Lessons Learned: Strengthening Laboratory Supply Chains August 16, 2006Ronald Brown, MA, CLS(NCA),...
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Transcript of Lessons Learned: Strengthening Laboratory Supply Chains August 16, 2006Ronald Brown, MA, CLS(NCA),...
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Lessons Learned: Strengthening Laboratory
Supply Chains
August 16, 2006Ronald Brown, MA, CLS(NCA), CHE, MT(ASCP)
![Page 2: Lessons Learned: Strengthening Laboratory Supply Chains August 16, 2006Ronald Brown, MA, CLS(NCA), CHE, MT(ASCP)](https://reader030.fdocuments.us/reader030/viewer/2022032722/56649f465503460f94c67ba1/html5/thumbnails/2.jpg)
JSI/DELIVER Country Experience
• Countries of work: Ghana, Kenya, Uganda, Zambia
• Interventions include: – Laboratory Services and System Assessments, – Logistics System Design and Rollout, – Forecasting and Quantification, – Standardization, – Procurement, – Donor Collaboration
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![Page 4: Lessons Learned: Strengthening Laboratory Supply Chains August 16, 2006Ronald Brown, MA, CLS(NCA), CHE, MT(ASCP)](https://reader030.fdocuments.us/reader030/viewer/2022032722/56649f465503460f94c67ba1/html5/thumbnails/4.jpg)
I. Assessments of laboratory systems are critical for identifying areas for improvement and serve as a baseline for monitoring.
• In one country, the assessment enabled stakeholders to:
– Identify key policy issues requiring attention, including roles and responsibilities for procurement and distribution of lab supplies.
– Develop a costed implementation plan that identified funding implications and gaps associated with each scenario.
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II. Stakeholder collaboration through a coordinating body can reduce duplication and maximize limited resources.
• In another country, a national laboratory technical working group composed of MOH, donors, NGOs/FBOs, and other stakeholders developed an operational plan that:– outlines each stakeholder’s current
and planned activities,
– will be used to monitor progress,
– will serve to help mobilize resources
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III. Standardization of laboratory techniques and tests is key for effective supply management.
• Standardizing laboratory procedures by level is critical for:
– accurate quantification and procurement
– efficient and effective management of lab supplies and supply chains
– development of a system-wide quality assurance schemes
• The standardization process should be representative and consultative to ensure effective implementation
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Benefits of Standardization • In one country, the standardization process involved
representatives from all levels in the system and resulted in:
– Reduction of the number of items in the system by 10 fold
– Definition of standard operating procedures for testing services, instrumentation by level, and procedures for logistics management
– Efficiency and economy of scale in procurement of supplies for CD4 count, ALT, Creatinine testing
– Opportunity for an external QA program
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IV. In the absence of usage data, service statistics data should be used for quantification and procurement
• In two countries where usage data was not available for quantification:
– Standardization of the test menu, techniques and supplies was conducted
– The number of supplies necessary for each test, service statistics and adjustments for stockouts were used to estimate needs
– Results of the quantification were used for national procurement decisions
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V. Systematically designing a logistics system is a necessary step in enhancing availability of laboratory supplies
• In another country a key system design decision was to link procedures for ordering and resupply to logistics reporting, thus increasing the likelihood of reporting rates
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