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Burma National Supply Chain Baseline Results

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Burma National Supply Chain Baseline Results CAPABILITY AND PERFORMANCE Burma National Supply Chain Baseline Results Jessica Tolliver Kathleen Bartram May 2014 Acknowledgements Thank you to the Ministry of Health, Department of Health, Medical Care Division, Central Medical Stores Depot and Supply Chain Management System field office in Burma or their support and partnership in implementing the national supply chain baseline assessment. We are grateful to His Excellency Minister Dr. Pe Thet Khin and Deputy Minister Dr. Thein Thein Htay. Particular thanks to MOH Program Directors, Program Managers, Deputy Directors, State/Regional health Directors, Medical Superintendents, Assistant Medical Superintendents, Medical Officers, Pathologists, Pharmacists, Regional Officers and Team Leaders, Township Medical Officers, Station Medical Officers, Health Assistants, and staff from international NGOs for participating in key informant discussions and interviews. Appreciation is given to the SCMS project management team technical advisors for providing their technical expertise to the review of the report analysis and recommendations and to colleagues that contributed to data preparation and review. Data collection for a portion of sites selected was collected by Myanmar Marketing Research & Development Co., Ltd. About PFSCM The Partnership for Supply Chain Management (PFSCM) is a nonprofit organization established in 2005 by two of the leading international health consultancy organizations in the U.S.—JSI Research & Training Institute, Inc. (JSI) and Management Sciences for Health (MSH), both also nonprofits. To deliver its services PFSCM draws on the capabilities and experience of 13 organizations that are among the most trusted names in international public health and development, with each offering unique capabilities, including procurement, freight forwarding and technical assistance. About SCMS The Supply Chain Management System (SCMS) was established to enable the unprecedented scale-up of HIV/AIDS prevention, care and treatment programs in the developing world. SCMS procures and distributes essential medicines and health supplies, works to strengthen existing supply chains in the field, and facilitates collaboration and the exchange of information among key donors and other service providers. SCMS is an international team of 13 organizations funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR). The project is managed by the US Agency for International Development. This document was made possible through support provided by the US Agency for International Development, under the terms of contract number GPO-I-00-05-00032-00. The opinions expressed herein are those of the author(s) and do not necessarily reflect the views of the US Agency for International Development or the US government. Recommended Citation Tolliver, Bartram. 2014. Burma National Supply Chain Baseline Results: Capability and Performance. Submitted to the US Agency for International Development by the Supply Chain Management System (SCMS) and the Three Millennium Development Goal Fund (3MDG) by the Partnership for Supply Chain Management (PFSCM). This document may be reproduced if credit is given to PFSCM. Contents Acronyms…………………………………………………………….………………………….………………………….iii Executive Summary………….…………………………….…………………………………………………….….1 1.0 Background……………………….………………………………..……………….…………..…………….….4 1.1 About Burma………………………………………………………………….…………..…………….….4 1.2 Burma and the public health system…….……………….…………………………………….….4 1.3 Burma’s public health supply chain…………….…….……………………………………….…..5 1.4 Burma and the Supply Chain Management System…..….………………………………….7 2.0 Methodology.……………………………………………………………………….…………..…………….….9 2.1 The national supply chain baseline toolkit……….……………………….…………………….….9 2.2 The capability maturity model tool…………...………….……………………………………….….9 2.3 Scope of the baseline….….…………...……………….………………………………………………...11 2.3.1 Site selection criteria……………………………………..………………………………………12 2.3.2 Primary data collection………………………………………………………………………….15 2.4 Key performance indicator tool………………………...……………………………………………17 3.0 Data Analysis and Results.…………….…………………………………….…………..……………..18 3.1 Product selection………………………….………………………………………….…………………….20 3.1.1 Process and tools………….………….…..…………………………………………………………21 3.1.2 Strategic planning and oversight….………………………………………………………….22 3.2 Forecasting and supply planning………………….….…………………….…………………….….24 3.2.1 Process and tools…………..…………….…………………………………………………………25 3.2.2 Management information system………….………….…………………………………….27 3.2.3 Strategic planning and oversight………….…………………………………………………29 3.2.4 Human resources…………………..............….……………………………………………….30 3.3 Procurement…………………………………..…………….…………………….…………………….