ABSTRACT
Efficient management of a health system's drug supply is important because drugs have conventionally been a cornerstone for the management of many diseases and they continue to be an essential ingredient of many modern treatment algorithms. Systems [structures and processes] indicators were checked at two administrative levels: central and regional. Sudan regions [districts] were considered as strata. One state was randomly chosen in each region. Main methods for data collection were structured interviews; check lists, document reviews, stock record reviews, physical stock check and sample surveys, using a pre-piloted questionnaire. Key findings included: presence of structures such as: NDP [regularly updated], legislations, regulations and enforcement agencies. RDF is exempted from the "treasury cycle" at the state level. Staff trained. Procedures for managing drug supply and financial operations available. Drug selection is based on EDL. RDF main stores are complying with best practices for drug storage and management. Revenues from drug sales are not used to pay the salaries of public health personnel. Funds and logistics to all states allocated before starting the RDF. In contrast: a functioning DTC at the central and the state levels is absent. Essential medicines concept is not a part of the basic curricula in health training institutions at the state level. No reporting system for consumption data in health facilities. It is evident that RDF had been planned for to be a viable, efficient and sustainable program