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eLMIS & LMU - Strengthening the Supply Chain
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Presentation overview
The objectives of this presentation are to:
• Provide the development partners with a deeper understanding of the eLMIS and how it will be used to improve supply chain decision making.
• Inform all key stakeholders of the role the Logistics Management Unit (LMU) will play in the implementation of the eLMIS.
PEPFARImplementing
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HMTs require logistics data for supervision support
What kinds of problems do you experience with data management?
Late reported orders
Infrequent adherence to reporting groups
Difficulties with ordering and reporting
Data accessibility and accuracy
Absence of facility level data for decision-makers
Stockouts Overstock
ExpiryWastage
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Tanzania’s eLMIS vision
An effective and sustainable electronic logistics management information system (eLMIS) should be user friendly and facilitate that adequate quality and quantities of health commodities* are always available at the point of service to meet patient demand. The eLMIS must provide integrated access to:
– Accurate, timely and routine consumption data– Real-time logistics management capabilities covering
point of origin to point of consumption– Demand forecasting, capacity planning & modeling
based on consumption(* vaccines, medicines, medical & diagnostic supplies, etc.)
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How can we addresses some of these problems?
MLe
electronic Logistics Management
I S
Information System
An electronic tool for managing orders and logistics data
Trained people (LMU), consistent processes and …
PEPFARImplementing
Partner6
September 12-13, 2011
eLMIS visioning workshop Dar-es-Salaam, Tanzania
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January 24-27, 2012
MOHSW and MOH eLMIS collaboration
Lusaka, Zambia
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September 12-13, 2011
eLMIS visioning workshop Dar-es-Salaam, Tanzania
October 13-20, 2012
eLMIS Development Kickoff
Lusaka, Zambia
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What are key eLMIS features?
An analytical tool which can process the raw data for decision-making
An integrated data repository where all report and requisition (R&R) data can be entered
A custom reporting tool for administrators, managers, policy and other decision-makers
Ability to interface and exchange datawith other MOHSW approved MIS solutions
Improving availability health commodities at SDPs
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eLMIS business processes
1. Requisition
2. Order Processing
3. Transport (order tracking)
4. Receiving
5. Inventory management
6. Dispensing (HMIS)
7. Forecasting
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Partner11
eLMIS information flow
instant
ILS Gateway Data
District Deliver
Zone Deliver
Deliver ConsignmentDeli
ver C
onsig
nmen
t
Send R&R
Send R&R
Review changes
Share and Review Reports
Health Facilities
Proof of Delivery notification
District
eLMIS
paper
eLMISSend and Review Reports
LMU/MSDZone
E9
instant
for Incorrect Order
ILS Gateway Data
eLMIS / ILSGCentral / MOH
Central/MOH accesses ILS Gateway and eLMIS data instantly.
1
2
LMUs
1
2 3
1. Facility will create paper R&R2. District will receive paper R&R and
enter into eLMIS3. LMU/MSD will receive approved R&R
and review before entering in to E94. Central level will view reports and
dashboards and receive alerts
4
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How is the eLMIS changing the way we do our jobs?
Key Stakeholders
To
day
• • Instantly view key reports and
dashboards indicating system performance
• Monitor consumption of commodities
Pro
ble
ms
Key Stakeholders
Ph
ase
IP
has
e II
• Use additional system reports to improve timeliness and quality of supply chain decision making
• Coordinate and allocate resources more efficiently
• No real time data• Lack of comprehensive data for
decision making• Lack of comprehensive
consumption data for quantification
• Send teams for data collection to identify supply chain challenges and collect logistics data
• Issues data based quantification
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Which reports will the eLMIS provide?
• Order fill rate and Item fill rate• Supply status by product • Stock status of warehouse• Supply status by facility• Summary district consumption by product• Stocked out report• Dispensed to user report• Quantity ordered discrepancy report• Consumption average by product• Non-reporting facilities• Stock imbalance by product and facility• Aggregate stock movement by level
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eLMIS councils training progress
Dar Dodoma Iringa Mbeya Mwanza Mtwara Moshi Tabora Tanga0
5
10
15
20
25
30
35
40
45
14
910
12
36
1312
11
3
17
13
1618
41
13
20
15
9
# of Councils trained Existing # of councils
# of
cou
ncils
69% Councils Trained
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Planned sensitization trainings, continued
MOHSW
N = TBDN = 108 (27 Regions @ 4 pax)
N = 254 (127 Districts @ 2 pax)
• System overview• Process overview• Task completion demo• Report filters Navigation • Dashboards and reports
July – Sept 2014
Management Team RHMTs and DEDs, DMOs
MOHSW
• System overview• Process overview• Task completion
demo• Report filters
Navigation • Dashboards and
reports
May - July 2014
GROUP
# PARTICIPANTS
KEY CONTENT
DATE
TARGET GROUP
Phase 1
N = TBD
Program Managers, Logistics Officers
MOHSW
• System overview• Process overview• Task completion
demo• Report filters
Navigation • Dashboards and
reports
May – July 2014
PlannedSTATUS Planned Planned
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Planned sensitization trainings
MSD
N = 15 N = 8
• System overview• Process overview• Task completion demo• Report filters Navigation • Dashboards and reports
May – July 2014
Area Managers, CS Manager, M&E, Inventory
AnalystsMSD EMT
MSD
• System overview• Process overview• Task completion
demo• Report filters
Navigation • Dashboards and
reports
May 2014
GROUP
# PARTICIPANTS
KEY CONTENT
DATE
TARGET GROUP
Phase 2
N = 40-60
Technical teams
Development Partners
• System overview• Process overview• Task completion
demo• Report filters
Navigation • Dashboards and
reports
June – August 2014
PlannedSTATUS Planned Planned
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What about the E9 and ILS Gateway?
