Presentations

The 2018 HHL Presenters:

A Cold Chain Equipment Maintenance (CCE) Digital Application

With support from BullCity Learning, VillageReach is working with cold chain technicians in Malawi to develop an interactive application to support preventative maintenance and repair of cold chain equipment. The application is based on video training filmed in the country and reviewed by subject matter experts. This presentation will highlight the steps taken to develop the cold chain maintenance application and give a first look at some of the content that will be available in the application.

  • Ana Costache, Associate, VillageReach
  • Jessica Crawford, Director, VillageReach

Africa Resource Centre Update & Call to Action

Since the Health and Humanitarian Logistics Conference in 2015 when the Africa Resource Centre was first introduced, the organization has developed, remodeled and grown substantially, and this presentation aims to update HHL participants on ARC today. The Africa Resource Centre is now fully operational in 4 regions, Senegal (supporting Francophone West Africa), Nigeria, South Africa (supporting Southern Africa) Kenya (supporting East Africa). ARC has established trusted relationships as an independent strategic advisor to multiple African countries, supporting MoHs to improve availability of medicines and health products through supply systems strengthening.  We partner with donors and strategic partners to help improve the return on investment to strengthen supply chains in Africa.  With increasing investments from various partners and donors such as the Bill and Melinda Gates Foundation and the Global Fund to Fight Aids, Tuberculosis and Malaria into the organization, ARC’s work has managed to extend support to multiple countries.

  • Trip Allport, Managing Director, Africa Resource Centre

Aligning National Supply Chain Strategies and Priorities to Respond to Global Health Emergency Logistics Challenges

With the experience of emergency response in a humanitarian crisis such as Ebola, Zika, Cholera and natural disasters it is more important than to evaluate the readiness of supply chain systems and lay a strong system foundation for a sustainable humanitarian logistics response. Each country government must be empowered to own and lead response efforts by implementing a system to understand short-term and long-term plans for humanitarian response, including how to align with existing systems and mechanisms. As countries are developing their systems for humanitarian response, they must consider a number of factors ranging from policies, strategic frameworks, action plans and adequate resources. The presentation will highlight efforts and lessons learned from Global Health Supply Chain Technical Assistance (GHSC TA-TZ) project, implemented by PwC to address logistics responses and how the approach can be adopted by other countries as they strengthen their own supply chains for global health emergencies.

  • Mavere Tukai, USAID Global Health Supply Chain Tanzania & PwC Public Health Sector

Assessing the Total Health Commodities Financial Needs for Health Facilities in Tanzania

The United States Agency for International Development (USAID) Global Health Supply Chain Technical Assistance Program in Tanzania (GHSC-TA-TZ), as a technical assistance implementing partner to the Government of Tanzania (GOT) on health commodities supply chain strengthening, is committed to the provision of strategic planning and implementation assistance through supply chain costing and financing strategies. Despite significant improvement in the supply chain over the decades, unavailability of medicines has continued to be a major block into realizing the intended population health of Tanzanians. One of the major factors attributable to these frequent stock outs has been inadequate financing and operational inefficiencies among others. Lack of a total, holistic approach in estimating the total health commodities financial needs made it unclear whether the current funding envelope from all sources was sufficient to cover the total health commodity financial needs and whether better management of direct funds to health facilities would help to realize efficiency gains to minimize any financial gaps that may exist. Through this study, we assessed the range of funding sources available at a health facility to compare with the total health commodity needs for that facility, namely for public health facilities including dispensaries, health centers and district hospitals under the Local Government Authority (LGA). 

  • Christine Chacko, Manager, PwC Public Sector

Automating Health Centers at Refugee Camps in Ethiopia as a Means of Strengthening Commodity Management

Dagu, a local pharmaceutical inventory management system for health facilities developed by JSI, is currently being used in more than 750 public hospitals and health centers across Ethiopia. AIDSFree, ARRA, UNHCR, and USAID collaborated to implement and support the system including, training and intensive field level and remote telephone support, to all 24 refugee camp health centers. Of those deployments, 11 facilities are using the system regularly to redistribute overstocked and near expiry items and generate reports and requisition forms (RRF), bimonthly report for resupply in an average of 90 minutes, as opposed to the two days it took them to do so manually. With consistent use, Dagu is revolutionizing supply chain management at refugee camps by minimizing commodity shortages, and overages, improving stock management (maintaining inventory levels between minimum and maximum) and increasing access to and accuracy of information for upstream resupply planning.

  • Marasi Mwencha, Country Director, John Snow, Inc.    
  • Sami Tewfik, Deputy Country Director, John Snow, Inc.

