the darkest days of the outbreak -...
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The darkest days of the outbreak
A weak Public Health System created An EVD Crises that destroyed the Economy
The economic and fiscal impact has outlasted the epidemiological impact due to severe shocks to investment, production, and consumption throughout the region, coupled with commodity price shocks.
The World Bank Group, 2016
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President
PACE
Incident Management System (IMS)
IMS Medical
Laboratory Epi-Surveillance
Social Mobilisation
Contact Tracing Case Management
Psychosocial Committee
Dead Body Management
IMS Support
Logistics
Operations
Finance/Procurement
M and E
Planning
IMS Coordination
15 x County Teams
Inter-Ministerial Group
National Consultative Group
UN CLUSTER SYSTEM
Leadership, Coordination, Control and Command
THE STARTEGIC AGENDA
ASSURED UNIVERSAL COVERAGEWith health & related services, even when there are health threats
ACCESS TO SAFE & QUALITY HEALTH
SERVICES
EMERGENCY RISK MANAGEMENT
APPROPRIATE ENABLING ENVIRONMENT
Demand driven productive Health
workforce
RESILIENT HEALTH SYSTEM
Re-engineered health infrastructure
Epidemic preparedness and
response
Medicines management
capacity
Restored quality service delivery
systems
Comprehensive information
management
Sustained community
engagement
Leadership & governance
capacity
Efficient Health financing systems
Cross Border
EBOLA RESPONSECommon Logistics Services24 December 2014
STRUCTUREMapping FLBs and Health Facilities
ForwardLogisticsBasesAlloperationalwithcargo(includingUSDoD ETUKits)
Gbarngaà 6/6MSUserected;cargo
prepositioned
Zwedruà 6/6MSUserected;cargo
prepositioned
Voinjamaà 6/6MSUserected;
cargoprepositioned
Buchananà 5/6MSUserected;
cargoprepositioned
Harperà 4/4MSUserected;cargo
prepositioned
LogisticsCluster SupplyOwners
-Partner-ETU-CCC-Govt HealthFacilities
Facilitatorof:
-Transport-Storage
-Coordination- LogisticsSupport
-UNICEF-MoH-WHO-USAID- Others
Requestor
LogClusterRoleinEbolaResponseSupplyChain
Constraints/Challenges
• QuantificationsofIPCcommoditiesforEVDSupplyChainwasbasedonassumptionsduetothelackofavailabledata
• ThelackofgoodroadnetworkacrossthecountryhamperssometimelydistributionofIPCcommodities
• CustomsclearancechallengeswereontheincreasecreatingbacklogofcargoatthebeginningbutwaslaterharmonizeduetotheinterventionoftheGovernmentofLiberia.
LessonsLearned
1. IntegratedDrugandCommoditieslistinginfulfillmentofanEmergencyPreparednessandResponseAgenda,thus,leadingtoaflexiblehealthsupplychainmanagementsystemswiththecapacitytoprovideessentialsupportfortheestablishmentofemergencysupplychaininoutbreaks.
2. EssentialholisticlistforLiberiawhichcapture21tracercommoditiesthatderivedfromtheEVDoutbreaklesson
3. Continuouscoordinationamongstpartners,PrivateSectorandGovernmentActors,
4. Prepositioningofstockateveryleveltoensuretimelyresponse5. Geographicalmappingtosetupregionalhubswhichiscriticalinpreparation
forresponse6. Timelysuppliesaheadoftherainyseasonisimportantsoastohavesufficient
stockavailableisvitalatalllevelstobetterprepare7.ThoughtherearecurrentlynocaseofEVDinLiberiabutwestillprovidingIPS
SuppliestotheHealthfacilitiesinthecountryonaquarterlybasis