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Tag Archives: system design

06.05 2015

The 15th TechNet Conference convened last month in Bangkok, bringing together a global network of professionals and practitioners committed to strengthening immunization services in developing countries.  As my first time attending, it was a great opportunity to “geek out” about vaccines with a whole bunch of other vaccine “geeks.” The conference presented a mix of global policies and trends, as well as presentations from different countries on innovations for the vaccine supply chain that are improving efficiencies and increasing vaccine coverage rates. It was an opportunity to share experiences and learn from others’ work around the world.

Tech Net-21

Tech Net-21 Group Photo, courtesy of TechNet-21

A few key themes emerged from the conversations and presentations during the conference:

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04.28 2015

For the last fifteen years, VillageReach has been working to help ensure all children have access to vaccines. I have had the opportunity to spend time in rural health facilities across sub-Saharan Africa, talk with hundreds of healthcare workers, and meet with numerous leaders of health ministries. Through our daily interactions with health workers and government partners, I’ve seen first-hand the challenges to achieving immunization equity, especially as new vaccines are being added to already strained systems.

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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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11.21 2014

Last week marked the seventh annual Global Health Supply Chain Summit, which brings together academics, supply chain specialists, ministry of health representatives, bi-laterals, and even private sector logisticians each year to check in, explore new ideas, report on studies, and essentially challenge each other to keep improving supply chain management in the countries where we work.

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11.25 2013

We recently posted the latest performance report update for the Dedicated Logistics System (DLS) in Mozambique, covering January – June 2013. You can find the report here.

The implementation of the DLS is conducted in close partnership with the Mozambique Ministry of Health and provincial governments to improve access to vaccines for millions lacking sufficient healthcare in four of the country’s ten provinces. The focus of the program and the metrics we track concern vaccine distribution, one of the most cost effective interventions to save a life.

These reports, which reqire government approval for us to publish, cover a variety of metrics including:
• Health centers visited and data reported
• Delivery of vaccines
• Stock outs of vaccines
• Functioning refrigerators
• Number of vaccines administered

For the health centers receiving deliveries of vaccines from the DLS, vaccine stock outs continue to be below ten percent. More than 95 percent of refrigerators at health centers are functioning within the range necessary to ensure vaccines remain at desired temperatures. At the same time, the timing of vaccine deliveries is not as high as our target … this is a work in progress as we assist the provincial ministries of health to absorb the logistics system into their budgets and workplans.

Please feel free to send in your comments or questions to info@villagereach.org.

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06.18 2013

The Mozambique Dedicated Logistics System (DLS) Performance Reports are regularly issued, government-approved updates on the status of key performance indicators monitored by the DLS which serve as a gauge of quality system implementation. The first of these reports for publication is featured here.

The performance reports present and explain trends across the following indicators:

  • Health centers visited and data reported – Health centers visited refers to the percent of health centers visited out of all health centers in the provinces operating the DLS. The percent of health centers that are consistently visited is measured by the percent of health centers visited within a 33-delivery interval. Data reported refers to the percent of all health centers reporting data through the DLS logistics management information system, vrMIS.
  • Full delivery of vaccines – This refers to the percent of health centers visited who have received a full supply of vaccines. This indicator is broken down by specific vaccine type. The information system currently tracks all vaccines used in the public health system including BCG, measles, tetanus, pentavalent, polio, and pneumococcal.
  • Stock-outs by vaccine – A stock-out means that there is no remaining dose of any one vaccine at the health facility. The Reports monitor the percent of health centers visited that have experienced a stock-out of a specific vaccine type.
  • Functioning refrigerators – The percent of refrigerators at all health centers visited that are operating at the optimal 2-8˚C temperature range required by all vaccines in Mozambique’s supply chain.
  • Vaccines used – The number of supplies used in the previous month by all health centers visited.

VillageReach, in partnership with Mozambique’s Ministry of Health also aim to produce information on the overall impact of the DLS. However the measurement of impact indicators such as improved immunization coverage and improved community trust in and use of health services are not covered by these Performance Reports since such information requires point-in-time surveys and evaluations conducted over a longer time frame (i.e. every three years). VillageReach’s intention is to issue these Reports every six months, however the schedule of release of the reports will always be subject to partner review and approval prior to sharing.

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