Country Reports

Análisis del Mercado de Anticonceptivos en Honduras (590 KB)
English   
Author(s): Dana Aronovich, Disha Ali, Nora Quesada, Juan Agudelo
Date of Publication 2008
La segmentación de mercado constituye una de las herramientas principales para conocer el mercado de anticonceptivos, visualizar dónde se están focalizando los recursos e identificar problemas de acceso y equidad entre quintiles socio-económicos. Este análisis muestra que los esfuerzos por expandir el acceso y el uso de planificación familiar en Honduras han sido exitosos, pero que aún existen discrepancias en las tasas de fecundidad global y en la tasa de prevalencia anticonceptiva entre las poblaciones urbanas y rurales y entre los grupos socio-económicos en Honduras y que la necesidad insatisfecha alcanza un 16.9 por ciento. (This publication is only available in Spanish.)

Análisis del Mercado de Anticonceptivos en la República Dominicana (772 KB)
Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
La segmentación de mercado constituye una de las herramientas principales para conocer el mercado de anticonceptivos, visualizar dónde se están focalizando los recursos e identificar problemas de acceso y equidad entre quintiles socio-económicos.

Análisis del Mercado de Anticonceptivos en Nicaragua (4,920 KB)
Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
El análisis de segmentación de mercado constituye una de las herramientas principales para conocer el mercado de anticonceptivos, visualizar dónde se están focalizando los recursos e identificar problemas de acceso y equidad entre quintiles socio-económicos. Este análisis muestra que los esfuerzos por expandir el acceso y el uso de planificación familiar en Nicaragua han sido exitosos, pero que aún existen discrepancias en la tasa global de fecundidad (TGF) y en la tasa de prevalencia anticonceptiva (TPA) entre los grupos socio-económicos y entre los grupos geográficos en Nicaragua.

Analysis of the Operational Policies Related to Financing and Procuring Contraceptives in Madagascar (246 KB)
English   
Author(s): USAID | DELIVER PROJECT, USAID | Health Policy Initiative
Date of Publication 2010
The USAID | Health Policy Initiative, Task Order 1 and the USAID | DELIVER PROJECT, Task Order 1 are working to develop a methodology for identifying operational policy barriers in the financing and procurement of family planning (FP) products. The projects selected Madagascar to pilot test this methodology. This report includes recommendations for addressing some of the identified challenges related to procurement and financing.

Bangladesh: Contraceptive Procurement in Transition: How Context Can Affect Outcomes (1,600 KB)
English   
Author(s): Jim Bates
Date of Publication 2008
This paper considers the types of work on contraceptive procurement being undertaken world-wide, and examines the experiences of Bangladesh, considering factors that may have promoted or impeded progress. It also places the results in context, comparing experiences of two other countries—Peru and Malawi.

Bangladesh: Family Planning Market Segmentation— Update of the 2003 Analysis (2,350 KB)
English   
Author(s): Ali Mehryar Karim, David Sarley, Anthony A. Hudgins
Date of Publication 2007
In recent years, both the public and private sectors have expanded their roles in the growing family planning market in Bangladesh. This analysis shows that public–private partnership in Bangladesh has been effective. However, there are still opportunities for both the public and private sectors to expand their services further to reach even more clients.

Bangladesh: Final Country Report (1,689 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
This report documents the technical assistance provided by the USAID | DELIVER PROJECT to the Ministry of Health and Family Welfare (MOHFW) in logistics management, procurement, contraceptive security, institutional strengthening, and local capacity building.

Bangladesh Final Report: Rapid Assessment 2008 for the Department of Livestock Logistics Management System (8,306 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In the Spring and Summer of 2008, the local USAID | DELIVER PROJECT office’s Avian Influenza Team carried out an assessment of the Logistics Management System (LMS) for the Department of Livestock Services (DLS). This report continues an earlier assessment of the Emergency Avian Influenza Logistics Management System (EAILMS) of the Department of Livestock Services, Government of Bangladesh, which the USAID│DELIVER PROJECT conducted for USAID/Washington in August 2007.

