Thoughts from the Last Mile Welcome to the VillageReach Blog

Category Archives: distribution system

12.01 2015
Today the world recognizes World Aids Day – a day to unite in the fight against HIV and to support the millions of people around the globe living with HIV.

In conjunction with World Aids Day, Médecins Sans Frontières (MSF) has published a new report – Empty Shelves, Come Back Tomorrow – evaluating the current incidence of HIV for four of the worst HIV-affected countries in sub-Saharan Africa including Mozambique.  In the country, 11% of the adult population is HIV positive, but only 45% of those affected receive the required level of treatment.   As the report notes about Mozambique “… there is no funded regular last mile delivery and stockouts are seen at facility level.”

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11.23 2015

Insights into the GHSCS Prize for Supply Chain Excellence in Global Health in Low- and Middle Income Countries

Portuguese version of this post

Out of five global health supply chain interventions nominated, the Dedicated Logistics System in Mozambique was selected as the winner of the Prize for Supply Chain Excellence in Global Health in Low- and Middle Income Countries, presented at the 2015 Global Health Supply Chain Conference in Dakar, Senegal, November 2015.

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11.19 2015

Last week, the annual Global Health Supply Chain Summit took place in Dakar, Senegal, bringing together supply chain specialists and thought leaders from around the world to keep challenging each of us to strive for better performance of supply chains. It is a week to reflect on what is currently happening in supply chain management, and it sets the agenda for priorities for the coming year.

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09.24 2015

Many people in global health talk about how Coca-Cola supply chain practices could be applied and adapted to health commodities to ensure that vaccines, malaria treatment, family planning commodities, and many more essential medicines are available at the last mile health facilities. And they have a point—I have seen Coca-Cola in pretty much every village I’ve been to in Africa throughout my almost 20 years of going to these remote places.

However, that cannot be said for the south part of the Equateur Province in the Democratic Republic of Congo.

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08.26 2015

As the VillageReach Field Officer in Gaza province, Mozambique, I work closely with the DPS (Provincial Directorate of Health) and the EPI manager, logistician, and the medical chief to make sure that the vaccine supply chain is performing in the most efficient way and with high quality results.

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03.16 2015

March’s arrival has brought a much-needed return to many of the essential services in northern Mozambique that the public health system and communities alike depend on.  In early January we reported on the devastating loss of both electricity and transport due to severe flooding throughout the region, including many of the communities we work with in neighboring Malawi.  

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01.08 2015

Why Peer-to-Peer Learning is a Critical Part of Health System Improvement

As the Country Director for VillageReach in Mozambique, I am very encouraged by the progress we have made in the last 12 months. Great strides were made at the national level to bring attention to the need for supply chain system optimization based on the achievements of the Dedicated Logistics System (DLS). Peer-to-peer learning played a key role in that progress.

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08.28 2014

A few weeks back, my colleague Rachel Powers wrote about VillageReach’s customized deployment of an open-source electronic logistics system (OpenLMIS) in Mozambique, where it is referred to as SELV (Sistema Electrónico de Logística de Vacinas). Along with members of our team, she and I have been closely working together in the development, user testing, and launch of SELV in-country. When I facilitated a week-long training in Maputo in June this year, the excitement I felt about SELV and the positive changes it could bring about was reflected in the faces and attitudes of everyone present in the room. The 15 people being trained included a mix of provincial-level vaccine logistics staff who would use the system regularly and central-level government officials in-charge of country-wide vaccine logistics and monitoring and evaluation of newborn and child health statistics.

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