Improving Health Outcomes through Professionalizing the Management of Public Health Supply Chains

1. Improving Health Outcomes through Professionalizing the Management of Public Health Supply Chains Kevin Pilz Workstream Coordinator USAID RHSC SSWG Meeting, London

2. Outline Overview goals of workstream. Describe current activities under workstream (20 min) Discuss/Receive SSWG Feedback (20 min) Current Innovation Fund Proposals • Bioforce Proposal (10 min/10 min) • JSI Proposal (20 mins) RHSC SSWG Meeting, London

3. Supply Chains are People Chains Leadership SUPPLIES FLOW LOGISTICS INFORMATION FLOW Logistics Management & Pipeline Report Central Medical Stores Central Stores Manager Warehouse Report & Order Intermediate Warehouse Warehouse Manager Health Clinic Report & Order Health Clinic Clinic Pharmacist or Nurse Report of Community Based Distributor Community Based Distributor (CBD) Community Health Worker Adapted from: USAID | DELIVER PROJECT CLIENTS RHSC SSWG Meeting, London

4. Challenge Unqualified and disempowered staff managing public health supply chains Poor availability of health commodities at facilities, wasted resources Underper-forming health programs and unachieved health goals Supply chains poorly managed and insufficiently resourced RHSC SSWG Meeting, London

5. Response Professionalization of Supply Chain Management → Create demand for and supply of individuals with appropriate competencies for public health supply chain management RHSC SSWG Meeting, London

6. Goal Improve health outcomes through better management of public health supply chains RHSC SSWG Meeting, London

7. Objectives • Recognition among key international and national agencies that: • strong supply chain performance is requisite for positive health outcomes • supply chains are complex systems whose management requires significant technical and managerial capacity • Harmonization across agencies on required competencies, certifications, and pre-service programs for supply chain management • Governments and national institutions demand technically qualified staff for positions with supply chain management responsibilities • Governments and national institutions provide supply chain managers with appropriate career tracks, support and incentives • Cadres of qualified, professional supply chain managers working at national and sub-national levels RHSC SSWG Meeting, London

8. Approach • Involve a broad array of key stakeholders from global, regional and national organizations, from within and beyond the RHSC • Promote harmonization of approaches across health programs and health organizations at different levels • Promote professionalization that acknowledges and accommodates the diversity of country contexts that exist and the diversity of roles among individuals managing supplies RHSC SSWG Meeting, London

9. Active Participants in the Initiative • Reproductive Health Supplies Coalition (120+ organizations) – founded the initiative • Donors and Multilateral Organizations: CHAI (SCM, OR, 6 countries), Global Fund, UNICEF, UNFPA, USAID (PRH, HRH, HIV, AFR), World Bank (RH, AFR, HRH), WHO (RH, HRH, EMP, IVB, ADG HSS), Stop TB Partnership • Technical Agencies: AAMP, Bioforce, CapacityPlus, CILT, CIPS, Crown Agents, DELIVER, JSI, Marie Stopes International, PHD, Project Optimize, SCMS • Private Sector: Bayer Schering Pharma, IDA Foundation • Regional and National Organizations: CIES (Nicaragua School of Public Health), East African Community, PRISMA (Peruvian NGO), -> RHSC LAC Forum RHSC SSWG Meeting, London

10. Ongoing Activities • Consultations with key stakeholders, expanding membership • Planning June 2011 Global Positioning and Harmonization Meeting • Developing evidence base on the need for professionalization (research agenda) • Identifying countries of focus RHSC SSWG Meeting, London

11. Consultations • Purpose: expand workstream membership, ensure workstream understands and reflects interests and concerns of key stakeholders • Coordinated by USAID (Kevin Pilz) • 40+ conducted in Geneva, London, Washington, Dominican Republic, telephone, etc. • Focused until now on donors, multilaterals & technical agencies • Shifting focus towards governments, academia, private sector RHSC SSWG Meeting, London

12. Global Positioning Meeting • Purpose: • Advocate with organizations/governments to support professionalization of SCM • Seek their commitment to professionalization and to implement in aligned/harmonized fashion • Determine future path - technical and process • Coordinated by Bioforce (Benoit Silve) • To be held at WHO/Geneva on June 28-29, 2010 • Expect ~90 participants from diverse organizations and countries • “Moment of Truth” for workstream – Commitment? RHSC SSWG Meeting, London

13. Evidence Base • Purpose: Support advocacy through research on the need for professionalization. Evidence base will be key for success at Global Meeting, but documentation of HRH challenge for SCM is currently weak. • Coordinated by USAID | DELIVER PROJECT (Paul Dowling), implemented by various (DELIVER, Bioforce, Optimize, World Bank) using standardized research tool • Likely Research Areas: • ID cadres currently managing supplies, time allocation, qualifications • Document local availability of certifications/degrees in SCM • Document successful/unsuccessful practices for professionalization • Impact analysis? Needed policy/programmatic inputs? • In-depth country studies supported by global and regional surveys RHSC SSWG Meeting, London

14. Focus Countries • Purpose: Identify countries where workstream will focus resources for: • Developing Evidence Base • Participation in Global Meeting/Advocacy • Pilot/Model Countries • Coordinated by CHAI (Maeve Magner) • Currently identifying countries with interest in professionalization and where existing support can be leveraged during implementation • Welcome your input (mmagner@clintonhealthaccess.org) RHSC SSWG Meeting, London

15. Funding(excluding time investments) • USAID through DELIVER and Bioforce • Consultations, Global Meeting, Research, Focus Countries • WHO (IVB & RHR) • Global Meeting (room, translation) • Project Optimize • Global Meeting, Research, Focus Countries • World Bank (?) • Research • Innovation Fund • Global Meeting, Research, Focus Countries (?) • Professional Development Opportunities work by JSI • Implementation through all Workstream Partners RHSC SSWG Meeting, London

16. Benefits • Cadres of qualified, professional supply chain managers working in public health institutions at national and sub-national levels • Better supply chain policy-making, decision-making and performance – better availability of needed health commodities • Greater availability of human resources for clinical needs • Reduced dependence on external technical assistance • Greater cost-efficiency in health programs RHSC SSWG Meeting, London

17. Impact • More sustainable health systems • Stronger health programs • Improved health outcomes • Healthier people RHSC SSWG Meeting, London

18. What can you do? • Engage with us: • Participate in workstream • Attend the global positioning meeting in June 2011 • Review the RHSC White Paper and give feedback • Email kpilz@usaid.gov • Advocate within your organization to support professionalization • Participate the RHSC process to unite & align our approach to professionalization White Paper Link: http://www.rhsupplies.org/fileadmin/user_upload/SSWG/RHSC_Professionalizing_SCM_White_Paper_1.pdf or google “professionalizing supply chain management” RHSC SSWG Meeting, London

19. Improving Health Outcomes through Professionalizing the Management of Public Health Supply Chains Questions? Comments? Discussion RHSC SSWG Meeting, London