Use of an eLMIS that Visualizes Data from Family Planning SDPs in Bangladesh: Initial Experience and Opportunities for Improved Decision-Making Mohammad Golam Kibria Senior Technical Advisor, SIAPS Program Management Sciences for Health (MSH) Bangladesh
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Implementation Experience of DGFP eLMIS in Bangladesh
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Use of an eLMIS that Visualizes Data from Family Planning SDPs in Bangladesh: Initial Experience and
Opportunities for Improved Decision-Making Mohammad Golam Kibria
Senior Technical Advisor, SIAPS Program Management Sciences for Health (MSH)
Bangladesh
Pharmaceutical Supply Chain Management Initiatives in FP programThe USAID funded and MSH led SIAPS program is working with DGFP/MOHFW to improve:•Procurement and Logistics management of FP commodities - processes and tools•DGFP’s Health Information System (HIS) – Innovation, system Design and roll-out•Forecasting and supply planning for product availability•Informed decision making on stock situation of RMNCH commodities •Monitoring progress and performance of the supply chain
Problem statement• Unavailability of real-time logistics information from
service delivery points (SDPs) • Poor data quality and use • Untapped opportunity to improve logistics
management system and monitoring performance at the last mile delivery points
……resulting to chronic sporadic stock-outs of contraceptives at SDP level
Addressing the challenge: the Process• Conducted system review, analyzed options and
redesigned • SDP wise product mapping SDP include Family Welfare Assistants (FWA), Family Welfare
Visitors (FWV), NGO etc.
• Improved paper-based system around the supply chain information system
• Improved documentation and provided technical and technological capacity building training at all levels
Addressing the challenge: Development of SDP dashboardDeveloped and incorporated a web-based Service Delivery Point (SDP) dashboard module in the MOHFW Supply Chain Management Portal (https://scmpbd.org/index.php/lmis-dashboard) that provides-•SDP Stock Status information through Upazila Inventory Management System (running in 488 sub-districts)•An interactive dashboard presenting easy-to-understand charts, maps and tables on stock levels of individual SDP•SMS alert for- action reminder, tracking report submission against timeline, potential stock imbalance/stock out of FP commodities
Advantages of SDP Dashboard Module
Web-enabled logistics information system (SDP Dashboard module) facilitated in:
- improving data availability, accessibility, quality - enhancing monitoring capacity, transparency and efficiency of the family planning commodity tracking system - improving performance of individual SDP- Mapping out potential vacant positions and human resource planning
Supply Chain Management Portal- At a glanceDGFP’s web-based portal: Includes a wide range of features to manage procurement processes from planning to the receipt of commodities. Accessible to the MOHFW and stakeholder decision-makers at various levels
Stock monitoring at different levels
Result: Improved logistics information systems contributed to a responsive supply chain
Result: % of SDPs (FWA, FWV, NGO) having stock-out of contraceptives
National Contraceptive Stock Status in Sept 2016
Stock-out vs Month of Stock of Implant
Commitment: Bangladesh is the first country to commit to Take Stock!
Directorate General of Family Planning has been an active member (300th) of the RHSC since 2014.
Commitments:
1. Adopting the two FP2020 indicators of the Coalition’s harmonized suite of indicators and submitting data to FP2020 by 2016
2. Making all data relating to stockouts of reproductive health commodities publicly available by 2016 (https://scmpbd.org/index.php/lmis-dashboard)
3. Between now and 2017, reduce the stockout rate of reproductive health supplies from 2% to 1% at Service Delivery Point (SDP) Level
• Intuition vs. data-driven decision making • Lack of coordination • Prompt actions taken based on information• Retention of trained staff• Improving the ICT infrastructure• Ensuring feedback mechanism from upper
in the district/Upazila monthly meeting• Staff motivation
Opportunities and Way Forward (I)
• DGFP SDP dashboard module can support the systematic organization of critical logistics information needed for timely decision making in FP program
• High visibility of data has profound motivating effects through both recognition of excellence and transparency of poor performance
Opportunities and Way forward (II)
• Government and donor commitment and potential collaboration can accelerate the progress towards good governance and accountability around pharmaceutical management
• Data driven policy decisions (by Forecasting Working Group, Logistics Coordination Forum etc.) can improve overall supply chain management
• Progress towards the sustainability of Health Information System tools for supply chain management