Bangladesh: Final Report Task Order 2 and Task Order 6 (382 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2012
This final report highlights the broad range of interventions and major accomplishments from the supply chain technical assistance provided to the Government of Bangladesh (GOB) by the USAID | DELIVER PROJECT, under Task Order 2 Avian Influenza (AI) and Task Order 6 Emerging Pandemic Threats (EPT), from March 2007 to July 2011.

Bangladesh: Frequently Asked Questions Web-Based Logistics Management Information System (1,964 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
User FAQ's for Bangladesh Web-based LMIS system.

Bangladesh: Government of Bangladesh Contraceptive Procurement Bottleneck Study (1,877 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In August 2008, Todd Dickens (PATH), with assistance from the USAID | DELIVER PROJECT, Task Order 1, conducted a review of the IDA-funded procurement of health care commodities under the Health, Nutrition, and Population Sector Program in Bangladesh. The study’s overall objective was to identify bottlenecks and problems that have lead to recent stockouts of contraceptives, and recommend possible actions that the Government of Bangladesh, USAID and development partners can take to address these problems that will improve the overall efficiency and effectiveness of the procurement process and support contraceptive security in Bangladesh.

Bangladesh: Technical Manual for the Web-based Logistics Management Information System (1,117 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This technical manual seeks to help different expert users (technical users) and administrative users learn basic technical issues regarding this developed application, including operational environment, database structure, detail functionalities of the modules, tasks, and features of the system, coding style, installation procedure, technology, etc. This manual serves as a guide for expert and administrative users configuring or installing this system.

Bangladesh: Upazila Inventory Management System User Guide (5,879 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
The Bangladesh Upazila Inventory Management System (UIMS) has been developed to help the Upazila Family Planning Office, and especially the Store Keeper, by greatly reducing the latter’s workload. This computerized system will maintain records for receipt and issue of commodities as well as product stock, whose saved records include batch number, manufacturing and expiry dates.

Bangladesh: Web Based Logistics Management Information System User Guide (8,767 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This user manual seeks to help different types of users learn the different features, modules, and tasks of Bangladesh web based system.

Bolivia: Final Country Report: Executive Summary (1,095 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
The USAID | DELIVER PROJECT project in Bolivia has developed a system for the administrative logistics of medications and inputs for contraceptives, which over time has been integrated for essential medications and basic inputs. The system has become a national regulation, Unified National Supply System (SNUS), whose objective is to guarantee the timely availability of medications and inputs.

Bolivia: Informe Final del País (2,062 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
USAID | DELIVER PROJECT ha desarrollado el sistema de administración logística de medicamentos e insumos para anticonceptivos que en su proceso ha sido integrado para los medicamentos esenciales e insumos básicos, convirtiéndose en una normativa nacional denominada Sistema Nacional Único de Suministro (SNUS) cuyo objetivo es garantizar la disponibilidad oportuna de medicamentos e insumos. (This publication is only available in Spanish.)

Capacity Building in Supply Chain Management in Sierra Leone (3,600 KB)
English   
Author(s): Motomoke Eomba, Sarah Andersson
Date of Publication 2008
In January 2008, the National HIV/AIDS Secretariat (NAS) with technical assistance from the USAID | DELIVER PROJECT funded by USAID | West Africa, designed a logistics system for ARV drugs. This report presents the methods used to design the logistics system, the in country pipeline, the inventory control system, the logistics forms that will be used to manage the information by collecting logistics essential data and the implementation plan of the design in Sierra Leone.

Case Study: Harmonization of Laboratory Items in Zambia (392 KB)
English   
Author(s): SCMS and USAID | DELIVER PROJECT
Date of Publication 2009
Short paper discussing the efforts SCMS and the USAID | DELIVER PROJECT have made to standardize the laboratory lists for HIV tests and other HIV and AIDS lab commodities in Zambia.

Contraceptive Procurement Policies, Practices, and Options: Peru (906 KB)
English    Español   
Author(s): Varuni Dayaratna, Nora Quesada, Jay Gribble, Wendy Abramson, David Sarley, Carlos Lamadrid, Nadia Olson, Verónica Siman Betancourt
Date of Publication 2006
In light of the phaseout of donor funds in Latin America and the Caribbean, Peru will be facing increasing responsibility to finance and procure contraceptive commodities in the near future. This report presents findings from a legal and regulatory analysis and pricing study of different procurement options to identify efficient, economical, high quality and timely distribution of contraceptives.

