inSupply: Innovations in Public Health Supply Chains Applying data and management practices to strengthen

supply chain systems

Kajiado Annual Health Summit

2 December 2016

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Outline • inSupply overview

• Implementation progress

• Way forward

inSupply overview

inSupply

INSUPPLY OVERVIEW Innovations in Public Health

Supply Chains

inSupply Goal

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To improve the performance and efficiency

of contraceptive, vaccine, and essential medicine

supply chains by increasing the effective use of

data and introducing management best

practices to strengthen system outcomes.

The Project

• Two years, funded by the Bill & Melinda

Gates foundation

• Regional focus in East Africa

• Six components linked by cross-cutting

themes: • Improving data visibility, analytics and use

• Innovation at the last mile

• Local, regional capacity building,

stewardship

Six Components: Two Kenya Specific

inSupply Consulting

Services

International Association of Public Health Logisticians

Last Mile Distribution with UAVs

Vaccine Information Management

System

Regional Center of Excellence

for Health Supply Chain Management

Implant Access Programs

inSupply CS aims to improve the

performance and efficiency of supply chains

by increasing data visualization,

utilization and strengthening

management practices.

Our model adapts private sector and

proven best practices to promote a

continuous improvement culture that

is needed for a responsive, customer-

oriented supply chains.

Teams reinforce the correct and consistent

use of supply chain procedures, create

transparency and accountability, improve

coordination and communication and

foster trust and collaboration between

supply chain staff.

inSupply Consulting Services

Scope:

10 counties in

Kenya

Leadership

Network

IMPACT Team Network

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Build dynamic leaders within a supply chain

who are motivated and possess the

competency required to fulfill essential

supply chain functions, who are empowered

to make decisions and act as change agents.

Provide a structured approach for using

data, create a culture of team responsibility

for problem solving and taking actions to

improve performance, and motivate staff to

make changes.

IMPACT

Teams

IMPACT Team Network

Health System IMPACT network

Kotter, 2012

Leaders

Teams

Building Stewardship in 10 counties to ensure responsive,

customer-oriented supply chains post devolution

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• Nairobi

• Mombasa

• Kwale

• Kirinyaga

• Isiolo

• Kajiado

• Nandi

• Kakamega

• Nyamira

• Migori

Establish a Leadership Cohort

and IMPACT Teams nationally,

across 10 counties

• Facilitate the leadership cohort to meet

(virtually or in person) routinely

• Support regular national, county

IMPACT team meetings

Power these meetings with

data

• Analyse existing data

• Support root cause analysis, prioritise

interventions, develop action plans

using IT tools, techniques

Building on Existing Mechanisms

• Building on ongoing, routine meetings or

structures at the county level, e.g. Commodity

Security Technical Working Group

meetings/structure

Accessing, enhancing existing data

• DHIS2, national FP Dashboard

Data visualization and utilization for

decision making

•Analyzing data from DHIS2 to develop appropriate

supply chain indicators, visualized for effective

decision making

Guiding Principles

• Strengthened management practices

in health sector

• Improved data visibility across all

levels

• Better utilization of data for decision

making e.g. redistribution,

determining county commodity

needs

• Kaizen approach to continuous

improvement leading to better

functioning systems

• Supply chain efficiency through

waste reduction and improved

quality

Benefits to the County

Waste reduction and

improved quality of

healthcare

ITT DASHBOARD: Approach to making

data actionable

Introduced a family

planning and vaccine

dashboard as part of the

Indicator Tracking Tool

(ITT)

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Data organized, analyzed

and visualized in an

actionable way

On-time Reporting

ITT DASHBOARD: Approach to making

data actionable

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Color Coding

Color coding immediately

identifies where challenges

and opportunities for

redistribution exist

Levels

Ability to visualize data at

the sub counties

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IMPACT Team Performance Indicators

Family Planning Vaccines

Reporting Rate Reporting Rate

Begin-End Balance

Comparison

Stock Status

Stock Status

Calculated Vaccine

Wastage Rate

Stock out rates Vaccine Coverage

Structured Approach to Performance Management

Membership: Commodity

Security TWG

Photo of

IMPACT

team in

action

Analyze the performance

monthly

Select priority problem

Conduct root

cause analysis

Identify practical actions

Implement selected actions

Progress in Kajiado

Progress: Increasing product availability

Lessons Learnt

• County leadership is eager to learn and

apply data analytics and visualization

techniques

• Ongoing mentorship needed to develop a

culture of continuous quality improvement

• Strong leadership skills available in the

county has facilitated smooth

implementation and sustained momentum

• Involvement of sub-county teams has

enriched the problem-solving process

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WAY FORWARD

“Our success is dependent on commitment,

positive attitude and good participation by

all members”

IMPACT Team member,

Nyamira County

July/August 2016 – June 2017

• Support, build capacity and skills in leadership network and

county IMPACT Teams

• Adapt approach, demonstrate and share successes, lessons

across the network

• Bi-annual meetings to review progress and share best practices

across network

• Identify enablers of success, barriers to change

July 2017 onwards

• Work with successful county leaders to disseminate county best

practices, advocate for scale up

Next Steps

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Follow the Journey with us…

Our aim is to disseminate lessons

and experiences early rather than

waiting for the end of the project.

insupply@jsi.com www.insupply.jsi.com Twitter: @inSupplyJSI

Newsletter: supplychain@jsi.com

For more information about

JSI’s work in supply chain, data

visibility, and data use, contact the

JSI Center for Health Logistics

supplychain@jsi.com Follow @jsihealth

insupply@jsi.com

www.insupply.jsi.com

Twitter: @inSupplyJSI

Newsletter: supplychain@jsi.com