Presented by Mohammad Golam Kibria, SIAPS, at the MEASURE Evaluation Geographic Information Systems (GIS) Working Group Meeting.

1. GIS Data Visualization to Optimize
Family Planning Supply Chain
Performance in Bangladesh: Initial
Experience and Opportunities
MEASURE Evaluation GIS Working Group meeting, 2015
Mohammad Golam Kibria
Senior Technical Advisor, SIAPS Program
Management Sciences for Health (MSH)
Bangladesh

2. Problem statement
• Unavailability of real-time logistics information from
service delivery points (SDPs)
• Poor data quality and use
• Untapped opportunity to improve logistics
management system and monitoring performance at
the last mile delivery points through GIS Data
visualization
……resulting to chronic sporadic stock-outs of
contraceptives at SDP level

3. Addressing the challenge: the Process
• Conducted system review, analyzed options and
redesigned
• SDP wise product mapping and enhance FP commodity
surveillance
SDP include Family Welfare Assistants (FWA), Family Welfare
Visitors (FWV), NGO etc.
• Linking GIS data with eLMIS data
• Improved documentation and provided technical and
technological capacity building training at all levels

4. Addressing the challenge: Development of eLMIS/
SDP dashboard Module
Developed and incorporated a web-based Service Delivery
Point (SDP) dashboard module in the DGFP Supply Chain
Information Portal (www.dgfplmis.org) that provides-
•SDP Stock Status information through Upazila Inventory
Management System (running in 488 sub-districts)
•DataViz: An interactive dashboard presenting easy-to-
understand charts, GIS maps and tables on stock levels of
individual SDP
•Early Warning System- SMS alert for action reminder,
tracking report submission against timeline, potential stock
imbalance/stock out of FP commodities

5. Advantages of eLMIS/SDP Dashboard Module
Web-enabled logistics information system (SDP
Dashboard module) facilitated in:
- improving data availability, accessibility, quality
- enhancing monitoring capacity, transparency and
efficiency of the family planning commodity tracking
system
- improving performance of individual SDP
- Mapping out potential vacant positions and human
resource planning
- Identifying the low performing sites and Joint
monitoring visit

6. Supply Chain Information Portal- At a glance
DGFP’s web-based portal: Includes a wide range of features to
manage procurement processes from planning to the receipt of
commodities. Accessible to the MOHFW and stakeholder
decision-makers at various levels

7. FP commodity surveillance at different
levels

8. Case study using eLMIS GIS data (I)
Stock Status of Injectables at Regional Warehouses at end of April 2015

10. Site performance*
Operational Status of the HIS
tools
Data Quality Issues
*Data as of 30 April 2015

11. Result: % of SDPs (FWA, FWV, NGO) having
stock-out of FP-RH commodities
Finally, among SDPs, stock-out rates for
contraceptives reduced from 1.63% in February
2014 to 0.28% in January 2015 in selected sub-
districts including three urban sites
Presentation: 12th
International Urban Health Conference, 2015

12. Case Study (II): DDS Kits (Dec 2011- April 2012)
CS-08 months

13. Dec-11 Jan-12 Feb-12 Mar-12 Apr-12
MOS 8.4 7.5 6.5 5.6 5.1
Stock-out 0 8 11 2 3
Potential Stock-out 10 57 48 47 37
Under-stock 28 157 198 168 151
Satisfactory 175 145 151 194 202
Over-stock 270 116 75 72 92
Case Study continued….

14. Challenges
• Data standards for data sharing
• Regular updates of spatial data
• Prompt actions taken based on information
• Retention of trained staff
• Improving the ICT infrastructure
• Ensuring feedback mechanism from upper
tier/supportive supervision visit
• Thoroughly discussing FP program’s performance
in the district/Upazila monthly meeting
• Staff motivation

15. Opportunities and Way Forward (I)
• Data integration (spatial data, health data, drug
logistics)
• Availability of spatial data, computers, GPS
• DGFP eLMIS GIS data visualization can support the
systematic organization of critical logistics
information needed for timely decision making in FP
program
• This level of visibility in performance can have
profound motivating effects through both
recognition of excellence, and transparency of poor
performance

16. Opportunities and Way forward (II)
• Government and donor commitment and potential
collaboration can accelerate the progress towards
good governance and accountability around
pharmaceutical management
• Data driven policy decisions (by Forecasting Working
Group, Logistics Coordination Forum etc.) can
improve overall supply chain management
• Progress towards the sustainability of Health
Information System tools for supply chain
management

17. GIS integration in other national programs
- Medical Equipment Tracking Module- Point facility
with equipment status through Google Map
- Introduction of the Quantum GIS in the National
Tuberculosis programs

18. Thanks!!
mkibria@msh.org