Building Human Resources for Supply Chain Management: A Theory of Change

The Theory of Change for Building Human Resources for Supply Chain Management (HR4SCM TOC) was developed to describe the impact of interventions and investments in human resources for supply chain management (SCM), which aim to improve supply chain performance through the availability of commodities at the service delivery point. Up until now, this type of model did not exist and linking previous investments and interventions to their impact in supply chain performance was neither distinct nor clear. The HR4SCM TOC will enable SC practitioners to capture and understand the pathway of change that connects interventions and investments in human resources (HR) to health supply chain performance improvements and ultimately to improved health outcomes. Applying a TOC process will help practitioners acknowledge and assess impact in hard-to-measure areas, such as capacity strengthening and institutional development. The HR4SCM TOC is a valuable learning tool that allows governments, donors and technical partners to appreciate the complexities that govern HR in health supply chains and to understand how programs and interventions can navigate the complex environment to create change.

  • Bridget McHenry, Senior Organizational Development Advisor, USAID    
  • Dominique Zwinkels, Executive Manager, People that Deliver, UNICEF

Collaboration as a Tool for Driving Supply Chain Efficiencies in the Contemporary Humanitarian Era; an East African Case Study

The humanitarian space is complex, crowded and competitive. To satisfy heightened public and donor scrutiny, those operating in this space must demonstrate increased transparency and deliver proven results. Well-designed collaborative projects between traditional humanitarian actors and the private sector can enable a bespoke blend of expertise that drives efficiencies, delivers effective results and satisfies donor requirements. Crown Agents is working alongside 3 INGOs in a Consortium designed to respond to the health needs of South Sudanese refugees residing in the West Nile region of Uganda. Using this project as a case study, the presentation will highlight the benefits that collaboration can bring to a health and humanitarian supply chain.

  • Charlie Reeves, Humanitarian Supply Chain Manager, Crown Agents

Community-based Health Committees’ Roles in Preventing Stockouts in a Crisis-affected Setting in the Democratic Republic of Congo

Nord Kivu province in the eastern Democratic Republic of the Congo is home to a decades-long conflict that has ravaged the public healthcare system, including the supply chain for sexual and reproductive health (SRH) supplies. Since 2011, CARE’s Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) Initiative has supported the government health system to provide a wide range of contraceptive services, especially long-acting reversible contraceptive services, in several health zones in Nord Kivu. In the first year of the SAFPAC initiative, health facilities experienced reoccurring stockouts of implants, pain medicine, and high-level disinfectant. To address this problem, we trained and supported Health Area Development Committees (aka CODESA)[1] to provide oversight of stock inventory management by participating in monthly supportive supervision visits to health centers during which they conducted physical inventories to compare stock holdings to stock inventory records and to make sure that products in short supply got re-ordered right away. By involving CODESAs in the oversight of stock inventory management, we reduced the number of stockouts in the health centers we support to nearly zero while building mutual trust between communities and government health authorities.

  • Elizabeth Noznesky, Senior Program Advisor, CARE

Creating a Strong Data Culture to Transform Health Supply Chains

The IMPACT Team Network is a people-centered, data-driven approach to improving the performance of the supply chain by focusing on quality, efficiency and customer services.  IMPACT stands for Information Mobilized for Performance Analysis and Continuous Transformation and uses a continuous improvement process to using data and addressing supply chain bottlenecks. IMPACT Teams help to create a culture of data use in the public health supply chain sector by building skills and commitment to reviewing KPIs regularly, identifying problems and implementing solutions. During this presentation, JSI will share experiences of implementing IMPACT teams across nine countries in Sub-Saharan Africa and South East Asia.

  • Sarah Andersson, Senior Technical Advisor, John Snow, Inc.

Data Driven Supply Chain Improvements for India’s Immunization Program

India’s immunization program faces multiple supply chain challenges due to it’s scale, terrain, socioeconomic conditions, cultural and linguistic diversity. The problem is compounded by limited infrastructure in terms of electricity, internet access and a lack of skilled health workers. Therefore unsurprisingly, supply and demand were misaligned, leading to both excess stock and stock-outs across the network. India has begun overcoming these challenges through an evidence-driven approach, maturing information systems through a logical pathway. The presentation will explain the evidence-driven theory of change, and share 3 data use cases driving positive outcomes in the program.

