JSI AIDSFree Project

Zambia

Objectives1

2 3

4

q

eLMIS ImplementationTo deploy eLMIS at facility and district levels to improve logistics data management for increased product availability to patients

Integrated RepositoryTo ensure that the eLMIS system acts as an integrated data repository that is user-friendly and able to interface with other health systems

SustainabilityTo develop and implement a plan for sustained use of eLMIS as a national commodity management system in Zambia.

Data UseTo increase use of logistics data for key decision making for continuous improvement of supply chain performance to meet patient demand and attain 90-90-90 targets at health facilities nationwide.

Objectives

FE Implementation Coverage

Legend• FE Sites

(580)

Key Project Results / AccomplishmentseLMIS FE Deployment 1 58 New facilities deployed:

Southern Province = 29 Copperbelt Province = 21 Lusaka Province = 8

Total # of facilities with FE = 435eLMIS CE District Orientation Visits 3

• Targeted orientations were conducted in 8 provinces > 39 districts > 44 people trained

• Attended GHSC-PSM led P&D meetings in Copperbelt, Eastern, Luapula, Lusaka, North Western, Southern & Western Provinces

Technical Support2• Provincial WhatsApp Support Groups• Commissioned toll free helpdesk• Focused TSS at 229 sites• Issues addressed included: replacing broken-

down equipment, addressing hardware challenges, OJT, SIM card migration

Key Project Results / Accomplishments

Monitoring & Evaluation Site Visits 5 Conducted routine M&E data collection

Visited 62 facilities in all 10 provinces All facilities visited had at least 1

person trained in eLMIS Functional s/w = 96% | h/w = 82%

eLMIS Training 7 USAID, PSM and MOH staff trained in

Central and Copperbelt provinces UNFPA organized (And funded) eLMIS

training Both Permanent Secretaries of Health

trained 478 people trained through facility OJT 20 people trained during an MOH

Logistics Integrated Trainer of Trainers(TOT)

Key Partner Meetings8 EM product standardization SUFP collaboration CHAZ/MSL Supply Chain Meeting GHSC-PSM/MOH Supply Chain Retreat HOPAZ eLMIS Learning Lab – CHAZ, CHAI,

DISCOVER-Health, Avencion, GHSC-PSM Forecasting and quantification: Viral load,

Early Infant Diagnosis (EID), & Malaria

eLMIS FE / SmartCare Interface6• Interface had been deployed and tested in 2

facilities, Levy and Ng’ombe• Interface has been very successful in Levy but

Ng’ombe has experienced some data quality challenges. Way forward agreed upon.

Training PS Health Services and PS Administration

“At a click of a button, I can already see what is happening in all health facilities throughout the country… As a Ministry, we do not have adequate resources to buy drugs that will only go to waste, therefore, we need to use what we have responsibly… I am excited to note that the system is able to track information because our mandate as a Ministry is to provide commodities at the right time, therefore being able to track information. eLMIS will help us do this.” Dr. Jabbin Mulwanda

“It’s my expectation that as you go back you are going to fully utilize what you have learned so that you can make a difference in terms of managing supply chain and service delivery.” Dr. Kennedy Malama, excerpt from closing of eLearning Platform video

Capacity Building – Strengthening Data Use: DHDs, Management Staff OJT

Sr. Zulu being trained by Mr. Nkoma (district pharmacist) at Twalumba HC

Kitwe DHD and Management Team learning eLMIS CE

Chingola DHD and Management Team learning eLMIS CE

Using eLMIS to Audit HIV Test Kit Stock

Project has worked closely with USAID, MoH, PSM, and SAFE Projects to validate HIV test kit stocks during joint site visits in central province

eLMIS Impact to Date

74%71%

74%

83% 84% 84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18

AGGREGATE FE REPORTING RATES FOR FY18 Q1 AND Q2

Used CE Used FE Overall Linear (Used CE) Linear (Used FE)

Progressive adoption – Moving towards System maturity

Emergency Order Trend (2 years)

0

1

2

3

4

% Emergency Orders

Controlled between 1% and below 4%

Visibility – Drawing Awareness to Supply Chain Challenges

417

321

433

511465

436

356

458 477 474 483

570

0

100

200

300

400

500

600

Trend of product expiries across all program areas

“The system is very resourceful and makes my work very easy. I didn’t know I could see expired products in my district, now am able to. The system will now help us redistribute commodities evenly between overstocked facilities and stocked out or understocked facilities.” Dr. Shanjalika, DHD Mazabuka

78%

89%84%

78%

31%

69%

88%

70%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Lab ARV HIV Test kits EM

Average Percent of Product Availability

eLMIS Pre-eLMIS

Improved Dashboards and Analytics

0%

2%

4%

6%

8%

10%

12%

Stockout Comparison - FE vs. All SitesTLE

SO - All Sites SO - FE Sites

Linear (SO - All Sites) Linear (SO - FE Sites)

0%

2%

4%

6%

8%

10%

12%

Stockout Comparison - FE vs. All Sites Determine HIV TKs

SO All Sites SO FE Sites

Linear (SO All Sites ) Linear (SO FE Sites)

Impact on Stock Availability

0%

10%

20%

30%

40%

50%

60%

70%

80%

Adequately Stocked - FE vs. All SitesTLE

Total Adequately Stocked - All Sites

Total Adequately Stocked - FE Sites

Linear (Total Adequately Stocked - All Sites)

Linear (Total Adequately Stocked - FE Sites)

0%

10%

20%

30%

40%

50%

60%

70%

80%

Adequately Stocked Comparison - FE vs. All SitesDetermine HIV TKs

Total Adequately Stocked - All Sites

Total Adequately Stocked - FE Sites

Linear (Total Adequately Stocked - All Sites)

Linear (Total Adequately Stocked - FE Sites)

Note: Data extracted from eLMIS CE was adapted as follows:• Considered Adequate if MOS 0.5 – 4.9• HIV TKs originally marked overstocked yet physical count less than 100 tests

Impact on Stock Availability

Thank you