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MENTORING PROGRAM FOR HEALTH COMMODITY MANAGERS IN

TANZANIA

Abdourahmane Diallo, MD, MPHDirector of Technical ServicesUSAID | DELIVER PROJECTOctober 06, 2010

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BACKGROUND

• Logistics systems for ARV drugs and HIV test kits designed and rolled out

• Commodity managers training to roll out system

• Presence of USG care and treatment partners on the ground—regionalization

• Presence of SCMS supply chain monitoring advisors in MSD zones

• Major scale up of services but limited capacity to visit/support all Care and Treatment Centers (CTCs).

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PROGRAM DESIGN—OJT TOOLKIT

• MODULE I: Logistics Mentoring/OJT Overview Guidelines

• MODULE II: Conducting a Logistics Mentoring/OJT Visit

• MODULE III: Logistics Problem Analysis Charts

• MODULE IV: Logistics OJT Exercises

• MODULE V: Logistics OJT Resources

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PROGRAM DESIGN—MENTORING

• Regional/district pharmacists and AIDS Control Coordinators to work with SCMS on the program

•Care and treatment partners to identify/hire a dedicated staff for commodity management and logistics

• All to be trained by SCMS.

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IMPLEMENTATION—PILOT PHASE

• Organized a TOT for mentors

• Piloted the tool kit in 3 regions (3 districts, 16 hospitals, health centers, and dispensaries) during October 2009

•Trained 27 mentors; 55 HCW received OJT.

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IMPLEMENTATION—ROLL OUT PLAN

• To train 606 RHMT and CHMT members from the regional and district levels, and trained the implementing partners

• 24 partners from ICAP, AIDSRELIEF, EGPAF, FHI, CHAI, DOD, and MDH to be trained

• Six hundred copies of the final toolkit printed in June 2010, at a cost of U.S.$23,077

• Roll-out training to start in January 2011 and is expected to last seven months

• Toll-free telephone line for a targeted intervention.

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ANTICIPATED CHALLENGES

• Financial resources to support regional/district pharmacists and AIDS Control Coordinators

• Request for materials to be translated in Swahili

• Future changes to the current logistics systems

• Limited time during routine supportive supervision visits for a comprehensive OJT.

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LESSONS LEARNED LESSONS LEARNED

• Standard classroom training still works but is not enough• Practical problem solving- oriented approach preferable to standard SOP manuals• Mentoring program is major step toward building sustainability• Local HCW and partners empowered to address logistics issues• Not all recommendations can be implemented (i.e., storage).

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THANK YOU