  • Kaushal Shukla, Product Manager, Logistimo    
  • Abdul Basith Shaukath, Business Development Manager, Logistimo
  • Anup Akkihal, Chief Executive, Logistimo

Data Visibility Is Not Enough: Leveraging Data Use and Strengthening Data Quality to Ensure Continuous Access to Health Commodities to Improve Health-related Outcomes

Data is the bloodline of any supply chain system. A key enabler to countries attaining their sustainable development goals is the consistent availability of key medicines, or in the case of Ethiopia, its Health Sector Transformation Plan. Over the last 14 months, the Pharmaceuticals Fund and Supply Agency (PFSA) leadership has begun transforming the organization’s data use culture. The hypothesis employed was that a concurrent emphasis on the automation of business processes and the consistent use of information systems to support those processes would result in improved data quality and eventual use. By enhancing data usage and quality to complement increased data visibility, PFSA increased commodity availability across a number of program commodity groups including HIV, immunization and malaria, ultimately improving health outcomes of Ethiopia’s citizens.

  • Marasi Mwencha, Country Director, John Snow, Inc.
  • Loko Abraham, Director General, Pharmaceuticals Fund and Supply Agency
  • Beza Bogale, Director MIS, John Snow, Inc. & AIDSFree Ethiopia
  • Al Shiferaw, Deputy Country Director, MIS, John Snow, Inc. & AIDSFree Ethiopia

Deploying Innovative Technology Solutions to Build Resilient Learning Capacity in Global Health Procurement & Supply Chain Management (PSM)

Procurement and Supply Chain workforce has diverse competencies, large variation in skill sets, and are dispersed across the country. The only way to effectively address their needs is to: deliver a blended adult-based learning approach; to provide customized competency-based learning to a geographically dispersed staff; to deliver continuous on-the-job learning by leveraging digital platforms, coaches, and mentors. To address this need, Empower School of Health, with support from INSEAD Humanitarian Research Centre, has developed the BIG LEARNING PLATFORM, which a 4-part integrated learning and development solution that leads to country-specific and country-owned capacity building and institutional memory in Procurement and Supply Chain.
 
  • Paul Lalvani, Director, Empower
  • Prof Luk Van Wassenhove, Professor, INSEAD
  • Dominique Zwinkels, Executive Manager, People that Deliver

Deployment of Autonomous Aerial Vehicles for Payload Delivery

Autonomous aerial systems have the potential to play a critical role in last mile delivery of health products. Our analysis looked at AAS vs. well-managed traditional modes of last mile delivery such as 4x4 vehicles and motorcycles. Taking into account geography, AAS characteristics, characteristics of products being transported, and product demand patterns, in combination with 12 months of health facility data from three country datasets, the analysis helped define use cases for cost-effective AAS use. This modeling approach is being tested in Tanzania and Malawi and our presentation will cover the overall analysis and some initial lessons and findings from initial country-level deployments. 

  • Matiko Machagge, Regional Technical Advisor, John Snow, Inc.

Effective Field-Level Support to Improve Supply Chain Implementation and Reporting Rates: The Case of Health Facilities in Ethiopia

The implementation and management of the Integrated Pharmaceuticals Logistics system (IPLS) are being supported by AIDSFree, a USAID funded project, implemented by John Snow, Inc. AIDSFree has been supporting the health facilities in Ethiopia through routine planned supportive supervision to facilitate the IPLS implementation. The project covers over 1200 facilities every quarter including up to 6000 linked health posts. The regular and well planned supportive supervision visits were instrumental in helping bring the required changes in the reporting rate, data quality, and visibility. Overall recordkeeping and reporting have shown significant improvement, 99% of sites visited in the major regions (91% of emerging)  have been able to complete and submit the standard Reporting and Resupply Form (RRF)  to PFSA which is the public supply agency for the country.

  • Azeb Fisseha, Technical Director for Field Activities, John Snow, Inc. & AIDSFree Ethiopia
  • Marasi Mwencha, John Snow, Inc. & AIDSFree Ethiopia

Engineering Modeling to Assist in Guinea Worm Eradication

Dracunculus medinensis, more commonly referred to as Guinea worm (GW), is a parasitic nematode. The campaign to eradicate GW infections in humans has made much progress since 1985 when the number of annual human infections in 20 countries was estimated to be 3.5 million. However, 10 cases of GW were detected in Chad in 2010, 10 years after the end of the national eradication campaign. Evidence so far indicates that although no human cases, transmission of the parasite continued, infecting domestic dogs sharing the same water and food sources; indeed, since 2012 surveillance of GW infections in hundreds of villages have reported Guinea worms emerging from dogs and cats in Chad and from dogs, cats, and baboons in Ethiopia. GW Surveillance in Chad from 2012 onward has shown a significant increase in dog infections, reaching a peak of just over one thousand dogs infected in 2016. While the number of human infections dwindled as a result of the eradication campaign, the large number of dog infections risks perpetuating transmission among animals in currently endemic countries and of water-borne outbreaks involving tens if not hundreds of human infections.
 
