JSI Technet Poster USAID | DELIVER PROJECT Zimbabwe
1
Methods In response, the USAID | DELIVER PROJECT and its partners assisted the Zimbabwe National Family Planning Council to design and implement the Delivery Team Topping Up (DTTU) system. DTTU is a “rolling warehouse,” truck-based inventory control system adapted from vendor- managed inventory (VMI) principles used extensively in the commercial sector. In the DTTU system, a team in the rolling warehouse— • visits service delivery points (SDP) on a regular schedule • debriefs facility staff about adjustments and stockouts • conducts a physical inventory of stock-on-hand • calculates resupply levels and provides required products • recovers damaged or expired products. Impact • Achieved 99 percent coverage of nationwide SDPs and 95 percent availability of contraceptives and condoms. • Condoms and contraceptives delivered using DTTU had the potential to prevent— • 4.9 million unintended pregnancies • 261,00 infant and child under five deaths. • Couple years of protection increased 67 percent in 2002-2013. • Stockouts of DTTU-serviced SDPs were at or below 5 percent since 2007. deliver.jsi.com Challenge Medicines and health products need to be available at service delivery points for health programs to effectively serve patients and reach goals for the reduction of maternal and child morbidity and mortality. However, product availability in developing countries is often not guaranteed due to forces that disrupt supply chain systems. In Zimbabwe, years of socio-economic disruption led to an exodus of trained health sector staff, interruptions to donor-funded projects, and fuel shortages— factors that significantly contributed to public health supply chain failures. Benefits of DTTU • Reliably maintains high coverage and low stockouts in challenging environments • Easily adaptable as emergency or temporary system • Works with paper calculations or automated system • Able to manage numerous products for various programs • With automated system, eliminates calculation errors and makes data immediately available at the central medical store • Decreases burden on facility staff and reduces cost of supply chain management training Adapting a Commercial-Sector Distribution System to Achieve Family Planning Goals in Zimbabwe Estimated Protection Generated by Condoms and Contraceptives, Before and After DTTU 2,400,000 2,200,000 2,000,000 1,800,000 1,600,000 1,400,000 1,200,000 1,000,000 800,000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Couple Years of Protection DTTU began
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Transcript of JSI Technet Poster USAID | DELIVER PROJECT Zimbabwe
MethodsIn response, the USAID | DELIVER PROJECT and its partners assisted the Zimbabwe National Family Planning
Council to design and implement the Delivery Team Topping Up (DTTU) system. DTTU is a “rolling warehouse,” truck-based inventory control system adapted from vendor-managed inventory (VMI) principles used extensively in the commercial sector.
In the DTTU system, a team in the rolling warehouse—
• visits service delivery points (SDP) on a regular schedule
• debriefs facility staff about adjustments and stockouts
• conducts a physical inventory of stock-on-hand
• calculates resupply levels and provides required products
• recovers damaged or expired products.
Impact• Achieved 99 percent coverage of nationwide SDPs and
95 percent availability of contraceptives and condoms.
• Condoms and contraceptives delivered using DTTU had the potential to prevent— • 4.9 million unintended pregnancies •261,00infantandchildunderfivedeaths.
• Couple years of protection increased 67 percent in 2002-2013.
• Stockouts of DTTU-serviced SDPs were at or below 5 percent since 2007.
deliver.jsi.com
ChallengeMedicines and health products need to be available at service delivery points for health programs to effectively serve patients and reach goals for the reduction of maternal and child morbidity and mortality. However, product availability in developing countries is often not guaranteed due to forces that disrupt supply chain systems.
In Zimbabwe, years of socio-economic disruption led to an exodus of trained health sector staff, interruptions to donor-funded projects, and fuel shortages—factorsthatsignificantlycontributedtopublichealthsupplychainfailures.
Benefits of DTTU• Reliably maintains high coverage and low stockouts
in challenging environments
• Easily adaptable as emergency or temporary system
• Works with paper calculations or automated system
• Able to manage numerous products for various programs
• With automated system, eliminates calculation errors and makes data immediately available at the central medical store
• Decreases burden on facility staff and reduces cost of supply chain management training
Adapting a Commercial-Sector Distribution System to Achieve Family Planning Goals in Zimbabwe
Estimated Protection Generated by Condoms and Contraceptives,
Before and After DTTU
2,400,000
2,200,000
2,000,000
1,800,000
1,600,000
1,400,000
1,200,000
1,000,000
800,000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Cou
ple
Year
s of
Pro
tect
ion
DTTU began
