1. Global Health Supply Chain Technical Assistance – Tanzania
GHSC – TA - TZ
October 5, 2016

2. Introduction Newly awarded 3-year project by the USAID Tanzania
GHSC supports MoHCDGEC (PSU, MSD), PORALG and partners to improve health commodities availability through strengthening supply chain systems
The project builds on successful USAID efforts through JSI projects SCMS and USAID|DELIVER

3. Project Objectives
Objective 1: Strategic Planning: Provide Strategic Planning and Implementation Assistance
Objective 2: In-Country Logistics: Improve Delivery of Health Commodities to Service Sites
Objective 3: Capacity Building: Broaden stakeholders' understanding and engagement of the supply chain system.
Objective 4: Enabling Environment: Strengthen Enabling Environments to Improve Supply Chain Performance

4. Objective 1: Strategic Planning2 3
Assist leadership to operationalize strategic plans:
Operationalize BRN and HSSP IV health supply chain priorities
Assist leadership to advocate for government resources needed for successful implementation.
Work to align MSD's strategic plan approach with national priorities
Plan for transition from donor-funded support:
Aid the MOHCDGEC, Ministry of Finance and MSD to formulate a long-term strategy to transition away from donor-supported activities- including the procurement, management and oversight of health commodities- to domestic resources.
Further clarify operating processes:
Identify areas of the supply chain that require further modification to SOPs and a method for communicating new processes.
Identify cost-effective ways for communicating change that does not depend exclusively on classroom-based training

5. Objective 2: In-Country Logistics1 2 3 4
Strengthen the eLMIS:
Establish governance platform to manage system changes
Engage with int’l OpenLMIS community
Strengthen capacity to provide Tier 2 and Tier 3 support
Support the LMU M&E team in analyzing eLMIS data and using data for decision making.
Expand eLMIS use at district and facility level
Streamline quantification:
Build skills for developing forecasting/quantification plans, and leveraging eLMIS data
Urge LMU and vertical programs to budget for quantification activities.
Establish plan to involve stakeholders in exercises.
Verify that eLMIS data is properly used
Oversee the supply plan and adjust shipments on a regular basis
Institutionalize data use, improve data quality:
Encourage stakeholders to use eLMIS system.
Assist the LMU team to verify that eLMIS and HMIS data are complete, timely and accurate.
Support the LMU headquarter M&E team and MSD staff on the collection, analysis and use of data to inform operations and business decisions
Support operational expenses of LMU:
Provide Supply Chain Monitoring Advisors
Work with the MOHSW to plan the mobilization of funds to support unit operations and develop a long-term approach to providing these services

6. Objective 3: Capacity Building1 2 3 4 5
Mentor LMU leadership:
Build the capacity of the unit to advocate for its own resources and establish itself as the go-to source for commodities information and advice
Support RBF Unit in the roll out of RBF in Tanzania.:
Provide periodic technical assistance needs related to supply chain, as needed, to two RBF regions
Coordinate with PS3 activity
Assist GOT to budget for health commodities:
Assist the Department of Policy and Planning to articulate total commodities budget needs in a compelling manner to the Ministry of Finance
Track commodity budget requests, allocations and disbursements
Strengthen RHMTs and CHMTs:
Continue to support RHMTs and CHMTs to proactively manage health commodities through the use of eLMIS data.
Encourage and build the capacity of to address stock imbalances through the use of locally generated resources or stock transfers
Develop a new approach to change management:
Explore using local resources to implement change such as the Zonal Health Resource Centers as training and capacity-building sources for pharmacists, the LMU and MSD Zonal Stores

7. Objective 4: Enabling Environment1 2 3 4
Solidify the LMU's role in information sharing and oversight :
Mentor the LMU as they become experts in health supply chain management
Strengthen their capacity to be a conduit of information and to use and synthesize available data to advise key stakeholders on improving the system.
Assist the LMU to be conveners and coordinators
Expand the role of the private sector:
Assess opportunities to increase competition and incent high quality performance among 3PLs
Clarify processes to obtain product when MSD stock is not available
Promote an environment friendly to increased number and volume of wholesalers and resellers
Communicate to patients and facilities how to access and use private sector ,
Establish a culture of collaboration and information sharing:
Increase awareness of system performance and of upstream/downstream movement of information and products
Identify other opportunities to establish a culture of information sharing to promote supply chain transparency
Strengthen governance and accountability:
Promote the use of existing venues for civil society, such as the Council Governing Board or the Facility Governing Committee and, as needed, establish additional processes for civil society engagement

8. GHSC expectations
Promotion and advocacy for more collaboration among IPs
Agreed priorities and common approach to strengthen Tanzania health supply chain system
Partners leveraging the GHSC mechanism to address supply chain challenges
Establishment of a well planned supply chain annual symposium
Elevation of the health supply chain agenda above and beyond MOHCDGEC
GoT engagement, commitment and ownership of SC

9. Our contacts
Mavere Tukai – Chief of Party Marasi Mwencha – Deputy Chief of Party