1. eLMIS & LMU - Strengthening the Supply Chain

2. Presentation overview
The objectives of this presentation are to:
Provide the development partners with a deeper understanding of the eLMIS and how it will be used to improve supply chain decision making.
Inform all key stakeholders of the role the Logistics Management Unit (LMU) will play in the implementation of the eLMIS.

3. What kinds of problems do you experience with data management?
Infrequent adherence to reporting groups
Stockouts Overstock Expiry
Wastage
Late reported orders
Difficulties with ordering and reporting
Data accessibility and accuracy
HMTs require logistics data for supervision support
Absence of facility level data for decision-makers

4. Tanzania’s eLMIS vision
An effective and sustainable electronic logistics management information system (eLMIS) should be user friendly and facilitate that adequate quality and quantities of health commodities* are always available at the point of service to meet patient demand. The eLMIS must provide integrated access to:
Accurate, timely and routine consumption data
Real-time logistics management capabilities covering point of origin to point of consumption
Demand forecasting, capacity planning & modeling based on consumption
(* vaccines, medicines, medical & diagnostic supplies, etc.)

5. How can we addresses some of these problems?
Trained people (LMU), consistent processes and … e L M I S
electronic
Logistics
Management
Information
System
An electronic tool for managing orders and logistics data

6. September 12-13, 2011
eLMIS visioning workshop Dar-es-Salaam, Tanzania

7. January 24-27, 2012
MOHSW and MOH eLMIS collaboration
Lusaka, Zambia

8. September 12-13, 2011
October 13-20, 2012
eLMIS visioning workshop Dar-es-Salaam, Tanzania
eLMIS Development Kickoff
Lusaka, Zambia

9. What are key eLMIS features?
An integrated data repository where all report and requisition (R&R)
data can be entered
An analytical tool which can process the raw data for decision-making
A custom reporting tool for administrators,
managers, policy and other decision-makers
Ability to interface and exchange data
with other MOHSW approved MIS solutions
Improving availability health commodities at SDPs

10. eLMIS business processes
Requisition
Order Processing
Transport (order tracking)
Receiving
Inventory management
Dispensing (HMIS)
Forecasting
Overview of the business processes of the eLMIS
An integrated data repository that will provide a data entry module for all R&R’s and other routine logistics data
All programs
Interface with other e-systems
Provide real time logistics data for decision makers at all levels of the system
Inform quantification process
Adjust procurement plans
Improve availability of health commodities at SDPs

11. eLMIS information flow
Facility will create paper R&R
District will receive paper R&R and enter into eLMIS
LMU/MSD will receive approved R&R and review before entering in to E9
Central level will view reports and dashboards and receive alerts
Share and Review Reports
instant
paper
Review changes
Send R&R
eLMIS
for Incorrect Order 3 2
District
Send and Review Reports
eLMIS 1
Send R&R E9
LMU/MSDZone
ILS Gateway Data
ILS Gateway Data 1
LMUs
Health Facilities
District Deliver
Proof of Delivery notification
Central/MOH accesses ILS Gateway and eLMIS data instantly.
Deliver Consignment
instant
Zone Deliver
Deliver Consignment 4 2
eLMIS / ILSG
Central / MOH

12. How is the eLMIS changing the way we do our jobs?
Key Stakeholders
Key Stakeholders
Instantly view key reports and dashboards indicating system performance
Monitor consumption of commodities
Send teams for data collection to identify supply chain challenges and collect logistics data
Issues data based quantification
Today
Phase I
Use additional system reports to improve timeliness and quality of supply chain decision making
Coordinate and allocate resources more efficiently
No real time data
Lack of comprehensive data for decision making
Lack of comprehensive consumption data for quantification
Problems
Phase II

13. Which reports will the eLMIS provide?
Order fill rate and Item fill rate
Supply status by product
Stock status of warehouse
Supply status by facility
Summary district consumption by product
Stocked out report
Dispensed to user report
Quantity ordered discrepancy report
Consumption average by product
Non-reporting facilities
Stock imbalance by product and facility
Aggregate stock movement by level

14. eLMIS councils training progress
69% Councils Trained

15. Planned sensitization trainings, continued
Phase 1
DATE
May – July 2014
May - July 2014
July – Sept 2014
GROUP
MOHSW
MOHSW
MOHSW
TARGET GROUP
Program Managers, Logistics Officers
Management Team
RHMTs and DEDs, DMOs
# PARTICIPANTS
N = TBD
N = TBD
N = 108 (27 4 pax)
N = 254 (127 2 pax)
KEY CONTENT
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
STATUS
Planned
Planned
Planned