Contraceptive Security in Nigeria: Assessing Strengths and Weaknesses (293 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
This report describes a contraceptive security assessment conducted in Nigeria in March 2008. The assessment identified strengths and weaknesses in seven key areas that affect the availability of reproductive health (RH) commodities in Nigeria. It also made recommendations for ways to start the process of updating the reproductive health commodity security (RHCS) strategy.

Delivering Family Planning One Village at a Time: 20 Years of Supply Chain Work in Bangladesh (11,700 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2011
For more than 20 years, USAID worked with John Snow, Inc., to improve the delivery of family planning supplies in Bangladesh through multiple, consecutive projects, focusing primarily on logistics, procurement, institutional strengthening, capacity building, and commodity security. This publication features beautiful photographs from the project's work in Bangladesh and highlights achievements and lessons learned from 1988 to 2010.

Developing a Contraceptive Procurement Table in Pakistan (355 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report describes efforts by the USAID | DELIVER PROJECT to assist the government of Pakistan in preparing a national contraceptive forecast by calculating the 2010–2012 commodity needs for contraceptives.

Ethiopia: Final Country Report (2,688 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
Since 2003, the USAID | DELIVER PROJECT in Ethiopia has worked continuously with two of the Federal Ministry of Health’s key departments: the Pharmaceutical Supply and Logistics Department and the Family Health Department. The program includes three main elements: design and implementation of the Ethiopian Contraceptive Logistics System, support to contraceptive security, and active involvement in the development of a Health Commodity Supply System Master Plan.

Ghana: Final Country Report (3,565 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
The USAID | DELIVER PROJECT has proposed and implemented numerous supply chain improvements (especially in procurement management, storage, and distribution) with the aim of fulfilling the USAID strategic objective of improved health status.

Ghana: Quantitative and Qualitative Logistics System Assessment (LIAT and LSAT) Report 2006 (2,141 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
In 2006, a Logistics System Assessment and Stock Status Survey was conducted to provide information to the MOH, USAID/Ghana, and other stakeholders in Ghana on the availability of health commodities and logistics information at the central, regional, district, and health facility levels.

Ghana: System Design for TB Commodity Distribution System (5,965 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2008
This report presents the methods used to design the logistics system, the in country pipeline, the inventory control system, the logistics forms that will be used to manage the information by collecting essential logistics data and the implementation plan of the design in Ghana.

Guatemala: Estudio del Acceso a Servicios e Insumos de Planificacion Familiar (1,129 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
El presente estudio espera contribuir en el análisis y búsqueda de estrategias complementarias para lograr el acceso equitativo y universal a insumos y servicios de PF en el país. El estudio se concentró en tres departamentos del país: Totonicapán, Sololá, y Jutiapa. Se utilizaron herramientas de información geográfica y bases de datos primarias para identificar y cuantificar las variables claves que causan la falta de equidad en el acceso a servicios de salud reproductiva y planificación familiar.

Guatemala: Using Supply Chain Modeling and Simulation to Analyze the Ministry of Health Supply Chain (2,426 KB)
English    Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
This activity analyzed the characteristics of the integrated logistics system in three departments in Guatemala: Sololá, Totonicapán, and Jutiapa. This paper identifies some of the obstacles to achieving contraceptive availability for the underserved and vulnerable populations; it also offers options for improving equity in access for family planning commodities.

Honduras: Final Country Report (1,889 KB)
English    Español   
Author(s): DELIVER Project
Date of Publication 2007
The project’s main accomplishments were the development of local capacity to plan procurement that uses logistics information from family planning activities, the development of software for managing inventories and logistics management information for the MOH, and the formation and consolidation of the Contraceptive Security Committee and the contraceptive security (CS) national strategy.

