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Jharkhand, India: Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH+A) Logistics Indicator Assessment Report

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Jharkhand, India: Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH+A) Logistics Indicator Assessment Report Jharkhand, India: Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH+A) Logistics Indicator Assessment Report JULY 2015 This publication was produced for review by the U.S. Agency for International Development. It was prepared by the USAID | DELIVER PROJECT, Task Order 4. Jharkhand, India: Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH+A) Logistics Indicator Assessment Report USAID | DELIVER PROJECT, Task Order 4 The USAID | DELIVER PROJECT, Task Order 4, is funded by the U.S. Agency for International Development under contract no. GPO-I-00-06-00007-00, order no. AID-OAA-TO-10-00064, beginning September 30, 2010. HIV-related activities of the initiative are supported by the President's Emergency Plan for AIDS Relief. Task Order 4 is implemented by John Snow, Inc., in collaboration with PATH; Crown Agents Consultancy, Inc.; Eastern and Southern African Management Institute; FHI; Futures Institute for Development, LLC; Llamasoft, Inc.; The Manoff Group, Inc.; Pharmaceutical Healthcare Distributers (PHD); PRISMA; and VillageReach. The project improves essential health commodity supply chains by strengthening logistics management information systems, streamlining distribution systems, identifying financial resources for procurement and supply chain operation, and enhancing forecasting and procurement planning. The project encourages policymakers and donors to support logistics as a critical factor in the overall success of their healthcare mandates. Recommended Citation USAID | DELIVER PROJECT, Task Order 4. 2014. Jharkhand, India: Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCH + A) Logistics Indicator Assessment Report. July 2015. Arlington, Va.: USAID | DELIVER PROJECT, Task Order 4. Abstract In May 2014, the USAID | DELIVER PROJECT, with support from the Ministry of Health and Family Welfare (MOHFW), the National Health Mission (NHM), and the Jharkhand Department of Health & Family Welfare and Health Mission, conducted an assessment on the availability of reproductive, maternal, newborn, child, and adolescent health and HIV and AIDS commodities as well as the performance of the logistics management and supply chain systems in Jharkhand. This report presents the findings of the assessment, as well as recommendations to strengthen the logistics systems. USAID | DELIVER PROJECT John Snow, Inc. 1616 Fort Myer Drive, 16th Floor Arlington, VA 22209 USA Phone: 703-528-7474 Fax: 703-528-7480 Email: [email protected] Internet: deliver.jsi.com Contents Acronyms............................................................................................................................................................................ xi Acknowledgments .......................................................................................................................................................... xiii Executive Summary ......................................................................................................................................................... xv Key Findings ................................................................................................................................................................ xvi Recommendations ..................................................................................................................................................... xxi Background .......................................................................................................................................................................... 1 Overview of Jharkhand Supply Chains ..................................................................................................................... 2 Report Purpose and Objectives ................................................................................................................................ 5 Assessment Methodology ................................................................................................................................................ 7 Data Collection ........................................................................................................................................................... 10 Data Management and Analysis ............................................................................................................................... 10 Quality Assurance....................................................................................................................................................... 11 Limitations .................................................................................................................................................................... 11 Findings for Essential Medicines, Vaccines, Family Planning, and RTI/STI and HIV and AIDS Commodities ................................................................................................................................. 13 Description of Facilities ............................................................................................................................................. 13 Stock Management and Availability ........................................................................................................................ 14 LMIS ............................................................................................................................................................................... 28 Inventory Management .............................................................................................................................................. 37 Transportation ............................................................................................................................................................ 45 Human Resources....................................................................................................................................................... 46 Supervision ................................................................................................................................................................... 49 Logistics Management at the HSC .......................................................................................................................... 50 Recommendations ........................................................................................................................................................... 55 References ......................................................................................................................................................................... 57 Appendices A. Additional Essential Medicines Tables ................................................................................................................... 59 B. Additional Family Planning Tables ........................................................................................................................... 65 C. Additional Vaccine Tables ........................................................................................................................................ 71 D. Additional HIV and AIDS Tables ............................................................................................................................ 77 E. Commodities Included in the Assessment ............................................................................................................ 83 F. Individual Storage Conditions ................................................................................................................................... 87 v Figures 1. Supply Chains Supporting the RMNCH+A Commodities ............................................................................. 2 2. Vaccine Production and Distribution in India ................................................................................................... 4 3. Map of Jharkhand and Selected Districts............................................................................................................ 8 4. Types of Inventory Logistics Forms Commodities Managers Use to Manage Supply Chains ............. 29 5. Logistics Information Included in Completed Inventory Report ................................................................ 30 6. Types of Forms Used for Reporting Inventory Information to the Higher Level by Supply Chain, According to Commodities Managers .................................................................................. 36 7. Where Inventory Reports are Sent by Supply System, According to Commodities Managers ......... 37 8. Frequency of Inventory Reports Sent to Higher Level by Supply Chain .................................................. 37 9. Person Responsible for Determining Which Medicines to Order by Supply Chain ............................. 38 10. How Quantities are Determined by Supply Chain ...................................................................................... 39 11. Frequency of Indents Made by Facility According to Policy by Supply Chain ....................................... 39 12. Last Time an Indent/Report was Sent by Supply Chain .............................................................................. 40 13. Average Length of Time between Indenting and Receiving by Supply Chain ........................................ 40 14. How Well Indents are Filled by Supply Chain .............................................................................................
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