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Getting the right products to the right people. World Malaria Day April 25, 2011. Session Overview. Background Buying quality products Getting them the first mile Ensuring availability at the last mile. Background: who we are, what we do. John Snow, Inc. (JSI) - PowerPoint PPT Presentation
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Getting the right products to the right people
World Malaria DayApril 25, 2011
Session Overview
• Background• Buying quality products• Getting them the first
mile• Ensuring availability at
the last mile
Background: who we are, what we do• John Snow, Inc. (JSI)
– Public health consulting firm established in 1978– Over 20 years experience working to ensure the availability of
pharmaceuticals and other health supplies in Africa, Latin America and Asia
• USAID | DELIVER PROJECT, Task Order Malaria
– Procured $260,000,000 worth of malaria products since 2007 for 21 African countries
– Work to strengthen the public health supply chains in 12 African countries
– Undertake global advocacy to addressPSM bottlenecks
Procuring quality malaria products
• By the end of 2010, procured $260 million worth of malaria products– 29 million bednets– 100 million ACT
treatments– 23 million RDTs– 44 million tablets of SP for
IPTp
Getting product the “first mile”: Angola
• Background: significant losses at central medical store
• Consolidated
shipment of ACTs and
RDTs in Liege, Belgium• Packed by province,
19 consignees for
18 provinces
Getting product the “first mile”: Angola
• In-country distribution, direct from Luanda airport to provinces, took 5 days (halved the distribution time from previous shipments)
• No central level
warehousing: saved
$50,000 in warehouse
costs and $7000 in security• No losses, no damage
Ensuring availability at the last mile: Zambia
• Conducted pilot to improve availability of malaria and other essential medicines (in partnership with DFID, WB, GOZ)
• 2 model and 1 control group of districts– Model A: districts hold stock and resupply health facilities– Model B: districts serve as cross-dock and facilitate transport of pre-packed
commodities to health facilities
• Results– Both models improved availability
(reduced stock outs) over the control, but Model B did better
– Both models lessened days out of stock over the control, but Model B did better
Zambia supply chain pilot results
Reduced stock outs
Zambia supply chain pilot results
Reduced duration of stock outs (in days)
Conclusion
• Support PMI’s goal of reducing malaria burden in its focus countries through:– Procuring critical malaria products– Delivering to the intended recipient– Strengthening the in-country supply system to ensure that
those requiring malaria products receive them
Thank you. Questions?