Institutional, tender and donor funded buyers
Ministries, insurance funds, military and university hospitals, and the donor funded procurement that runs alongside them across Africa. Slow, formal, and unusually durable once a supplier is qualified.
Who signs: tender and procurement officers, formulary committee members, medical supply directors, and the technical evaluators who score the bid.
A named list, not a count
a small number of national buying bodies in each market, plus donor funded procurement channels; reached by named person rather than by volume