Honduras: Validando las Areas Estratégicas del Plan de Graduación de USAID/Honduras: Plan de Acción e Implementación (2,485 KB)
English   
Author(s): Mercé Gascó, Nora Quesada
Date of Publication 2008
USAID | Honduras solicitó el apoyo del USAID | PROYECTO DELIVER para desarrollar un plan de acción e implementación de la estrategia de graduación de USAID. Este documento resume las actividades realizadas durante la preparación del plan de acción, los retos, conclusiones y recomendaciones para llevar a feliz término la implementación del plan. (This publication is only available in Spanish.)

India: Final Country Report (1,652 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
In India, the USAID | DELIVER PROJECT worked in three states, namely Uttar Pradesh (UP), Uttaranchal, and Jharkhand, in northern India. However, many of the technical assistance activities during this report period were focused on UP and then on Uttaranchal.

Indonesia: Cold Chain Study: Operational Research in Indonesia for More Effective Control of Highly Pathogenic Avian Influenza (2,419 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
As part of the effort to control avian influenza, the Operational Research in Indonesia for More Effective Control of Highly Pathogenic Avian Influenza (OR) was designed and implemented in 16 districts in the West Java, Central Java, and Yogyakarta provinces.

Kenya: 2020 Supply Chain Modeling Extension: Forecasting Demand from 2020–2024 (556 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2012
In 2010, LLamasoft, with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, developed a modeling framework to forecast public health supply chain needs and enable policymakers to strengthen the logistics situation. In Kenya: 2020 Supply Chain Modeling, the application of the model to understand and analyze the current and future state (2020–2024) supply chain requirements for procuring and distributing essential medical commodities in Kenya was discussed. The following report is an extension of the initial report in which additional scenarios are analyzed.

Kenya: 2020 Supply Chain Modeling: Forecasting Demand from 2020–2024 (3,191 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2012
In 2010, LLamasoft, with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, developed a modeling framework to forecast public health supply chain needs and enable policymakers to strengthen the logistics situation. Here, the model was applied to understand and analyze the current and future state (2020–2024) supply chain requirements for procuring and distributing essential medical commodities in Kenya. The developed methodology in this report can be employed in any country for any future time frame.

Kenya: Final Country Report (2,717 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
The DELIVER Project in Kenya began its operations in October 2000 after the Family Planning Logistics Management III Project ended. The primary goal of the project at that time was improved availability of contraceptives and other essential health commodities at service delivery points By the end of the project in 2006, the project was working with the National AIDS and STI Control Program, the National Leprosy and Tuberculosis Program, the STI Program, the National Public Health Laboratory Service, the Kenya Medical Supplies Agency, and the Kenya Expanded Program on Immunization.

Kenya: Stock Status and Logistics System Assessment 2006 (6,247 KB)
English   
Author(s): Elizabeth Bunde, Erika Ronnow, Gerald Kimondo
Date of Publication 2007
In 2006, the Logistics Indicator Assessment Tool (LIAT) was used to take stock of the performance of the logistic systems and to provide stock status information for key public health commodities. Results of the assessment revealed that nearly all systems were implemented as designed, but strengths and weaknesses continue to exist. The widespread availability of key commodities for each program was found throughout the logistic systems. In addition, both commodity availability and logistics management practices in the ARV program are performing well.

Liberia: A Contraceptive Security Assessment (5,050 KB)
English   
Author(s): Meba Kagone, Paul Dowling, Jennifer Antilla, Ruth Cooper
Date of Publication 2007
An assessment of the contraceptive security (CS) situation in Liberia was carried out by a team of DELIVER consultants working with the Family Health Division of the Ministry of Health and Social Welfare (MOHSW.)

Logistics Assessment of the Uganda National Expanded Program on Immunization (779 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
In August 2009, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, conducted an assessment of the Uganda National Expanded Program on Immunization (UNEPI) logistics system for health facilities to monitor progress made on system recommendations developed in 2005. The survey’s overall objective was to establish the functionality of a logistics management system for UNEPI and to verify if all facilities at all levels fulfill the six rights. This report presents the findings, strengths, challenges and recommendations identified through the logistics assessment.

