Micronutrient Powders (MNPs) - UNICEF...Specification Vitamin Dose Form Vitamin A 400 µg Acetate or...
Transcript of Micronutrient Powders (MNPs) - UNICEF...Specification Vitamin Dose Form Vitamin A 400 µg Acetate or...
Pre-bid Conference: Micronutrient Powders (MNPs)
AGENDA
(1) Background on MNPs
(2) Procurement history and Procurement process
(3) Procurement objectives
(4) Technical specification of the product
(5) Documents required for the Technical Assessment
(6) Requirements for manufacturing sites
(7) Q&A – please type your questions during the session
Jan Debyser, Alison Fleet, Dimitris Catsoulacos
UNICEF Supply Division
27/04/2017
Agenda
Micronutrient Powders (MNPs)
• Multiple micronutrient
powders (MNP) are an
innovation in point-of-use
fortification, addressing
vitamin and mineral
deficiencies.
• MNPs contain a blend of 5 or
15 vitamins and minerals in a
1 gram sachet, which are
easily sprinkled onto foods
prepared in the home.
What are they?
Food Fortification and Historical
Development of MNPs
• MNP was initially developed as a way to provide iron
and other nutrients required for the treatment of
anemia
• MNPs have now been recommended as a strategy to
improve the quality of complementary foods (for
children 6-24 months) to fill the micronutrient gaps
and not just as a method of anemia prevention and
treatment. MNPs are being integrated more in infant
and young child feeding programmes in the countries.
• With the expansion of use into preventive public health
programs, WFP, UNICEF and other organizations now
promote the use of formulations with additional
micronutrients
Issues and Concerns with MNPs
• Compliance - Children under five years of age,
may not be able to consume large enough
quantities of the fortified food to satisfy an
adequate level of their daily requirements
• Children do not like the ‘speckled’ look in their
rice or porridge
• Children are sensitive to the taste of the
components of the MNPs (vitamin C, iron, copper,
zinc)
• Product stability over time – powders are
susceptible to degradation as they are
hygroscopic
How do we procure MNPs?
• UNICEF Supply Division purchase MNPs for all
UNICEF country programmes implementing home
or point-of-use fortification programmes
• UNICEF Supply Division also offers Procurement
Services to any interested not-for profit partners or
national governments
Procurement Principles
• Nutrition products must be procured through
Supply Division only
• All procurement is done in a form of
competitive bidding
• Contracts are established based on lowest
acceptable offers
• To cover continuous demand Long Term
Arrangements (LTA) for 2-3 years period are
issued followed by individual Purchase
Orders
Procurement history (1)
• Started to purchase in 2007
• Exponential increase over the last 10 years
(1,188 M sachets in 2016)
0
200
400
600
800
1,000
1,200
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Mill
ion
sac
het
s
Product Demand
5 component - local layout 15 component - local layout 15 component - standard layout
Procurement history (2)
• Increase in countries ordering product
• 10 countries with highest demand in the last 5
years: Peru, Nepal, Myanmar, DRC, Mozambique,
Syria, Rwanda, Malawi, Pakistan, Afghanistan
8
1612
2024
33 34
41
48 47
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Number of countries ordering MNPs
Ordering countries
Procurement history (3)
• LTAs in place with 5 suppliers
• Current LTAs valid since July 2014
-
5
10
15
20
25
30
35
40
2012 2013 2014 2015 2016
Mill
ion
s
Number of packs procured
DAP CPH warehouse FCA point of departure
Procurement history (4)
• Customized layout for better compliance
• Gradual shift with now 2/3 customized
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Micronutrient Powder Demand by Layouts Type
Standard layout Customised layout
Procurement goals and objectives
Support further scale up of point-of-use
fortification programmes by suppling good quality
and fit for purpose MNPs for use in UNICEF
programmes and by partners, in sufficient
quantities, at competitive prices and when
required.
