inSupply overview presentation at 2016 Kajiado Annual Health Summit

1. inSupply:Innovations in
Public Health Supply
Chains
Applying data and management practices to strengthen
supply chain systems
Kajiado Annual Health Summit
2 December 2016

2. 2
Outline • inSupply overview
• Implementation progress
• Way forward
inSupply overview
inSupply

3. INSUPPLY
OVERVIEW Innovations in Public Health
Supply Chains

4. inSupply
Goal
4
To improve the performance and efficiency
of contraceptive, vaccine, and essential medicine
supply chains by increasing the effective use of
data and introducing management best
practices to strengthen system outcomes.
The
Project
• Two years, funded by the Bill & Melinda
Gates foundation
• Regional focus in East Africa
• Six components linked by cross-cutting
themes:
• Improving data visibility, analytics and use
• Innovation at the last mile
• Local, regional capacity building,
stewardship

5. Six Components:Two Kenya Specific
inSupply
Consulting
Services
International
Association of
Public Health
Logisticians
Last Mile
Distribution
with UAVs
Vaccine
Information
Management
System
Regional Center
of Excellence
for Health
Supply Chain
Management
Implant Access
Programs

6. inSupply CS aims to improve the
performance and efficiency of supply chains
by increasing data visualization,
utilization and strengthening
management practices.
Our model adapts private sector and
proven best practices to promote a
continuous improvement culture that
is needed for a responsive, customer-
oriented supply chains.
Teams reinforce the correct and consistent
use of supply chain procedures, create
transparency and accountability, improve
coordination and communication and
foster trust and collaboration between
supply chain staff.
inSupply
Consulting
Services
Scope:
10 counties in
Kenya

7. Leadership
Network
IMPACTTeam Network
​7
Build dynamic leaders within a supply chain
who are motivated and possess the
competency required to fulfill essential
supply chain functions, who are empowered
to make decisions and act as change agents.
Provide a structured approach for using
data, create a culture of team responsibility
for problem solving and taking actions to
improve performance, and motivate staff to
make changes.
IMPACT
Teams

8. IMPACTTeam Network
Health System IMPACT network
Kotter, 2012
Leaders
Teams

9. Building Stewardship in 10 counties to ensure responsive,
customer-oriented supply chains post devolution
​9
• Nairobi
• Mombasa
• Kwale
• Kirinyaga
• Isiolo
• Kajiado
• Nandi
• Kakamega
• Nyamira
• Migori
Establish a Leadership Cohort
and IMPACTTeams nationally,
across 10 counties
• Facilitate the leadership cohort to meet
(virtually or in person) routinely
• Support regular national, county
IMPACT team meetings
Power these meetings with
data
• Analyse existing data
• Support root cause analysis, prioritise
interventions, develop action plans
using IT tools, techniques

10. Building on Existing Mechanisms
• Building on ongoing, routine meetings or
structures at the county level, e.g. Commodity
SecurityTechnicalWorking Group
meetings/structure
Accessing, enhancing existing data
• DHIS2, national FP Dashboard
Data visualization and utilization for
decision making
•Analyzing data from DHIS2 to develop appropriate
supply chain indicators, visualized for effective
decision making
Guiding
Principles

11. • Strengthened management practices
in health sector
• Improved data visibility across all
levels
• Better utilization of data for decision
making e.g. redistribution,
determining county commodity
needs
• Kaizen approach to continuous
improvement leading to better
functioning systems
• Supply chain efficiency through
waste reduction and improved
quality
Benefits to
the County
Waste reduction and
improved quality of
healthcare

12. ITT DASHBOARD:Approach to making
data actionable
Introduced a family
planning and vaccine
dashboard as part of the
Indicator Tracking Tool
(ITT)
12
Data organized, analyzed
and visualized in an
actionable way
On-time Reporting

13. ITT DASHBOARD:Approach to making
data actionable
13
Color Coding
Color coding immediately
identifies where challenges
and opportunities for
redistribution exist
Levels
Ability to visualize data at
the sub counties

14. 14
IMPACT Team Performance Indicators
Family Planning Vaccines
Reporting Rate Reporting Rate
Begin-End Balance
Comparison
Stock Status
Stock Status CalculatedVaccine
Wastage Rate
Stock out rates Vaccine Coverage

15. StructuredApproach to Performance
Management
Membership: Commodity
Security TWG
​ Photo of
IMPACT
team in
action
Analyze the
performance
monthly
Select priority
problem
Conduct
root
cause
analysis
Identify
practical
actions
Implement
selected
actions

16. Progress in Kajiado

17. Progress:Increasing product availability

18. Lessons
Learnt
• County leadership is eager to learn and
apply data analytics and visualization
techniques
• Ongoing mentorship needed to develop a
culture of continuous quality improvement
• Strong leadership skills available in the
county has facilitated smooth
implementation and sustained momentum
• Involvement of sub-county teams has
enriched the problem-solving process
​18

19. WAY FORWARD
“Our success is dependent on commitment,
positive attitude and good participation by
all members”
IMPACTTeam member,
Nyamira County

20. July/August 2016 – June 2017
• Support, build capacity and skills in leadership network and
county IMPACT Teams
• Adapt approach, demonstrate and share successes, lessons
across the network
• Bi-annual meetings to review progress and share best practices
across network
• Identify enablers of success, barriers to change
July 2017 onwards
• Work with successful county leaders to disseminate county best
practices, advocate for scale up
Next Steps
​20

21. Follow the Journey with us…
​Our aim is to disseminate lessons
and experiences early rather than
waiting for the end of the project.
insupply@jsi.com
www.insupply.jsi.com
Twitter:@inSupplyJSI
Newsletter:supplychain@jsi.com

22. For more information about
JSI’s work in supply chain, data
visibility, and data use, contact the
JSI Center for Health Logistics
supplychain@jsi.com Follow @jsihealth
insupply@jsi.com
www.insupply.jsi.com
Twitter: @inSupplyJSI
Newsletter: supplychain@jsi.com