Malawi: ARV Supply Chain Integration: An Assessment of the ARV and Essential Medicines Logistics Systems (5,614 KB)
English   
Author(s): Raja Rao, John Durgavich
Date of Publication 2008
A consultant team from the USAID | DELIVER PROJECT assessed the ARV and integrated essential medicines logistics systems to determine whether the antiretroviral (ARV) supply chain—of which several components are managed vertically to the Central Medical Stores (CMS) system—can be integrated into the CMS system without a loss of service.

Malawi: Distribution of DMPA at the Community Level: Lessons Learned (327 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
In 2008, Malawi piloted the distribution of DMPA to the community by Health Surveillance Assistants. This report presents lessons learned during the initial implementation from gaining stakeholder buy-in to curriculum development and the initial three months after the training and implementation roll-out. The report presents lessons learned that will be valuable for other countries considering similar community-based distribution, with particular attention paid to the supply chain implications of distributing family planning commodities to the last mile.

Malawi: Final Country Report (1,560 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
The Ministry of Health (MOH) of Malawi is committed to establishing an integrated health logistics system, especially for products in the Essential Health Package (EHP). Over a six-year period, the USAID | DELIVER PROJECT provided technical assistance to the MOH in building an integrated logistics system, including the implementation of the reengineered logistics system; designing and implementing a new training program based on a revised set of standard operating procedures; and improving the EHP supply chain and information systems.

Malawi: HIV Test Kit Supply Chain Assessment and Quantification (4,942 KB)
English   
Author(s): Claudia Allers, Amanda Mwirotsi
Date of Publication 2008
This report documents the findings and recommendations from the supply chain assessment, as well as the methodology and results of the quantification with the total quantities and costs of the HIV test kits required and the funding requirements per year based on known funding commitments and funding gaps identified at the time of the quantification.

Malawi: Laboratory Services and Supply Chain Assessment (684 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In January and February 2009, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, conducted an assessment of laboratory services and the management of the supply chain for laboratory commodities and equipment in government and Christian Health Association of Malawi (CHAM) health facilities in Malawi.

Malawi: Laboratory Standardization Workshop (2,276 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
The mandate for the USAID | DELIVER PROJECT in Malawi has expanded to include laboratory supplies, which is a relatively new area of focus for the Malawi Ministry of Health (MOH). An assessment of Malawi’s laboratory system found that to successfully manage the logistics system for laboratory supplies, the laboratory testing services needed to be standardized for each level of the system. This publication covers the standardization of laboratory tests, techniques, and equipment.

Mali: Final Country Report (2,629 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
Over the last four years, the DELIVER Project in Mali assisted the Ministry of Health (MOH) and its stakeholders to carry out appropriate activities to improve the program. The project's major accomplishments in Mali are highlighted in this report.

Management of HIV & AIDS Commodities in Zimbabwe—A Capacity Assessment of NatPharm and Ministry of Health and Child Welfare (2,867 KB)
English   
Author(s): Eric Takang, Veskov Dragana, Kumire Celestine, Jabulani Nyenwa
Date of Publication 2006
DELIVER was contracted to assist the Ministry of Health and Child Welfare (MOHCW) to assess the current capacity of NatPharm, the AIDS & TB Unit, and Department of Pharmaceutical Services to manage HIV & AIDS commodities and to provide appropriate recommendations for building capacity in and harmonizing the functions of the three entities to improve commodity security.

Mozambique: Final Country Report (2,132 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
USAID | DELIVER PROJECT activities in Mozambique focused on building capacity within the Central de Medicamentos e Artigos Medicos (CMAM) and the Ministry of Health. Specific activities and achievements are highlighted in this report.

Nepal: Final Country Report (1,704 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
DELIVER support in Nepal focuses on capacity building and skills transfer to the government system for long-term sustainability of the program.

Nicaragua: Final Country Report: Executive Summary (635 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
DELIVER’s technical support has significantly improved the Ministry of Health’s (MOH) contraceptive availability in all the service delivery points. This successful experience in has also improved the process of integration for the other essential drugs.

