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Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: data collection

11.02 2017
OpenLMIS was well-represented at the TechNet-21 Conference including this poster on the new vaccine-specific functionality.

OpenLMIS is a community dedicated to collective impact. We are always learning and listening for new ideas. We organize user-centered design workshops, talk with global leaders, and incorporate best-in-class technologies to meet the needs of global health supply chains. The most recent TechNet-21 Conference provided yet another opportunity to hear more from our partners in the immunization sector.

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04.28 2017

World Immunization Week is a perfect time to reflect on global priorities and our commitment to the Global Vaccine Action Plan (GVAP). This framework guides the work of organizations around the world to reach every child with life-saving vaccines. It is also a way to measure our collective success. Accurately measuring our progress against GVAP targets is central to moving the needle globally, but we need to be confident in the data.

I recently heard a ministry official summarize the challenges to increasing immunization in an area suspected to have a high number of unimmunized children. This was very different from the story told by the numbers. The administrative coverage rates (based on census numbers and the reported number of administered vaccine doses) for the region were well over 100%. Surveys designed to provide a baseline comparison in the same area reported lower numbers, but the data still showed surprisingly high coverage – above 80%. People at this meeting quickly said they were ‘tired’ of hearing about coverage rates because of the well-known data quality issues. This frustration with data quality has echoed at nearly every immunization stakeholder meeting I’ve attended. Clearly inaccurate data is less meaningful – and less useful. It could be worse than no data at all.

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03.01 2017

Reposted from OpenLMIS

Kaleb Brownlow QuoteThe release of OpenLMIS version 3 is truly something to celebrate – it is the result of an extraordinary collaboration of organizations and individuals around the world.

Teams from multiple countries contributed technical requirements, defined business processes, and wrote countless hours of code for the latest iteration of OpenLMIS, a powerful, enterprise class logistics management information system (LMIS).

The OpenLMIS Initiative’s mission is to make a high quality, powerful LMIS software available in low-resource environments – providing high-quality logistics management to improve health commodity distribution in low- and middle-income countries. OpenLMIS increases data visibility, helping supply chain managers identify and respond to commodity needs, particularly at health facilities where lack of data significantly impacts the availability of key medicines and vaccines.

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02.10 2017
Dr. Chan and me on the University of Washington Campus

One of the highlights of University of Washington’s symposium celebrating ten years in global health was seeing the Director General of the World Health Organization, Dr. Margaret Chan. Dr. Chan was charming as ever, with a spring in her step and a smile on her face. Perhaps it is because she is nearing the end of her term (her successor will be chosen during the upcoming World Health Assembly) that despite moments of levity, her words had a more sobering ring.

Dr. Chan painted a complex picture of the world in which global health professionals work.  We are confronting new diseases and old diseases, dealing with post-antibiotics and post-truth. She warned the attendees that some believe a long-standing social contract has been broken and “we are now living in a world that has lost its moral compass”. Before we could wallow in our collective struggle, Dr. Chan laid out four priorities to help guide health policies and programs.  Here’s what they mean for our work at VillageReach.

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02.01 2017

Versão português

With the endorsement of the Addis Declaration on Immunisation, African leaders demonstrated their commitment to life-saving immunizations.  The Declaration names a number of components – ten, in fact – crucial to realizing the full benefits of immunization.  But there are many more pieces in the day-to-day work of getting vaccines to children.  These are the pieces I think about as I do my part in reaching global vaccine goals.

Depending on the day, I’m thinking about things like this:

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11.15 2016

OpenLMIS, SELV, iSC. To most people these acronyms don’t mean much. To me, they tell a story of getting vaccines to the most remote communities in Mozambique. Sistema Electronico de Logstica de Vacinas (SELV) is the local name of a software used to record information about where vaccines need to go and how they are going to get there – an implementation of OpenLMIS, a logistics management information system (LMIS). As the Information Systems Officer at VillageReach, it’s my job to provide technical assistance and support for this critical software.  The BETA version of  OpenLMIS 3.0 was launched last week, representing a major milestone in the evolution of software that continues to demonstrate the import and impact of robust information systems at the last mile.

photo-3Over the last few weeks, my colleagues and I traveled to five provinces around Mozambique to talk about SELV. In some provinces like Cabo Delgado, SELV is an established tool. In others like Maputo City, SELV is brand new. VillageReach and the Ministry of Health are just beginning to expand the reach of SELV to all eleven provinces, so this trip provided me an opportunity to meet stakeholders, introduce myself as a resource, and find out how we can better support SELV within the immunization supply chain.

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10.24 2016

In 1972, The UN General Assembly agreed to mark October 24 each year as World Development Information Day in order to draw the world’s attention to development problems and the need to strengthen international cooperation to solve them. The Assembly felt that improving the dissemination of information would lead to greater awareness of the problems of development, and thus, promote efforts in the sphere of international cooperation for development.

img_1017_benin_2014At VillageReach, the last mile of delivery is the first mile of information. Data is the pulse that drives our work – the fundamental core of our programming strategy. Without information, we are working in a state of assumptions and half-truths, and fervently hoping we are right. Want evidence of this principle? Of the four blog posts we published this month alone, three focus directly on information – what goes into collecting it, the insight it provides, and an example of how it all comes together!

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10.03 2016

untitled-design-2Simple ideas can be powerful – a point driven home during my recent trip to Uganda. While I was there, I had the opportunity to tour the Ugandan national medical stores, where medicines for the entire country are warehoused. The head of sales and marketing showed me how each and every commodity that the Government of Uganda procures is marked as a way to safeguard against theft. Every layer of packaging is embossed: “GOVERNMENT OF UGANDA. PUBLIC USE ONLY. NOT FOR SALE.” Even individual tablets are marked “UG.” The government builds this requirement into its procurement contracts with suppliers. I walked away completely floored. What a simple yet brilliant idea to solve a persistent supply chain problem.

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08.17 2016

One hundred and thirty minutes. That’s just over two hours. It’s a long time to wait to see a doctor no matter where you are in the world. Then after waiting for two hours, patients talk to a healthcare provider for less than 2 minutes – 140 seconds – before they are back out the door. These are the average times spent waiting for and with healthcare providers in a rural health center in Malawi, where a recent study examined the flow of patients to help uncover opportunities for improvement.

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07.13 2016

If someone asked me “what’s a van?” in the US, I’d probably say a big-ish vehicle meant to efficiently move people and stuff from point A to point B. In Africa, these large people movers are called minibuses, kombis or any of a hundred other terms, except van. So when someone asks me about “VAN” in the African context, it means something very different. VAN is an acronym for “Visibility and Analytics Network.” In Nigeria, where VillageReach is working on the VAN project, it represents a new, more holistic approach to vaccine delivery and achieving a healthy, functioning supply chain. Though our VAN doesn’t have four wheels, it’s still purposefully designed to move things around more efficiently.

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Malawi healthcare worker