CLICK TO ADD TITLE [DATE][SPEAKERS NAMES] The 5th Global Health Supply Chain Summit November , 2012 Kigali, Rwanda Taking Supply Chain Innovations to the Public Sector: Improving Data Visibility Misheck Ndhlovu

OUTLINE 2 1.Roles most appropriate for public and private sectors 2.Managing product flow in country 3.Challenges facing public sector supply chains 4.The private sector 5.Increasing data visibility 6.Making it Work

Roles most appropriate for the public and private sectors Public sector role Product regulation and quality oversight Market regulation Highest potential for private sector role Physical distribution, warehousing and transporting Overlapping Issues Procurement Importation Retail/health service networks Financing Market and product Information

Activities and Enablers required for effective management of product flow in country Flow of goods to the country Product registration Product selection Forecasting Procurement Importation Flow of goods inside the country Ordering/replenishment Warehousing Distribution Reselling Retailing and health service delivery to patients Supply Chain Enablers Market and product information flows Financing Regulation and enforcement

Too many times supply chain managers in public health are “reactive” and not “proactive” due to lack of accurate and timely data to aid decision making Better information ensures better use of resources which are often in short supply

Challenges facing Public Health Supply Chains viz information Lack of facility level data Recording of data – most collection manual Aggregation a challenge - local and central Data quality Transmission of reports Tracking of products – batch tracking usually only available at central level

Challenges facing Public Health Supply Chains viz information Reporting –Too many registers and reports – vertical programmes –Rates low –Timeliness poor Lack of integration and at times duplication Accessibility of information Workload Staff morale

Private Sector Most cases more efficient Expertise available Recording automated: bar-coding, radio frequency identification technology, global positioning technology Last mile logistics management better – profit motive Use of technology for data transmission Use of web based systems

Increasing data visibility in public health system logistics Use of bar coding in warehouses Use of mobile technology to record and transmit data – EpiSurveyer developed by Datadyne (now Magpi) Vendor Managed Inventory and LMIS Use of personal digital assistants (PDA) or enterprise digital assistants Use of SMS for data transmission

Use of Dispensing software Use web based approach to disseminate information and reports Design of LMIS by experts in private sector Use of third parties to deliver commodities and collecting data – capacity for contract management

Making it Work Trust between partners (Ministry of Health, donors and private sector) Capacity building (skills to collect and analyse data) Utilise available resources for sustainability Integration – HMIS Manage database Make it simple Collect only what is absolutely necessary

Thank You Merci Obrigado