Background - Creating a shared, evidence based, understanding of where to focus system strengthening efforts

National Supply Chain Management Strategic Planning Workshop in November agreed to a shared vision of an integrated national supply chain lead by the MoH.

A key recommendation, endorsed by MOH, was to conduct a national supply chain baseline to provide a evidence-based platform that will guide future system strengthening efforts and inform areas of collaboration

USAID/PEPFAR and 3MDG co-funded the exercise which was conducted jointly by the MOH and PFSCM.

Data was collected through March-April 2014, validated and analyzed in May-June 2014 and the report was submitted to the MOH for approval.

Data collection teams visited 285 facilities across all states/divisions

2

Central: 8 Regional: 66 District: 102 SDP: 109

# Facilities by Level

Randomized sampling by level Statistically significant sample

within each facility type The number of general

hospitals visited were increased to ensure the largest hospital within each state was surveyed.

Sampling Methodology

Central Warehouse: 2 Central Program Warehouse: 4 Central Lab: 2 Regional Warehouses

(Program/CMSD): 29 Transit Camps: 3 General Hospitals:34 Specialist Hospitals: 25 District Hospitals: 27 Township Hospitals: 69 Station Hospitals: 22 Rural Health Centers: 44 NGOs: 23 State Health Department: 1

# Facilities by Type

High Level Findings Combined – With a few notable exceptions, overall maturity and performance is low across all functional areas

All functional areas of the supply chain require strengthening to build maturity to positively impact performance.

56%14%98%81%

52%66%32%

101%

67%8%

56%

35%Lab Issuing36%

45%

Up-to-date Stock CardsStaff Turnover

46%

38%

37%Order Fill Rate

37%

Storage Variance from Optimal CapacityCold Storage Variance from Optimal Capacity

Functional Area

40%

40%

National Supply Chain Overall Results

Stock out ratesStocked According to Plan

NEML

CMM Score

National CMM Score/ Primary KPIs

Forecasting and Supply Planning

KPI Score

Management Information

Warehousing & Inventory Management

51%Quality Testing

Procurement

Product Selection

DispensingWaste Management

Transportation

Human Resources 43%Key Positions Filled (CMSD, CMSSD)

Vendor On-Time Delivery