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The Basics Of
Supply Chain Management
In Global Health Planning

Dr. Paul Robinson, MBBS, MTS, MPH
Director, Health and Social Development Technical Team
World Relief
Baltimore, Maryland
February 28, 2013
Supply Chain Management in
Global Health Planning

●Lecture with Q&A -- 45 min
● Break -- 15 min
● DVD Presentation – 40 min
● Structured Discussion – 20 min
Supply Chain Management in
  Global Health Planning

       Lecture Outline

          1. Description
       2. Social Marketing
     3. Supply Chain Levels
         4. Key Elements
What is Supply Chain Management in
Global Health Planning?

• Right Goods (drugs, lab items, test kits)
• Right Quantities (sufficient for end user)
• Right Condition (appropriate packaging,
  temperature)
• Right Place (district hospital, village
  clinic)
• Right Cost (within purchasing capacity)
Broken Pharmaceutical Supply Chain




 500 bed district hospital stocked
 out of life-saving drugs…everyday!!
Dysfunctional Supply Chain



50 bed rural hospital
overstocked with neurosurgical
equipment
What Can We Learn From the Corporate Sector?




                               Coke for everyone




Supply chain driven company,                       On the other side of the
that also has retail stores                        mountain
Social Marketing


 Product: tangible & intangible
Price: monetary & non-monetary
  Place: locations & channels
Promotion: publicity & advocacy
The Other P’s of Social Marketing
             Public
           Partnership
             Policy
          Purse Strings
Public Announcements – Zambia




         Zambian Red Cross volunteers reminding community
       members about immunization campaign dates and places, so
             mothers can bring their children for vaccines
Television -- Egypt




       Tarek Allam—TV celebrity--hosts a regular show to interview
      newlyweds before a live audience. Important health messages on
     pregnancy, delivery and childcare are discussed quite frankly. This
11
                popular show has reached millions in Egypt
Using Insecticide Treated Bed Nets
          -- Malawi




Health worker demonstrating how to
treat bednets with insecticides
     12
Oral Rehydration Therapy—
BCC Campaign – Bangladesh
Targeted Billboards -- Uganda




     Health messages on roadside billboards targeting high risk groups
                          such as truck drivers
Posters In Market Place -- Uganda




      Posters in open public places disseminate health messages
Supply Chain Levels
          Port

      Central Store

     Regional Store

 District Hosp. Pharmacy

  Village Health Center

Community Health Worker
What are the key elements of
Supply Chain in
Global Health Planning?
• Knowing which product and how much product
  is needed at the end-user level
• Understanding how much product is at hand
• Calculating the need for each product and
  procuring them
• Moving and distributing the items
• Storing them
• Properly disposing damaged or unused products
Six links of Supply Chain
    • Analyzing Consumption of health products
1

    • Assessing Available Stock
2

    • Forecasting and Procurement
3

    • Arranging Transportation and Distribution
4

    • Setting Up Appropriate Storage Facilities
5
    • Managing Pharmaceutical Wastes and Unused
6     Items
References
Robinson P., and S. Lama. 2006. Pakistan Population Welfare and
Health Logistics System: A Technical Review. Arlington, VA:
DELIVER/John Snow, Inc. for the U.S. Agency for International
Development.

USAID | DELIVER Project, 2010. The Logistics Handbook: A
Practical Guide for Supply Chain Managers in Family Planning
and Health Programs. Arlington, VA., John Snow Inc. /
DELIVER for USAID

http://www.psi.org/resources/bcc/angola-telenovela-cb
Downloaded from PSI website on February 15, 2013

Churchman, E; Copley, B; Jeter, R; Mathuloe, T; Oudshourn, M;
Reynolds, D; and N. Trifunovic. 2012.
SCMS ARV Bridging Assistance Fund Final Report. Submitted
to the US Agency for International Development
by the Supply Chain Management System (SCMS).
Questions and Answers
Supply Chain Management in
   Global Health Program
         Planning

     DVD Presentation:

