Improving Access To Data To Support Timely Decision Making To Prevent Stock Outs: Country Case Studies

Transcription

1 Improving Access To Data To Support Timely Decision Making To Prevent Stock Outs: Country Case Studies Annual AMDS Stakeholders & Partners Meeting Geneva, March, 2011

2 Rationale Information for timely and informed decisionmaking is critical for the successful management of pharmaceutical systems in support of national health programs Monitoring required for - availability of medicines and laboratory supplies financing patient adherence drug resistance registration of products post market surveillance (patient safety & product quality issues) program management etc

3 Improving Access to Information The Process Data Collection Feedback Data Analysis PMIS Data Action Decision Making Source: Training Module on Data for Decision-making, 1st Edition, April Nairobi: Ministry of Health/DRH, Kenya.

4 Data Generation and Capture Manual Forms and Reports Patient registers Routine reports Patient Statistics LMIS Reports ADR Reports Records Human resources Service delivery points Computerized Dispensing Systems ADT/EDT Desktop/Mobile RxSolution Inventory Control Systems/WMS Registration Systems Pharmadex

5 Data Transmission and Storage Manual Hand delivery Postal Electronic Fax Pen Drive/CD/ Mobile GPRS/EDGE/3G Data warehouse Manual Computerized Online/Offline Centralized Vs. Distributed databases

6 Data Processing and Presentation Process Manual Paper Computerized Excel Word Access SPSS etc Presentation Reports Push On-demand Web-based Dashboards Static/interactive

7 Evidence Based Decision Making Prevent/minimize stocks out at SDP Support forecasting and supply planning Support procurement planning and management Facilitate stock redistribution Facilitate logistics system monitoring and evaluation supply chain management decision making vendor performance monitoring Transport management Supplier performance

8 Country Case Studies 1: Namibia Pharmaceutical Management Information System (PMIS) Item availability and inventory management Rational use of medicines and quality of care Workload and human resource development Medicine financing Data sources ART monthly reports from Electronic Dispensing Tool (EDT & medt) National Database Aggregation and analysis

9 Country Case Studies 2: Kenya Piloted use of SMS to report consumption and stock on hand data in 3 districts Contraceptive LMIS ART PMIS NASCOP Progress monitoring; advocacy; procurement actions USG Pipeline tracking KEMSA, CHAI, Global and Kenya Pharma Initiate procurements and schedule call downs MSF Plan transitioning of clients to GOK programs

10 Country Case Studies 3 Brazil etb Manager No stock outs reported despite an 88% increase in reported number of, and 144% increase in facilities managing MDR-TB cases Dominican Republic Quarterly reporting of months of stock at CMS and RMS since July 2010 Triggered timely procurement leading to reduced stock outs

11 Country Case Studies 4 Amazon Malaria Initiative Quarterly reporting of months of stock at CMS in most AMI countries Consolidated report distributed to all countries Report contributed to Reduced stock outs and over stocks through donations among countries and internal redistribution

12 Stock Status of Primaquina 150mg

13 Exchange/Donation of medicines Triggered by the Regional Report

14 Case Study 5 BANGLADESH

15 Improving Access to Data in Bangladesh The Situation MIS unit of DGFP had to manually enter all 483 upazila and 21 RWH reports centrally 2 months to generate LMIS report and distribute 2 months to generate supply plan What was done? USAID DELIVER developed and implemented UIMS, WIMS and Web-based LMIS SPS developed and implemented SCIP, Dashboards, Online Stock Status Report, Procurement Tracker

16 DGFP MIS Information Flow Before Web-based LMIS Source:

17 DGFP MIS Information Flow After Web-based LMIS Source:

18 Data Generation and Capture Upazila Inventory Management System* (UIMS) Desktop-based tool Maintain upazila store inventory Automate Supply planning, Issue voucher preparation, Monthly LMIS reporting Warehouse Inventory Management System* (WIMS) Desktop-based tool Maintains warehouse stock data Digital stock ledger Generates issue voucher *Developed by the

19 Data Analysis, Reporting and Storage

20 Consumption Trends

21 Stock Out Tracking

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23 Stock Status Report

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26 Presentation Supply Chain Information Portal

27 Results Data from all sites uploaded by the 15 th of each month Reports immediately available Supply plans generated automatically Access to anyone with permission to reports Consumption data and trends Stock Status up to SDP level Stock out information Reporting and Operational status Status of procurement implementation

28 75% Reduction in Processing Time

29 Leading to Timely availability of data for decision making Improved supply plan monitoring Reduced incidence of stock outs Reduced workload Supply Officers, MIS Staff Improved monitoring and supervision Improved data visibility

30 Challenges Maintenance of hardware and software Timely and accurate data entry Internet penetration Quality Assurance Staff turn over Use of information at local level