The document summarizes the findings of a national supply chain baseline assessment conducted in Myanmar in 2014 by the Ministry of Health and partners. The assessment aimed to provide an evidence-based understanding of the supply chain to guide strengthening efforts. Data was collected from 285 facilities across all levels of the health system and analyzed. Overall, the findings showed that maturity and performance across functional areas of the supply chain were low, requiring strengthening in order to positively impact the supply chain. Specific key performance indicators such as stockout rates, stock accuracy, and order fill rates demonstrated needs for improvement.

1. Background - Creating a shared, evidence based,
understanding of where to focus system strengthening efforts
 National Supply Chain Management Strategic Planning Workshop in
November agreed to a shared vision of an integrated national supply
chain lead by the MoH.
 A key recommendation, endorsed by MOH, was to conduct a national
supply chain baseline to provide a evidence-based platform that will
guide future system strengthening efforts and inform areas of
collaboration
 USAID/PEPFAR and 3MDG co-funded the exercise which was
conducted jointly by the MOH and PFSCM.
 Data was collected through March-April 2014, validated and analyzed
in May-June 2014 and the report was submitted to the MOH for
approval.

2. Data collection teams visited 285 facilities across
all states/divisions
2
 Central: 8
 Regional: 66
 District: 102
 SDP: 109
# Facilities by Level
 Randomized sampling by level
 Statistically significant sample
within each facility type
 The number of general
hospitals visited were
increased to ensure the largest
hospital within each state was
surveyed.
Sampling Methodology
 Central Warehouse: 2
 Central Program Warehouse: 4
 Central Lab: 2
 Regional Warehouses
(Program/CMSD): 29
 Transit Camps: 3
 General Hospitals:34
 Specialist Hospitals: 25
 District Hospitals: 27
 Township Hospitals: 69
 Station Hospitals: 22
 Rural Health Centers: 44
 NGOs: 23
 State Health Department: 1
# Facilities by Type

3. High Level Findings Combined – With a few notable
exceptions, overall maturity and performance is low
across all functional areas
All functional areas of the supply chain require strengthening
to build maturity to positively impact performance.
56%
14%
98%
81%
52%
66%
32%
101%
67%
8%
56%
35%Lab Issuing
36%
45%
Up-to-date Stock Cards
Staff Turnover
46%
38%
37%
Order Fill Rate
37%
Storage Variance from Optimal Capacity
Cold Storage Variance from Optimal Capacity
Functional Area
40%
40%
National Supply Chain Overall Results
Stock out rates
Stocked According to Plan
NEML
CMM Score
National CMM Score/ Primary KPIs
Forecasting and Supply Planning
KPI Score
Management Information
Warehousing & Inventory Management
51%
Quality Testing
Procurement
Product Selection
Dispensing
Waste Management
Transportation
Human Resources 43%
Key Positions Filled (CMSD, CMSSD)
Vendor On-Time Delivery