Improvement of the Last Mile Distribution in Cote D'ivoire
Improvement of the last mile distribution in Cote d’Ivoire Integrated Health Supply Chain Technical Assistance Program (IHSC-TA) Phase III – Preparation of last mile distribution pilots 1 REMINDER – Context and objectives ▪ The country aims to achieve a 95% availability of health products at the last mile by 2020 ; a National Strategic Supply Chain Plan (PNSCA) 2016-20 and a PNDAP Roadmap (2017-19) have been developed to achieve this objective ; 2 pilots are being launched to test a new distribution model between districts and the ESPCs ▪ As part of the PNDAP roadmap, Phase I of the study, conducted in January-February 2018, consisted of a supply chain diagnosis - mapping, evaluation of the operational and financial performance, strengths and challenges - with a focus on the last mile ▪ Phase II of the study, conducted in March-April 2018, aimed, on the basis of this phase I, to: – Define the major improvements to last-mile supply regarding identified challenges – Suggest various alternative supply models implementing these changes, and decision criteria to choose between these models – Propose improvements to the planned pilots and / or a new pilot to test certain improvements ▪ In Phase II of the study, improvements to the last mile supply chain were proposed on operational and catalytic dimensions, including : – Operational dimensions of the chain : ▫ Optimized portfolio (products to be continuously available) to be dynamic and adapted to real needs Context and ▫ Transition to an institutionalized delivery system across all segments
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