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[DATE][SPEAKERS NAMES]

The 6th Global Health Supply Chain Summit

November 18 -20, 2013Addis Ababa, Ethiopia

LOGIVAC : Development of a training program in Health Supply Chain Management

Philippe JAILLARD, AMP

LOGIVAC – a project of AMP and WHO

• logistics systems : weak infrastructure, inadequate essential services, and a shortage of skilled human resources.

supply shortages or wastages, leading to missed opportunities for preventive and curative activities.

• New technologies and strategies, emerging trends, coordination professional training to build, maintain and continuously upgrade human resource capacities

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Supply chain management is complex…… and involves many different parts

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ProductsPeopleInformation

4 5

Global context: e.g. political commitmentfunding and financing; global coordination

Equipment

3

System design

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1

2

Based on BMGF Routine Immunization Supply Chain Strategy

PEOPLE … that deliver & handle products … … enter & analyze information …

… operate & maintain equipment … … design and optimize the system …

… influence the local and global context…… manage partnership with service providers!

Limited training offer (adapted

to field)

Lack of expertise

Lack of recognition and

incentives

Limited supervision


Representative sampling from EVM assessment from 2012 shows the education level of the staff involved in vaccine logistics for 40 health facilities/vaccine stores

But who is actually managing the vaccine supply chain: HR Profile from Benin

4

Training levelGrand

TotalHealth worker 22CEP 2Nurse 39Medical doctor 1Midwife 1Grand Total 65

No dedicated supply chain training in these curricula (pre-service training).

“When you use a nurse or a physician as a logistician, you lose the nurse or physician and you don't get a good logistician!” Saracino, former Minister of Health, Côte d'Ivoire, TFI Members Briefing, Harare, Oct.2006


Benin host the first regional logistics reference center for Central and Western Africa

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SustainableRegional Training & Reference Centers

Certified professional and academic

pre-service and in-service training

Network of logistics experts

that can provide consulting services

Demonstration site for students, for evaluations, for

optimizing the system and other

operational researches

Consortium of public and private partners … Support recognition of a common professional qualification for health supply chain manager and promote center

LOGIVAC, a joint AMP & WHO Project

Aligned with People that Deliver


Overall approach and training curriculum has been developed in consensus with partners

Successive consensus workshops organized

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Successive situation analysis emphasized the needs for professionalization of human resources in health logistics

2005 2006 2007 2008 2009 2010 2011 2012

Kinshasa Ouidah Paris

Regional study, WHO

Landscape analysis, Project Optimize

Studies in West Africa, Institut Bioforce

Literature Review, People That Deliver

WHO Consultation on SC professionalizationCotonou

TFI meeting

ARCI meeting

Ouidah

2013

First edition of bachelor degreeStrategy defined and

priorities were set

Situation analysis of HSC Training needs and training offer in Africa, AMP

Profession and competency framework

were defined

Profession and competency framework

were definedStrategy defined and

priorities were set


Summary of key results from the situation analysis and benchmarking (May 2012)

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Findings Findings Implications for the LOGIVAC Center Implications for the LOGIVAC Center

Focus on health logistics, with a clearly defined geographic scope for Africa ; provide a comprehensive training offer adapted to identified needs

Ensure training offer is competitive, especially to degrees that are offered in the sub-region ; facilitate access with integration in national plan, sponsorship

Integrate best practices for promotion of the training offer ; ensure regional accreditation, provide additional services (professional network, operational research and TA)

ProgrammeThe scope of the training programme offered by the institutions is focused –allowing the institutions to develop a credible expertise in specific fields

Pricing Inscription fees for long-term pre-service Masters qualification can reach up to € 15 000 in terms. Inscription fees for shorter trainings range € 600 – 1650 for 40 hours of training

Promotion Some institutions very strong in promoting the benefits • career progression• international alumni network • international recognition of degree


LOGIVAC training Strategy : focus on pre-service training first and develop short-training courses to meet country needs

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Pre service training

Health Logistics

PlanningSupply Chain management

Management

Equipments

management

Infrastructure Energy, WatSan

Emmergency and crisis

Partnership

BasicsLogistics

Health systems

Health logistics

Bachelor in Health LogisticsCertificate

Credits

In Service - Taylor made training

Vacc Man 3

BasicsLogistics

Health systems

Health logistics

EVM

Vacc Man 2

Vacc Man 1

Supply chain design

Transport management

3Transport management

2Transport management

1Outsourcing

Contracting

LMIS

New vaccine introduction

Logistics

Equipment maintenance

CCEM

Supplementary activities

Solar Cold Chain


Quality of the training is assured by including experts into the training development process

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Instructional engineering

Detail curriculum

Instr. design & content

Review and adapt

content

Quality assurance

Skill transfer

Objectives and desired outcomes

Training strategy

Target audience

Learning methods

Educational conception

Document and detail each training module (learning objectives, hrs. of training, types of exercises, bibliography,…)

Review by consortium and within curriculum workshops

Identify existing content

mobilize experts

Instructional design with experts

Feedback loops between experts, instructional designers and project coordinator

Review of content by experts from UNICEF, WHO, IRSP, Institut Bioforce, RTT, AMP, MoH…

Training of trainers; facilitators guide

QA system to be implemented by hosting institution (IRSP)

