Pilot Districts

“SMS for Life” | Geneva, May 7th. 2010


Pilot Districts

Dar es Salaam:

Training Sept 21st. 2009

MSD, NMCP,

Lindi Rural:Live Sept 28th.

2009 DMO, Dr. Nkungulwe48 Health Facilities

Ulanga:Live Oct. 12th.

2009 DMO, Dr. Bakari

30 Health Facilities

Live Kigoma Rural:

Oct. 19th. 2009DMO, Dr. Edwin Kilimba

51 Health Facilities

9 weeksSurveilance Visits(3) November 23rd.(3) January 4th.(3) February 8th.





Taux de réponse moyen de 95%Taux d'exactitude de 94% (comptage physique)Données vérifiées quotidiennement (system log)

Lindi Rural – % des 48 centres avec une rupture de stock out d'ACT, par dosage

(de 57% rupture à 0% rupture)

Ulanga Rural – % des 30 centres avec une rupture de stock out d'ACT, par dosage


Kigoma Rural – % des 51 centres avec une rupture de stock out d'ACT, par dosage


Tous Districts – % des 129 centres avec rupture de stock de Quinine Injectable


Résultats – ACT plus Q Inj

• Au début seuls 29 des 129 centres avaient les 5 médicaments en stock (77% de ruptures)

• A la fin 96 des 129 avaient les 5 en stock (26% de ruptures)

• Une amélioration de 300%


Resultats ACT

• Au début 26% des centres n'avaient aucun ACT de qq dosage en stock.

• A la fin 99% des centres avait au moins un dosage d'ACT en stock.


Recommendations from the Pilot

• Implement the SMS for Life solution in all districts of Tanzania.

• Encourage the use the SMS for Life solution to track other medicines of priority.

• Apply the SMS for Life solution to disease surveillance.

• Implement SMS for Life in other African or non- African countries that have a need to eliminate stock-outs at health facility level.


What is the SMS for Life Platform?

• SMS for Life is much more than sending and receiving SMS messages. It sits on a powerful, proven, common data management platform with extensive mapping and management information tools residing within it.

• The SMS for Life software and communications platform is built on the pre-existing Vodafone Mobile Relationship Manager platform.

• This high availability, high capacity platform has been proven over many years and is currently supporting millions of customers with tens of millions of transactions per year.

• SMS for Life therefore shares the benefits of a multi-year software R&D and versioning programme that delivers proven, best-of-breed communications services, workflow management and data analysis.

• The same platform is used in many operational environments, for example; by multi-national banks like Banco Santander, Nationwide, Barclays, UK government bodies and global corporations.


Why is this important?

• This means that the SMS for Life solution benefits from infinite scalability and industry leading levels of security, support and disaster recovery capability, on a 24/7/365 basis.

• This hosting and management solution for SMS for Life provides economies of scale, with the infrastructure being set up once rather than having to be replicated in different locations on a country-by-country basis.

• SMS for Life is professionally hosted on dedicated hardware in two high security, class ‘A’ UK data centres.

• The SMS for Life platform provides in depth and consistent data analysis and reporting tools, which will mean much more accessible and powerful global management information and trend data.


Why is this important?

• SMS for Life delivers interoperability, with communications from and to a common platform giving the best chance of the system working effectively with aggregators and networks in the widest range of countries.

• All countries using the SMS for Life platform will benefit from system upgrades and additions, all managed centrally within established change management processes.


To reduce stockouts in 20+Countries

• One way to achieve this with speed, consistency of service delivery, cost effectiveness, efficiency and guaranteed operational robustness and scalability, with the highest standards of data security, is to use an enterprise system like the Vodafone SMS for Life solution.

• The alternative would be to build and deploy up to 20+ different systems, with these systems hosted on a different platforms in different locations, with little in terms of consistency of operational standards and with the risk of increased costs and inefficient management, particularly when viewed on a global level.


Costs - Tanzania Example

• Implementation and First Year costs for 131 Districts and 5000 Health Facilities, approx. $500,000

– 5000 Per Diem allowances, food, transport.– 1400 man days for 131 training session for health workers plus

district staff plus travel time– training materials, posters, training room rental etc.– transport and fuel.

– Partial year Operational costs during rollout– Partial year Incentives during rollout year


Costs - Tanzania Example

• Operational costs in following years, approx. $7000 per District per Year.

• Operational Costs - $4500– Includes free number rental– Includes Consolidator costs– Includes sms costs– Includes All backend technology and helpdesk support costs.– Includes all depreciation and equipment/software replacement

costs.

• Smart Phone costs for District - $750• Incentive Costs - $1700


Support Organisation

• Vodafone are the worlds leading telecomms company with annual revenues around $60billion. SMS for Life is offered by them as a commercial service running on their standard commercial Mobile Relationship Manager platform.

• Swiss TPH will support a resource center to handle country information and planning requests.

• Novartis will provide – resources to support countries in their decision and detail

planning process– Resources to train local implementation and training resources– Handover all training materials, posters, powerpoints,

processes, and best practices.


Summary

• SMS for Life has been proven to support and drive stock-out reductions

• SMS for Life is available now for large scale multiple country implementations

• SMS for Life is a commercial, and consequently a sustainable, solution

• SMS for Life has a large Global support organisation in place with all the capabilities required to implement and support at scale.



Thank You

for your time and attention

Documents

Pilot Districts