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The Health Logistics Press, a Ministry of Health Publication, Issue #13

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The Health Logistics Press, a Ministry of Health Publication, Issue #13 A Ministry of Health Publication Issue #13 April 2012 Tanzania and Zambia Align to Improve eLMIS Systems he Tanzania and Zambia Ministries of would take to establish a LMU in its country. Health convened a meeting in January The Tanzanian delegation had an opportunity to determine the potential for joint to visit the LMU where they were taken T through their processes and shown how country collaboration in improving the existing electronic Logistics Management Supply Chain Manager (the current central Information Systems (eLMIS). The objective level computerized LMIS) and the MACS of the meeting was to participate in a joint warehouse management system work. country working session to determine the feasibility of cross-country collaboration in The outcome was that both countries agreed developing an electronic LMIS system, to work together in developing the eLMIS establishing a Logistics Management Unit which will leverage both human and financial (LMU) for Tanzania and defining roles and resources. In Zambia, the eLMIS will replace responsibilities in moving forward if the current computerized LMIS (Supply collaboration is determined to be feasible. Chain Manager) with improvements such as Charles Nyambe, MoH Deputy Director of streamlined processes and increased access to Laboratory Services, talking to participants data. ELMIS will, in future, permit mobile The meeting, which was supported by the phone technology and internet for data and USG-funded USAID | DELIVER PROJECT, information sharing. was held in Lusaka, Zambia and consisted of a team from Tanzania that comprised the This collaboration is important as it will avoid Director of IT for Medical Stores duplication of efforts and produce stronger, Department, Director of ICT for the Ministry more robust systems by accommodating both of Health and Social Welfare (MOHSW) and shared and country-specific requirements. It the Acting Chief Pharmacist for MOHSW will also encourage learning from other and a team from Washington that included the systems and partners and will leverage Senior MISAdvisor from USAID. resources. Zambia is one of the countries that has been The week-long workshop was a big success able to successfully implement a LMU which both for making important technical sits at Medical Stores Limited (MSL). decisions and team building for the way JSI Country Director Walter Proper addressing forward. To prove that, it ended with a dinner the meeting The LMU in Zambia has helped the country reception at the home of the Country Director achieve unprecedented reporting rates for success of in-country logistics systems and for SCMS and DELIVER where teams monthly logistics data and product orders. overall supply chain decision making. In light of participated in an invigorating salsa dance Zambia’s success, the Tanzanian Ministry of lesson from the USAID Senior HIV/AIDS The LMU also plays a pivotal role in the Health and Social Welfare wanted to learn what it Advisor. STORAGE UNITS the United States Government-funded SCMS stored products in different locations MAKE ROOM FOR project purchased and installed the first two around the offices – including in hallways, prefabricated storage units measuring 30 and closets and staff offices. MORE THAN DRUGS 48-square meters, in Gwembe and Kafue districts respectively. The prefabricated storage units are air he installation of prefabricated conditioned, have appropriate levels of storage units known as “Storage in “Twice we have received our monthly shelving and pallet space to keep the Ta Box” at the Kafue and Gwembe shipment of commodities for all the 38 products off the floor and are secure. MoH District Health Offices has allowed the two facilities in the district and both times the new and SCMS are evaluating the effectiveness districts to overcome challenges of severe storage unit has handled everything. Our of the two “Storage in the Box” solutions storage constraints which haunted them for office is now free from boxes everywhere and with the hope of providing more than six many years. we can actually use our board room,” stated additional units this year. Mr. Holland Mwango, Kafue District In 2010 – 2011, the USAID | DELIVER Pharmacy Technologist. PROJECT contracted with local engineering firms to conduct a storage In Gwembe, not only has this solution capacity assessment of every health addressed the DHO’s major logistics facility in Lusaka Province and all constraint but has helped Gwembe facilities in one district from each of the Hospital as well. Siame Emmanuel, the other eight provinces. A total of 58 Gwembe Hospital Administrator said, District Health Offices and 258 public “We have restarted our physiotherapy health facilities were assessed in great program, as we now have space available detail. These assessments documented the where boxes were previously stored.” need for