Based on academic and professional referential

Co facilitation by teacher and professional

Comprehensive training material kit

Support institution willing to adapt the training


Quality of the training is assured by including experts into the training development process

10

Instructional engineering

Detail curriculum

Instr. design & content

Review and adapt

content

Quality assurance

Skill transfer

Objectives and desired outcomes

Training strategy

Target audience

Learning methods

Educational conception

Document and detail each training module (learning objectives, hrs. of training, types of exercises, bibliography,…)

Review by consortium and within curriculum workshops

Identify existing content

mobilize experts

Instructional design with experts

Feedback loops between experts, instructional designers and project coordinator

Review of content by experts from UNICEF, WHO, IRSP, Institut Bioforce, RTT, AMP, MoH…

Training of trainers; facilitators guide

QA system to be implemented by hosting institution (IRSP)

Based on academic and professional referential

Co facilitation by teacher and professional

Comprehensive training material kit

Support institution willing to adapt the training

Bachelor degree created by Abomey-

Calavi University (Benin)

Training provided by Regional Institute of Public Health (IRSP),

Ouidah


Bc degree applies blended training methods …

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11 months

Distance learning 1 Face to Face session Distance learning 2 Internship


… and is a comprehensive health logistics training

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Launch of the training by the minister of health of Benin on the 24th March 2013

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Target • Health personnel whose

duties require knowledge and skills in logistics.

• Private sector supply chain managers wishing to develop in the health sector

Requirements Baccalaureate + 2 years of higher / tertiary education.


Overview of the 1st edition of trainees

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Number of trainees and location

2

1

4 5

2

2

7 1

7

24 students from 8 countries - 5 women

Current position • EPI (14) • Essential drug (3) • Lab (3) • others (4)

Sponsorship • AMP (10)• GSK (7)• WHO (5)

• Self funding (2)


Field trips are regularly done by the students (Example 6th and 9th of May – Water & Sanitation)

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Hospital in Ouidah Hospital in Ouidah Hôpital de Zone de Comé et le centre de

santé de AkodéhaHôpital de Zone de Comé et le centre de

santé de Akodéha

• Identifier les différentes sources d’énergie et système de fourniture de courant au niveau de l’Hôpital

• Lire le plan d’ouvrage des bâtiments de l’Hôpital.

Décrire le lien entre notre environnement physique (et en particulier l'eau, l'hygiène et l'assainissement) et la santé des populations


Scores from have improved between CD-ROM 1 and the CD-ROM 2

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Ø 80

Ø 97CD-ROM 2

CD-ROM 1

ImprovementsMin: 2Avg: 17Max: 56

E-tutor supports students and is in regular contact with the students and tracks their activities on the e-learning platform


Video on the Bachelor degree (7 min)

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Starting the 2nd edition bachelor degree training

- Recommendations from the pedagogic review from the 1st edition:- Distance learning will be provided once before the Face to Face session- Distance learning evaluation will be done during F to F session - Internship will be organized in Benin for all students for better supervision

- Available capacity: 25 – 30 students- Start date: 2 December 2013

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Key facts

Candidates and

scholarships

- 78 applicants from 16 countries; 58 are eligible for registration- Costs: € 8,000 inscription fees + budget for transport and living expenses - Scholarships to date

• Private sector: GSK: 8 for participants from DRC• WHO: 8 scholarships • UNICEF: 8• Countries: 2• Self funding : 3


LOGIVAC center sustainability based on institutional arrangement, partnership and business model

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• Owned and managed by AMP and IRSP with a scientific and technical advisory group

• Liaise with partners institutions, centers, organization and countries

• Develop a quality assurance system

• Business model :

• LOGIVAC project paid for investment (training curriculum development and engineering)

• LOGIVAC center incomes : scholarships, technical assistance, sponsoring

LOGIVAC Center : a joint AMP – IRSP center


Development of the LOGIVAC center

•

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- Implementation of the 2nd edition - Revision of the training method and material - Implementation of the Quality assurance system- Review of training implementation- Implementation of a marketing plan- Development of alumni discussion group and network

Bachelor degree training

Reference Center

- Development and implementation of short training- Solar cold chain- Basics of supply chain management- Other trainings according to needs

- Partnership with existing professional networks- Establishment of the scientific and technical advisory group- Establishment of MoU with other training institution, organizations- Development of operational research activities and technical

assistance to countries- Benin vaccine supply chain redesign scaling up - GAVI - End to End vaccine supply chain strategy


Plan for expanding to an Anglophone location

•

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- Training material (incl. distance learning) will be transferred to a training institution in an Anglophone country- LOGIVAC project will support

- Adaptation of training curriculum to the academic organization

- Translation of training material

- LOGIVAC center will ensure liaison with training institutions and contribute to QA system implementation

Bachelor degree training

Reference Center

- Eastern African Community requested AMP’s support- Feasibility study for the establishment of a center : location and operationalization,

- HR & Training needs assessments

- LOGIVAC center will ensure liaison between reference center - Sharing of best practices- Pooling of resources - QA system

EAC Center of excellence to be discussed in April 2014 (EAC MoH concil)

English version of the preservice training may be implemented in 2014


Conclusion

•

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Aknowledgements

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