Operational challenges in stock management (Posted on behalf of Dr Ousseynou Badiane)
Puta, Chilunga
Post on behalf of Dr Badiane (Senegal) in both French and English.
French
Problématique de la gestion des stocks au niveau opérationnel
Le Sénégal a introduit beaucoup de nouveaux vaccins et a actuellement 12 antigènes dans son programme. Des efforts énormes sont faits dans le financement des vaccins qui coutent de plus en plus chers à partir des fonds du gouvernement et du soutien de GAVI. Il donc important pour nous d’améliorer la gestion de ces vaccins à tous les niveau pour augmenter l’efficience du programme.
L’un des maillons faibles de notre système d ‘approvisionnement est le manque de visibilité sur les stocks au niveau des dépôts de district et de poste de santé. Il nous est quasi impossible de donner à un instant T les niveaux de stocks au niveau opérationnel. Nous avons le même problème lors des campagnes. Et pourtant les outils de gestion existent, le circuit de l’information est défini, le personnel formé et le rythme de rapportage et connue. Cependant la complétude des données reste faible et les informations transmises sont de mauvaise qualité donc inexploitables.
Nous aurions aimé donc discuter avec les pairs pour partager des expériences réussies dans ce domaine dans d’autres pays.
Merci
Ousseynou
English
Senegal has introduced several new vaccines and its EPI now contains 12 antigens. We are putting in significant investments – through government funding and GAVI support – for increasingly expensive vaccines. Better vaccine management at all levels is thus important if we want to increase EPI efficiency.
One of the weakest links of our procurement system is the lack of visibility on stock levels at the district warehouses and health facilities. We are unable to determine the operational stocks at any given time. We face the same problems during immunization campaigns. This is despite the facts that there are several management tools available, the information circuit for EPI is pre-determined and well-known, the personnel is trained and the reporting schedules are known. Data completeness is rare and transmitted data are of questionable quality, making them unusable.
We would thus like to discuss this topic with our peers in other countries, to share with us their experiences in tackling this.
Thank you
Ousseynou
Esther Mtumbuka
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ousseynou badiane
Taliesin, Brian
Dear Dr. Badiane,
Dr. Dafrossa Lyimo has been leading an effort to consolidate the different tools used for immunization supply chain management since late 2012.
CHAI, JSI, VillageReach, and PATH are jointly working together to migrate functionality into the current logistics management information system (OpenLMIS/eLMIS) that multiple countries can use. And multiple donors are funding the effort. The system will include the stock management and cold chain management that Dr. Mtumbuka mentions below, along with integrated monthly reporting to the WHO, improved forecasting, utilization of barcodes that are being added to the vaccine packaging, and eventual incorporation of the immunization registry data deployed as part of the BID Initiative.
Dr. Dafrossa can provide more details regarding the roll out plans for this integrated Vaccine Information Management System (VIMS), and we should be able to showcase the features in the months to come.
Warm regards,
Brian Taliesin
Systems Analyst, PATH Digital Health Solutions
2201 Westlake Ave. Suite 200, Seattle, WA 98121 USA
Direct: +1.206.302.6039
Mobile: +1.206.387.8932
Skype: btaliesin
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ousseynou badiane
Rowena Luk
VP de Stratégie
Dimagi, Inc.
Skype: rowenaluk
Senegal: +221 78 291 23 25
Cape Town: +27 79 908 3304
USA: +1 857 919 5178
Dr. Esther Mtumbuka
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ousseynou badiane
Dr Ousseynou BADIANE MD, MPH
Date: Fri, 7 Aug 2015 02:32:16 -0700
From: rl...@dimagi.com
To: bidini...@googlegroups.com
CC: mbha...@dimagi.com
Subject: Re: RE : RE : Operational challenges in stock management (Posted on behalf of Dr Ousseynou Badiane)
Tatenda Mutenga
Dear Dr. Badiane,
In Mozambique the OpenLMIS-based system called SELV (Sistema Eletrónico de Logística de Vacinas – Electronic Vaccine Logistics System) has been instrumental in vaccine logistics and service delivery management at local levels. Designed by VillageReach and the Ministry of Health, the web-based tool has complemented the Dedicated Vaccine Logistics System (DLS) implemented in 4 provinces of Maputo, Gaza, Cabo Delgado and Niassa and will soon be expanded to an additional two provinces of Zambezia and Tete by October 2015.
The DLS is an informed push vaccine delivery system where a monthly visit is made to each health center by a field coordinator trained in logistics. The field coordinator counts the current stock on hand and tops-up each vaccine to the recommended level. Data on current stock levels and quantity distributed are directly entered in SELV on tablets, where it is immediately available to stakeholders. In addition,data on coverage rates and the cold chain are collected during the visit. SELV is also currently being modified to include data from remote temperature monitoring devices for fridges equipped with that technology.
You are right that even with trained personnel and information systems investments, it can be hard to get accurate and timely data from the district and health center level. In Mozambique we have found that having a trained person responsible for collecting the data dramatically improves data completeness and quality. The data that is generated is trustworthy and can be acted on by decision makers at the provincial and national level – a real change from the previous situation where there was no reliable visibility into stocks at the health facility level.
Overall, The EPI key performance indicators (KPIs) have shown marked improvements as exemplified by the reduced vaccine average stock-out rates reaching annual bottom low levels of 2% from initial highs of 16-45% five years ago. The exponential performance improvement is attributed to the innovative informed push Dedicated Logistics System as well as increased data/information visibility and utilization. The Mozambique MOH National EPI Manager Dr. Graça Matsinhe and team (at central and local levels) can provide more information on how the data visibility has improved vaccine supply chain operations as well as strategic planning.
The system is also helping with preparations for the introduction of three new vaccines in September 2015. Data provided by SELV is supporting Provincial Directorates of Health in cold chain preventive and corrective maintenance including the identification and subsequent substitution of deficient cold chain equipment (fridges) at Health Unit level.
The same system has been translated into French and is used for informed push vaccine distribution in Benin (called Système d’informatisé d’information de Gestion Logistique). OpenLMIS has been designed to be adaptable to the needs of various countries, as well as support the unique requirements of various supply chains (malaria, ARVs, vaccines, etc.) all within the same system. OpenLMIS is also deployed in Tanzania, Zambia, and Cote D'Ivore.
Please feel free to reach out to me or our colleagues at the Ministry of Health for more information.
Best regards,
Tatenda Mutenga | tatenda...@villagereach.org
Monitoring and Evaluation Officer/Oficial de Monitoria e Avaliação
VillageReach Starting at the Last Mile
Avenida Ho Chi Min, nº57, 1º Andar, Maputo, Moçambique
MOBILE +258.84.800.7545 TEL +258.21.326.446 FAX +258.21.326.448
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ousseynou badiane
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