Jibrailu L. Maliyogbinda

By Jibrailu L. Maliyogbinda

The purpose of the study is to establish the role of Drug Revolving Fund (DRF) Scheme in achieving commodity security in LMICs. DRF scheme is a self-sustaining health financing strategy that charges “user fees” just enough to recover the cost of health commodities and aims to ensure that quality lifesaving health commodities are available, affordable, and accessible to all irrespective of one’s financial status, thereby contributing to achieving universal health coverage, especially through the primary health care system. The study, using a literature review approach, aimed to establish that commodity security can be realized through functional DRF scheme as a component of a sustainable health financing strategy in the face of foreign aid donor fatigue and dwindling government investment in public health care due to other competing demands. The study finds that a functional DRF scheme requires a strong political and financial commitment, robust management, and technical systems, and involves stakeholder and community participation, and use of operational guidelines and that going to scale are best achieved when done in a phased, and incremental manner. The contribution to knowledge of the study is that the DRF scheme is a feasible pathway to attaining commodity security without exerting enormous demands on already scarce resources of LMICs.

Part of the book: Global Health Security