innocent ibegbunam, health commodities management system priorities & challenges
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University of Liverpool online MPH graduate Innocent Ibegbunam, Dissertation presentation for the 2012 World Congress on Public HealthTRANSCRIPT
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Health Commodities Management System:
Priorities and Challenges
Innocent Ibegbunam (B.Pharm. MPH)Associate Director, HIV/AIDS SCMS Project (Nigeria)[email protected] Deborah McGill (PhD)World Congress on Public Health, Addis Ababa Ethiopia, April 25, 2012
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Background (I)Health Commodities: are medicines, laboratory equipment, reagents, consumables and other products required for provision of health services. Lack of these commodities leads to poor health services and loss of lives
Management system: refers to processes and procedures for the handling of these health commodities to ensure they are in continuous supply for the uninterrupted provision health services using six rights of a logistics system Selection & SpecificationQuantification & Procurement, Storage & Distribution Inventory management & Data management systems
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Background (II)Nigeria Scenario 2010Lack of approved standard policy for health commodity managementMultiple donor-driven & fragmented commodities management systemsInadequate infrastructure to support scale upInadequate essential health commoditiesPoor Government leadership in health commodity management system
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Essential commodities Pipeline
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ART Commodity Pipeline
Health Facilities
Distributor
Central Store
Procurement Agent
Program
Funder
Service Provider TA
Logistics TA
HYGEIA
ICAP
JSI/SCMS
LMS
PFD
DOD/HRP
VANDERBILT
IHVN
FHI/GHAIN
CRS
APIN+USG PEPFAR GONUNITAIDS GFATM
R5
USAIDCDCUSDOD FMOHNACACHAI
SCMS Dept. of ProcurementIDA Crown
Agents
Implementing Partners
Axios
SCMS WH CHAN Medi-
Pharm WH
AxiosWH
IP WH
FCMS
DarlezAxiosUPS CHAN M-POther 3PL
ART Sites PMTCT Sites
NICAB
Health Facilities
Distributor
Central Store
Procurement Agent
Program
Funder
Service Provider TA
Logistics TA
HYGEIA
ICAP
JSI/SCMS
LMS
PFD
DOD/HRP
VANDERBILT
IHVN
FHI/GHAIN
CRS
APIN+USG PEPFAR GONUNITAIDS GFATM
R5
USAIDCDCUSDOD FMOHNACACHAI
SCMS Dept. of ProcurementIDA Crown
Agents
Implementing Partners
Axios
SCMS WH CHAN Medi-
Pharm WH
AxiosWH
IP WH
FCMS
DarlezAxiosUPS CHAN M-POther 3PL
ART Sites PMTCT Sites
NICAB
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THE STUDYResearch questionWhat are the priorities and challenges of health commodities management systems in HIV/AIDS programmes in Abuja Nigeria?
Aim To explore opinions of health workers, on priorities and challenges of health commodities management system in HIV/AIDS programme in Abuja Nigeria in order to inform future standard operating procedures (SOP) revisions
ObjectivesTo conduct qualitative research using semi-structured interviews to:explore the opinions of health workers on how best to manage health commodities for the growing HIV/AIDS morbidity in Abuja, Nigeriacompare the opinion of health workers with national priorities on HIV/AIDS commodities management systems so as to ascertain gaps that may need to be addressedinform future SOP revisions on management of HIV/AIDS commodities
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MethodologyStudy design: Qualitative (social constructionist)Study setting: Abuja, NigeriaSampling strategy: Purposive samplingSampling frame: Health workersHealth sector: HIV/AIDSRecruitment: Voluntary participation (ethics)Sample size: 12 health workersData collection: In-depth interview (taped)Data analysis: Thematic content analysis
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Results (I)
• Government of Nigeria needs to focus resources in:o Coordination & Integration of health commodities
management system through providing leadership, funding & guidance
o Human resource management & capacity buildingo Infrastructure development & upgradeso Data management systemo Commodity security strategy & sustainabilityo Revision & dissemination of standard operating
procedures
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Results (II)
• Donors “quick fix” approach to programme implementation often results in Government laxity to support commodities management system
o Expedited procurement of health commoditieso Quick infrastructural upgradeso Accelerated scale up of services
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Impact (2011-2012) Advocacy to Government & donors on
commodity management coordination• Unification pilot project of parallel HIV/AIDS
commodity management systems• Coordination of national procurement plan
Policy direction, dissemination & implementation
Harmonization of capacity building strategy Infrastructural upgrade at storage facility
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Acknowledgments • University of Liverpool/Laureate
Online Education• Dr Deborah McGill (Advisor)• Study Participants• Federal Ministry of Health Nigeria• PEPFAR Nigeria• John Snow Inc.• SCMS Project
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Daalu!Ese!!
Na gode!!Thank you!!!