File - 6th Global Health Supply chain summit

January 16, 2018 | Author: Anonymous | Category: Engineering & Technology, Industrial Engineering, Logistics
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The 6th Global Health Supply Chain Summit

Using Data to Strengthen Supply Chain Performance for HIV and AIDS Commodities in Swaziland Gashaw Shiferaw [SPEAKERS NAMES] November 18 -20, 2013[DATE] Addis Ababa, Ethiopia

Outline

• Background • Methodology • Results

• Conclusions

Background

• Swaziland has the world’s highest HIV prevalence, 26% • The supply of life-saving antiretroviral (ARV) medicines and other HIV commodity has historically been hampered by long procurement lead times, inappropriate stock management and inefficient quantification/forecasting • Inadequate supply and frequent stock outs was often exacerbated by the lack of a reliable data and logistics management information system (LMIS) to inform decisions like quantification and resupply • To ensure an uninterrupted supply of ARVs, the Swaziland Ministry of Health (MOH) worked with partners, to design and implement an adequate LMIS in support to the national HIV and AIDS program.

Background

• In this respect, the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program is collaborating with the MOH to help strengthen the national ART supply chain system including LMIS to improving the availability and utilization of data for decision making

Methodology

• The SIAPS Program and its predecessor, the Strengthening Pharmaceutical Systems Program (SPS), worked with the Ministry of Health of Swaziland and other partners to conduct an initial situation analysis • The analysis results were used to help design and implement an LMIS and tools to support the national antiretroviral therapy (ART) program and the central medical store • The electronic inventory management tool, RxSolution, was selected as a data collection instrument and was introduced to all ART sites – The aim of RxSolution is to facilitate the collection, aggregation, and reporting of critical patient and inventory management information for HIV and AIDS to feed the LMIS.

Methodology

• Health facility staff, National AIDS program staff, CMS and other relevant stakeholders were trained on the use of both LMIS and RxSolution • A Central Unit for data management and information analysis was established and a TWG was established to oversee the implementation and use of the information for decision making

Results

• Reports now allow users to access critical information such as total number of ART patients, number of patients per treatment regimen, percentage of treatment switches, consumption, and stock data for the different HIV and AIDS products. • As the data is available from various levels of the health system, it supports short- and long-term supply chain decisions.

Results

• The introduction of LMIS and electronic tool has— – Improved the availability of data—reporting rate has increased from 56 percent in 2011 to 95 percent in 2013 – Improved timely reporting from 50% in 2011 to 77% in June 2013

• Improved quality of reports: Completeness, Calculations • Improved communication/linkage between CMS and facilities • The readily available information improves patient management: – For example, the available data allowed the smooth transition of 76 percent of adult patients from Stavudine to a Tenofovir and Zidovudine based regimen – Decreased expiry of ARVs—in one case, 230,000 US dollars (USD) worth of Stavudine was kept from expiring

Results

Reporting rates –(Trends ) for ART LMIS, 2013

100%

97%

97%

97%

95%

54%

Baseline,2010 April

Jan-13

Feb-13

Mar-13

Apr-13

May-13

Results

Results

• 100% stock availability for key ARVs at facilities. • 100% Order Fill Rate reached for key ARVs • Information coming to the CMS through the LMIS has been used for resupply, to develop the national forecast & supply plan, and monitoring. • Helped the MoH avoid unnecessary orders to the tune of USD 6.2 million (2012/2013 FY). • Inventory management information has improved the short- and long-term planning and decision making around the supply chain of HIV and AIDS commodities.

Results

% of ART sites keeping recommended minimum stock levels on tracer drugs 100% 90%

87% 82%

80%

83% 76% 72%

70% 60% 50%

40% 30% 20% 10% 0% Q1 2012

Q2 2012

Q3 2012

Q4 2012

Q1 2013

Conclusion

• The effective design and implementation of sound LMIS, coupled with the effective use of electronic tools, enhance the performance of HIV and AIDS programs. This has been achieved by: – improving the effectiveness and efficiency of the program supply chain, hence promoting availability and accessibility to life saving products; and cost saving – providing the necessary information required to guide the implementation and scale-up of care and treatment programs.

Acknowledgements

• Kingdom of Swaziland Ministry of Health – CMS – SNAP

• • • •

Management Sciences for Health USAID | SIAPS Clinton Health Access Initiative(CHAI) MSF

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