This presentation presents a simulation we developed to capture the dynamics of the GW transmission and spread focusing on dogs as the mammal host. The model considers various factors such as the GW life cycle, potential weather-related factors, and the impact of intervention strategies to better understand the patterns of GW transmission. 
  • Julie Swann, Professor, NC State University
  • Ernesto Ruiz-Tiben, The Carter Center
  • Pinar Keskinocak, Professor, Georgia Institute of Technology

Ensuring Quality of Donated Medicines and Supplies during a Global Health Emergency

Pharmaceutical sector governance and a strong medicines regulatory capacity is essential to protect the public from counterfeit and substandard products. Low and middle-income countries (LMICs) have varying pharmaceutical regulations intended to address local needs, but that results in a proliferation of unique requirements for product developers. Ensuring the quality of donated medicines and supplies is critical especially during global health emergencies. Many countries are seeing increasing numbers of substandard and falsified medical products that pose an unacceptable risk to public health. This presentation will provide an overview of these challenges and the various measures to address these challenges being taken by a number of different stakeholders, including National Regulatory Authorities, implementing partners and pharmaceutical companies.

  • Christine Chacko, Manager, PwC Public Sector
  • Lloyd Matowe, Director, Pharmaceutical Systems Africa (PSA)

Essential Medicines Kits, Combining With Pull Mechanisms and Using Data: Concrete Examples of Mozambique

In collaboration with UNICEF, Mozambique developed an Essential Medicines Programme, where the KIT component is delivering a package of essential medicines, dressings and surgical materials to each of Mozambique’s 1.561 Health Centers. From 2009, the Government of Mozambique took over the budgetary responsibility, and is continuously together with development partners enhancing the KIT component. The kits exist next to large supply programs for targeted deceases and for hospitals, and they do for a relative low percentage of the total budget for Public Health products deliver a security for a basic supply to primary health facilities.

  • Antonio Assane, National Director, Central de Medicamentos e Artigos Médicos (CMAM)
  • Per Kronslev, Director, Business Support, Missionpharma A/S

Essential Medicines Kits, Combining With Pull Mechanisms and Using Data: Concrete Examples of Zambia

Making essential medicines available has been a challenge for years. The logistical challenges of pharmaceuticals,  the combination of expiry dates, temperature control, quality, and manufacturing lead times are considered. Essential Medicines kits were developed as a logical solution to the challenges of logistics in environments with physical and administrative challenges in distributing essential medicines. Thereafter has pull based mechanisms and informed push mechanisms therefore been advocated, followed by investments in systems and people. Removing the kits as a solution in many countries. Today there is still a widespread lack of availability, in terms of essential and specialized drugs in many developing countries, despite these investments in pure pull based mechanisms, there is today still widespread lack of availability in terms of essential and specialized drugs in many developing countries. This is combined with new challenges of a need for traceability and quality control.

The purpose of the presentations at the conference is to open up the discussion on how essential medicine kits as an integrated part of the national supply chain can contribute to secure availability, and how kits as push system in the medical infrastructure can be combined with a range of new tools increasingly available in developing countries.

  • Annie Zulu, Director of Pharmaceutical Standards, Ministry Of Health, Zambia    
  • Per Kronslev, Director, Business support, Missionpharma A/S

Evolution of Supply Chain Transformation in Tanzania

Over the past decade, the Tanzania supply chain has seen a transformation in a number of areas in order to support the development of an agile, flexible and sustainable health supply chain and contribute to improving the health status of Tanzanians. With the implementation of USAID funded programs, the supply chain transformation has evolved from filling large gaps in Tanzania supply chain management to enhancing governance and continuously improving previously implemented changes. Key examples of this evolution in the supply chain transformation. Through this presentation, we will highlight the evolution of the supply chain transformation in Tanzania and highlight the planned next steps for this journey.

  • Mavere Tukai, Chief of Party, USAID Global Health Supply Chain Technical Assistance Program in Tanzania, PwC Public Sector

Evolution of the Visibility and Analytics Network (VAN) in South Africa

To improve the management of the medicine supply chain, South Africa has adopted the Visibility and Analytics Network (VAN) - a combination of People, Process, Technology and Policy, organized coherently to improve medicine availability - as the operating model to enable data-driven decision making. This presentation will detail the progress made to date, lessons learned during the implementation journey and the next steps in the evolution. 

