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CLICK TO ADD TITLE. The 6th Global Health Supply Chain Summit November 18 -20, 2013 Addis Ababa, Ethiopia. A benchmarking methodology for sustaining efficiencies of global health supply chains Gemma Berenguer. [SPEAKERS NAMES]. [DATE]. Who are we?. Main goal.

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  1. CLICK TO ADD TITLE The 6th Global Health Supply Chain Summit November 18 -20, 2013Addis Ababa, Ethiopia A benchmarking methodology for sustaining efficiencies of global health supply chains Gemma Berenguer [SPEAKERS NAMES] [DATE]

  2. Who are we? Benchmarking Global Health Programs

  3. Main goal • How to get more health for the money?

  4. How to get more health for the money? * table extracted from CGD value for money report

  5. What is benchmarking? • Measurement, of own and the benchmarking partners' performance level, both for comparison and for registering improvements. • Comparison of performance levels, processes, practices, etc. • Learning, from the benchmarking partners to introduce improvements in your own organization. • Improvement, which is the ultimate objective of any benchmarking study.

  6. Goals • Create a process for continuous improvement for global health programs • Driven by data i.e., measureable • Systematic – leveraging best practices from similar contexts

  7. Focus of our study • Organizations in Sub-Saharan African countries • 44 countries • Reproductive health products (http://www.myaccessrh.org/home) • Purchase Order Date, Shipment Date, Receipt Date, funding organization, procurement organization, product, quantity, value

  8. Data set: Rwanda

  9. Benchmarking studies

  10. Data Envelopment Analysis (DEA) Indentify a set of metrics For each metric (or combinations of metrics) determine an efficient frontier

  11. DEA variables

  12. DEA Model • Slack-based Model (SBM) • Output-oriented • Variables returns to scale

  13. Are these the only variables? • Not all variables have the same role!! • Input and outputs variables • Environmental variables • Random shocks • Managerial inefficiencies

  14. Environmental variables • GDP, literacy, public health, density, landlocked country, LPI, civil liberties, merchandise • Random shocks • Population size • Managerial inefficiencies • Funding concentration

  15. Methodology Stage 1: DEA analysis • Input variables • Output variables • Environmental variables • Random shocks • Managerial inefficiencies Stage 2: SFA analysis Stage 3: DEA analysis • Input variables • Readjustment of output variables • Results on where does your organization stand related to others that are similar • Recommended performance measures to use • Recommended best practices to implement to achieve continuous improvement

  16. Efficiency results

  17. 3D results

  18. Final Ranking

  19. Peer sets

  20. The case of Guinea

  21. Clustering

  22. Cluster 2

  23. Funding concentration and efficiency

  24. Managerial inefficiency drivers • Funders • Funding concentration (i.e., number of funders) • Specific funder metrics and constraints • Specific initiatives run by countries • No import duties on pharma products • Free provision of reproductive health products • Flexible and robust reproductive health supply chain • Transportation improvement

  25. Impact of this study (contributions) Create awareness of importance of collecting data Introduce new benchmarking technique to be used in different global health programs Introduce the culture of continuous improvement in global health delivery programs Discuss drawbacks/advantages of donor concentration Discuss several best practices implemented by countries

  26. THANK YOU gemmabf@purdue.edu

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