence to both the letter and the spirit of the Public Procurement Act
resulted in a situation where a presumed international competitive tender
essentially ended up being a sole-sourced tender,” said the committee.
It
stated that the Food and Drugs Authority appear to impose a weaker regulatory
regime on the public sector leading to cases where unregistered products are
procured and imported, adding that the clearance of goods at the ports of entry
and the receipt, storage and distribution of goods by the Central Medical
Stores were associated with serious anomalies and inconsistencies.
“The
Committee finds it worrisome that procurement standards used in obtaining the
sub-standard condoms were essentially weak and ineffective due to the absence
of controls, accountability and transparency,” the report stated.
The
Committee makes recommendations through the Minister to ensure oversight of the
implementation by all agencies and departments under the Ministry to allow
strict adherence to the Public Health Act.
The
report said the Ministry of Health should, as a minimum, make policy recommendations
and binding guidelines on the quality of condoms procured by the Ministry using
Global Fund’s resources. Its recommends that such a policy should include a
requirement that all condoms procured using external resources should be from
companies prequalified by the WHO for the supply of condoms or companies
meeting the applicable required standards as per WHO/UNFPA guidelines.
It
also said a policy review should be carried out to address the institutional
and functional aspects of supply and procurement within the Ministry of Health.
“To increase access to quality and affordable medicines and health commodities,
the Ministry of Health has already taken a lead role to create a Supply Chain
Master Plan (SCMP) in late 2011. The Committee is concerned that this policy
and institutional review has not been implemented as yet and believes
implementation of the Master Plan could be the way forward”.
The
Committee further recommends that the Ministry of Health should take immediate
steps to clarify the roles of all players in the supply chain process for
condoms and other health commodities procured by the Ministry. It said this
clarification should be well disseminated to all stakeholders to prevent
further confusion.
“The Committee is of the view that circulation of the sub-standard
condoms had negatively impacted on the perception of the public about the brand, “Be Safe”
and hence recommends strongly that the Ministry of Health should evaluate
whether its continued interest in the brand will enable it achieve its original
stated intentions in creating the brand in the first place. If the Ministry
intends to continue with the “Be Safe” brand, the Committee recommends that the
Ministry pre-qualifies suppliers able to meet the WHO/UNFPA guidelines to make
future procurement less problematic.”
It
further stated that the Ministry of Health should seek for and provide
the necessary financial, technical and logistical support to the Food and Drugs
Authority to undertake rigorous pre and post-market surveillance of all
procured condoms and health commodities in the country.
“The
Ministry of Health should specify the roles and activities of the Central
Medical Stores especially in relation to the overall quality assurance of
condoms, medical devices and other health commodities; the Ministry of Health’s
procurement processes should agree with both the letter and the spirit of the
Public Procurement Act, Act 663 of 2003; and the Ministry of Health should
consider whether the issues surrounding the procurement and distribution of the
implicated “Be Safe” condoms should not be subject to criminal investigation
and prosecution to serve as a deterrent,” the committee suggested.
Meanwhile,
the fake condoms have the following batch numbers: CQ20124734, CQ20124735,
CQ20124739, CQ20124751, CQ20124753, CQ20124761 and CQ20124791.
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