ZAMBIA ESSENTIAL MEDICINES LOGISTICS IMPROVEMENT PROGRAM (EMLIP HYBRID)

Alexis AndersonBryan KirkPriya Konduru Subramani RajuSamantha Straitz

in partnership with Chimuka Hampango & Derrick Nyimbili

ObjectiveBackground

EMLIP

ChallengeEconomy

Volatile CurrencyProcurement

Recommendations

EMLIP Medical Stores Limited (MSL)

District Community Medical Office

(DCMO)MSL Hub Provincial Health

Office (PHO)

Hub Staging Post

Health Centers & Community

Health Workers

Hospitals Levels 1,2,3

LMU

LMIS Reporting & Ordering Health Center Kits Top-Up Commodities, Emergency Feedback Reports

Launched June 2009 in 27 districts

Essential medicines, family planning products, malaria commodities

Hybrid Push-Pull System

Forced Ordering Maximum-Minimum Inventory Control System

Exports from $10.22 billion (2014) to $6.32 billion (2015)Kwacha from US $6,829 per tonne (2014) to US $5,160 per tonne (2015)GDP from 6.7% (2013) to 4.3% (2015)

Challenge Volatile Currency

Reduced Health Budget

Health budget allocation from 11.3% in 2013 to 8.3% in 2016

• 2013: 11.3%• 2014: 9.9%• 2015: 9.6%• 2016: 8.3%

Challenge Volatile Currency

Reduced Health Budget

RecommendationsContinue EMLIP Rollout

Strengthen eLMIS

Continue scale-up and implementation to the remaining districts in Zambia, including transitioning to the Electronic

Logistics Management System (eLMIS)

Ministry of Health set aside a minimum amount of money for essential medicine drug procurement

Protect Investment

Recommendations Continue EMLIP Rollout

Strengthen eLMIS

Protect Investment

- Hybrid system enhances commodity security- Drugs available on as-needed basis

- commodity waste - stock data reporting

- Antimalarial stockouts reported at all levels of health care system

- Poor logistical and supply systems; limited commodity procurement

2009- 98% reporting rate and 96% antimalarial

facility level stock availability - Health facility stockouts of ACT to 3%

2016

Recommendations Continue EMLIP Rollout

Strengthen eLMIS

Protect Investment

Increase data reportingspeed, ease & accuracy

Improve data quality

Reduce stockouts

Improve health outcomes

Generate Cost Savings

Recommendations Continue EMLIP Rollout

Strengthen eLMIS

Protect Investment

Ministry of Health set aside minimum amount of money Hedge against budget fluctuations