2

The darkest days of the outbreak

A weak Public Health System created An EVD Crises that destroyed the Economy

The economic and fiscal impact has outlasted the epidemiological impact due to severe shocks to investment, production, and consumption throughout the region, coupled with commodity price shocks.

The World Bank Group, 2016

4

President

PACE

Incident Management System (IMS)

IMS Medical

Laboratory Epi-Surveillance

Social Mobilisation

Contact Tracing Case Management

Psychosocial Committee

Dead Body Management

IMS Support

Logistics

Operations

Finance/Procurement

M and E

Planning

IMS Coordination

15 x County Teams

Inter-Ministerial Group

National Consultative Group

UN CLUSTER SYSTEM

Leadership, Coordination, Control and Command

THE STARTEGIC AGENDA

ASSURED UNIVERSAL COVERAGEWith health & related services, even when there are health threats

ACCESS TO SAFE & QUALITY HEALTH

SERVICES

EMERGENCY RISK MANAGEMENT

APPROPRIATE ENABLING ENVIRONMENT

Demand driven productive Health

workforce

RESILIENT HEALTH SYSTEM

Re-engineered health infrastructure

Epidemic preparedness and

response

Medicines management

capacity

Restored quality service delivery

systems

Comprehensive information

management

Sustained community

engagement

Leadership & governance

capacity

Efficient Health financing systems

Cross Border

EBOLA RESPONSECommon Logistics Services24 December 2014

STRUCTUREMapping FLBs and Health Facilities

ForwardLogisticsBasesAlloperationalwithcargo(includingUSDoD ETUKits)

Gbarngaà 6/6MSUserected;cargo

prepositioned

Zwedruà 6/6MSUserected;cargo

prepositioned

Voinjamaà 6/6MSUserected;

cargoprepositioned

Buchananà 5/6MSUserected;

cargoprepositioned

Harperà 4/4MSUserected;cargo

prepositioned

LogisticsCluster SupplyOwners

-Partner-ETU-CCC-Govt HealthFacilities

Facilitatorof:

-Transport-Storage

-Coordination- LogisticsSupport

-UNICEF-MoH-WHO-USAID- Others

Requestor

LogClusterRoleinEbolaResponseSupplyChain

Constraints/Challenges

• QuantificationsofIPCcommoditiesforEVDSupplyChainwasbasedonassumptionsduetothelackofavailabledata

• ThelackofgoodroadnetworkacrossthecountryhamperssometimelydistributionofIPCcommodities

• CustomsclearancechallengeswereontheincreasecreatingbacklogofcargoatthebeginningbutwaslaterharmonizeduetotheinterventionoftheGovernmentofLiberia.

LessonsLearned

1. IntegratedDrugandCommoditieslistinginfulfillmentofanEmergencyPreparednessandResponseAgenda,thus,leadingtoaflexiblehealthsupplychainmanagementsystemswiththecapacitytoprovideessentialsupportfortheestablishmentofemergencysupplychaininoutbreaks.

2. EssentialholisticlistforLiberiawhichcapture21tracercommoditiesthatderivedfromtheEVDoutbreaklesson

3. Continuouscoordinationamongstpartners,PrivateSectorandGovernmentActors,

4. Prepositioningofstockateveryleveltoensuretimelyresponse5. Geographicalmappingtosetupregionalhubswhichiscriticalinpreparation

forresponse6. Timelysuppliesaheadoftherainyseasonisimportantsoastohavesufficient

stockavailableisvitalatalllevelstobetterprepare7.ThoughtherearecurrentlynocaseofEVDinLiberiabutwestillprovidingIPS

SuppliestotheHealthfacilitiesinthecountryonaquarterlybasis