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[DATE][SPEAKERS NAMES]
The 5th Global Health Supply Chain Summit
November 14 -16, 2012Kigali, Rwanda
Taking Supply Chain Innovations to the Public Sector: Improving Data Visibility
Misheck Ndhlovu
OUTLINE
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1. Roles most appropriate for public and private sectors
2. Managing product flow in country3. Challenges facing public sector
supply chains4. The private sector 5. Increasing data visibility6. Making it Work
Roles most appropriate for the public and private sectors
Public sector role
•Product regulation and quality oversight
•Market regulation
Highest potential for private sector role
•Physical distribution, warehousing and transporting
Overlapping Issues• Procurement• Importation• Retail/health service
networks• Financing• Market and product
Information
Activities and Enablers required for effective management of product flow in country
Flow of goods to the country• Product registration• Product selection• Forecasting• Procurement• Importation
Flow of goods inside the country• Ordering/replenishment• Warehousing• Distribution• Reselling
Retailing and health service
delivery to patients
Supply Chain Enablers•Market and product information flows
•Financing•Regulation and enforcement
Too many times supply chain managers in public health are “reactive” and not “proactive” due to lack of accurate and timely data to aid decision making
Better information ensures better use of resources which are often in short supply
Challenges facing Public Health Supply Chains viz information
• Lack of facility level data• Recording of data – most collection manual• Aggregation a challenge - local and central• Data quality• Transmission of reports• Tracking of products – batch tracking usually
only available at central level
Challenges facing Public Health Supply Chains viz information
• Reporting – Too many registers and reports – vertical
programmes– Rates low– Timeliness poor
• Lack of integration and at times duplication• Accessibility of information• Workload• Staff morale
Private Sector
• Most cases more efficient • Expertise available• Recording automated: bar-coding, radio
frequency identification technology, global positioning technology
• Last mile logistics management better – profit motive
• Use of technology for data transmission• Use of web based systems
Increasing data visibility in public health system logistics
• Use of bar coding in warehouses • Use of mobile technology to record and transmit
data – EpiSurveyer developed by Datadyne (now Magpi)
• Vendor Managed Inventory and LMIS• Use of personal digital assistants (PDA) or
enterprise digital assistants• Use of SMS for data transmission
• Use of Dispensing software• Use web based approach to disseminate
information and reports• Design of LMIS by experts in private
sector• Use of third parties to deliver commodities
and collecting data – capacity for contract management
Making it Work
• Trust between partners (Ministry of Health, donors and private sector)
• Capacity building (skills to collect and analyse data)
• Utilise available resources for sustainability• Integration – HMIS • Manage database• Make it simple• Collect only what is absolutely necessary