  • Rob Botha, Chief of Party, USAID Global Health Supply Chain Technical Assistance - South Africa, PwC Public Sector

Help for Procurement Experts - Facilitating Access to Key Medicine Patent Information

The Patent Information Initiative for Medicines, (Pat-INFORMED) is a new initiative representing a partnership among the World Intellectual Property Organization (WIPO), the International Federation of Pharmaceutical Manufacturers and Associations (IFPMA), both based in Geneva, Switzerland, and 21 global pharmaceutical companies.  Pat – INFORMED  is a search engine to help pharmaceutical procurement agencies determine the patent status of a medicine. Its goal is to facilitate access to and improve the availability of pharmaceutical patent information and to informed procurement decisions. possible. The initiative has two components:  a freely searchable database listing INNs, patent (or rights holders), patent grant dates and jurisdictions; and, the ability to contact the rights holder directly via email to confirm status or request additional information.  Pat – INFORMED will launch officially on September 25, 2018, in Geneva, Switzerland and WIPO and IFPMA are actively seeking procurement specialists to test the platform in advance of the launch.

  • Thomas Bombelles, Head of NGO and Industry Relations, World Intellectual Property Organization (WIPO)
  • Guilherme Cintra, Senior Manager, Innovation, Intellectual Property, and Trade, International Federation of Pharmaceutical Manufacturers and Associations (IFPMA)
     

How Data Visibility Can Keep Your Vaccines Cold

Cold chain equipment (CCE) is essential for the immunization supply chain to maintain vaccines at the ideal temperature range (between 2◦ and 8◦ Celsius) to ensure vaccine safety and preserve potency. Temperature Monitoring in Vaccine Supply Chain is very essential and need to be monitored continuously throughout the supply chain. In Tanzania, JSI and Nexleaf working with the Government to install Remote Temperature Monitoring (RTM) devices at the lower health facilities across the country which improves cold chain equipment temperature data visibility for the purpose of improving cold chain storage performance, reducing vaccine wastage, and ensuring potent vaccines are administered to the clients.

  • Nassor Mohamed, Senior Immunization Technical Advisor, John Snow, Inc.
  • Amos Chweya, Regional Immunization Logistics Technical Officer, John Snow, Inc.
  • Yasmin Chandani, Project Director, John Snow, Inc.

Improved Contract Management to Improve Medicine Availability

The Government of South Africa procures in excess of USD 1.3M medicines every year. To enable medicine availability across all levels of the supply chain, the Government must have a strong contracts management capability that can hold its suppliers accountable to negotiated terms and conditions within their contracts, including service levels, cost controls, and quality standards.  Doing so requires personnel that is appropriately skilled to negotiate contracts and analyze large amounts of information, informed with easy-to-access performance data, and empowered to take action to address performance issues. 

  • Etienne Dreyer, Associate Director, PwC South Africa

Improving Supply Chain Efficiency in Indonesia

To reinvigorate family planning services the National Population & Family Planning Board (BKKBN) in Indonesia is working with the My Choice project. JSI is partnering with BKKBN to holistically strengthen family planning supply chain systems. A supply chain assessment, conducted in 2015 by the project identified the insufficient use of logistics data for decision making, a lack of standard supply chain processes and coordination across divisions, and poor supply chain practices. This presentation will outline the improvements made through a multi-faceted intervention package that standardized and strengthened organizational processes, increased the use of data and information for decision making and improved coordination and collaboration across divisions and levels. Results from an endline assessment conducted in quarter one of 2018 will be presented.

  • Sarah Andersson, Senior Technical Advisor, JSI Research & Training Institute, Inc.
  • Juhartini,  Province Progarm Advisor, JSI Research & Training Institute, Inc.

Improving Supply Chains for Sexual & Reproductive Health Commodities before, during, and after Crises

Women and girls affected by crises face increased risks of maternal morbidity and mortality, unintended pregnancy, and sexual violence; yet during emergencies, access to life-saving sexual and reproductive health (SRH) services and supplies is often disrupted. This presentation will discuss SRH supply chain challenges and opportunities in diverse crisis-affected settings and will identify collaborative actions that can be taken to improve supply chain resilience and continuity of access to SRH supplies. It will discuss new global guidance on how to improve SRH commodity security throughout the emergency programming cycle, from pre-crisis preparedness measures, to acute and protracted humanitarian response, to the transition from a crisis to a more stable phase of development. Key opportunities exist, particularly in crisis preparedness and recovery, for governments, multilateral agencies, and non-governmental organizations across the humanitarian-to-development spectrum to collaborate on improving access to SRH supplies. Improving availability and access to SRH supplies in crisis-affected settings would save lives and better serve the needs of people affected by emergencies.

