Tag Archives | R Miller

Swaziland Warehouse Management Technical Assistance Report

To help the ministry understand the strengths, weaknesses, opportunities, and threats in Swaziland’s public health medical supply chain, staff from LMI’s Health Systems Management directorate studied relevant operating procedures and other documentation; conducted a country visit August 10–26, 2012; and developed a complex, multivariate supply chain simulation exercise, including storage facility and transportation optimization excursions.

In summary, the report’s key recommendations are as follows—

-Adopt and implement an SOP to define physical storage operations and management.

-Adopt new, commodity-agnostic storage practices to improve the efficiency of physical space management and work flows.

-Continue transportation route planning and refinement to optimize transportation efficiency throughout Swaziland.

-Establish and refine a Swaziland medical supply chain BoD to improve efficiency, transparency, and accountability of the medical supply chain at all levels, from the CMS operation to the point of care.

As measured against pharmaceutical supply chains in other developing nations, Swaziland has a well-functioning system. Gaps remain—for example, stock-outs occur with unacceptable frequency—but it is relatively efficient, modern, transparent, and effective. Key managers and stakeholders work in a highly collaborative, problem-solving environment, and that is a vital enabler to Swaziland’s remarkable national response to its most severe health problems. With further continued progress along the lines suggested in this report, the future of managing public health commodities in Swaziland should be on a positive trajectory to continual improvement.

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Analysis of the Angolan Public Health Supply Chain System

The project aimed to understand the current status and future plans of the Angolan public health logistics network, with the Central Procurement Agency for Medicines and Medical Supplies (Central de Compras de Medicamentos e meios medicos de Angola; CECOMA) as its principal focus. The team worked to identify weaknesses, gaps, strengths, opportunities, and potential threats in the system. The team worked to develop system-strengthening interventions and a plan for their implementation. The project staff worked to identify opportunities to build consensus among key supply chain stakeholders for the identified priorities and system-strengthening opportunities.

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