Presented by Suzy Sacher, Technical Advisor, JSI/USAID| DELIVER PROJECT at the Learning Exchange: Transparency/accountability strategies & reproductive health delivery systems event held at the School of International Service, American University on June 27, 2016

1. Overviewof JSI & USAID | DELIVER PROJECT
Reproductive Health Supplies Monitoring
Learning Exchange:
Transparency/accountability strategies & reproductive health
delivery systems
School of International Service, American University
June 27, 2016
Suzy Sacher, John Snow, Inc.

2. Overview
• Logistics reporting & monitoring systems
– Global
– National/local
• Supply data dissemination & use
• Summary of:
– Successes
– Challenges
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3. Global-Level Logistics Reporting &
Monitoring Systems
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4. Coordinated Supply Planning (CSP)
for Donors of Contraceptives
• Group formed to enable better coordination
between UNFPA and USAID
• Purpose: Share information to reduce global
supply risk for FP products through coordinated
forecasting & supply planning
• Group includes –
– UNFPA
– USAID
– Clinton Health Access Initiative (CHAI)
– JSI through Implants Access Program (IAP)
and the USAID | DELIVER PROJECT
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5. RHInterchange
www.unfpaprocurement.org/rhi-home
• Provides web-based access to up-to-date contraceptive order
& shipment information for more than 140 countries
• The most public record of global contraceptive donations &
shipments
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6. Coordinated Assistance for Reproductive
Health Supplies (CARhs) Group
• Group working to assist countries in preventing/managing
supply crises
• Meets monthly to review/address supply issues:
– Initiate emergency shipments
– Expedite or postpone existing shipments
– Facilitate product transfers between countries
– Provide updated information on shipments/orders
• CARhs members –
– UNFPA, USAID, RH Supplies Coalition, USAID │DELIVER
PROJECT, WAHO, IAP, CSP, CHAI, FP2020, GHSC-PSM
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7. Procurement Planning &
Monitoring Report
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ppmr.rhsupplies.org
• Country-level data on consumption, stock on hand, upcoming
shipments, contextual updates
• Data used to highlight/address potential shortages & overstocks
• > 50 programs in 33 countries report routinely

8. National/Local-Level
Logistics Reporting & Monitoring
Systems
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9. Monitoring Supply Status (1)
Routine Reporting Systems
• Paper-based logistics management
information systems (LMIS)
• eLMIS (e.g., mobile or web-based)
• Informed push
(direct delivery & data capture)
• Review & resupply meetings
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10. Web-Based eLMIS
(Pakistan Example)
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Data on consumption, stock on hand,
reporting rates

11. Monitoring Supply Status (2)
Periodic/Routine Monitoring Systems
• Supportive supervision
• Health facility assessments
• National contraceptive security assessments
(e.g., CS Indicators, LSATs, SPARHCS, RHCSAT)
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12. Health Facility Assessments:
Supply Chain Performance & Product Availability
Typically include:
• Physical inventory count
• Review records and reports
• Staff interviews
• Observation of storage area
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, Nigeria
%ofFacilities
Availability on Day of Visit, Nigeria, 2002-11
2002
2005
2007
2011
Male Depo- Exluton/ IUCD Micro- Noris-
Condom Provera Microlut gynon terat

13. Contraceptive Security (CS) Indicators
Survey
• Annual survey covers 5 areas critical to CS:
– Finance
– Policies
– Commodities
– Coordination
– Supply chain
• Most recent survey included 49 countries –
mainly USAID Tier 1 countries for RH or
USAID | DELIVER PROJECT presence
countries
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14. Supply Data Dissemination & Use
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15. Supply Data Dissemination & Use (1)
Within the supply chain system:
• Supportive supervision/OJT
• Routine resupply/reallocation
• IMPACT team networks
(e.g., quality improvement teams)
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16. 16
Malawi IMPACTTeamNetworks Example
(using cStock)
Health
Facility
Teams –
• Monitor indicators
• Resolve issues
• Recognize good
performance
DistrictTeams meet
monthly
Teams meet
quarterly
Community
Health
Worker

17. Supply Data Dissemination & Use (2)
On a broader basis:
• National contraceptive security
committees
• Civil society outreach (professional
assoc., religious orgs, youth groups)
• Dissemination through the media

18. Zambia Logistics Newsletter
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A MINISTRY OF HEALTH PUBLICATION
CONTRACEPTIVES AVAILABLE AT MSL

19. Successes
• LMIS increasingly used & increasingly
electronic
• Data processed more quickly and
available more broadly
• Data being used for decision-making
• Greater coordination in-country and
at global level between donors
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20. Challenges
• Data not always available in real time
• Ministries often do not want data to be
publicly available
• Even available data may not be accessible to
the public
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21. Thank you!
Questions
Suzy Sacher, Technical Advisor
ssacher@jsi.com
Dana Aronovich, Performance Manager
daronovich@jsi.com
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