Task Shifting and Vendor Managed Inventory October 6, 2010 Tinei Chitsike Logistics Advisor USAID | DELIVER PROJECT Zimbabwe Field Office.
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Task Shifting and Vendor Managed Inventory
October 6, 2010
Tinei ChitsikeLogistics Advisor
USAID | DELIVER PROJECTZimbabwe Field Office
Public Health Challenges
• Lack of financial & human resources• Attracting, recruiting and retaining skilled health
workers• Poor working conditions, low motivation & brain drain• Economic challenges, wage bill restrictions & salary
freezes
Task Shifting
• Move work from non-specialized to specialized health workers
• Establish a core group of professionals who use formal procedures
• Train, certify, mentor/coach, and routinely assess quality
• Sustain motivation and performance levels.
Opportunities
• To a certain extent, relieves dependence on certain scarce qualified staff
• Improves workforce skills mix and health-related system efficiency.
Risks• Professional responsibility vs. legal liability• Potential institutional and professional
resistance.
Lessons Learned
• Do not use task shifting in isolation but as part of the overall strategy
• Establish clear protocols to reduce workload and simplify tasks
• Progressively increase and diversify workload and implement easy-to-use technologies
• Provide adequate training, support, and supervision to manage stress and burnout.
Vendor managed inventory
• VMI is a form of task shifting • Is a means of optimising supply chain performance in
which the vendor is responsible for maintaining the client’s inventory.
• Vendor has visibility of the client’s inventory and is responsible for generating orders and replenishing stocks
• Commercial sector–soft drinks, public sector–DTTU
Benefits of VMI: DTTU in Zimbabwe
Recommendations (Task Shifting)
• As part of the broad strategy, mobilize resources to address conditions of service
• Understand country context before beginning• Assess impact on outcomes, efficiency, and
effectiveness of health care delivery• Encourage stakeholder participation.
Recommendations (VMI)
• Use VMI program to yield positive results by increasing availability of commodities
• Use VMI to potentially achieve cost efficiencies by minimizing supply chain cost drivers, e.g., training
• Ensure management capacity is in place for VMI—use third party logistics provider.
Thank You
Questions?
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