Central Chronic Medication Dispensary and Distribution (CCMDD)

South Africa has experienced an unpredicted growth in patients requiring access to long term therapies driven in part by universal access to Antiretroviral Therapy (ART) and steady increases in patients with non-communicable diseases (NCD) requiring chronic therapy. There is an over extension of public sector health care facilities creating strain on available resources and has contributed towards medicine shortages and challenges in the quality of care provided. The experience of patients is one of protracted waiting times and often congested facilities. The CCMDD programme identified an opportunity to target the long term therapy category and provide an alternative, more convenient solution for stable patients to access chronic medicine. Prescriptions would be dispensed and packaged offsite, and delivered to pre-assessed external pick-up points (PuPs) to provide the patient with a location that may be nearer to their homes or work place and result in reduced transport costs and decrease the economic burden on the patient. Prescribing would be done by public health facilities and dispensing and PuP services would be offered through private contracted parties. An ICT system was developed to manage the data transfers through the value chain from prescription to patient collection.

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