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Overview of JSI & USAID | DELIVER PROJECT Reproductive Health Supplies Monitoring
Learning Exchange:
Transparency/accountability strategies & reproductive health delivery systems
School of International Service, American University
June 27, 2016
Suzy Sacher, John Snow, Inc.
Overview • Logistics reporting & monitoring systems
– Global
– National/local
• Supply data dissemination & use
• Summary of:
– Successes
– Challenges
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Global-Level Logistics Reporting & Monitoring Systems
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Coordinated Supply Planning (CSP) for Donors of Contraceptives
• Group formed to enable better coordination between UNFPA and USAID
• Purpose: Share information to reduce global supply risk for FP products through coordinated forecasting & supply planning
• Group includes –
– UNFPA
– USAID
– Clinton Health Access Initiative (CHAI)
– JSI through Implants Access Program (IAP) and the USAID | DELIVER PROJECT
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RHInterchange www.unfpaprocurement.org/rhi-home
• Provides web-based access to up-to-date contraceptive order & shipment information for more than 140 countries
• The most public record of global contraceptive donations & shipments
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Coordinated Assistance for Reproductive Health Supplies (CARhs) Group
• Group working to assist countries in preventing/managing supply crises
• Meets monthly to review/address supply issues:
– Initiate emergency shipments
– Expedite or postpone existing shipments
– Facilitate product transfers between countries
– Provide updated information on shipments/orders
• CARhs members –
– UNFPA, USAID, RH Supplies Coalition, USAID │DELIVER PROJECT, WAHO, IAP, CSP, CHAI, FP2020, GHSC-PSM
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Procurement Planning & Monitoring Report
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ppmr.rhsupplies.org
• Country-level data on consumption, stock on hand, upcoming shipments, contextual updates
• Data used to highlight/address potential shortages & overstocks
• > 50 programs in 33 countries report routinely
National/Local-Level Logistics Reporting & Monitoring
Systems
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Monitoring Supply Status (1)
Routine Reporting Systems
• Paper-based logistics management information systems (LMIS)
• eLMIS (e.g., mobile or web-based)
• Informed push
(direct delivery & data capture)
• Review & resupply meetings
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Web-Based eLMIS (Pakistan Example)
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Data on consumption, stock on hand,
reporting rates
Monitoring Supply Status (2)
Periodic/Routine Monitoring Systems
• Supportive supervision
• Health facility assessments
• National contraceptive security assessments
(e.g., CS Indicators, LSATs, SPARHCS, RHCSAT)
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Health Facility Assessments: Supply Chain Performance & Product Availability
Typically include:
• Physical inventory count
• Review records and reports
• Staff interviews
• Observation of storage area
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, Nigeria
% o
f Fa
cilit
ies
Availability on Day of Visit, Nigeria, 2002-11
2002 2005 2007 2011
Male Depo- Exluton/ IUCD Micro- Noris- Condom Provera Microlut gynon terat
Contraceptive Security (CS) Indicators Survey
• Annual survey covers 5 areas critical to CS:
– Finance
– Policies
– Commodities
– Coordination
– Supply chain
• Most recent survey included 49 countries – mainly USAID Tier 1 countries for RH or USAID | DELIVER PROJECT presence countries
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Supply Data Dissemination & Use
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Supply Data Dissemination & Use (1)
Within the supply chain system:
• Supportive supervision/OJT
• Routine resupply/reallocation
• IMPACT team networks
(e.g., quality improvement teams)
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Malawi IMPACT Team Networks Example
(using cStock)
Health Facility
Teams – • Monitor indicators • Resolve issues • Recognize good performance
District Teams meet monthly
Teams meet quarterly
Community Health Worker
Supply Data Dissemination & Use (2)
On a broader basis:
• National contraceptive security committees
• Civil society outreach (professional assoc., religious orgs, youth groups)
• Dissemination through the media
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Zambia Logistics Newsletter
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A MINISTRY OF HEALTH PUBLICATION
CONTRACEPTIVES AVAILABLE AT MSL
Successes
• LMIS increasingly used & increasingly electronic
• Data processed more quickly and available more broadly
• Data being used for decision-making
• Greater coordination in-country and at global level between donors
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Challenges
• Data not always available in real time
• Ministries often do not want data to be publicly available
• Even available data may not be accessible to the public
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Thank you!
Questions
Suzy Sacher, Technical Advisor
Dana Aronovich, Performance Manager [email protected]
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