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The 6th Global Health Supply Chain Summit

November 18 -20, 2013Addis Ababa, Ethiopia

 

Supply Chain Professionals are Essential to Meeting the MDGs: Strengthening

the People that Deliver Medicines and VaccinesAndrew Brown BPharm, PhD, Executive Manager PtD

People that Deliver

Strategic Plan 2013-2018

The 6th Global Health Supply Chain Summit

Addis Ababa, Ethiopia November 2013

Overview of the session

1. Why focus on HR for SCM?

2. The People that Deliver Initiative

3. HR for SCM assessment tool

HRH within health system strengthening WHO building blocks

Global Shortage of Health Workers

Shortage of 4.3 million health workers globally 2.4 million doctors, nurses

and midwives

1.9 million management and support workers, including

health administrators, managers, and logisticians

57 countries with critical shortages

‘Imagine’ health worker video: http://www.youtube.com/watch?v=tCSmIYmPOi4

Strain on national supply chain systems and workers

Source: : WHO/IVB, Apr. 2010 (based on Chad data)

24-fold increase in the value of new

vaccines introduced into a country…

… resulted in a 5-fold increase in the workload for supply chain management.

A change in approach is needed

Underper-forming health programs and unachieved health goals

Poor availability of health

commodities at facilities, wasted

resources

Underqualified & disempowered staff managing public health supply chains

Supply chains poorly

managed and insufficiently resourced

"When you use a nurse or a physician as a logistician, you lose the nurse or physician and

you don't get a good logistician!" Prof. Saracino, former Minister of Health, Côte d'Ivoire

CharacteristicsShort-term focusSignificant expenditureRequires extensive external assistance Limited long-term progress in human capacityLimited sustainability or institutionalization

Lack of professional status and

performance

HR for SCM current paradigm

CharacteristicsLong term focusRequires reform of perceptions, policies and practicesConverts existing expenditures into investmentCapacity benefits accumulate over timeInherently sustainable and country-driven

Elevated status for SCM and

SCM workforce

HR for SCM desired paradigm

Improving health outcomes by promoting sustainable workforce excellence in health

supply chain management

70+member organizations

country governments international agencies Academic institutions implementing partners nongovernmental organizations private companies

Current Board

country governments international agencies academic institutions implementing partners nongovernmental organizations private companies

PtD focus countries

Dominican Republic Ethiopia Indonesia

Burkina Faso Liberia Mozambique Namibia

Assessment guide and tool•Reference document review•Supply chain profile•Diagnostic dashboard•Supplemental surveys

Document state of HR capacity

Identify opportunities to build HR

Direct limited funding

Connect HR with supply chain

Build capacity of SC personnel

Detailed HR analysis

Supply chain HR strategy

Implementa-tion roadmap

OutputsDeliverables

HR Capacity Assessment Tool

Purpose Approach

Build ownership

Adapt tool

Adjust surveys for respondents

Slide courtesy of USAID | DELIVER PROJECT

HRH Building Blocks for SCM

Components & Dimensions

HR Component HR Dimension (Sample)

Powerful Constituencies SCM HR Champion, Commodity Security Group

Policies & Plans HRIS, SCM SOPs, HR Policies

Workforce Development SCM Pre-Service Training, IST, SCM job descriptions

Workforce Effectiveness Retention and Performance Incentives, Supervision

Professionalization SC certification, professional associations, etc.

Diagnostic Tool Dashboard

Sample Display: Fully Developed Supply Chain Human Resource System

HR Dimensions

Colored “Petals:”HR Components

Slide courtesy of USAID | DELIVER PROJECT

HR for SCM Comparisons: Country-by-Country

Slide courtesy of USAID | DELIVER PROJECT

• Previous iterations of the tool have been adapted & used by PtD focus countries* (baseline)

• Four other countries have implemented tool with support from USAID | DELIVER PROJECT, SCMS, and CapacityPlus

• Assessment results only move into action with commitment to implement and fund strategic and operational plans

Use of the Assessment Tool

• Burkina Faso*• Dominican

Republic*• Ethiopia*• Guatemala• Indonesia*• Liberia*• Namibia*• Nicaragua• Rwanda• Zimbabwe

Dominican Republic

Supply Chain Workforce Situation Analysis in Dominican Republic

Efforts to Professionalize Public Health Supply Chain Management

56.3%

12.5%

25%

6.3%

0

10

20

30

40

50

60

1 2 3 4

Porce

ntaje

Evaluacion

Evaluación General de la Profesionalización de la GCS en Salud Publica

1.811.81

• Lack of competencies among employees

• Few opportunities for PSE or IST in supply chain management

• Salary inequality• Lack of job descriptions• Duplication of roles and

chain of command

Results Achieved to Date in DR• Restructuring and formalization of new organogram, creating

new promotion opportunities and strategic functions;• Advocacy based on dissemination of results from supply chain

workforce situation analysis to stakeholders & government decision-makers;

• Development of job descriptions and supervision manual for supply chain workers;

• Institutionalization of diploma course in National Institute for Public Administration

• Inclusion of supply chain workers in performance management system

“At last, someone has recognized the work of the supply chain team, because [our] superiors never do.”

- Yesenia Aguirre de Barahona Paracentral Region Warehouse El Salvador

Key messages

• There is a need to focus on HR for SCM to improve public health supply chains.

• HR for SCM is more than training, requiring a systematic focus on five key building blocks.

• A HR or SCM assessment tool is available for immediate use by countries and organisations

• Results of any assessment need to be used as a basis for strategic and operational plans supported by all SCM stakeholders for sustainable results.

Engaging with PtD

Become a PtD member Join a PtD working group

For more information contact the Secretariat: info@peoplethatdeliver.org the Executive Manager: executivemanagerptd@unicef.org

PtD Side Meeting

4.30pm-5pm Tuesday 19th

Andrew N BROWN, BPharm PhDExecutive Manager – People that Deliver

UNICEF Supply Division, Copenhagen, Denmarkexecutivemanagerptd@unicef.org | +4535273177

| Mob: +4529657496 Skype: Andrew.Brown.UC