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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

Thank YouMerci

Obrigado