Health Commodities Management System:

Priorities and Challenges

Innocent Ibegbunam (B.Pharm. MPH)Associate Director, HIV/AIDS SCMS Project (Nigeria)innoibegbunam@yahoo.com Deborah McGill (PhD)World Congress on Public Health, Addis Ababa Ethiopia, April 25, 2012

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

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

Essential commodities Pipeline

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

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

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

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

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

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

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

Daalu!Ese!!

Na gode!!Thank you!!!