16. Planned sensitization trainings
Phase 2
DATE
June – August 2014
May 2014
May – July 2014
GROUP
Development Partners
MSD
MSD
TARGET GROUP
Technical teams
Area Managers, CS Manager, M&E, Inventory Analysts
MSD EMT
# PARTICIPANTS
N = 40-60
N = 15
N = 8
KEY CONTENT
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
System overview
Process overview
Task completion demo
Report filters Navigation
Dashboards and reports
STATUS
Planned
Planned
Planned

17. What about the E9 and ILS Gateway?
Orders
data
ILS Gateway
eLMIS E9
Shipment details
A mobile health alert and reporting system designed to increase the visibility of logistics data and improve product availability
A system that allows for electronic ordering and reporting
A system that integrates Sales, Procurement, Finance, and Logistics functions into one place to facilitate transparent and efficient operations for MSD

18. eLMIS - Integrating people, process & technology
Requisitions and Reports (R&R)
Orders
Shipments
Hospitals HC
DSP √
R&R
R&R ARVs
R&R
R&R
HIV tests
R&R
R&R OI
R&R
R&R
ILS
ILS-G
NTLP TB
Capturing data
ILSG reminding people to order on time
LMU looking at data quality – using the data for decision making (representative from all programs/levels of the health system)
As a result of this, the order processing will greatly be streamlined
MSD ERP
EPICOR
IVD
eLMIS
LMU
Service Delivery Point
District
Region
Medical Store Department

19. What is a Logistics Management Unit?
Identifies supply chain problems, develops interventions to address those problems, and implement interventions
Strategically:
Solidifies supply chain management as a national priority
Acts as a focal point for attracting dedicated supply chain resources
Uses those resources to identify, prioritize, and implement system strengthening activities
Manages supply chains holistically, in the case of segmented supply chains

20. Overview of the LMU
Ministry of Health and Social Welfare (MOHSW) recognized need to establish a LMU that would be responsible for organizing, monitoring, and supporting all supply chain activities within all logistics systems in the country. Key functions of the LMU include:
Logistics Data Management
Quantification
Monitoring & Evaluation
Coordination and Collaboration
Supply Chain Intervention Planning
Training & Capacity Building
Supervision

21. Geographic spread of LMU staff
ZONE
JSI STAFF
GLOBAL FUND STAFF
Dar es Salaam 9 6
Dodoma 5 2
Iringa 1
Mbeya
Moshi 8
Mtwara
Mwanza
Tabora
Tanga 4
TOTAL 57 18

22. The reach of the LMU National AIDS Control Program
National Malaria Control Program
Reproductive and Child Health Program
National Tuberculosis and Leprosy Program
Expanded Program on Immunization
Food and Nutrition Center
Logistics Management Unit
Medical Stores Department
MOHSW programs
MOHSW divisions
MOHSW agencies
MOHSW units
Implementing Partners
Development Partners/ Funders/ Donors
Service Delivery Points
District Pharmacists / DMOs
Global Fund
UNICEF
Global Drug Facility
USAID
DFID
JICA
DANIDA
WHO
Preventive Services
Curative Services (and diagnostic and health care technical services section
Tanzania Food and Drugs Authority
JSI
USG Implementing partners
UNICEF
PSI
CHAI
BMAF
Procurement
Information, Technology, and Communication

23. LMU data management tasks
Act as primary users of the electronic logistics management information system (eLMIS)
Receive and review submitted R&R’s for accuracy, completeness, timeliness, and validity and take necessary corrective action
Enter R&R’s into the eLMIS for MSD order processing
Follow up on missing reports and prepare routine feedback reports (central, intermediary, and facility levels)
Aggregate, analyze and interpret logistics data to produce reports on logistics system performance

24. R&R’s created in the eLMIS to date

25. Number of health facilities visited and provided training by LMU staff Jan-Mar

26. With the help of the LMU, the eLMIS will ensure that…
Data is more ACCURATE.
Based on access rights, DATA VISIBILITY is increased.
Data is available in ‘REAL-TIME’.
Data is TRANSPARENT.
supply chain DECISION MAKING is strengthened

27. THANK YOU