73 (iv) Putting in place motivation and destabilization mechanisms for the staff and (v) Launching of the contractual approach in some pilot Provinces of the country. Regarding the supplies of drugs, it is still dependent on the emergency situation which has prevailed for a long time. With an increasingly large supply of drugs, numerous problems have worsened, such as the storage duration (up to more than a year), a supply which is unadapted to the expressed needs, the frequency of stock shortages, the cumbersome administrative ordering procedures and wastage of existing resources. In view of these problems, an « integrated logistical » arrangement had been proposed. This consisted in the gradual transfer of the supply assignment from the health operators to the CAMEBU, in the improvement of the quality and regularity of transportation with the purchase of a second truck equipped with a cold room, in the application of the new Public Contracts Code as well as the targeting of 20 indispensable drugs making their regular stocking a priority. 16.1.7. Implementation of Reforms in the Health System The progress ensuing from the implementation of the major reforms are generally encouraging and relate to the following areas: (i) The establishment of health districts: This reform started in 2007 with the objective of decentralizing the administrative and technical management of the health sector. The district covers a well defined population of about 150,000 inhabitants. Where there are more than 250,000 inhabitants, the district is sub-divided into two. Each health district comprises a district hospital which is a first referral hospital. The health centres refer the complicated cases to the district level and the latter refers them to the higher level. In 2008, 35 health districts out of 45 had been established, distributed across the national territory. The ten remaining entities were to be established by 2009. (ii) The Reform of the SIS: At this point in time the health information collection system is incapable of providing the necessary data to feed the decision making process of the health professionals. The implementation of the SIS encountered a lot of difficulties the most extreme of which was making the health system « vertical » which favoured the SIS specifics for each programme/illness. It had not been possible to fully execute this reform in 2008, and was to be pursued in 2009.