Washington D.C., USA, 22-27 July 2012www.aids2012.org
Human Resources Reinforcement in Health Logistics:
A parternish betweenBurkina Faso’s Ministry of Health and the Bioforce
Institutefor a Performing Health Products Supply Chain
Dr. Arsène OUEDRAOGOPharmD, MSc FELTP
Director of Pharmaceutical Supply
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Burkina Faso’s Overall Profile
• Landlocked country (UEMOA)• 15, 730, 000 inhabitants (2010 – www.insd.bf)• Pop. < 15 year-old: 48% (2010) • Urban pop.: 26% • Poverty: 57% of pop. live with less than 1.25 USD per day• Malaria, HIV, TB, malnutrition, maternal and child mortality
• PNS (2011), PNDS II (2011-2020), Triennial Plan (2011-2012), PPN
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Context of the projet
International / Regional Context:• MDGs 4 (child health), 5 (maternal health), 6 (combat HIV/AIDS)• Existing initiatives: the People that Deliver Initiative, the Optimize
project (2020 Vision for Health), LOGIVAC, the Decade of Vaccines, the Maputo Declaration, the NUVI Call for Action, etc.
• WAHO: harmonizing member-countries’ job descriptions for health staff
National Context:• PNDS 2011-2020, Pharmaceutical strategic plan 2012-2016• Active member of the PtD Initiative (focus country, Board
member)• MoH’s National Health Human Resources Development Plan
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Sources de
Financement
Structure d'appro-
visionnement
1er point de stockage
2ème pointde stockage
Structure dispensatrice
CAMEG (Population)
USAID
Systèmes d'approvisionnement des produits pharmaceutiques au BURKINA FASO, Sept 2010
UNICEF
FNUAP
MEGContra-ceptifs
Autres Antipaludique
REACTIFS ACT
TB IO VACCINSDispositifsMédicaux
ARVsPed
ARVs
Fonds commun
Bailleurs multilatéraux
Bailleurs bilatéraux
ONG/Privé
CSPS
PATIENT
3ème pointde stockage
CM/CMACHR
GDF
CHU
UNITAID
ETAT DAF/MS
PROMACO
ONG/Association
CAMEG CHAIFournisseurs
privés DeliverGDF GFAOMS FNUAPUNICEF
CAMEG CNTSPNT central DSF centralPEV central
DGPML UNICEF Burkina
CAMEG Agences régionales DRS Dépôts district
Structures privées
PADS :BM, Fonds Mondial R8 Bill et Melinda Gates Pays-bas, AFD, ASDI
FNUAP, Etat
Dépôts district (DRD)
CRTS
CHR CHU
DLM
GAVI
Etat
CHU CHR CMA
Ministère de la SantéDu Burkina
Fonds Mondial
R6
(SP/CNLS-IST)
MSF
PLANBURKINA
OMS
MSF
MSF
Burkina Faso’s Health Supply ChainRapidly increasing health assistance from donors has been very beneficial but resulted in huge increases in the quantity, value and complexity of medicines and commodities flow
Washington D.C., USA, 22-27 July 2012www.aids2012.org
The HR Project in Health Logistics
Project Justification:– Numerous existing health programs require effective
logistics management for their implementation, to truly improve vulnerable populations’ health situation;
– Financial and material resources are few, which demands efficient/optimal management;
– Absence of health logisticians at all levels of the health system;
– Forecasted pharmaceutical spending (2010): 83.3 million USD
• Importations (99%)• 1 pharmacist/33, 000 inhabitants
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Situation of Importations: 1994 – 2010 (CIF value in million USD)
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Synoptic Project Sheet 1/3
• Period: 2012 – 2014• Overall goal: Contribute to the improvement of
maternal and child health (MCH) in Burkina Faso• Project purpose: Improve MCH products
supply management and equipment availability through the professionalization of actors in charge of logistics.
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Synoptic Project Sheet 2/3: Activities
• Activities linked to Outcome 1:– Awareness raising and involvement of key actors – Setting up and functioning of a Coordination Committee on health logistics
• Activities linked to Outcome 2:– Legal framework review and creation of the health logistician (HL) position– Creation and implementation of (pre-service and in-service) training programs
on the basis of existing curricula– Networking amongst the people trained via a health logistics professionals’
network• Activities linked to Outcome 3:
– Definition of acting HLs’ working environment and methodology in the pilot regions
– Identification and training of 25 in-office health agents to take on HL duties – Support to the purchase of equipment to make HLs operational– Implementation of activities by HLs, in accordance with the country’s health
objectives
Washington D.C., USA, 22-27 July 2012www.aids2012.org
Synoptic Project Sheet 3/3
Expected outcomes:
1) Coordination of MCH products and equipment supply is improved
2) Human resources capacity in the health logistics chain is reinforced
3) The health system’s operational framework allows effective implementation of logistics activities in 3 pilot regions, including active participation to MCH programs
Estimated costs: 2, 440, 283 €
Washington D.C., USA, 22-27 July 2012www.aids2012.org
BeneficiariesDirect beneficiaries:• Burkina Faso’s health system / regional institutions: optimized coordination
in health products and equipment supply;• 35 trainers: reinforcement of their training capacities in health logistics;• 100 health logisticians: pre- and in-service training; • 25 in-office health agents: training on health logistics; • Regional partner-institutions (WAHO notably): a model of human resources
skills development in health logistics, which they could reproduce and adapt to other countries in the region.
Indirect Beneficiaries:• Burkina’ Faso’s population in general, and mothers and children in
particular (507, 968 under-five children; 1, 005, 937 women of childbearing age): extended access to health care and products;
• Health practitioners: improved working conditions;• The education sector: training capacity reinforcement.