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Call key data
Improvement of system mechanisms for monitoring the prescription and consumption of medicines in the health system of Montenegro
Funding Program
Instrument for Pre-accession Assistance
Call number
EuropeAid/185059/DD/ACT/ME
deadlines
Opening
22.09.2025
Deadline
19.11.2025 16:30
Call budget
€ 250,000.00
Estimated EU contribution per project
€ 250,000.00
Link to the call
Call content
short description
To contribute to the improvement of the public healthcare system in Montenegro by introducing rational prescribing practices in line with EU standards, thereby supporting the fulfilment of Montenegro’s obligations under Negotiation Chapter 1 – Free movement of goods and Chapter 28 – Consumer and health protection.
Call objectives
To establish a sustainable and EU-aligned system for rational prescribing of medicines in the public healthcare sector in Montenegro, by:
- Improving the existing national policy on medicines and quality of health care;
- Strengthening institutional capacities of healthcare professionals at Primary Healthcare Center of the Capital, the Clinical Center of Montenegro, and officials of the Health Insurance Fund of Montenegro (HIFM) for tracking and managing the usage and control of application of different medicines;
- Developing proposals for appropriate control mechanisms to rationalize medicine consumption and enable continuous monitoring of pharmaceutical stocks across public healthcare institutions.
Expected effects and impacts
Component 1 – Improving the existing national policy on medicines and quality of health care
- Result 1.1 – Assessment report on existing medical practice with recommendation for policy changes in the field of quality of health care i.e. medical protocols, prepared.
- Result 1.2 – Existing national medical protocols for the treatment of breast cancer and cervical cancer are revised and updated.
- Result 1.3 – New national medical protocols for treatment of colorectal cancer, lung cancer and acute coronary syndrome are developed.
- Result 1.4 - Formal adoption of all revised and developed medical protocols by the National Committee for Healthcare Quality Assurance and Safety of the Ministry of Health, ensuring their integration into the national healthcare regulatory framework, including necessary legal, financial, and administrative adjustments to support long-term institutionalization.
Component 2 - Strengthening institutional capacities of healthcare professionals at Primary Healthcare Center of the Capital, the Clinical Center of Montenegro, and officials of the Health Insurance Fund of Montenegro (HIFM) for tracking and managing the usage and control of application of different medicines.
- Result 2.1 – The institutional and professional capacities of healthcare personnel at the Primary Healthcare Center of the Capital and the Clinical Center of Montenegro have been strengthened in key areas, including therapy management, prescribing practices, medication dispensing, and stock control.
- Result 2.2 – Internal capacities of HIFM staff are enhanced to improve the quality of control over medical, administrative, and financial documentation – particularly regarding the monitoring of prescriptions (on natural and financial indicators) in healthcare institutions, including private healthcare institutions with whom HIFM has signed agreements on cooperation.
- Result 2.3 - Enhanced internal capacity of MoH staff for policy evaluation and evidence-based decision-making.
Component 3 – Developing proposals for appropriate control mechanisms to rationalize medicine consumption and enable continuous monitoring of pharmaceutical stocks across public healthcare institutions
- Result 3.1 – A draft methodology for developing control mechanisms for medicines use and stock monitoring is created.
- Result 3.2 – A set of proposals for establishing rational medicine consumption and stock monitoring mechanisms in public healthcare institutions is developed.
- Result 3.3 – Regulatory and procedural gaps identified and addressed to enable the full implementation of proposed healthcare quality and safety control mechanisms.
- Result 3.4 - Draft proposals for enhancing the existing software solution are prepared to enable improved surveillance and detection of irregularities in prescribing practices.
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Expected results
Component 1 – Improving the existing national policy on medicines and quality of health care
Activities:
- Perform assessment of existing national policy on health care in Montenegro in the area of quality and medical protocols;
- Perform assessment and revision of existing medical protocols for treatment of breast cancer and cervical cancer;
- Draft national medical protocols for the treatment of acute coronary syndrome, lung cancer and colorectal cancer;
- Conduct a targeted support action focused on the formal adoption process of all developed and revised clinical protocols.
Component 2 – Strengthening institutional capacities of healthcare professionals at Primary Healthcare Center of the Capital, the Clinical Center of Montenegro, and officials of the Health Insurance Fund of Montenegro (HIFM) for tracking and managing the usage and control of application of different medicines
Activities:
- Organization of five trainings, 3 days each, for at least 30 healthcare professionals at Primary Health Center of the Capital and Clinical Center of Montenegro in the field of admission, application of therapy, prescribing and dispensing of medicines, consumption records, as well as management of the stocks of medicines in public health institutions;
- Organization of five practical trainings, 3 days each, for at least 20 HIFM staff concerning joint analysis of relevant medical and supporting (administrative and financial) documentation in terms of the way of conducting control of records, especially related to control of records on realization of prescribed prescriptions (on natural and financial indicators) in healthcare institutions (public and private), with whom HIFM has signed agreements on cooperation – practical examples;
- Organization of 3 targeted capacity-building workshops, 3 days each, for at least 5 MoH staff (especially from the Directorate for Pharmaceutical Policy and Directorate for Quality Control) on EU health system reforms, rational prescribing oversight, and policy evaluation;
- Organization of one study visit for 5 participants from HIFM for 5 days to the reference MS institution from the EU country in order to exchange knowledge and practical experience on site in aforementioned areas;
- Organization of one lesson learned seminar for all participants to disseminate the results and best practices acquired at the end of the implementation period.
Component 3 – Developing proposals for appropriate control mechanisms to rationalize medicine consumption and enable continuous monitoring of pharmaceutical stocks across public healthcare institutions
Activities:
- Joint assessment of the current situation in the field of control mechanisms in Montenegro’s healthcare system and their harmonization with EU requirements in specified area;
- Development of methodology for creating control mechanisms;
- MoH and HIFM to jointly conduct a regulatory gap analysis to identify any legal or procedural barriers that might prevent full implementation of proposed control mechanisms;
- Joint assessment of the existing software solution in order to improve it in accordance to EU requirements in specific area;
- Proposal for improvement of the existing software solution.
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Eligibility Criteria
Regions / countries for funding
Montenegro (Црна Гора)
eligible entities
Public Body (national, regional and local; incl. EGTCs)
Mandatory partnership
Yes
Project Partnership
The project is designed to provide exchange of experience and knowledge with a MS Institution with good practice in the aforementioned project activities. The project team will consist of a Project Leader, three Component Leaders and a pool of experts for ad hoc assignments. All experts shall meet the formal conditions as set out in the Twinning Manual. The interested MS Partner Institution shall include in its proposal the CV's of the designated Project Leader, three Component Leaders and the proposed Short-term Experts as well as their specific tasks to which they will be assigned.
Additional information
Topics
Relevance for EU Macro-Region
EUSDR - EU Strategy for the Danube Region
UN Sustainable Development Goals (UN-SDGs)
project duration
8 months, plus 3 months for reporting
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