zaragoza, 26-05-2008 improving public health impact through tailored supply chains: a case study of...
TRANSCRIPT
Zaragoza, 26-05-2008
Improving Public Health Impact Through Tailored Supply Chains: A Case Study of Ghana
Chiamin LaiMichael Laverty
Sound Supply Chain Strategy Better Use of Assets
& Increased Product
Availability
Better Use of Professional Health Workers
Better Health Care Delivery
Adequate resources & Willingness to implement
How Sound Strategy Drives Improves Health Care Delivery
Sound Supply Chain Strategy
Supply Chain Strategy: New Paradaim for Ministray of Health
Constraint
Constraints
Constraints
Constraints
Needs
Malaria supply chain
strategy
HIV Supply Chain
Strategy
Family Planning
Supply Chain Strategy
TB, Essential M
edicines Supply Chain Strategy
Lab Supplies Supply Chain Strategy
Support StrategiesSupport StrategiesEnvironmentsEnvironments
All Products
Efficient Supply Chain
Responsive Supply Chain
Responsive Plus Supply
Chain
Product Segmentation
• Efficient: Minimize logistics costs
Responsive Supply Chain Type
Responsive Plus Supply Chain Type
Efficient Supply Chain Type
Tailored Supply Chains
• Responsive: Provide a high level of product availability under uncertain demand
Three Supply Chain Types
• Responsive plus: Keep inventory to a minimum and assure product integrity
Segment Environments
Environment Type 1
• Health Center in Southern Regions
Environment Type 1
• Health Center in Southern Regions
Environment Type 2
•Health Center in Northern Regions
Environment Type 2
•Health Center in Northern Regions
Environment Type 3
•Hospital in Southern Regions
Environment Type 3
•Hospital in Southern Regions
Environment Type 4
• Hospital in Northern Regions
Environment Type 4
• Hospital in Northern Regions
Labour MarketLabour Market
Economy Economy
Private SectorPrivate Sector
InfrastructureInfrastructure
Social FactorsSocial Factors
PoliticsPolitics
Support Strategies Adoption:
• Facilities
• Inventory
Support Strategy Categories
• Information
• Transportation
• Sourcing
• Pricing
• Budget Management at Facilities
+-
Baseline StrategyBaseline Strategy
• Inventory stocked at CMS and RMS. High ordering costs will lead to high cycle stock level.
• Since demand is unpredictable and there is a high cost of stocking out, carry significant safety stock.
• Look for highest risk products (i.e. when scaling up treatment) and monitor closely.
Adapted StrategyAdapted Strategy
• For facilities without cold chain capabilities stock CC products at district level.
• In remote areas keep safety stock at district rather than RMS (closer to facilities remote areas keep safety stock at district rather than RMS (closer to facilities).
Potential BenefitPotential Benefit
• Increase products assortment, thus improve the service level.
• For life saving products, the responsive time will be quicker.
Support Strategies: Responsive Supply Chain Type Adapted to Health Center in Northern Regions for Inventory Strategy
Summary
Research Questions Results
How should MoH approach additional
segmentation, based on product characteristic and country context/factors?
Segment Products
How should MoH approach setting support
strategies to support product and country-
context based segmentation?
Segment Environment
More coherent segmented supply chain
&Appropriate to product
needs and country context
More coherent segmented supply chain
&Appropriate to product
needs and country context
Clear Support Strategies that will drive
investment decisions&
Implementation plan with performance
measurement
Clear Support Strategies that will drive
investment decisions&
Implementation plan with performance
measurement
Adapt Support Strategies
The Vision
Moving Forward
Tailored Supply Chains
Western Africa Southern Africa Middle East