….31 3.3.1 Process and tools……………………….…………………………………………………………32 3.3.2 Management information system………………………………………………………….36 3.3.3 Strategic planning and oversight……..………………………………….…………………37 3.3.4 Human resources…………………….…………………………….…………………………….38 i 3.4 Warehousing and inventory management….………………..…….……………………….….39 3.4.1 Process and tools…………………..…………………………………………………………40 3.4.2 Management information system…….……………………………………………….47 3.4.3 Infrastructure……………………………….……………………………..…………………48 3.4.4 Strategic planning and oversight……..…….…………………………………………52 3.4.5 Human resources…………………….…….……………………………………………….53 3.5 Transportation……………….....................……………………………………………………..55 3.5.1 Process and tools………………....…………………………………………………………56 3.5.2 Management information system………….…………………………………………59 3.5.3 Infrastructure…..……………………..…………………………………………………….59 3.5.4 Strategic planning and oversight……..………………………………………………61 3.5.5 Human resources………..……….……….……………………………………………….62 3.6 Waste management…………………….………...………………………………………………..63 3.6.1 Process and tools………………….…………………………………………………………64 3.6.2 Management information system…………………………………………………….66 3.6.3 Infrastructure…………………………..……………………………………………………66 3.6.4 Strategic planning and oversight……..………………………………………………66 3.6.5 Human resources…………………….…………………………………………………….67 3.7 Laboratory issuing………………...………………….…………………………………………..67 3.7.1 Process and tools…………….…………………….………………………………………68 3.7.2 Management information system……………..…………………………………….71 3.7.3 Infrastructure…………………..…………………..………………………………………71 3.7.4 Strategic planning and oversight…….…...…………………………………………72 3.7.5 Human resources………………………………………………………………………….75 4.0 Summary of Recommendations.…………….…………………………….…………..……….….77 Annex 1. NSCB assessment results………………………………………………………………………………83 Annex 2. Burma wiring diagram…..……………………..…………………………………………………84 Annex 3. Site list…………….…………………………………………...……………………………………………85 Annex 4. KPI formulas…………..…...……………………………….……………………………………………102 ii Acronyms AIDS acquired immunodeficiency syndrome AMS asset management system ART antiretroviral therapy ARV antiretroviral AusAID Australian Agency for International Development CDC Centers for Disease Control and Prevention CD4 cluster of differentiation 4 CMM capability maturity model CMSD Central Medical Stores Depot CMSSD Central Medical Stores Subdepot DoH Department of Health DP development partner EML Essential Medicines List EPI Expanded Programme on Immunization ERP enterprise resource planning EQA external quality auditing FEFO first expiry first out GDP gross domestic product GPS Global Positioning System HIV human immunodeficiency virus HRCD human resources capacity development ICS inventory control system JICA Japan International Cooperation Agency KI key informant KPI key performance indicator LIS laboratory information system LMIS logistics management information system LMU Logistics Management Unit MFDA Myanmar Food and Drug Administration MHE materials handling equipment MIS management information system MoH Ministry of Health MPF Myanmar Pharmaceutical Factory MPIG MSH International Price Indicator Guide MSF Médecins Sans Frontières NAP National AIDS Program NDTC national drugs and therapeutic committee iii NEML national essential medicines list NHL National Health Laboratory NMP National Malaria Program NSCB national supply chain baseline NSTG national standard treatment guideline NTP National Tuberculosis Program OTD on-time delivery PHL Public Health Laboratory PO purchase order POC point-of-care PPE personal protective equipment PR principal recipient PSM Procurement and Supply Management QA quality assurance RHC rural health center RTK rapid test kit SCI Save the Children International SCM supply chain management SCMS Supply Chain Management System SDP service delivery point SH station hospital SHD state health department SKU stock-keeping unit SOP standard operating procedure STG standard treatment guideline TB tuberculosis TMS transport management system UNOPS United Nations Office for Project Services USAID United States Agency for International Development VOTD vendor on-time delivery WHO World Health Organization WMS warehouse management system iv Burma National Supply Chain Baseline Results Executive Summary At the national supply chain management strategic planning workshop in October 2013, stakeholders agreed on a shared vision of an integrated national supply chain for Burma led by the Ministry of Health (MoH). A key recommendation, endorsed by MoH, was to conduct a national supply chain baseline (NSCB) assessment. This study would provide an evidence-based platform to guide system strengthening efforts in the future and inform areas of collaboration. The US President’s Emergency Plan for AIDS Relief and the Three Millennium Development Goal Fund co-funded the Supply Chain Management System
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