3. EMLIP Medical Stores
Limited (MSL)
District Community
Medical Office
(DCMO)
MSL Hub
Provincial Health
Office (PHO)
Hub Staging Post
Health Centers
& Community
Health Workers
Hospitals Levels
1,2,3
LMU
LMIS Reporting & Ordering Health Center Kits Top-Up Commodities, Emergency Feedback Reports
Launched June 2009 in 27
districts
Essential medicines, family
planning products, malaria
commodities
Hybrid Push-Pull System
Forced Ordering Maximum-
Minimum Inventory Control
System
4. Exports from $10.22 billion (2014) to $6.32 billion (2015)
Kwacha from US $6,829 per tonne (2014) to US $5,160 per tonne (2015)
GDP from 6.7% (2013) to 4.3% (2015)
Challenge Volatile
Currency
Reduced
Health Budget
5. Health budget allocation from 11.3% in 2013 to 8.3% in 2016
• 2013: 11.3%
• 2014: 9.9%
• 2015: 9.6%
• 2016: 8.3%
Challenge Volatile
Currency
Reduced
Health Budget
6. Recommendations
Continue
EMLIP
Rollout
Strengthen
eLMIS
Continue scale-up and implementation to the remaining
districts in Zambia, including transitioning to the Electronic
Logistics Management System (eLMIS)
Ministry of Health set aside a minimum amount of money for
essential medicine drug procurement
Protect
Investment
7. Recommendations
Continue
EMLIP
Rollout
Strengthen
eLMIS
Protect
Investment
- Hybrid system enhances commodity security
- Drugs available on as-needed basis
- commodity waste
- stock data reporting
- Antimalarial stockouts reported at
all levels of health care system
- Poor logistical and supply systems;
limited commodity procurement
2009
- 98% reporting rate and 96% antimalarial
facility level stock availability
- Health facility stockouts of ACT to 3%
2016