Procurement goals and objectives (2)
• Uninterrupted supply that meets specifications
• Manufacturers with capacity and flexibility to
absorb spikes in demand and need for
customization
• Opportunities for more sustainability (on-
continent production, waste generation, ..)
• Establish time-bound 6-7 LTAs for July 2017 –
July 2019 (2020) with multiple manufacturers
Solicitation method
• Request for Proposals
• Bid document will consist of:
– Invitation letter
– Bid Form (Validity of the offer, Currency and
Payment terms)
– Product specifications and quantities
– Forms to input unit prices, lead times …
– Contractual provisions (LTA text)
– Technical Requirements
– Instructions to bidders
– General Terms and Conditions
Financial offer (1)
• Unit price for box/pouch of 30x1g sachets– MNP-5 and/or MNP-15
– DAP Copenhagen warehouse and/or FCA Port/Airport of departure
– Standard layout (MNP-15 only) and/or customized packaging (MNP-5 and MNP-15)
• Currency– US$ or EUR
• Payment terms– 30 days net
– early payment discount
Financial offer (2)
• Production capacity:– capacity of the blending site
– capacity of the packing site
– allocated capacity to UNICEF
• Financial offers need to be submitted on time and according to instructions, even if more time is allowed for technical compliance
Timelines
• Request for Expression of Interest (March 2017)
• Invitee list (April)
• Pre-bid conference (27 April 2017)
• Summary of webinars circulated (early May)
• Issue Request for Proposal (early May)
• Bid closure (3 weeks after issuing RFP) – no public
opening
• Bid evaluation and adjudication (June)
• Presentation to Contract Review Committee (end
June)
• Creating LTAs (July)
Bids Submission
• Bids shall be submitted in response to the RFP
by email to [email protected] (instructions
to follow in RFP invitation)
• Technical documentation shall be submitted in
an electronic form to One Drive supplier file
(instructions to follow in RFP invitation)
UNICEF Product Requirements
• Fine, off white odorless powder (with tiny
specks)
• Bland taste
• Does not impact on the smell or taste of food
with which it is combined
• Stable and dry preparation that can be
blended uniformly with the child’s food
• Zone IVB climate: maintains potency for 24
months at 30 ͦ C at 75% (RH). (minimum of 6 months data)
MNP Requirements
Specification
Vitamin Dose Form
Vitamin A 400 µg Acetate or palmitate (dry, CWS)
Vitamin D3 5 µg (200IU) Cholecalciferol (dry, CWS, beadlet)
Vitamin E 5 mg Dry Vitamin E (dl-alpha or d-alpha CWS)
Vitamin B1 0.5 mg Thiamine Mononitrate
Vitamin B2 0.5 mg Riboflavin
Vitamin B3 6 mg Niacinamide
Vitamin B6 0.5 mg Pyridoxine hydrochloride
Vitamin B12 0.9 µg Cyanocobalamin (1% or 0.1% SD)
Folic Acid 10 % 90 µg Folic Acid (10% anhydrous)
Vitamin C 30 mg mineral ascorbates (sodium or calcium are preferred)
Specification
Mineral Dose Form
Iron 10mg Ferrous fumarate (coated), ferrous bisglycinate, NaFeEDTA + fumerate (2.5mg + 7.5mg)
Zinc 4.1mg Zinc gluconate, sulphate preferred
Copper 0.56mg Copper gluconate is preferred, or Copper sulphate (coated) anhydrous
Selenium 17µg Sodium selenite anhydrous; Sodium Selenate or Selenomethionine
Iodine 90µg Potassium iodide or potassium iodate
Specification
• Maltodextrin (check GMO status) EP, USP
compliant, with low DE levels (9-11)
• Silica dioxide 0.5-2%
• Tricalcium phosphate
0.5-2%
Carriers and Excipients
Specification
• UNICEF labeling requirements (primary and
secondary) will now include a standard design
• Product name: Vitamin and Mineral Powder
• Must provide a barrier against humidity, light
and oxygen.