improved and new storage facilities. One of the most common Prior to having the “Storage in a Box” bottlenecks to supply chain success is unit, Gwembe kept their products at a inadequate storage space. In early 2012, nearby district hospital while Kafue The storage unit installed in Kafue NYIMBA DMO WORKS TO SPOTLIGHT ON YOU! ENHANCE COMMODITY YOU MAKE THE LOGISTICS SYSTEMS WORK SECURITY MI R R I A M KA N DOW E , a p ha rma cy technologist at Kazimva Rural Health Center in Kafue District, ensures stock is available and carefully manages the EMLIP system she oversees. Mirriam maintains very accurate Stock Control Cards and a well-kept store room. Her efforts have resulted in the EMLIP system at her facility having a 100% reporting rate and being stocked according to plan for the entire year of 2011. She has also taken a leading role at Kazimva RHC in orienting colleagues and monitoring their progress after MIRRIAM KANDOWE receiving training. PMTCT Logistics System reporting rates at service delivery points (SDP) in Mambwe have increased nearly three-fold from an average of 26.7% to 76.7% per month since August 2011. Dr. NYAMBE SINYANGE This improvement can be primarily attributed to initiatives of Elvis Ngulube, Acting n his quest to improve the availability Pharmacist In-Charge. He designed a checklist of HIV tests at all testing facilities in outlining the reports and indicators required Ithe district, Nyimba District Medical from facilities each month to keep facility staff Officer (DMO) Dr. Nyambe Sinyange on track and motivated to produce accurate takes time to personally visit the 17 and timely data. In addition, He has clustered facilities despite harsh weather and travel the facilities into small reporting groups which conditions. appoint one person to deliver all reports for every facility in that cluster each month, ELVIS NGULUBE Dr. Sinyange’s level of commitment reducing the burden of each facility identifying Ngulube for his efforts making the PMTCT Logistics allows him to reach facilities in the transport to submit data. Thanks to Mr. System a success in his district! remotest part of this district in Eastern Province through trips that sometimes CHIDZULO PHIRI, a pharmacist at Chipata District demand the use of a canoe to cross the Health Office has been very instrumental in Luangwa River. He also supports facilities ensuring that reports from all the 45 facilities in requiring transport of reports. the district are sent to Medical Stores Limited on time. His secret is that he insists on facilities Dr. Sinyange’s commitment and hard work submitting their monthly Report and Requisition has greatly contributed to the district for HIV Tests Kits to the district as they collect their achieving 100% reporting rates. “We are monthly supply of drugs. This has increased the committed to supervising not only the easy to reach areas but even the hard to reach HIV Test kits reporting rates from 80% to 93% areas. Even when we need to cross the since October 2011. CHIDZULO PHIRI Luangwa River, which is infested with crocodiles, using banana boats, we go the extra mile towards ensuring that products LAB SYSTEM PUT TO THE TEST are available at such facilities by providing he Ministry of Health (MoH) has 100% of the sites visited maintained and used technical support and supervision,” Dr. successfully completed an stock control cards to monitor commodity Sinyange commented. Tevaluation of the National ART usage, 95% of sites have functional Laboratory Logistics System. This refrigerators and 93% of sites store “ We al s o p r o mo t e c o mm u n i ty logistics system was designed in 2007, commodities at appropriate temperatures. p a r t i c i p a t i o n , e s p e c i a l l y w i t h piloted in three provinces and rolled-out Additionally, 98% of facilities were stocked transportation of reports from the facility at national level in 2009 with the aim of according to plan with CD4 reagents on the to District Health Offices. We ask local ensuring laboratory commodity security day of the visit. These indicators point to chiefs and the Zambia Wildlife of laboratory supplies. acceptability and improvement in the stock Association officers to take the reports as The evaluation involved 50 sites selected status of the Laboratory Logistics System. they go to the district,” explained Dr. from all nine provinces in Zambia. The Sinyange. aim of this evaluation was to identify the The findings also revealed that facilities need successes and continued challenges in the to work on conducting physical counts every Dr. Sinyange’s involvement proves that when District Health Office management system and to find ways to strengthen the month as failure to do so can lead to incorrect takes an active role in supporting logistics structure. order quantities, stock imbalance and eventually stock outs.The Laboratory system operation, districts are better able Services of MoH appreciated the to maintain a consistent supply of The findings of the evaluation, which was contributions of laboratory personnel in products.
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