Innocent Ibegbunam, Health Commodities Management System Priorities & Challenges

Health Commodities Management System:Priorities and ChallengesInnocent Ibegbunam (B.Pharm. MPH)Associate Director, HIV/AIDS SCMS Project (Nigeria)innoibegbunam@yahoo.comDeborah McGill (PhD)World Congress on Public Health, Addis Ababa Ethiopia, April 25, 2012

Background (I)Health Commodities: are medicines, laboratoryequipment, reagents, consumables and other productsrequired for provision of health services. Lack of thesecommodities leads to poor health services and loss of livesManagement system: refers to processes and procedures for thehandling of these health commodities to ensure they are in continuoussupply for the uninterrupted provision health services using six rights ofa logistics systemSelection & SpecificationQuantification & Procurement,Storage & Distribution Inventory management & Data management systems

Background (II)Nigeria Scenario 2010Lack of approved standard policy for healthcommodity managementMultiple donor-driven & fragmentedcommodities management systemsInadequate infrastructure to support scale upInadequate essential health commoditiesPoor Government leadership in healthcommodity management system

Essential commodities Pipeline

ART Commodity Pipeline USG GFATM APIN+ Funder UNITAIDS GON PEPFAR R5 CRS Program USDOD CDC USAID CHAI NACA FMOH ICAPProcurement SCMS Dept. of IHVN Implementing Agent IDA Crown Procurement Partners Axios Agents VANDERBILT FCMS Central DOD/HRP SCMS Axios Store IP WH WH WH CHAN Medi- Pharm WH FHI/GHAIN LMSDistributor UPS Other 3PL Axios CHAN M-P Darlez NICAB Health Facilities PFD ART Sites PMTCT Sites Service HYGEIA Provider TA JSI/SCMS Logistics TA

THE STUDYResearch questionWhat are the priorities and challenges of health commodities managementsystems in HIV/AIDS programmes in Abuja Nigeria?AimTo explore opinions of health workers, on priorities and challenges of healthcommodities management system in HIV/AIDS programme in Abuja Nigeria inorder to inform future standard operating procedures (SOP) revisionsObjectivesTo conduct qualitative research using semi-structured interviews to:explore the opinions of health workers on how best to manage healthcommodities for the growing HIV/AIDS morbidity in Abuja, Nigeriacompare the opinion of health workers with national priorities on HIV/AIDScommodities management systems so as to ascertain gaps that may need to beaddressedinform future SOP revisions on management of HIV/AIDS commodities

MethodologyStudy design: Qualitative (social constructionist)Study setting: Abuja, NigeriaSampling strategy: Purposive samplingSampling frame: Health workersHealth sector: HIV/AIDSRecruitment: Voluntary participation (ethics)Sample size: 12 health workersData collection: In-depth interview (taped)Data analysis: Thematic content analysis

Results (I)Government of Nigeria needs to focus resources in:o Coordination & Integration of health commodities management system through providing leadership, funding & guidanceo Human resource management & capacity buildingo Infrastructure development & upgradeso Data management systemo Commodity security strategy & sustainabilityo Revision & dissemination of standard operating procedures

Results (II)• Donors “quick fix” approach to programme implementation often results in Government laxity to support commodities management systemo Expedited procurement of health commoditieso Quick infrastructural upgradeso Accelerated scale up of services

Impact (2011-2012) Advocacy to Government & donors on commodity management coordination • Unification pilot project of parallel HIV/AIDS commodity management systems • Coordination of national procurement plan Policy direction, dissemination & implementation Harmonization of capacity building strategy Infrastructural upgrade at storage facility

Acknowledgments• University of Liverpool/Laureate Online Education• Dr Deborah McGill (Advisor)• Study Participants• Federal Ministry of Health Nigeria• PEPFAR Nigeria• John Snow Inc.• SCMS Project

Daalu! Ese!! Na gode!!Thank you!!!

Innocent Ibegbunam, Health Commodities Management System Priorities & Challenges

by University of Liverpool Online

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