• A system that allows for electronic ordering and reporting
• A system that integrates Sales, Procurement, Finance, and Logistics functions into one place to facilitate transparent and efficient operations for MSD
• A mobile health alert and reporting system designed to increase the visibility of logistics data and improve product availability
eLMIS E9ILS
Gateway data
Orders
Shipment details
eLMIS - Integrating people, process & technology
Hospitals HC DSP
√ √ √
√ √ √
√ √ √
√ √
√
√ √
√ √ √
Service Delivery Point
R&R ARVs
R&R ILS
NTLP TB
IVD
R&R OI
R&R HIV tests
MSD ERPEPICOR
Shipments
Medical Store Department
OrdersRequisitions and Reports (R&R)
District
R&R
R&R
R&R
eLMIS
R&R
ILS-G
Region
LMU
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What is a Logistics Management Unit?
• Identifies supply chain problems, develops interventions to address those problems, and implement interventions
• Strategically:– Solidifies supply chain management as a national
priority– Acts as a focal point for attracting dedicated supply
chain resources– Uses those resources to identify, prioritize, and
implement system strengthening activities– Manages supply chains holistically, in the case of
segmented supply chains
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Overview of the LMU
• Ministry of Health and Social Welfare (MOHSW) recognized need to establish a LMU that would be responsible for organizing, monitoring, and supporting all supply chain activities within all logistics systems in the country. Key functions of the LMU include:
– Logistics Data Management– Quantification– Monitoring & Evaluation– Coordination and Collaboration– Supply Chain Intervention Planning– Training & Capacity Building– Supervision
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Geographic spread of LMU staff
Dar es Salaam
Dodoma Iringa Mbeya Moshi Mtwara Mwanza Tabora Tanga0
1
2
3
4
5
6
7
8
9
10
JSI STAFF
GLOBAL FUND STAFF
ZONE JSI STAFF GLOBAL FUND STAFF
Dar es Salaam 9 6
Dodoma 5 2
Iringa 6 1
Mbeya 5 2
Moshi 8 2
Mtwara 6 0
Mwanza 9 2
Tabora 5 0
Tanga 4 1
TOTAL 57 18
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The reach of the LMU
Logistics Management
Unit
Medical Stores
Department
MOHSW programs
MOHSW divisions
MOHSW agencies
MOHSW units
Implementing
Partners
Development
Partners/ Funders/ Donors
Service Delivery Points
District Pharmacists /
DMOs
• National AIDS Control Program• National Malaria Control Program• Reproductive and Child Health Program• National Tuberculosis and Leprosy
Program• Expanded Program on Immunization • Food and Nutrition Center
• Preventive Services• Curative Services (and
diagnostic and health care technical services section
• Tanzania Food and Drugs Authority
• Procurement• Information, Technology, and
Communication
• JSI• USG Implementing
partners• UNICEF• PSI• CHAI• BMAF
• Global Fund• UNICEF• Global Drug
Facility• USAID• DFID• JICA• DANIDA• WHO
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• Act as primary users of the electronic logistics management information system (eLMIS)
• Receive and review submitted R&R’s for accuracy, completeness, timeliness, and validity and take necessary corrective action
• Enter R&R’s into the eLMIS for MSD order processing
• Follow up on missing reports and prepare routine feedback reports (central, intermediary, and facility levels)
• Aggregate, analyze and interpret logistics data to produce reports on logistics system performance
LMU data management tasks
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Number of health facilities visited and provided training by LMU staff Jan-Mar
Dar es Salaam
Dodoma Iringa Mbeya Moshi Mtwara Mwanza Tabora Tanga0
20
40
60
80
100
120
140
160
48
23
32
76
3236
79
3239
95
48
80
93 94
58
152
69
111
No. of Facilities Visited
No. of HCW provided OJT
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• Data is more ACCURATE.
• Based on access rights, DATA
VISIBILITY is increased.
• Data is available in ‘REAL-TIME’.
• Data is TRANSPARENT.
• supply chain DECISION MAKING is
strengthened
With the help of the LMU,
the eLMIS will ensure that…
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THANK YOU