  • Sarah Rich, Senior Advisor, Sexual and Reproductive Health, Women's Refugee Commission

Introducing Agility to the Immunization Supply Chain in Tanzania

In Tanzania, MCSP is working with the Government of Tanzania (GoT) and in-country partners to expand access to high-quality reproductive, maternal, newborn and child health services (RMNCH). The immunization program uses target populations to estimate vaccine and related supplies based on census data which may be accurate at a national level but loses accuracy to sub-national level estimates, particularly at health facility level. This has resulted in illogical immunization coverage rates but also a high risk of stock-outs because some health facilities serve a client population that is larger than the target population upon which their resupply was based. MCSP supported subnational in triangulating target population and consumption data from previous months to identify true vaccine and related supply needs. The stock-outs have been reduced from 17% in 2015 to 3% in 2017 of the health facilities in the council. Shifting to consumption-based needs estimation reduces stock outs, creates a more agile and adaptive supply chain and better response to true supply need of the health facility, as a service point.

  • Green Sadru, National Immunization Technical Officer, John Snow, Inc.
  • Bonaventura Nestory, Senior Immunization Programme Officer, Tanzania Ministry of Health
  • Wendy Prosser, John Snow, Inc.

OpenLMIS: The Impact of Standards-Based, Open Source LMIS for Sustainable Supply Chain Management

OpenLMIS is an open source, web-based, electronic logistics management information system (LMIS) software purpose-built to manage health commodity supply chains. The OpenLMIS initiative incorporates a community-focused approach to develop open source and customizable LMIS systems specifically designed for low-resource settings. Globally, OpenLMIS has made a significant impact on the availability, and quality, of logistics data for management. This presentation will introduce the OpenLMIS Initiative and Community, describe the impact of the software globally,  explain the software’s commitment to open, standards-based development, and share the Initiative’s vision for shared benefit across implementations.

  • Tenly Snow, OpenLMIS Community Manager

Project Last Mile in South Africa: Effective Boundary-spanning and Communication Emerge as Critical Soft Skills for Successful Private:public Partnerships and Innovative Service Delivery in the Health Sector

Project Last Mile (PLM) is a public-private partnership that shares the business acumen and route-to-market innovation of the Coca-Cola system with Ministries of Health across Africa to improve the availability of life-saving medicines. In South Africa, PLM partnered with the National Department of Health (NDoH) to support their Central Chronic Medicine Dispensing and Distribution (CCMDD) initiative, a program that enables patients to pick up their chronic medicines in convenience, community-based retail locations where they live and work, helping to both improve medication adherence and decongest public health facilities. As of March 2018, there were 3216 health facilities registered with the CCMDD programme (~65% of all facilities in the eight participating provinces), over 2M patients cumulatively enrolled, and a total of 847 external pick-up points established through negotiations with local retailers. According to interviews held with key stakeholders, Project Last Mile’s strategic use of data; intersectoral communication; responsive leadership, and the introduction of route-to-market innovations have contributed to CCMDD’s successful expansion.

  • Sarah Christie, Program Manager, Yale School of Public Health
  • Phil Roberts, Country Lead, Project Last Mile in South Africa

Redesigning Ethiopia’s Hospitals to Revamp Patient Satisfaction and Pharmacy Services

Although Ethiopia's hospitals serve populations ranging from 125,000 to 5 million people depending on their capacities, the design of their infrastructure including pharmacies, and stores were not suitable to serve the intended populations. The absence of standard pharmacy dispensary counters was unsuitable for patients and professionals, leading to dissatisfied patients and long wait times. After an assessment, standardization and renovation of hospital medical stores and dispensaries became mandatory. Shelves and counters were standardized and store designs were improved in a sample of 15 hospitals, which ultimately increased hospitals’ capacity to monitor stock handling and proper use of medicines. The final design is planned for implementation in 150 hospitals. 

  • Ayalew Adinew, Auditable Pharmaceuticals Transactions and Services (APTS) Advisor, USAID Global Health Supply Chain Program - Procurement and Supply Management (GHSC-PSM) Project

Reimagining Risk as Reward: 7 Tips for Success

Stephen Ashcroft BEng MSc FCIPS is a procurement learner stuck in the body of a procurement veteran, and with over 20 years’ experience still sees the glass as half full. As Associate Director at Delivering Procurement Services for Aid (www.DPSA.org.uk powered by AECOM) Steve helps health and humanitarian leaders reimagine risks as reward to drive improved programme performance.
  • Stephen Ashcroft, Associate Director, Head of Growth & Partnerships, AECOM Delivering Procurement

Sharing Key Coordination Challenges from Humanitarian Practitioners in the Middle East

Coordination among the organizations is important to improve a resource efficient and timely response. While humanitarian organizations (HOs) in the field are at the forefront of the coordination efforts, there is little empirical research on their joint logistics efforts. We empirically investigate the coordination of joint logistics efforts among the network of humanitarian organizations operating in Iran (e.g. the government, UN agencies, Red Crescent Societies, INGOs). The key challenges and solutions recommended by the humanitarian practitioners are summarized and discussed.

