Holistic Supply Chain Review: Recommendations ... · Distribution of NHIF reimbursement for health commodity by service providers 2013/14 to 2015/16. Example of Module 4 Findings

Holistic Supply Chain Review: Recommendations &

Implementation

JAHSR – MEETING

DODOMA

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

Presented by: Chief Pharmacist

Presentation outline

1

1 Background

2 Aim and methodology of HSCR

3 Module findings

4 Recommendations

4 Implementation

5 Conclusion and way forward

Reform of Health Commodity

Supply System in Public Sector

Supply Driven System (EDP Kit)

Demand Driven System (Indent)

Demand Driven System (ILS)

LMU/eLMISfrom 2014

2

11/12/2018

HSCR

2017

1984 - 2008

1999 - 2009

2005 – to date

2014 – to date

Aim of the Review

3

Review was requested by the Global Fund aspart of the mission to improve supply chainperformance in the country – after MSDstrategic review

The aim of the reform was:

• Conduct a rapid assessment of theTanzania supply chain managementsystem

• Make recommendations to improve overallsupply chain performance and increasehealth commodity availability

Holistic Supply Chain Review (HSCR)

4

March – May 2017

Scoping DiagnosisStakeholders Consultations

Dissemination of Results / Resource

Mobilization

Drafting TORs Review task force

formation Designing review

approach Resources

identification and sourcing

Field visits Data collection

and analysis Development of

recommendations

Stakeholder engagements

Consensus gathering

Dissemination of the report

Sensitization Resource

mobilization and implementation planning

Mobilization of funds

Implementation

5

HSCR

Product specifications

& Quantification

s

Costing, Funding & Financing

Procurement & In- bound

Logistics

Inventory analysis,

Management & Policies

Storage, Warehouses & Logistics

network

Management Information

system

Module 1

Module

2

Module

5

Module

4

Module

3

Module

6

HSCR Modules Covered

Example of Module 1 Findings

Ad hoc changes in STGs for vertical programs coupled with inadequate dissemination to end users

6

HSCR Key Findings

Example of Module 2 Findings

7

Distribution of NHIF reimbursement for health commodity by service providers 2013/14 to 2015/16

Example of Module 4 Findings

8

Example of Module 4 Findings

9

The seven high level prioritized recommendations

The reports submitted altogether more than 80 recommendations, which weresummarized into 8 priority action areas;

1. MSD’s shift to a self-sustaining business through revenue enhancement and improved cost efficiency

2. MOHDGEC to prioritize, strategize and standardize Essential Medicines List, Diagnostic and Medical Equipment in the Health System

3. Increase access of health commodities to health facilities through more frequent delivery to health facilities.

4. Development and implementation of the universal electronic platform for end-end supply chain visibility

5. MSD to prepare and submit stock status reports to key decision makers at MOH, PORALG and other partners

6. PORALG and MSD to address storage space constraints for both health facilities and MSD respectively

7. PORALG to employ and deploy pharmaceutical and Laboratory staff in all health care facilities.

8. Strengthening Governance and Coordination in supply chain

10

HSCR – Implementation Status

The Costed implementation plan of the HSCR

Following observation of gaps in planning, financing,human resources and service provision at manyparts of the supply chain system

Decision was made to develop an Implementationplan to address key priorities areas.

The seven priority areas from the HSCRrecommendation were taken as thematic areas forthe CIP with an addition of one area.

11

The implementation status of the HSCR recomendation

12

0

5

10

15

20

25

Implemented

On going

Not started

Overall implementation of recommendations

13

7

57

56

Implemented

On going

Not started

HSCR Immediate Action

14

HSCR Immediate Action…..

15

Challenges

Resource mobilizations

Implementing partners' alignment

Coordination among stakeholders

16

Way Forward

Dissemination of the CIP

Resource mobilization

Government commitment on budget

IP`s, DP`S and other stakeholders alignment

17

Policy statements

• Procurement of health commodities directly pharmaceutical manufacturers

• Promotion of local pharmaceutical manufacturing

• Increase access of health commodities to health facilities through more frequent delivery. (Procurement and Timely delivery of health commodities at service delivery)

• Development and implementation of the universal electronic platform for end-end supply chain visibility ( Logistics information system and technology)

18

19

THANK YOU