Nicaragua: Informe Final del País (859 KB)
Español   
Author(s): DELIVER project
Date of Publication 2007
La asistencia técnica brindada por DELIVER ha contribuido a que el MINSA mejore significativamente el abastecimiento de anticonceptivos en todas las Unidades de Salud. Esta experiencia exitosa ha impulsado el proceso de integración del resto de insumos médicos; implementándose en Junio del 2006 el SIGLIM (Sistema de Información para la Gestión Logística de Insumos Médicos) en 5 regiones; esperando ampliarse en el 2007 al resto del país. Además, se han fortalecido los servicios de atención post evento obstétrico en 22 hospitales materno-infantiles. (This publication is only available in Spanish.)

Nicaragua: Integrating Logistics Functions at the Ministry of Health (2,074 KB)
English    Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
A case study assessing the effects of integration on supply chain performance and contraceptive security.

Nigeria: Antiretroviral Quantification and Supply Planning (July - August 2006) (678 KB)
English   
Author(s): DELIVER
Date of Publication 2007
Report on the quantification of antiretroviral drugs and the PipeLine monitoring and procurement planning exercise done in Nigeria to support expansion of the GON federal antiretroviral therapy program.

Nigeria: Central Contraceptive Warehouse Assessment (749 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
Abstract In Nigeria, Fuel Logistics provided technical assistance to the Federal Ministry of Health (FMOH) by conducting a needs assessment of the Central Contraceptive Warehouse (CCW) of the Central Medical Stores (CMS) from November 11 to 23, 2007. This assessment also examined the need to expand to additional warehouses in Ibadan and Kaduna, and to determine the status quo and short-, medium-, and long-term requirements of the national storage and distribution systems for contraceptives.

Nigeria: Contraceptive Logistics Management System Assessment Report (1,280 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In June 2007, the Federal Ministry of Health (FMOH), with technical assistance from UNFPA and the USAID | DELIVER PROJECT, Task Order 1, conducted an assessment of the performance of the logistics management and supply chain system for contraceptive commodities in Nigeria.

Nigeria: Final Country Report (1,346 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
DELIVER activity in Nigeria focused on development of improved logistics systems for reproductive health (RH) and HIV/AIDS program commodities.

Nigeria: HIV/AIDS Commodities Logistics System Design Workshop Proceedings—MARCH 10 to 13, 2008, Jos, Nigeria (2,205 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2008
The goal for this workshop was to involve system participants from all levels in the health management system in the design of a more integrated commodity management system, including the logistics management information system and related inventory control system which would provide for common management principles and guidelines, including re-supply, with differences only when the product-specific requirements so dictated.

Nigeria: Reproductive Health Commodity Security Situation Analysis (1,384 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
Nigeria has been working toward achieving reproductive health commodity security(RHCS),starting with the development of an RHCS strategy in 2003. To further update and continue with the efforts, the authors conducted a reproductive health commodity security situation analysis to assess and understand the current situation. This RHCS situational analysis provides information for strengthening the efforts to improve RHCS and for developing an updated national strategic plan.

Nigeria: Segmentation of the Supply Chain for Essential Medicines Kano and Edo States (673 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2011
Abstract From April 2009 until February 2010, the USAID | DELIVER PROJECT worked with Kano and Edo states in Nigeria to apply the segmentation framework to their essential medicines program. Through this exercise, technical advisors were able to use data to identify system design modifications that could render their essential drugs distribution more efficient. The activities focused on catering transportation policies to best fit the products and customers served. This report also reviews some lessons learned in applying this new framework to the global public health setting.

Nigeria: Tuberculosis Warehousing Assessment (2,939 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
In January 2009, the National Tuberculosis and Leprosy Control Programme of the Federal Ministry of Health in Nigeria, with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, conducted an assessment of the physical status and operational capacity of the Central Medical Stores Tuberculosis and Leprosy (TBL) unit store, six zonal TBL warehouses, and three state TBL stores.

Pakistan Workshop Report: Contraceptive Procurement, Quality Assurance, Contracting, Monitoring and Evaluation (364 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
Report on procurement workshop conducted by the USAID | DELIVER PROJECT for procurement officers from Pakistan's MOPW, MOH, National LHW, MNCH and AIDS programs between 28-30 September.