  • Amin Maghsoudi, Postdoctoral Research Fellow, University of Tehran
  • Ala Pazirandeh, Chalmers University of Technology

Strengthening Vaccine Supply Chains with HERMES Modeling Software

Many of the world’s vaccine supply chains are broken and aren’t getting life-saving and life improving vaccines to adults and children who need them, especially in low- and middle-income countries. Vaccine supply chains are complex systems. Stakeholders and decision-makers need to pay close attention to these systems in order to understand and address the bottlenecks, stock-outs and vaccine wastage that routinely occur, especially in areas with limited resources. HERMES 1.0 is a systems modeling software application that allows users to analyze the complexities of a vaccine supply chain. HERMES can provide insight as to how the supply chain is functioning and determine the potential impact of making systems changes.

  • Elizabeth Mitgang, Project Coordinator, GOPC, Johns Hopkins University
  • Patrick Wedlock, Research Associate, GOPC, Johns Hopkins University
     

Supply and Demand: Improve Health Product Availability through Sustainable Recovery

An unprecedented number of emergencies globally have resulted in rapidly growing demands for continuous availability of quality health products to support comprehensive health services for the vulnerable populations affected by these crises. John Snow, Inc. is working hand-in-hand with donors (USAID, OFDA, UNFPA) and governments to identify best practices, design innovative tools, and develop manuals and trainings for managing supplies in humanitarian settings. Planning, financing, sourcing and delivering health products is extremely challenging in complex and changing environments and varies by the stage of emergency; yet, partners must work to develop creative methods of predicting and responding to increasing demand along the humanitarian to development continuum to serve the needs of refugee and internally displaced populations. 

  • Nadia Olson, Senior Technical Advisor, John Snow, Inc.    

Supply Chain Expenditure & Preparedness Investment Opportunities in the Humanitarian Context

The NGO Action Contre la Faim (ACF) joined forces with Kuehne Logistics University and HELP Logistics to conduct a Return on Investment (RoI) study on the delivery of Non-Food-Items (NFI) kits in context of the relief responses to the earthquakes in Haiti and Nepal. The major objective of the study was to get a better understanding of potential areas of preparedness investments and identify the most beneficial ones. As a result, the RoI study found that, indeed, major cost and lead time reductions can be realized through timely and adequate supply chain investments.

  • Alia Gharaibeh, Regional Director - Middle East, Help Logistics - Kuehne Foundation

The Future of Famines: Qualitative Review of 20th Century Famines

Over the course of the 20th Century, an enormous effort was devoted to ending global hunger and eradicating famine. Was it successful? While global nutrition rates have improved and famines have decreased in frequency and magnitude, food insecurity remains a major problem. Access to food and threat of famine are still used as political weapons against vulnerable populations, especially people living in rural areas, or those who have been displaced by war or disaster. This presentation examines the qualitative history of a dozen major famines that occurred over the 20th Century on three continents, identifying some common historical vulnerabilities of impacted populations, and also some areas of resilience that non-comparative analyses have missed. “The Future of Famine” pays particular attention to the imperfect, but continuously improving role aid agencies, particularly NGOs, have played in identifying and mitigating famine emergencies. Finally, the presentation asks important questions; given a detailed and nuanced history of the past experience of famine, what can we expect from future famines? How can aid agencies respond better to the anticipated needs of at-risk populations?

  • Jenny Leigh Smith, Associate Professor, Hong Kong University of Science and Technology

The Health Care Worker Supply Chain: Allocating Human Resources for Health in Sub-Saharan Africa

Healthcare workers are a scarce resource in sub-Saharan Africa. With so few trained healthcare professionals available, Ministries of Health must allocate these workers in facilities across the country to meet demand while also taking into account a workers’ preferences for where they way to be placed. The Task Force for Global Health has collaborated with Centers for Disease Control, Georgia Institute of Technology, Jhpiego, and Health Informatics Research and Training Center to create the Workforce Allocation Optimization (WAO) Tool: a decision support tool used to analyze the demand for health workers and produces results for optimal placement of each healthcare worker. The tool uses an evidence-based approach to drive allocation decisions. The tool has the functionality to use health indicators to inform prioritization (i.e., epidemiological data, disease burden, housing accommodations, population to HCW ratio, health facility capacity (# of beds, equipment, etc.), and health services). The goal of the model is to fulfill demand and maximize employee satisfaction as represented by their preferred locations subject to limitations defined by demand and other information needed for successful operation. This presentation reviews the initial need for the tool, optimization model logic, and applications of the tool.

