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Improving Access To Data To Support Timely Decision Making To Prevent Stock Outs: Country Case Studies
Annual AMDS Stakeholders & Partners MeetingGeneva, 28 – 29 March, 2011
RationaleInformation for timely and informed decision-making is critical for the successful management of pharmaceutical systems in support of national health programsMonitoring required for -
• availability of medicines and laboratory supplies
• financing• patient adherence• drug resistance
• registration of products• post market surveillance
(patient safety & product quality issues)
• program management etc
Improving Access to Information –The Process
Source: Training Module on Data for Decision-making, 1st Edition, April 2007. Nairobi: Ministry of Health/DRH, Kenya.
Decision MakingAction
Feedback
Data Collection
Data Analysis
PMIS Data
Data Generation and CaptureManual Forms and Reports
Patient registers Routine reportsPatient StatisticsLMIS ReportsADR Reports
RecordsHuman resourcesService delivery points
Computerized Dispensing Systems
ADT/EDTDesktop/Mobile
RxSolution
Inventory Control Systems/WMSRegistration Systems
Pharmadex
Data Transmission and Storage
• Manual– Hand delivery– Postal
• Electronic– Fax– Pen Drive/CD/– Email– Mobile
• GPRS/EDGE/3G
Data warehouseManualComputerized
Online/Offline
Centralized Vs. Distributed databases
Data Processing and Presentation
ProcessManual
PaperComputerized
ExcelWordAccessSPSS etc
PresentationReports
PushOn-demand
Web-basedDashboardsStatic/interactive
Evidence Based Decision Making
Prevent/minimize stocks out at SDPSupport forecasting and supply planningSupport procurement planning and managementFacilitate stock redistribution
Facilitatelogistics system monitoring and evaluationsupply chain management decision makingvendor performance monitoring
Transport managementSupplier performance
Country Case Studies – 1: Namibia Pharmaceutical Management Information System (PMIS)
Item availability and inventory managementRational use of medicines and quality of careWorkload and human resource developmentMedicine financing
Data sourcesART monthly reports from Electronic Dispensing Tool (EDT & mEDT)National Database
Aggregation and analysis
Country Case Studies – 2: KenyaPiloted use of SMS to report consumption and stock on hand data in 3 districtsContraceptive LMISART – PMIS
NASCOPProgress monitoring; advocacy; procurement actions
USGPipeline tracking
KEMSA, CHAI, Global and Kenya PharmaInitiate procurements and schedule call downs
MSFPlan transitioning of clients to GOK programs
Country Case Studies – 3Brazil
eTB ManagerNo stock outs reported despite an 88% increase in reported number of, and 144% increase in facilities managing MDR-TB cases
Dominican RepublicQuarterly reporting of months of stock at CMS and RMS since July 2010Triggered timely procurement leading to reduced stock outs
Country Case Studies – 4Amazon Malaria Initiative
Quarterly reporting of months of stock at CMS in most AMI countriesConsolidated report distributed to all countriesReport contributed to
Reduced stock outs and over stocks through donations among countries and internal redistribution
Stock Status of Primaquina 150mg
Exchange/Donation of medicines Triggered by the Regional Report
BANGLADESHCase Study – 5
Improving Access to Data in BangladeshThe Situation
MIS unit of DGFP had to manually enter all 483upazila and 21 RWH reports centrally2 months to generate LMIS report and distribute 2 months to generate supply plan
What was done?USAID | DELIVER developed and implemented
UIMS, WIMS and Web-based LMISSPS developed and implemented
SCIP, Dashboards, Online Stock Status Report, Procurement Tracker
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Data Generation and CaptureUpazila Inventory Management System* (UIMS)
Desktop-based toolMaintain upazila store inventory Automate
Supply planning, Issue voucher preparation,Monthly LMIS reporting
Warehouse Inventory ManagementSystem* (WIMS)
Desktop-based toolMaintains warehouse stock dataDigital stock ledgerGenerates issue voucher
*Developed by the
Dat
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Rep
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Stock Status Report
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ResultsData from all sites uploaded by the 15th of each monthReports immediately availableSupply plans generated automaticallyAccess to anyone with permission to reports –
Consumption data and trendsStock Status up to SDP levelStock out informationReporting and Operational statusStatus of procurement implementation
75% Reduction in Processing Time
Leading to…Timely availability of data fordecision makingImproved supply plan monitoringReduced incidence of stock outsReduced workload
Supply Officers, MIS StaffImproved monitoring and supervisionImproved data visibility
ChallengesMaintenance of hardware and softwareTimely and accurate data entryInternet penetrationQuality AssuranceStaff turn overUse of information at local level