Paraguay: Diagnóstico Situacional de Parques Sanitarios Regionales Ministerio de Salud Pública Y Bienestar Social/MSPBS (6,066 KB)
Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
El objetivo general de este informe es el de proponer mejoras tanto físicas como tecnológicas basadas en el diagnóstico previamente citado, que acompañadas del recurso humano adecuado, conduzcan a la optimización de las condiciones de almacenamiento de los medicamentos, anticonceptivos e insumos médicos que se manejan a través del MSPBS. (This publication is only available in Spanish)

Paraguay: Evaluación Cuantitativa de Indicadores Logísticos, Septiembre 2008 (634 KB)
Español   
Author(s): Bernardo Uribe, Anabella Sanchez
Date of Publication 2008
En diciembre del 2005 el proyecto DELIVER lideró la primera evaluación cuantitativa de indicadores logísticos del programa de Planificación Familiar, identificando la necesidad de fortalecer el sistema de información, almacenamiento, distribución, adquisición y estimación de necesidades. A partir de ese estudio, se delineó un plan de trabajo, el cual se llevó a cabo hasta septiembre del 2006. (This publication is only available in Spanish.)

Paraguay: Final Country Report: Executive Summary (360 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
The Ministry of Health (MOH), with continuous technical assistance from the project, improved its logistics system; they are giving priority to the beginning of an improvement plan for the contraceptive logistics system.

Paraguay: Informe Final del País (4,055 KB)
Español   
Author(s): DELIVER Project
Date of Publication 2007
El MSPBS ha aprovechado la oportunidad de contar con asistencia técnica continua y está priorizando la puesta en marcha de un plan de mejoramiento del sistema logístico de anticonceptivos. Si bien la evaluación cuantitativa de indicadores logísticos mostró un alto nivel de desabastecimiento en los seis meses precedentes a la misma, (Diciembre 2005), se están ya desarrollando acciones correctivas que se espera se vean reflejadas en la próxima evaluación. (This publication is only available in Spanish.)

Paraguay: Plan de Información, Educación y Comunicación en Planificación Familiar Ministerio de Salud Publica y Bienestar Social (6,883 KB)
Español   
Author(s): Margarita Diaz Otoya
Date of Publication 2007
Este reporte documenta el Plan de Información, Educación y Comunicación (IEC), e incluye guías y protocolos para la utilización práctica de los materiales y formularios por parte de los responsables de Planificación Familiar, en los Servicios de Salud del país. (This publication is only available in Spanish.)

Philippines: Family Planning and Maternal, Newborn, and Child Health Logistics Management and Stock Status Report (1,013 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2011
A logistics system and stock status survey was conducted in 2011 to provide the Department of Health, U.S. Agency for International Development/Philippines, and other stakeholders with information on the availability of family planning and maternal, newborn, and child health commodities and logistics information at provincial- and municipal-level facilities. This report presents the findings of the assessment as well as recommendations to improve the contraceptive logistics systems in the Philippines.

Philippines: Final Country Report (3,557 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
The Philippines is working to sustain recent gains in access to and use of family planning services through a DELIVER, working through the Local Enhancement and Development (LEAD) for Health project, has helped local government units (LGUs) at the provincial and city levels—where responsibility rests for providing health services—to prepare CSR plans that consider the growth in demand for contraceptives, the impact of donor phaseout, and the resources needed to meet demand.

Políticas, Prácticas y Lecciones Aprendidas en la Adquisición de Métodos Anticonceptivos: Colombia (3,214 KB)
Español   
Author(s): Juan Agudelo, Nora Quesada
Date of Publication 2007
NOTE: This document is in SPANISH. Este estudio, realizado por el proyecto DELIVER con financiamiento del fondo Global Leadership de la USAID, tiene como objetivo identificar lecciones aprendidas a raíz del retiro de las donaciones de insumos anticonceptivos por parte de la USAID. Además, este trabajo es parte del estudio regional sobre opciones de adquisiciones y precios de los anticonceptivos, que se llevó a cabo en distintos países de la región de América Latina y El Caribe, con el propósito de documentar una estrategia de adquisición de anticonceptivos para los países que aún reciben ayuda de la USAID, preparándolos para el eventual retiro de las donaciones y la asistencia técnica.

