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. 2025 Jan;161(1):32-37.
doi: 10.25259/IJMR_944_2024.

Challenges in medicine procurement through GeM in a tertiary care hospital in northeast India

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Challenges in medicine procurement through GeM in a tertiary care hospital in northeast India

Anuj Vashisht et al. Indian J Med Res. 2025 Jan.

Abstract

Background & objectives The procurement of medical items (drugs and consumables) through the Government e-marketplace (GeM) is a recent initiative. This study aimed to comprehensively assess the bottlenecks, procedural pitfalls, and delays impacting the supply chain in the procurement process of a tertiary care hospital in northeast India. Methods A retrospective analysis was conducted on the procurement data obtained from the hospital's procurement cell over 12 months. The study primarily focused on the total demand for medicines and consumables through the e-portal and compared it with the actual quantity/quality received by healthcare facilities. Results The initial demand was placed for 1507 medicines and 1219 medical consumables. However, the healthcare facility received only 695 (46.1%) medicines and 945 (77.5%) consumables. Major bottlenecks identified were non-quotation of medicines, price negotiation rejections, and vendor failure to supply. Interpretation & conclusions This study identifies a few bottlenecks: non-quotation by vendors, price negotiation rejections and failure to supply medicines and consumables by the vendors in procurement through the GeM. Efforts like flexibility in matching previous purchase rates, International Organisation for Standardisation/World Health Organization (ISO/WHO) qualified vendor base at the GeM level and porting in reliable pharmaceutical companies must be directed towards optimising procurement processes and enhancing supply chain management to bridge the identified gaps and promote seamless healthcare delivery.

Keywords: Consumables; GeM; e-procurement; healthcare delivery; medicines; public procurement.

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Conflict of interest statement

None.

Figures

Figure.
Figure.
A bar graph presenting the status of medical items procured through GeM.

References

    1. National Institute of Public Finance and Policy Public procurement in India: Assessment of institutional mechanism, challenges, and reforms. Available from: https://www.nipfp.org.in/media/medialibrary/2017/07/WP_2017_204.pdf, accessed on October11, 2024.
    1. Government e-Marketplace Procurement reimagined. Available from: https://gem.gov.in/, accessed on February 25, 2024.
    1. European Commission: European Health and Digital Executive Agency . Study on best practices in the public procurement of medicines: Final report. LU: Publications Office of the European Union; 2022.
    1. Mehra A, Sharma S, Koushal V. Implementation of government e-marketplace in a tertiary care hospital of North India: Advantages and challenges. Int J Res Med Sci. 2020;8:3934. doi: 10.18203/2320-6012.ijrms20204881. - DOI
    1. Mackey TK, Cuomo RE. An interdisciplinary review of digital technologies to facilitate anti-corruption, transparency and accountability in medicines procurement. Glob Health Action. 2020;13:1695241. doi: 10.1080/16549716.2019.1695241. - DOI - PMC - PubMed

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