Tanzania’s ILSGateway

Report
Introduction to the
ILSGateway
February, 2011
Presentation Overview
• Background to the Integrated Logistics System (ILS)
• Objectives of the ILSGateway
• Key Data Items
• System Features
• Sample Screen Shots
• Summary
• Questions
What is the ILS?
• The Integrated Logistics System is a system for
managing various categories of products, which used
to be managed vertically, using a single set of
procedures.
• The ILS is an indent system where dispensaries,
health centers and hospitals order quantities of each
product according to their needs and within their
budget.
• The ILS captures the best elements of previously
vertical systems, most notably the Indent and
Contraceptive systems used for ordering drugs.
Movement of Supplies and Information in the ILS
Role
MOH Central:
Forecast needs
Allocate central funds
Supervise
MSD Central/Zonal:
Procure
Store
Distribute
Hospitals :
Serve clients
Prepare hospital
orders and funding
Districts:
Review & approve
dispensary and health
center orders
Allocate local funds
Deliver to facilities
Store supplies in
transit
Dispensaries &
Health Centers:
Serve clients
Prepare orders
Collect local funds
Flow of supplies
MOH Programme
Managers
Flow of orders
MSD
Central and Zonal
Stores
via MSD or hospital
vehicle
via MSD
vehicle
Hospitals
(Government/FBO/
NGO)
District
via district
vehicle
via district or NGO
vehicle
Government
Dispensaries and
Health Centers
NGO
Dispensaries and
Health Centers
CLIENTS
R&R Submission & Delivery Schedule
J
F
M
A
M
J
J
A
S
O
N
D
R & R’s
SUBMITTED
A
B
C
A
B
C
A
B
C
A
B
C
R & R’s
PROCESSED
C
A
B
C
A
B
C
A
B
C
A
B
ORDERS
RECEIVED
B
C
A
B
C
A
B
C
A
B
C
A
Current ILS and FP Commodity Challenges
• Widespread stockouts of RH commodities
• Irregular ordering
• Unavailability of facility-level data to decision-makers
at higher levels
• Inability of district-level decision-makers to easily
organize stock status data
Additional Need to Ensure Commodity Security
• A National Family Planning Costed Implementation Plan
(CIP) was launched in March 2010 outlining the next 5
year strategy to increase commodity security (CS).
• The goal of the CIP is to increase CYP to over 5 million,
increase the national contraceptive prevalence rate to
over 60% and reduce infant and maternal mortality by
2015.
• The MOHSW and the USAID | DELIVER Project are
seeking to provide increased data visibility for family
planning commodities in addition to other CS activities
they coordinate with the Family Planning working group
(FPWG).
What is the ILSGateway?
• The ILSGateway is a mobile health logistics reporting
system that is designed to strengthen the ILS. The
system will help expand the accessibility to and
visibility of logistics data. This in turn will help to
improve the supply chain decision making for all
essential health commodities in the ILS.
ILSGateway Objectives
1. Provide real-time stock status information on
reproductive health commodities.
2. Improving the timeliness and accuracy of paperbased ordering and reporting from the SDPs.
3. Improve the accuracy and timeliness of deliveries to
SDPs by confirming delivery arrival in real-time.
4. Allow decision-makers at all levels to monitor the
regularity and spread of facility-level supervision by
managers at district and other levels.
5. Prevent widespread emergency ordering that has
resulted from other reporting systems by aiding
districts and facilities in regular and routine ordering.
List of SMS Interactions
•
•
•
•
•
•
•
•
•
•
Registration (Once)
Stock on hand (end of each month)
Losses & Adjustments (end of each month)
Submission of R&R (end of each quarter)
Commodities Receipt (before the end of the quarter)
Supervision Receipt (end of each month)
Stock Out (periodic – user dependant)
Language (periodic – user dependant)
Help (periodic – user dependant)
Stop (periodic – user dependant)
Key System Data Points
•
•
•
•
•
•
•
Stock on hand of six key reproductive health
commodities.
Losses and Adjustments of those commodities
Whether R&R’s have been submitted to the District.
Date of R&R’s submission to the District.
Whether facility orders have been received.
If facility orders have been received, the date of their
receipt.
If facilities have received supervision, to enable the
Regional Level to monitor the Districts.
Proposed Commodity List for ILSGateway Pilot
•
•
•
•
•
•
Combined Oral Contraceptives – Microgynon (COC)
Progestogen only Contraceptives – Microval (POP)
Copper T IUD (IUCD)
Implants (IMPL)
Male Condoms (COND)
Injectables – Depo-Provera (DEPO)
ILSGateway Operational Framework
MOHSW
ILSGateway Server
Data appears on the
R&R’s appear on the
ILSGateway website
ILSGateway website
Key Central and Regional
stakeholders access ILSGateway for
logistics decision making
PUSH Mobile aggregates
SMS messages
District Pharmacist scans
R&R’s to ILSGateway
Facility designate texts
data to ILSGateway
District Pharmacist reviews & compiles
R&R’s before the DMO approves them
Approved R&R’s
accessed by MSD Zonal
Stores for packing
Packed goods shipped
to the District Hospital
for distribution
District Pharmacist accesses ILSGateway
for logistics decision making
Legend
R&R’s completed by
facility in charge
Commodity Flow
Completed R&R’s sent to the
District Pharmacist
Supervision
Interface with ILSGateway
Data Flow - Recommended process
Stock count undertaken
by designated facility staff
Region
supervises
District
Data Flow - Current process
District
supervises
Facilities
• Facility staff enter
data into personal cell
phone
• Send data as SMS to
a toll-free short code
(“15018”)
• Data received and
analyzed by web
database and then
displayed on:
www.ilsgateway.com
Screenshot Example – District Homepage
Alerts to recommend
action on stockouts,
missing R&R’s
Summary graphs
Reporting
rates
Delivery group
breakdowns
Screenshot Example – Stock Status
List of facilities,
arranged by
delivery group
Stock-out
Alert
Stock on hand
Screenshot Example – R&R Submission Status
R&R submission
status
R&R
submission
date
Next scheduled
delivery
Screenshot Example – Supervisory Tools
Supervisory
Tools that
can be
downloaded
Supervisory
notes
Screenshot Example – Mtwara Facilities Map
Map of Facilities in
Mtwara Region
participating in the pilot
Additional ILSGateway Features
• will serve as an overall ILS strengthening tool
used to monitor the functionality of the entire system.
• is an open source system built on a platform that
the MOHSW will never be asked to lease or
purchase.
• is a sustainable way to strengthen the system as it is
both non proprietary and relatively cheap to operate.
• will empower regional and district level staff by
giving them an increased role and responsibility in
monitoring and supervising the system.
• is flexible in that it can be easily adapted system
changes as the needed.
ILSGateway Partners
Summary
• The ILSGateway will introduce a series of innovative
additions to complement the existing ILS
• This system will focus on strengthening the entire ILS,
making it more efficient and effective in a sustainable
manner.
• The deployment and pilot of the ILSGateway will focus
on reproductive health commodities, with a goal of
expanding to additional pharmaceutical products.
Questions?

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