Establishing core medicines and medical supplies pipeline to preposition for emergency health preparedness and response in Sudan Frequent stock out of essential medicines and medical supplies at the point of service delivery has been attributed to malfunctioning of the logistics and medical supplies systems and critical shortage of medicines and medical supplies in Sudan especially during emergencies. The WHO has been providing essential medicines and medical supplies to NGOs and government counterparts under its flagship Rapid Response Kit (RRK) project funded by OFDA/USAID in in Sudan over years. It has also been procuring and distributing life-saving emergency medicines and medical supplies during major public health emergencies in Sudan including through the use of SHF. 
The Interagency Emergency Health Kit (IEHK) and Trauma and Emergency Services Kit (TESK) have been widely accepted and used to respond to various emergencies globally. The WHO identified and prioritized the critical needs for medicines and medical supplies needed to respond to common emergencies consistent with national multi-hazard preparedness and response plan. 
The project will procure and distribute a total of 234 standard WHO's Interagency Emergency Health Kits (IEHK 2017) basic and supplementary medicines, renewables, and equipment, and controlled medicines including medicines for management of complicated and uncomplicated malaria cases. Besides, a total of 400 Trauma and Emergency Surgery Kits (TESK 2019) modules for basic drugs, injection materials, infusion, dressing materials, gloves, sutures, plaster casting materials, surgical drainage materials, and basic anesthesia materials. The list and quantities of items are annexed to the proposal.
1 IEHK 2017 kit composes several modules as follow (1 supplementary Medicine, 1 Supplementary Malaria, 5 Basic Medicine, 5 Basic Malaria and 1 supplementary Renewables.) Each complete kit serves 10,000 for 3 months. A total of 18 complete kits will be procured to cover 180,000 for 3 months
 1 TESK 2019 kit serves 50 patients requiring surgical care in emergency situations assuming 2 operations per patient (100 interventions). 1 TESK 2019 kit composes of several TESK kits as follow: 1 TESK 2019 module 1B) RENEWABLES ANAESTHESIA basic material, 1TESK 2019 module 1B) RENEWABLES DRESSING MATERIAL, 1 TESK 2019 module 1B) RENEWABLES GLOVES, 1 TESK 2019 module 1B) RENEWABLES DRESSING MATERIAL BURNS, 1 TESK 2019 module 1B) RENEWABLES SUTURES, 1 TESK 2019 module 1A) DRUGS CONTROLLED, 1 TESK 2019 module 1A) SET DRUGS INFUSIONS, 1 TESK 2019 module 1A) DRUGS, BASI. Accordingly, 50 complete TESK kits will be procured to serve 50 patients each= 2500 patients 
The WHO ensures the procured medicines and medical supplies meet national and international standards for safety and quality. The items will be procured internationally.  The WHO will plan the distribution plan in close collaboration with the health clusters and OCHA. A small number of kits will be prepositioned in the states most at risk to emergencies so to allow for immediate initial response. The majority of the stock will be stored at a central warehouse in Khartoum to serve for replenishing the States where needed. The WHO will transport the items up to States capital and then NGOs will transport to their respective service delivery points as appropriate. 
The prepositioned supplies will be handed over to sector partners in the event of a new or deteriorating emergency based on their active presence at the ground and prioritizing SHF partners, humanitarian intervention needs, comparative advantages and coordinated interventions upon approval by the relevant sector coordinator and SHF. The NGOs will be handed over the items at State storage points and manage transport to their respective service delivery points as appropriate. In principle, WHO will dispatch requested items to partners within 5 days within the State or 2-3 weeks when items come from the central warehouse.