Progress on Planning for Deployment Geneva, 16 April 2015 Advisory Group Meeting

➔ Review key deployment gaps from H1N ➔ Provide overview of timeline of 2015 activities ➔ Update on three key 2015 activities −Analysis of global capacity −Antiviral stockpile strategy −Simulation tool ➔ Obtain high level feedback on functions of a simulation tool −Demonstration and hands on feedback session Objectives: 2

Vaccine Deliveries & Preparedness 3 ➔ Gap: −Supply and demand systems not well aligned ➔ Cause: −Global capacity (cold chain etc. ) −Frequent changes −Country readiness ➔ PIP goals: −Mapping global capacity to anticipate bottlenecks −Simulations tools to practice PIP: Reduce the time and the gaps

Timeline of deployment activities JFMAMJJASOND Simulations Document simulation concept Develop a “prototype” version Solicit feedback, multiple groups Finalize and launch simulation Model agreementsModel agreements Update model agreement Revise demand planning tools Align donor agreements models Mapping of Global CapacityMapping of Global Capacity Map global logistics capacity Identification of strategies Model logistics approach Common approachCommon approach Assess gaps in "readiness" Develop TA strategy Develop guidelines /SOPs anti –viral integrationanti –viral integration Review of SOPs, tools, literature Analysis & scenario development Consolidation and review

Mapping global capacity and "readiness" factors Identification of global assets Scoping of uses Analyze gaps in previous national plans Develop information framework Obtain stakeholder feedback Redevelop planning tools Framework for technical assistance SOPs and technical assistance Feedback We are here ConceptFrameworkData collection

© World Health Organization Simulation tool development activities Assumptions Needs assessment Concept Technical Resources Prototype Feedback round 1 Programming Add-ons Feedback rounds 2-4 Testing Launch simulation with selected partners We are here SchematicDesignProgramming

Feedback on simulation, round 1: information for change and risk management © World Health Organization Political and planning risks Logistics and country risks Product Demands from large countries Prioritization conflicts Single dose presentations Special requests e.g. leaflet translations Regulatory / Pharmaco- vigilence capacity Storage capacities, all levels Shortages of qualified staff Embargoes Mitigation Secondary risk assessments for large countries and partial shipments Develop criteria for logistics into prioritization activities Request limitations on single dose presentations

➔ Improved visibility and management ➔ Coordination of logistics ➔ Managing impact of change across stakeholders ➔ Better transparency ➔ Facilitation of monitoring ➔ Ongoing practice across diverse stakeholders Objective of the simulation tool © World Health Organization

➔ Three select focal areas or "dashboards" −Manufacturers −Allocation (WHO) −Recipient countries (those eligible for receiving donations) ➔ Demonstration will include −Show selected concept with key questions −Provide a live of the function −Brief discussion of key questions (5 minutes per focal area) ➔ Continued demonstration will continue for additional and informal feedback Demonstration and feedback on simulation tools © World Health Organization

Based on SOPs for managing demand changes © World Health Organization Iterative confirmation and change process management for rolling supply and demand

Main dashboard for supplier © World Health Organization Key questions: Who at the supplier level is authorized to view? Who can approve a confirmation of availability? Who can view if there are 2 legal owners? Synergy with internal systems of suppliers?

WHO pre-allocation and allocations 12 Key questions: Who can access this information? Does it contain enough information for risk management?

Country planning information © World Health Organization Key questions: What level of documents can and should be uploaded as a resource here? Who can see this information? Transportation companies? Technical assistance partners?

Quick list of documents to be uploaded © World Health Organization From manufactures to countries : ➔ Product description (quantity, batch number, exp. date ) ➔ Leaflets ? ➔ Recommendations of use and storage ➔ Certificate of analysis ➔ Certificate of origin From countries to WHO: ➔ Market Authorisations ➔ Importation permits

Live demonstration followed by informal question and answer Live demonstration © World Health Organization

World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland Thank you 谢谢 Merci Cпасибо شكراً Gracias