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The annual ICT4D Conferences have proven to be an invaluable opportunity for NGOs, private sector organizations, universities, governmental agencies and foundations to share their experience in using ICT to increase the impact of development programs and to learn from each other.  In 2016, 715 individuals from 76 countries and 301 private sector and public sector and civil society explored the ways to harness the full power of digital solutions to achieve the United Nations’ Sustainable Development Goals.  Our thanks to Accenture, Catholic Relief Services, Esri, Hewlett Packard Enterprise, iMerit Technology Services, Inmarsat, IS Solutions, Making All Voices Count, Mercy Corps, Microsoft, NetHope, Oxfam, Pandexio, Qualcom Wireless Reach, RTI International, SimbaNet and World Vision for making that possible.

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Thursday, May 19 • 14:45 - 15:30
Evaluating the Health Impact of Introducing an Electronic Logistics Management Information System in Tanzania LIMITED

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Limited Capacity seats available

In late 2013, Tanzania invested $2.3 million introducing a national, electronic logistics management information system (eLMIS). Because this investment represents a significant investment to the public health supply chain, a baseline study was undertaken in 2013 and a further analysis in 2015 to evaluate the health impact through chain performance, cost, and cost-effectiveness of these management upgrades and return on investment on the current system.

As in many other developing countries, the management of the public health supply chain in Tanzania evolved along product lines associated with specific public health programs. The result was a fragmented, uncoordinated management system with separate structures for HIV, TB, vaccines, essential drugs, and contraceptives .These separate, and largely paper-based logistics management information systems (LMIS), did not generate accurate, quality, and timely data. The lack of data visibility contributed to poor system performance that raised costs, hampered stock availability, and made it harder to serve the millions of Tanzanians who rely on public health facilities.
To address these problems, the MOHSW facilitated the rollout of a nationwide eLMIS to consolidate existing electronic and paper-based systems; such consolidation is a challenge faced by many developing nations. The eLMIS is expected to improve data visibility by providing accurate, quality, and timely data.
The MOHSW and other stakeholders also wanted to understand the cost-effectiveness of the current system and what portions of the system might see cost savings and performance improvements after the introduction of the eLMIS.

The study had two main components: (1) a baseline and year 1 collection of information on supply chain reporting, data use, management practice, and outcomes; and (2) a cost study to provide input for cost-effectiveness analysis. Data collection for the initial analysis of the supply chain took place between August-October 2013 and year 1 data collection took place between April and May 2015.

From the quantitative analysis that was conducted, stock out rates for all product goods dropped from 32% to 23%, with the frequency of stock-outs greater than 7 days dropping from 24% to 15%. Appropriate inventory levels at health facilities slightly from 18% to 20%, while the levels of expiries at the facility decreased by about 0.1-0.4%.
With respect to cost data, the annual cost of the supply chain increased from $66million to $76million. The throughput of the supply chain also increased from $168million to $197million. Despite this increase in costs and throughput, performance of the supply chain improved from the 2014 baseline findings of 68% to 77%. The cost per value of commodities adjusted for performance shows that a decrease from 58% at baseline to 50% in year 1.


Findings from the year 1 data collection indicate that the eLMIS had a positive impact on key supply outcomes, especially stock-out rates. Similarly, stock-out durations also fell with the decrease in stock-outs is happening while inventory levels remaining relatively constant. Moreover, the implementation of the eLMIS also reduced overall expiry rates. While the supply chain system costs were higher as a result of the eLMIS, initial results also indicate that it is operating much more efficiently. Notably, eLMIS appear to have generated significant savings to the government despite the supply chain challenges that the country experienced at the same time.

Speakers
avatar for Alpha Nsaghurwe

Alpha Nsaghurwe

Senior Health Information Systems Advisor, MCSP, John Snow Inc
Alpha is a human-centered design expert with over 15 years' experience in Information Systems project management and implementation. He has contributed to state-of-the-art development and deployment of ICT systems at national levels. Alpha has successfully facilitated the deployment of an electronic logistics management information system (eLMIS) in Tanzania, involving multiple stakeholders. Alpha has worked in multiple countries, including... Read More →


Thursday May 19, 2016 14:45 - 15:30
Giraffe 205

Attendees (6)