• Laminated foil, suggested composition :
PET 12 / Al 8 / PE 45
Sustainable packaging solutions for MNPs is an
area of interest for UNICEF
Packaging and Sachet requirements
Certificate of Analysis Requirements
• All actives within
limits (USP)
• Microbiological
criteria (USP)
• Moisture content
4.5% max
USP Monograph for MNPs
• UNICEF have been working with the Scientific
Liaison team for Dietary Supplements to create
a monograph for MNPs
• Several suppliers have co-operated in
providing the data the USP need to create this
monograph
• A draft for public review is expected to be
ready by June.
“Oil- and Water-soluble Vitamins and
Minerals for Oral suspension”
UNICEF Technical Assessment of MNPs
• Product documentation (Specs, 3 C of As, raw
materials)
• Stability studies and shelf life justification –
preference will be given to suppliers with
longer shelf life
• Certification – eg non GMO
• Sample evaluation (includes packaging)
• Label mock up compliance
• Questionnaires
MNPs – Requirements for Manufacturers
• Manufacturing Facilities and Standards
• UNICEF GMP inspections
• Major Observations from Inspections
• Significant complaints
Manufacturing Facilities and Standards
MNP can be manufactured at:
• Pharmaceutical Facilities -
WHO GMP for Pharmaceutical Products
• Food Supplement Facilities -
ISO 22000 Food Safety Management Systems
• Food Processing Facilities -
ISO 22000 Food Safety Management Systems
• Or any combinations thereof
Additional Standards
• Codex Alimentarius General Principles of Food Hygiene
CAC/RCP 1-1969 as amended
• ISO 9001: 2015 Quality Management Systems
• ISO 22003: 2007 Requirements for bodies providing audit
and certification of food safety management systems
• ISO 22004: 2014 Guidance on the application of ISO 22000
• Home Fortification Technical Advisory Group's manual on
micronutrient powder composition, July 2013
• WHO TRS No. 953, 2009 Annex 2 Stability testing of active
pharmaceutical ingredients and finished pharmaceutical
products
GMP inspections
Basic Principles:• All manufacturers are subject to GMP inspections prior
to approval for supply to UNICEF
• Inspection report sent to the manufacturer within 2
weeks of the inspection. Manufacturer’s response
expected within one month of report receipt.
• Follow up inspections to be carried out based on risk
and prior experience. Frequency is defined by level of
compliance (e.g. no. of observations, complaints, OOS
results)
Most Frequently Encountered Deficiencies (1)
QUALITY MANAGEMENT AND DOCUMENTATION
- HACCP plan not updated
- Poor handling of non conformities
- Weak investigations – poor corrective action implementation
- Prerequisite programmes (PRPs) not documented
- Inadequate control on issue, distribution and review of procedures
Most Frequently Encountered Deficiencies (2)
ORGANIZATION AND PERSONNEL
- Top management role and responsibilities notadequately defined
- No evaluation of training sessions – Missing
records
FACILITIES
- Storage conditions not monitored or not defined
- Inappropriate construction materials –poor maintenance
Most Frequently Encountered Deficiencies (3)
EQUIPMENT – UTILITIES
- Inappropriate design and qualification of HVAC system
- Unknown airflow patterns/ differential pressure cascade
- Incomplete verification/ qualification of production equipment
PRODUCTION
- Manufacturing process not validated
- Metal detectors not installed
- Incomplete batch record documentation
- Campaign working - Cleaning not defined
- Line clearance not documented
- No technical agreement for contract manufacturing/analysis
Most Frequently Encountered Deficiencies (4)
QUALITY CONTROL
- Incomplete analytical method validation
- Poor qualification and control of API suppliers
- Limited testing on raw materials and finished product
- Stability data not in support of current formulation and packaging
- Finished product specifications and release criteria not defined.
Major complaints
• Content of sachet has turned dark / brown
• Lumps in sachets
• Poor sealing of sachet
• OOS results following independent testing
• MNP not tasteless