GAVI ALLIANCE
IMMUNISATION SUPPLY
CHAIN STRATEGY
A focus on Data for Management (D4M)
Gemma Orta Martinez & Kaleb Brownlow
November 2014, Geneva
IMMUNISATION SUPPLY CHAIN
An interconnected system involving flows of goods, funds and data
Immunisation planning
Records
Reports
Analysis
Global supply chain
Forecasting
Ordering
& funding
Manufacturing
Global /
country
interface
Data
Shipping
Country supply chain
Vaccine delivery & waste
Waste
management
Service
delivery
Source: GAVI Alliance task force
Health
centres
Sub-national
stores
National
store
Supplies
arrival
PROBLEM STATEMENT
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1.
Good quality, fit for purpose supply chain data
may not always be available, or if it is, may not be
used
2.
Capturing data also becomes a chore
3.
Data flows one way up the chain and there’s no
feedback mechanism
4.
Data has little immediate value to the person
collecting it
5.
Data is not acted upon
STRATEGY FRAMEWORK
Save children's
lives and protect people's health by
increasing access to immunisation in poor countries
Immunisation supply chains provide potent vaccines efficiently to all
Vision 2020
1
Objectives
• Maintain vaccine potency
• Ensure availability of right
vaccines and supplies
Change
2
• Use resources efficiently
Alliance-wide theory of change
System Design & Optimisation
Priorities
and
Initiatives
People &
Practices
Implementation
mechanisms
Policy changes
and guidance
Cold Chain
Equipment
In-country
change
process
Implementation roadmap
Page: 4
1. Currently EVM
Source: GAVI Alliance Task Force
Data for
Management
Roles &
responsibilities
Funding
mechanisms
Budget
Distribution
& Transport
Technical
assistance
STRATEGY THEORY OF CHANGE
How to create an environment of continuous improvement?
How will we get
there?
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The Goal
The Impact
CONTINUOUS IMPROVEMENT
How will partners support a cycle of continuous improvement?
Provide coordinated and direct support
for supply chain improvements, develop
better tools and clearer guidance,
implement new policies
Expand and improve cold chain
equipment options, training platforms,
stock management and immunization
management systems
Support
Assess
Implement
Improve the EVM assessment process
to include more tools and strategic input,
support better monitoring tools for day-today management
Plan
Fund
Advocate for more funding for supply chain
improvements from all available sources
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Request more comprehensive plans,
build stronger advocacy platforms,
and link plans to comprehensive
multiyear plans (cMYP)
SUPPLY CHAIN DASHBOARDS
A reliable set of information is available to managers and staff to make practical and
strategic decisions about the supply chain to improve EPI performance.
Support countries to develop management dashboards including
key supply chain indicators for use at all levels of the supply
chain. These dashboards will help managers monitor supply chain
performance and implement improvements listed in the
comprehensive plans.
The Vaccine Alliance partners will provide guidance and technical
assistance on data standards and use. Dashboards will be developed
by national partners to ensure each dashboard is relevant and feasible
in that particular country.
Examples of support from the Vaccine Alliance Partners
•
•
•
Guidance and technical assistance on data standards and use.
Guidance on how to use metrics for practical and strategic
decision-making.
Mechanisms for sharing experiences, strategies, and systems
across countries.
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•
Direct support to countries to select performance
indicators and establish monitoring systems.
D4M IMPLEMENTATION FRAMEWORK
2020 Goal: All Gavi countries are using data to oversee and manage key aspects of their immunization supply
chain, specifically around availability of vaccines at the service delivery level, quality of storage and transport
conditions, and efficiency of stock management, and are able to measure improved performance.
•
•
2017-2019
•
•
•
•
2016
•
2015
•
•
•
•
•
8
guidance to be used in the supply chain system optimization efforts
development of a pool of consultants trained to conduct data and system
assessments, and work on improvement plans
provide technical assistance to countries to help them set up systems to utilize the
recommended indicators
ensure complementarity of work with partners working in this field (and on other
supplies)
dashboards – visibility to districts in 10-15 countries
help influence countries in their choices and implementation of data systems but also
influence information system providers, partners and NGOs working in this field to
align their products
development of a pool of consultants trained to conduct data and system
assessments, and work on improvement plans (e.g. cEVM)
Data standards and use guidance finalized.
Knowledge-sharing repository established.
Guidance document regarding functional standards LMIS developed.
Reports with recommendations/lessons learned from findings and country
assessments disseminated.
Implementation/upgrade of LMIS software in 5-7 countries conducted
DASHBOARD GUIDANCE OVERVIEW
SCOPE
•
•
Guide users on how to collect, visualize,
analyse and interpret the data that is
needed to manage in-country supply
chains
Respond to various maturity levels,
non-prescriptive, and be dynamic as
context and systems change
What is a
dashboard
Dashboard
Elements
TIMELINE
•
•
•
•
•
Page: 9
Mid-November consultation
Mid-December collate consultations and
inputs into revised document
End Q1 2015 final draft of guidance
Q2 2015 in-country engagements
2015 – 2016 dissemination and guidance
implementation
Measures &
visualisation
How to
deploy
Resources &
budgeting
SMALL GROUP WORK
A COUNTRY PERSPECTIVE
Consider the approach and work plan presented as well as the reference
documents from a country perspective. Prepare to share in plenary.
•
Usefulness
would it useful to help monitor your program?
how would you use it?
• Country readiness
could it be implemented now?
if not, what are the gaps to solve before the country is ready?
if yes, are there any remaining gaps or risks and how can they be mitigated?
• Data sources
where would the information and data come from?
• Taking action
would the different levels in the chain be able to make decisions based on this
type of information?
Reference Documents
• Measure performance framework
• 1 – 2 draft measures
SMALL GROUP WORK
AN INDUSTRY PERSPECTIVE
Consider the approach and work plan presented as well as the reference
documents from an industry perspective. Prepare to share in plenary.
•
Usefulness
would this be useful to developing and ensuring standardization among software
and systems?
how would you use such type of guidance?
• Implementability
does the system you work on include this type of data and indicators? if so, what
are the current challenges? if not, would you consider including indicators?
to what extent is it realistic that you consider including some standardization?
what else would you need?
• Taking action
is the system you work on implemented in any country? what does the country
use these for? who is using it in country?
what are the challenges you have encountered or anticipate to encounter in
relation to data and indicators? would any of this guidance help?
Reference Documents
• Measure performance framework
• 1 – 2 draft measures
BROADER ICT IMMUNISATION DISCUSSIONS
Root Causes
•
•
•
Systems (do not collect the right data and do not provide enough analytical
support)
Tools & Technology (not adequate to allow easy data collection, reporting &
analysis)
People (not enough feedback / lack of incentives to collect & use data)
Different Users and Objectives (global-country and intra-country)
•
Can create tensions
Multiple Levels
•
•
•
Strategic
Tactical / Management
Operational
Existing Examples of Dashboards (or use of data analytics)
•
•
•
Supply Chain TV (Logistimo and Bulletin Board)
Offline/Transportable functionality (Village Reach and use of Tableau)
One interface (JSI and vLMIS, cLMIS, tLMIS)
Supply Chain Linkage to Health & Demographic Data
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