  • Sheereen Brown, Business Analyst, Task Force for Global Health

Training in Supply Chain Design and Optimization: Network Design Game

With the ongoing trend to focus on improving supply chain networks in the public health sector, mainly driven by actors within this environment, it seems supply chain design and optimization become very important topics to address. Workshops on supply chain design and optimization in Malaysia, Myanmar, Rwanda and Kenya have shown that the two most important factors influencing supply chain design in the commercial sector, customization (standardized versus individualized product) and service (lead time), are rated in the top three most important factors by participants from the public health sector as well. Decisions regarding specific dilemmas that the public health sector is facing like, among others, integration versus multiplicity and global versus national supply chains also influence the design of supply chains and have an effect on the lead time. To be able to illustrate the effect of supply chain design on cost and lead time, Argusi has developed a network design game in which participants can design a supply chain themselves and see the effect of their decisions.

  • Lieke van Amelsfort, Senior Supply Chain Analyst, Argusi

Unmanned Aerial Vehicle (UAV) Implementation: Tackling Procurement of UAV Systems & Services

Much of the work in health systems strengthening is targeted at rural settings, which experience a complex set of limitations within their existing distribution systems. These limitations, coupled with geographic and infrastructural challenges, ultimately leave gaps in the service provided to patients. Unmanned Aerial Vehicles (UAVs) or Automated Aerial Systems (AAS) can address these obstacles by circumventing challenging infrastructure on the ground, speeding up delivery processes, and making supply chains more responsive.

This presentation will elaborate on the procurement process for UAVs or UAV services, which is unchartered territory for many organizations seeking to apply the technology within their own supply chain activities by testing and implementing it. In an effort to contribute to the knowledge base of the UAV community and prevent organizations from reinventing the wheel or starting from zero, we would like to share our experiences to benefit others undertaking a similar effort.

  • Scott Dubin, Warehousing and Distribution Team Lead, USAID Global Health Supply Chain Program - Procurement and Supply Management (GHSC-PSM) Project

Using Internet of Things to Understand Climate Exposure for Ambient Commodities Along In-country Supply Chains

Although an enormous quantity of commodities moves through supply chains, an understanding of the storage and transportation environment for ambient products is limited from international transport through the last mile. Occasional temperature and humidity monitoring is conducted at central and regional warehouses, while temperature monitoring along in-country transport, storage at facilities, and throughout last-mile distribution via community health workers is scarce, if implemented at all. Through low-cost, smart technology in the form of temperature and humidity monitoring sensors, the age of “the internet of things” (IoT) now allows greater visibility into the conditions experienced by the health commodities. This presentation will showcase lessons from a temperature monitoring pilot in Mozambique, highlighting the installation of smart sensors, data collection methodology, as well as data analysis and visualization being tested for further studies and implementation.

  • Scott Dubin, Warehousing and Distribution Team Lead, USAID Global Health Supply Chain Program - Procurement and Supply Management (GHSC-PSM) project
  • Kevin Gandhi, M&E/Data Analytics Manager, USAID Global Health Supply Chain Program - Procurement and Supply Management (GHSC-PSM) project

Visibility-driven Logistics through Real-time Data Networks in the Health and Humanitarian Space

A diverse group of industry players—including manufacturers, freight forwarders, donors, and procurement services agent—will share their next generation “control tower” or “VAN” (value-added network) ambitions and how they are taking up the challenge. Objectives:

  1. Highlight current visibility gaps that stakeholders face and the operational consequences of those gaps.
  2. Identify key value that control towers can add for various stakeholders, including your organization.
  3. Discuss challenges in realizing the promise of control tower solutions.
  4. Brainstorm critical success factors in connecting diverse stakeholders within complex public health and humanitarian supply chains.
  • Craig Nash, General Manager, Imperial Logistics

    Event Notes

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    Important Dates

    • Friday, May 18: Deadline for Oral, Workshop and Poster presentation proposals
    • Tuesday, April 24: Early Registration ends
    • Sunday, May 27: Extended Early Registration ends
    • Monday, May 28Notification of Presentation Acceptance
    • Friday, July 13: Registration closes
    • Wednesday, July 18 & Thursday, July 19, 2018: Days of Conference

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    About the Conference Series

    The Health & Humanitarian Conference series is organized each year by the Center for Health & Humanitarian Systems (CHHS) at Georgia Tech in partnership with INSEAD, MIT, and Northeastern University, with generous support from corporate and other organizational sponsors.

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