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Tag Archives: system design

06.17 2016

The differences between West Africa and Southern Africa are well known, even if partially built on generalizations and stereotypes. There are personality differences, language differences, different foods and ways to eat, different and distinct rhythms heard in discotecas. While regions and individual countries are culturally unique throughout Africa, many share the same challenges and goals when it comes to improving their health systems. A few of these similarities stood out when the Ministry of Health in Mozambique hosted a team from the Ministry of Health in Togo this past week. IMG_6533The Togo team—Dr. Napo-Koura Gado Agarassi, Secretary General of the MoH; Dr. Ayi Hervé D’Almeida, Director of Procurement and Inventory Management; Dr. Amevegbe Kodjo Boko, National EPI Director, MoH, Togo – came to Mozambique to better understand how this country runs its supply chain for health commodities and what lessons can be learned between the two countries.

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05.06 2016

Reposted from the Bill and Melinda Gates Foundation Blog: Impatient Optimists 5.6.2016

I recently returned from a week in Mozambique with a goal of learning about new immunization supply chain models and observing their impact.  I also wanted to better understand opportunities and constraints for taking this work to scale — in Mozambique and across other Gavi-eligible countries.

In 2013, the Gates Foundation began working with five provincial governments in Mozambique, the national ministry of health, and VillageReach on a new system for delivering vaccines.  The new system represented big changes over their current design.  It takes a holistic approach – reconfiguring the transport system, re-assigning roles and responsibilities of personnel, obtaining and using data differently, and integrating supervision and cold chain maintenance into monthly vaccine distributions. I was able to get a first-hand view and see some impressive results of this “next-generation” system while in southern Mozambique’s Gaza Province. In Gaza, there’s now a much better chance that when children show up at a health center for immunizations, the vaccines will actually be there.  Vaccine stockouts have dropped from 43% in 2012, before the province revamped their system, to routinely less than 3% today.

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04.25 2016
immunization supply chain in Mozambique

Dr. Ramos Mboane

Summary: Dr. Ramos Mboane, Provincial Chief Medical Officer in Mozambique shares insights on key factors countries should prioritize to make #vaccineswork.

 This post is part of the #ProtectingKids story roundup. Read all the stories here


During World Immunization Week, people from all over the world are talking about one thing: how do we reach more children with the vaccines that they need? As someone responsible for overseeing the immunization program in my province, this is an issue I think about every day.  We all know that there are many reasons children fail to get immunized, and when I think about closing the immunization gap – in Niassa, and for other communities like us around the world – these are the things I think are most important:

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01.28 2016

A lot of attention is currently being paid to immunization supply chains (iSC) and how to improve their performance in order to absorb new vaccine introductions and leverage new technologies, all while being efficient and effective. It’s no small task. And generally, the conversation centers around the concrete components of the supply chain, such as cold chain equipment, shifting tasks to reduce the burden on health workers, or optimizing transport loops.

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01.21 2016

It’s time for New Year’s resolutions. Most of us make them. And inevitably, most of us break them. Last year I gave up added sugar. And on New Year’s Eve, as I nibbled on salted almond chocolate, I had to admit that I had given up on that resolution back in February. Yet nonetheless, while chewing on that same candy bar, I made a new resolution – spend more time having fun outdoor adventures. Luckily, this year I am armed with some research that shows that those of us who proclaim our resolutions publicly (check!) and set specific goals (do at least one outside activity- such as hiking, skiing or a long bike ride- per month) will be more likely to succeed.

Following these same principles, VillageReach is proud to publicly announce its New Year’s resolution: eliminate stockouts.

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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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08.20 2015

Ready, set, go! And they’re off!

That’s how the introduction of Rotavirus happened in Mozambique. The country has been planning on this for a while, but, as often happens, it seems to come down to the wire to work out the details of how to get more than 1 million vials of Rotavirus vaccines out to more than 1,400 health centers across the country.

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