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Dr. Sanjiv Kumar, MBBS, MD, DNB (MCH), MBA, FIAPH, FIAPSM, FIMAMS, FIAMS

Procurement, Supply Chain Management For Anemia Mukt Bharat: Issues & Challenges. Dr. Sanjiv Kumar, MBBS, MD, DNB (MCH), MBA, FIAPH, FIAPSM, FIMAMS, FIAMS Director, International Institute Health Management Research, New Delhi. About IIHMR Delhi.

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Dr. Sanjiv Kumar, MBBS, MD, DNB (MCH), MBA, FIAPH, FIAPSM, FIMAMS, FIAMS

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  1. Procurement, Supply Chain Management For AnemiaMukt Bharat: Issues & Challenges Dr. Sanjiv Kumar, MBBS, MD, DNB (MCH), MBA, FIAPH, FIAPSM, FIMAMS, FIAMS Director, International Institute Health Management Research, New Delhi Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  2. About IIHMR Delhi • IHMR Society (Not-for-profit), established 1984 • Mission: To improve health through academics research, consultancies and networking in health, health IT & hospital management • Four Campuses: Jaipur, Delhi, Bangalore & Kolkata Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  3. ‘International' Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  4. Procurement & Supply Chain Management “Best run supply chains are often found in kitchens in every household” Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  5. Supply Chain Management coordinated functions responsible to: Plan for, procure, store, produce, move and control raw materials, work in progress, and finished goods, so as to optimize the usage of capital funds, the usage of physical facilities, the usage of technological assets, the usage of human resources, in order to attain the super ordinate objectives of the enterprise such as Profitability, Growth and Survival It encompasses all activities associated with the flow and transformation of goods from the raw materials stage, through to the end user as well as the associated information flows Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  6. Procurement & Supply Management for Anemia Mukt Bharat Abhiyan (AMBA) Procurement & Supply Management is vital for any Biomedical intervention based programmei.e. Immunization, AMBA It includes: • coordination of planning, • sourcing, • purchasing, • moving, • storing and • controlling materials in an optimum manner, so as to provide quality services to the patients at a minimum cost. Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  7. Ten Components of Procurement & Supply Management • ProgrammeObjectives and targets to be achieved • Forecasting, Material Planning and programming • Purchasing and receiving • Storage and accounting • Transportation and Material handling • Inventory control at every level • Disposal of surplus, expired and damaged supplies • Usage and stock outs at distribution point • Coverage including Compliance • Progress towards programme objectives and targets Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  8. Important elements in Anemia Mukt Bharat Processes: Prophylactic for non-anemic & Therapeutic for Anemic beneficiaries/Patients at • Health Facility/School/AWC • Through inventory management from state/regional warehouse upto distribution facility Actors: • Health Facility/School/AWC : Including the beneficiary and those who hand over to them i.e. School Teacher, AWW, ASHA (who supervises and monitors administration/compliance); • Warehouse: usually composed of hospital pharmacists, storekeepers and transporters; • Other officials who take part in the process: the State Programme Officer, the Treasurer’s Office, and the Accounting Office etc Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  9. THE CYCLE Centralisation Vs. Decentralisation Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  10. Issues in Supply Chain Mechanisms • Limited visibility of real demand • Quality of suppliers relationship • High level of shared information does not exist • Product and brand proliferation • Product complexity Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  11. Responsibilities Of Procurement & Supply Chain Manager • Determine categories of stock required, estimate quantity based on forecast and specify quality of each item • To procure the items from within or outside country at most economical price consistent with quality. • To ensure items required are expeditiously received and paid for promptly. • To develop a good storage system and easy retrievability. • To develop a good control on inventory • To minimise obsolescence, surplus and scrap through proper distribution and accounting or stores at the point of usage. • To ensure that loopholes of leakage are effectively plugged. • To assist in verification and provide supportive information for effective purchase action. Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  12. Procurement & SCM Issues: State Reviews(Rajasthan, Odisha, MP, Jharkhand & Bihar) • Forecasting & microplanning • Census estimates-based top down vs head count-based bottom up Way Forward: • Lessons from Immunization: Start with estimates and move towards head-count based forecast with continuous refinement • Surveys such as CES & MICS (NFHS) to give coverage data vs reported data Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  13. Procurement & SCM Issues & Solutions: State reviews(Rajasthan, Odisha, MP, Jharkhand & Bihar) 2. Procurement and logistics • Stock outs & problems in local purchases (Bihar- no IFA for 2 years) • Short supply of drugs to the individual departments ICDS, Schools health facilities Way Forward: • Central procurement of vaccines and distributed directly to states, regional warehouses • Central rate contracts with more than one supplier • Build state capacity in the long term Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  14. Procurement & SCM Issues & Solutions: State reviews(Rajasthan, Odisha, MP, Jharkhand & Bihar) 3. Warehousing, storage & distribution • Improper storage conditions (humidity & temperature) • Lack of recording of FEFO, FIFO based management • Indent based and emergency based management • Expiry, damaged stocks • Improper inventory maintenance, monitoring & reporting systems Way Forward • Improve warehouses • E-aushadhi experience of Rajasthan • Training of pharmacists and logistics mangers in skills related to technical, managerial • Strengthen administrative support Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  15. Procurement & SCM Issues: State Reviews(Rajasthan, Odisha, MP, Jharkhand & Bihar) 4. Trainings • Pharmacist, Logistics managers on RMNCH+A drugs • BEO, CDPO….. • Supportive Supervision for Supervisors • Convergence among related departments 5. Reporting, Feedback & HMIS • Physical monthly reports from Blocks, SCs Way Forward • Training of pharmacists and logistics mangers in skills related to technical, managerial • Strengthen administrative support • Digital reporting in MP Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  16. Five Carry Home Massages • Procurement and Supply Chain Management is the backbone every biotechnology intervention based health programme • SCM needs to be reviewed continuously for an effective implementation of a health program • Forecasting & microplanning, Procurement and logistics, Warehousing, storage & distribution, Warehousing, storage & distribution, Reporting, Feedback & HMIS related challenges can be addressed using lessons learned from across states and other large country-wide programmes such as immunization • It is important to relate procurement & SCM with programme objectives • Continuing education of staff should be an important part of a programme as it evolves to address emerging challenges Sanjiv Kumar Procurement SCM For Anemia Mukt Bharat 18/09/2018

  17. Thank You

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