Getting the right products to the right people

World Malaria DayApril 25, 2011

Session Overview

• Background• Buying quality products• Getting them the first

mile• Ensuring availability at

the last mile

Background: who we are, what we do• John Snow, Inc. (JSI)

– Public health consulting firm established in 1978– Over 20 years experience working to ensure the availability of

pharmaceuticals and other health supplies in Africa, Latin America and Asia

• USAID | DELIVER PROJECT, Task Order Malaria

– Procured $260,000,000 worth of malaria products since 2007 for 21 African countries

– Work to strengthen the public health supply chains in 12 African countries

– Undertake global advocacy to addressPSM bottlenecks

Procuring quality malaria products

• By the end of 2010, procured $260 million worth of malaria products– 29 million bednets– 100 million ACT

treatments– 23 million RDTs– 44 million tablets of SP for

IPTp

Getting product the “first mile”: Angola

• Background: significant losses at central medical store

• Consolidated

shipment of ACTs and

RDTs in Liege, Belgium• Packed by province,

19 consignees for

18 provinces

Getting product the “first mile”: Angola

• In-country distribution, direct from Luanda airport to provinces, took 5 days (halved the distribution time from previous shipments)

• No central level

warehousing: saved

$50,000 in warehouse

costs and $7000 in security• No losses, no damage

Ensuring availability at the last mile: Zambia

• Conducted pilot to improve availability of malaria and other essential medicines (in partnership with DFID, WB, GOZ)

• 2 model and 1 control group of districts– Model A: districts hold stock and resupply health facilities– Model B: districts serve as cross-dock and facilitate transport of pre-packed

commodities to health facilities

• Results– Both models improved availability

(reduced stock outs) over the control, but Model B did better

– Both models lessened days out of stock over the control, but Model B did better

Zambia supply chain pilot results

Reduced stock outs

Zambia supply chain pilot results

Reduced duration of stock outs (in days)

Conclusion

• Support PMI’s goal of reducing malaria burden in its focus countries through:– Procuring critical malaria products– Delivering to the intended recipient– Strengthening the in-country supply system to ensure that

those requiring malaria products receive them

Thank you. Questions?