       Mission Possible

          40 minutes

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Class lecture slides -- Feb 28, 2013

  • 1. The Basics Of Supply Chain Management In Global Health Planning Dr. Paul Robinson, MBBS, MTS, MPH Director, Health and Social Development Technical Team World Relief Baltimore, Maryland February 28, 2013
  • 2. Supply Chain Management in Global Health Planning ●Lecture with Q&A -- 45 min ● Break -- 15 min ● DVD Presentation – 40 min ● Structured Discussion – 20 min
  • 3. Supply Chain Management in Global Health Planning Lecture Outline 1. Description 2. Social Marketing 3. Supply Chain Levels 4. Key Elements
  • 4. What is Supply Chain Management in Global Health Planning? • Right Goods (drugs, lab items, test kits) • Right Quantities (sufficient for end user) • Right Condition (appropriate packaging, temperature) • Right Place (district hospital, village clinic) • Right Cost (within purchasing capacity)
  • 5. Broken Pharmaceutical Supply Chain 500 bed district hospital stocked out of life-saving drugs…everyday!!
  • 6. Dysfunctional Supply Chain 50 bed rural hospital overstocked with neurosurgical equipment
  • 7. What Can We Learn From the Corporate Sector? Coke for everyone Supply chain driven company, On the other side of the that also has retail stores mountain
  • 8. Social Marketing Product: tangible & intangible Price: monetary & non-monetary Place: locations & channels Promotion: publicity & advocacy
  • 9. The Other P’s of Social Marketing Public Partnership Policy Purse Strings
  • 10. Public Announcements – Zambia Zambian Red Cross volunteers reminding community members about immunization campaign dates and places, so mothers can bring their children for vaccines
  • 11. Television -- Egypt Tarek Allam—TV celebrity--hosts a regular show to interview newlyweds before a live audience. Important health messages on pregnancy, delivery and childcare are discussed quite frankly. This 11 popular show has reached millions in Egypt
  • 12. Using Insecticide Treated Bed Nets -- Malawi Health worker demonstrating how to treat bednets with insecticides 12
  • 13. Oral Rehydration Therapy— BCC Campaign – Bangladesh
  • 14. Targeted Billboards -- Uganda Health messages on roadside billboards targeting high risk groups such as truck drivers
  • 15. Posters In Market Place -- Uganda Posters in open public places disseminate health messages
  • 16. Supply Chain Levels Port Central Store Regional Store District Hosp. Pharmacy Village Health Center Community Health Worker
  • 17. What are the key elements of Supply Chain in Global Health Planning? • Knowing which product and how much product is needed at the end-user level • Understanding how much product is at hand • Calculating the need for each product and procuring them • Moving and distributing the items • Storing them • Properly disposing damaged or unused products
  • 18. Six links of Supply Chain • Analyzing Consumption of health products 1 • Assessing Available Stock 2 • Forecasting and Procurement 3 • Arranging Transportation and Distribution 4 • Setting Up Appropriate Storage Facilities 5 • Managing Pharmaceutical Wastes and Unused 6 Items
  • 19. References Robinson P., and S. Lama. 2006. Pakistan Population Welfare and Health Logistics System: A Technical Review. Arlington, VA: DELIVER/John Snow, Inc. for the U.S. Agency for International Development. USAID | DELIVER Project, 2010. The Logistics Handbook: A Practical Guide for Supply Chain Managers in Family Planning and Health Programs. Arlington, VA., John Snow Inc. / DELIVER for USAID http://www.psi.org/resources/bcc/angola-telenovela-cb Downloaded from PSI website on February 15, 2013 Churchman, E; Copley, B; Jeter, R; Mathuloe, T; Oudshourn, M; Reynolds, D; and N. Trifunovic. 2012. SCMS ARV Bridging Assistance Fund Final Report. Submitted to the US Agency for International Development by the Supply Chain Management System (SCMS).
  • 21. Supply Chain Management in Global Health Program Planning DVD Presentation: Mission Possible 40 minutes