Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Supply Chain

09.05 2018

Reposted from OpenLMIS

OpenLMIS is a global initiative to support the development of shareable, interoperable, open-source software for electronic logistics management information systems. The OpenLMIS initiative’s mission is to make a powerful Logistics Management Information System (LMIS) available in low-resource environments – providing high-quality logistics management to improve health commodity distribution in low- and middle-income countries.

The OpenLMIS community is very pleased to announce the release of version 3.4 of the OpenLMIS software. Version 3.4 incorporates a variety of new features and enhancements:  

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09.05 2018

Originally posted on Medium.

To transform health care delivery in far-reaching areas of Mozambique, it takes creativity, thinking outside of the box, resilience and strong commitment. It also requires a team approach and a lot of early buy-in. Engaging with a wide variety of stakeholders and being inclusive of a range of voices from the start is paramount to the work that we do at VillageReach, and particularly with a new and evolving technology like drones.

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07.03 2018

Originally posted on Medium. 

Imagine this: you have a cough. At first, it’s annoying, but you try to ignore it. It grows more persistent and you start worrying about getting your kids sick, so you decide to go see a health professional. Now imagine the nearest clinic is 10 kilometres away or more — and even though you’re coughing and tired, you have to walk or ride a bike to get there. You have taken time away from work and used precious financial resources to get to the clinic. Once you arrive, the health worker decides to test you for tuberculosis (TB), and says to return in 2–3 weeks for your results, as the health facility does not have a laboratory on-site.

The day of your follow-up arrives, and you again make the 10 kilometre trip back to the clinic. But there is only disappointing news: they couldn’t get the specimen to the laboratory fast enough, and therefore the test could not be conducted. They recommend that you travel even further to a different facility and repeat the test. Meanwhile, your family has also started coughing. Feel frustrated? Or hopeless? This is a reality that VillageReach along with DFID Mozambique, Ministry of Health, and other partners are trying to change in rural Mozambique.

And we are doing it using drones.

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06.19 2018
Benat Kalebe is a pharmacy technician at Ntchisi District Hospital, Malawi.

On any given day, you may find Benat Kalebe organizing his storeroom or dispensing medicines at the Ntchisi District Hospital. He may be working in the hospital’s different wards, providing support for the nurses and doctors while keeping a close eye on the stock levels of the medicines they use. But Benat is more than the hospital’s pharmacy technician. He is a conduit for life-saving medicines for 16 health facilities throughout Ntchisi District in Malawi.

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06.01 2018
Laiford at work in Mbang’ombe 1 Health Center drugstore

Mbang’ombe 1 Health Center is in the back yard of Lilongwe International Airport. In terms of access to quality health services however, the facility might as well be far from Lilongwe. At approximately 50 km from the Lilongwe District Health Office and Central Medical Stores, the facility serves a rural community. It has one clinician, four nurses, 11 Health Surveillance Assistants (HSAs) and several support staff who serve over 5,000 households, a total population of 24,762 people. The facility has never had pharmacy personnel.

Laiford Nandolo is one of the two HSAs that help manage the drugstore in the absence of a trained Pharmacy Assistant. Although Laiford has over 10 years of experience as a health worker, most of his drugstore clerk experience has been on the job without formal training, except a one-day training he received back in 2014.

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04.25 2018

I had the privilege of meeting Ruphin Ndumbala on my recent visit to Equateur province, DRC. Ruphin is one of the many frontline health workers who go above and beyond to ensure vaccines reach every last child. Recently, he made a promise, and I was honored enough to see him deliver.

“I used to spend at least two days’ roundtrip to collect vaccines.” Ruphin spoke outside of his clinic in rural Equateur province. “It was a big concern for my family that I was leaving behind, but also for the patients I was leaving unattended.”

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04.25 2018

Stories coming from Lolanga-Mampoko district in Equateur province often focus on the challenges communities face in accessing health care. I see these challenges every day and work with partners to help communities overcome them. But not all of our stories are about challenges. For this African Vaccination Week, we are celebrating what we have achieved over the past year.

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04.18 2018

Imagine a world with 18 million healthier children than today. Their lungs haven’t been collapsed by diphtheria, their legs haven’t been crippled by polio, they haven’t died from pneumonia before they were named.

These children grew up strong and healthy.

How do we make this imagined world a reality?  This is what drives the OpenLMIS community every day. We strongly believe that with better access to supplies, data and feedback loops, vaccine rates will increase. OpenLMIS is at the forefront of moving information closer to those who need it and back to those who provided it.  We do this by working with you– with partners, with governments and with health workers, OpenLMIS has developed an open source technology that supports the distribution of public health products to hard-to-reach places.

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04.05 2018

Reposted from www.defeatdd.org

Vibrio cholerae can steal through a community quickly and quietly. This bacteria spreads in water or food, causing acute diarrhea that can cause severe dehydration and death in just a few short hours. But, cholera is both preventable and treatable.

Zambia cholera response
These crowds are a testament to the Government of Zambia’s commitment to social mobilization to raise awareness about the country’s oral cholera vaccine campaign. Photo credit: CIDRZ.

Zambian Minister of Health Chitalu Chilufya has seen first-hand the impact of cholera, and understands the vital role governments must play. As he said in a recent African Center for Disease Control (CDC) board meeting, it is unacceptable that a preventable and treatable disease such as cholera has continued to claim millions of lives worldwide. Dr. Chilufya agreed to sponsor a resolution on the elimination of cholera at the 2018 World Health Assembly – an important step towards global action.

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03.28 2018

Reposted from World Vaccine Congress

What technology has had the biggest impact on vaccine supply chains over the last 10 years?

There is no ‘magic bullet’ that has revolutionized vaccine supply chains over the last ten years. Instead, a range of technologies working in concert with one another have contributed to more effective and efficient supply chains. Developments in cold chain technology, data gathering and analytics, and even in transportation have all had significant impacts on the availability of vaccines. These technologies all must work in-sync with each other to provide both the infrastructure and information needed to ensure vaccines are available where and when they are needed and in the right condition. We must also ensure these technologies are appropriate and available at all levels of the supply chain. As a global community, we have greatly improved the systems, infrastructure and financing to ensure sufficient vaccines reach low-resource countries, but the real impact comes when these technologies and systems work all the way down to the last mile as well.

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Malawi healthcare worker