The Auditor General of the City of Buenos Aires (AGCBA, for its acronym in Spanish) found that the entity that is in charge of buying medications for the City’s public hospitals "failed adequately -in supplying in the first quarter of 2008 – the health effectors." This is the Central Procurement Operations Unit (UOAC), whose management was rated as "ineffective and inefficient" because, due to organizational restructuring, turned to normal the "exception procedures".

The UOAC, which was formed under the aegis of the locals Ministries of Health and Finance created a "Help Desk" to make emergency purchases through petty cash, and prevent drug shortages. But the verification of their surrenders was limited because the General Accounting Office did not provide the required documentation. In turn, as the drugs were not delivered in a timely manner, according to the audit passed last year, "health effectors had to make emergency purchases by systems Emergency Funds for Health (FES)."

This rearrangement of UOAC was that 56% of purchases will be made through the FES and 24% through the "Help Desk". That is, the $ 144,601,363.78 that UOAC allocated for the procurement of drugs, were $ 80,484,559.29 via the FES, $ 9,965,300 for the "Help Desk" and only $ 54,151,504 , 49 centralized purchasing. The auditors rated as "inadequate" the operational and administrative planning due to excessive use of methods of exception.

The audit concluded that "the implemented system did not have a structure designed to encompass an agile processes of purchasing, receiving, storage, and distribution to health effectors". Finally, the AGCBA noted that, "by possible changes in the procurement system of health commodities, it should plan the transition in planned manner (SIC) and agreed with the various participants. This recommendation- encloses the report- is to provide solutions to all possible contingencies that could jeopardize the health of users of the local hospitals".