Ms N Mandimika

National Department of Health

4 May 2016

Enhancing Medicine Availability Through

Innovation

The Stock Visibility System

THE HEALTH SYSTEMS TRUST CONFERENCE

What is SVS?

Stock Visibility System (SVS) is a mobile

application that enables the electronic

communication of medicine availability

data from PHC level into upstream

electronic stock management systems.

What is SVS not?

• Stock management system;

• Demand planning or forecasting

system;

• Short term replacement for the paper-

based ordering or stock card system.

STOCK IN (RECEIVED)

STOCK DISPENSED

(IMPROVED CONSUMPTION DATA)

STOCK REMAINING

STOCK LOST

PHC Facility

The SVS Updating Cycle

Processes and people = 80%

• Formulary management

• Standard operating

procedures

• Standard reports and

protocols

• Accountability

• Change management

Technology = 20%

SVS Process

SVS Features

• mHealth application available on

Google Play Store;

• Uses a zero-rated channel;

• Networked system – data available on

a web-portal;

• Geo-spacial mapping;

• Weekly and monthly stock update

items;

• ‘Store and forward’ functionality;

• Capture Stock on hand, Stock

received, stock lost and expiry date.

Updating stock levels

Select option from drop down list.

Select “Main Menu”.

Select “Record Stock Levels”.

Select “Proceed”.

Select option from drop down list.

Updating stock levels (2)

Tap on the empty grey box under current stock level.

Enter the item stock number then tap on “Pick Date”.

Under “Stock lost since last update” tap on the grey box to enter a value. Select Proceed”

Swipe up on the phone screen to see all of the details of the stock item.

Select “Accept” to complete the process.

Updating stock levels (3)

Web Application View

Pilot Implementation Status

Province Facilities

KwaZulu-Natal

605

Limpopo 478

Gauteng* 114

Eastern Cape

780

* City of Johannesburg only

• During October – December 2015 nationwide supply constraints of

Lopinavir/Ritonavir formulations.

• Triangulated SVS stock-on-hand data and information from other

sources.

• 245 priority clinics in SVS provinces were identified for expedited

direct deliveries.

• A hotline number disseminated to PHC clinics through SVS devices.

• 171 clinics in communicated contacted the hotline and reported

Lopinavir/Ritonavir formulation supply challenges.

• Stock restored within an average of 3.75 days.

Wide-scale use of SVS to address supply constraints

Enabling Factors: Visibility

• Data transformed into relevant information is at the heart of

sustaining and improving equitable medicine access;

• System alignment across provinces to enable coordination and

application of standard business rules and processes;

• Facility level support – essential for the success of the system.

Without data oversight and quality improvements cannot be

evidence-based;

• Integration with programmes – utilisation of data by the

programmes (EPI, HAST etc);

• Efficient and reliable medicine supply management at PHC level –

affects data quality.

• Governance structures and work flow to support the use of

information.

SVS: Progression towards NHI

Improved stock availability:

– Reduce medicine stock outs;

– Improved consumption data;

– Improved inventory management;

Real-time dissemination of information between different levels of government – distributing accountability;

Data for demand forecasting and planning – to better inform selection and procurement processes;

Improving communication between the different hierarchical levels of the supply chain; and

Identify problematic suppliers.

Thank you