TechNet Meeting 5-7 February 2013, Dakar, Senegal

1. TechNet Meeting 5-7 February 2013, Dakar, Senegal

2. Supply chain management is complex…… and involves many different parts 1 Global context: e.g. political commitment funding and financing; global coordination 2 3 4 5 Information Equipment People Products 6 System design Lack of expertise Limited supervision PEOPLE … that deliver & handle products … … enter & analyze information … … operate & maintain equipment … … design and optimize the system … … influence the local and global context! Limited training offer (adapted to field) Lack of recognition and incentives Based on BMGF Routine Immunization Supply Chain Strategy

3. Benin will host the first regional logistics reference center for Central and Western Africa LOGIVAC Project Demonstration site for students, for evaluations, for optimizing the system SustainableRegional Training & Reference Centers Certified professional and academic pre-service andin-service training Network of logistics experts that can provide consulting services Consortium of public and private partners … Support recognition of a common professional qualification for health supply chain manager and promote center

4. Overall approach and training curriculum has been developed in consensus with partners Successive consensus workshops organized Successive situation analysis emphasized the needs for professionalization of human resources in health logistics Regionalstudy, WHO Studies in Burkina Faso and Senegal, Institut Bioforce West Africa, Institut Bioforce LiteratureReview, People That Deliver Country studies in 4 countries, InstitutBioforce WHO Consultation Cotonou Landscapeanalysis, Project Optimize TFI meeting ARCI meeting 2005 2006 2007 2008 2009 2010 2011 2012 Ouidah Kinshasa Paris Ouidah Results • Definition of health logistics and competency framework: professional with certified skills that are deployable at all level of the health system • Development of a training curriculum, clarification of target audience, training strategy and learning methods • Quality assurance system and regional accreditation 2. Saracino, former Minister of Health, Côte d'Ivoire, TFI Members Briefing, Harare, Oct.2006

5. Quality of the training is assured by including experts into the training development process Instructional engineering Detail curriculum Instr. design & content Review and adapt content Quality assurance Accredita-tion & cer-tification Objectives and desired outcomes Training strategy Target audience Learning methods Educational conception Document and detail each training module (training objectives, hrs. of training, types of excercises, bibliography,…) Review by consortium and within curriculum workshops Identify existing content Identify experts Instructional design with experts Feedback loops between experts and instructional designers Review of content by experts from UNICEF, WHO, IRSP, Institut Bioforce, RTT, AMP,… By hosting institution Using best practices, e.g. Institut Bioforce Reviews of content by experts Academic accreditation Regional recognition Professional certification

6. The first promotion of pre-services training in French will start in mid February 2013 Target Health personnel whose duties require knowledge and skills in logistics Requirements Baccalaureate + 2 years of higher education First batch Xxx students (from xxx) English version: Training will be evaluated and adapted before the material will be translated into English.

7. Several shorter in-services training modules will be developed in 2013 Objective • Improve competencies of health logisticians working in the public and private sector in sub-saharian Africa • Graduate receive a certification and academic credits Target • Logisticians from all levels of the health pyramid and private sector. • Logisticians from different programs (EPI, AIDS, TB, Malaria, essential medicines, reproductive health,…) Potential training offer (Modules) • Vaccine management • Introduction of new vaccines • Equipment management and maintenance • Team management • System design and optimization • Supplychainsystems design • Outsourcing and contracting • … others … Duration and training strategy • Shorter trainings will be 24 to 40 hrs., duration depends on scope • Depending on training: distance, face-to-face or blended training

8. Public and private partners participate in the LOGIVAC consortium • GAVI • WHO • UNICEF • WAHO (West African Health Authority) • OCEAC (Central African Health Authority) • RTT • Bolloré Africa Logistics • VMI – Vaccines Modeling Initiative (University of Pittsburgh) • Project Optimize (PATH / WHO) • EPIVAC Network • Agence de MédicinePréventiv (AMP) • InstitutBioforce • Transaid • FondationMérieux • CHAI • IRSP Institutions / Agencies Share know-how and expertise Promote the reference center, its tools and project results Support the recognition of health logistician as a profession within the ministries of health Private sector supply chain Projects Non-profit Organizations

9. WHO organized a meeting to advocate for the recognition of heath logistics as a profession Countries represented: Benin, Gabon, Cote d’Ivoire, Guinea, Ethiopia, Ghana, Kenya and Cameroon. Consensus reached that there is increasingly a need for having professional health logisticians within the MoH, whom need to be properly trained. A resolution was drafted by all participants and Benin’s Minister of Health is charged of taking this topic towards the MoHs of other countries. LOGIVAC developed a technical document for distribution to key decision makers at country level to establish health logistician as a new job function. Consortium partners such as WHO, UNICEF and People that Deliver will support this process.

10. The EVM + HERMES initiative was piloted with the Ministry of Health in Benin EVM + HERMES initiative Tools Initiators Collect additional data for HERMES during the EVM assessment to • Implement the CCEM (Cold Chain Equipment Management) tool • To populate the HERMES model in order to evaluate supply chain scenarios Each of the tools and approaches developed with its specific objectives. Novelty here: to combine them and to work within an evidence based decision making process with the ministry of health and partners to evaluate options. • Ministry of Health of Benin • AMP • VMI • BMGF • UNICEF • WHO • Project Optimize • PATH The overall objective is to optimize the EPI’s vaccine and consumables supply chain system

11. Sustainability of the resource center depends on having an adequate number of paying students Possible sources of student funding MoH funded MoH uses funding from GAVI (e.g. HSS, new vaccine introduction funding,…) MoH budgets and pays training from own resources. Training must be recognized by the MoH and must be included in the training strategy of the MoH UN/ Development/ regional agencies Identify scholarship opportunities with WHO / UNICEF / GAVI / Global Fund / WAHO / OCEAC and bilaterals… Review which existing scholarship already exist and could be used for LOGIVAC WHO will fund trainees in the first batch. UNICEF indicated funding for future promotions. ü Scholarships from the private sector Logistic players that want to expand into Africa (RTT, Bolloré African Logistics, Schenker, Kühne & Nagel, UPS,…) Pharmaceutical companies that want to ensure that their products are distributed in an orderly manner Glaxo Smith Kline (GSK) provided scholarship for training 25 health logisticians from DRC (2012 – 2014). ü

12. Thank you