After Malawi Harnessing Mobile Technology for

Last Mile Supply Chain

Jeremy WacksmanSenior Program Analyst at Dimagi

jwacksman@dimagi.com

• Who is dimagi• (whereis screenshot)

About Dimagi• Created out of Harvard and MIT Media Lab, offices in

Cambridge, USA; Cape Town, SA; Dakar, Senegal; Maputo, MZ; and New Delhi, India;

• Leaders in Open-Source development and Software-as-a-Service support for mobile technology

• Collaborative Model of Dimagi technology with partners in implementation and research

• Highly qualified team of 60+ with scientists, public health experts, physicians, engineers and field consultants

• 10+ years of experience with over 100 ICT projects across numerous sectors and technology approaches

10 years (INNOVATE)

Mobile Technology (OPEN SOURCE)

Rural healthcare (LAST MILE)

MAKING SUPPLY CHAIN SIMPLE

???

Real-time, Intelligent Systems

STOCKOUTS IN MALAWI

2011 – present2000+ CHWs

27% had adequate stock at visit

43% reporting stock

More information: http://sc4ccm.jsi.com/countries/malawi/

94% of HSAs had a mobile phone

85% had network coverageSometimes

More information: http://sc4ccm.jsi.com/countries/malawi/

rec ors 100 zn 50 amx 10

1. CHW Responsibilities Send 2 SMS Messages a Month

STOCK ON HAND RECEIPTS

To: CommTrack

SOH ORS 300AMX100

To: CommTrack

REC ORS 400ZN 200 AMX100

GET DATA

REAL TIME DASHBOARD:

Stock levels

Reporting Rates

soh ors 300 zn 100 amx 25 rec ors 100 zn

50 amx 10

2. Facility ResponsibilitiesPack orders as needed

ORDER NEEDED ORDER READYFrom: CommTrack

CHW Charity Nsare needs the following products: 300 ORS 100 AMX

To: CommTrack

READY

CLOSE THE LOOP

Linking resupply to reporting dramatically improved reporting rates

This district moved to supplying HSAs based on

cStock

3. District Responsibilities:Regular team meetings to review data and follow up

TEAM MEETINGS TO REVIEW THE DATA

Daily Alerts to Action– Pending stock outs– Missed Reports

Monthly Meeting– Consumption Trends– Lead times

cStock

Stock Reporting rates improved from around

40% at baseline with most districts

consistently reaching above 95%.

More information: http://sc4ccm.jsi.com/countries/malawi/

PACKAGE & REPLICATE

PILOT PACKAGE REPLICATE

2010 – present

2011 – present

2013

2013

2011 – present

2013

Replicate to Other Communities

• Need to scale performance• Need to support multiple

programs and supply chains• Need for local ownership

through configuration layer and user authoring tools

• Need to integrate• Need for easy launch / rapid

replication

Replicate to Facilities

• More commodities to manage• More context on resupply

needs• More authority to create,

approve, and manage requisitions

• Core, reusable logistics functionality from cStock, ILSGateway, EWS, and mTrac

• Shared resources invested in hosting, support, scale-up, testing, and continuous development

• Easy online signup: get started quickly, learn fast

soh ors 300 zn 100 amx 25

New Patient Morbidity

What is the diagnosis of the patient complaint ?

Clinical Malaria

Malnutrition

Pneumonia

Empowering the End User

• SMS or Mobile App– SMS:

• Easy, lightweight rollout– Mobile App

• Integrated approach• More products, more data• More user-friendly• Better quality data• On-phone history and

intelligence• Reduce transmission costs

What is the impact we’re targeting?

Faster Resupply: from weeks to days

Accurate Ordering: intelligent, automated consumption algorithms

Accountability: transparent movement of goods to the last mile

Supervision & Advocacy: real-time, accessible information into stock status throughout a country

Profit: data-driven decision-making to reduce costs and maximize profit

CommTrack POCs

• Mobile Logistics Proof of Concept in India and Nepal

• Seeking new partners working in health, social enterprise, agriculture, or other sectors

• 5 organizations to rapidly launch CommTrack with free phones or SMS credits

Jeremy Wacksmanjwacksman@Dimagi.com

http://www.dimagi.comhttp://www.commtrack.org

Online video demo at http://youtu.be/OqMPxBQSF5c

Thank You