Políticas, Prácticas y Opciones para la Adquisición de Insumos Anticonceptivos: Ecuador (1,025 KB)
Español   
Author(s): Nora Quesada, Verónica Siman Betancourt, Wendy Abramson, Varuni Dayaratna, Jay Gribble, David Sarley, Carlos Lamadrid, Nadia Olson, Juan Agudelo
Date of Publication 2006
Los países de Latinoamérica y el Caribe han venido enfrentando desde hace algunos años una disminución gradual de fondos de donantes para la adquisición de insumos anticonceptivos. Ante esta perspectiva, Ecuador ha dado importantes pasos para asegurar la disponibilidad de insumos anticonceptivos, mediante la aplicación de políticas y leyes que garantizan el financiamiento y la compra de anticonceptivos. No obstante, el sector público puede explorar distintas opciones de compra regional e internacional en un sistema de salud descentralizado, para garantizar la disponibilidad asegurada de los insumos, optimizando costos de adquisición y enfocando su atención a los sectores de la población más vulnerables. (This publication is only available in Spanish.)

Políticas, Prácticas y Opciones para la Adquisición de Insumos Anticonceptivos: El Salvador (346 KB)
Español   
Author(s): Verónica Siman Betancourt, Nora Quesada, Wendy Abramson, David Sarley, Varuni Dayaratna, Jay Gribble, Carlos Lamadrid, Nadia Olson
Date of Publication 2006
El Salvador estará asumiendo la responsabilidad de financiar y comprar insumos anticonceptivos para su población cuando se acaben las donaciones de la USAID y el UNFPA en un futuro muy cercano. En preparación para ello, el Gobierno de El Salvador necesitará considerar todas las opciones de adquisición de insumos anticonceptivos, los precios asociados con cada opción y la viabilidad de cada opción dentro del contexto de las leyes y normas nacionales que regulan las prácticas de adquisición en el sector público. (This publication is only available in Spanish.)

Políticas, Prácticas, y Opciones para la Adquisición de Insumos Anticonceptivos: Guatemala (1,197 KB)
Español   
Author(s): Anabella Sánchez, Verónica Siman Betancourt, Nora Quesada, Wendy Abramson, Nadia Olson, Jay Gribble, David Sarley, Carlos Lamadrid
Date of Publication 2007
Para enfrentar la disminución gradual de fondos de donantes en Latinoamérica y el Caribe, Guatemala, especialmente su sector público, deberá asumir la responsabilidad de financiar y comprar los insumos anticonceptivos en el futuro cercano. Además, el sector público necesitará explorar las opciones de compras regionales e internacionales para garantizar la disponibilidad asegurada y no comprometerla durante el período de transición. (This publication is only available in Spanish.)

Report on Development of a Draft National Contraceptive Procurement Manual in Pakistan (730 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
The draft National Health Policy 2009 includes policy action as one of a number of policy objectives and actions linked to ensuring access to contraceptives and other health products.

República Dominicana: Manual de Procedimientos Logísticos (1,261 KB)
Español   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
Este manual constituye una herramienta de gestión para los responsables del manejo del sistema logístico de SESPAS en sus diferentes niveles de decisión y atención. En él se pueden apreciar dos grandes capítulos, el Capítulo 1: Sistema Logístico de Planificación Familiar, donde se puede obtener toda la información teórica y el Capítulo 2: Gestión del sistema logístico en SESPAS, donde se puede ver el uso y registro correcto de los instrumentos de información logística.

Russia: Integrating Family Planning into the Health System (2,211 KB)
English   
Author(s): Cappa, Laurie, Natalia Vartapetova, Tatyana Makarova, and Polina Flahive
Date of Publication 2007
This case study looks specifically at the integration (horizontalization) of the family planning component into the other WIN/MCHI components. As a result, access to client-centered counseling has increased, unplanned pregnancies have decreased, and the abortion rate has declined.

Rwanda: Final Country Report (1,999 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
Since 2002, the Government of Rwanda, through the Ministry of Health, has been revitalizing its contraceptive logistics system to improve product availability to clients and to move toward reproductive health commodity security.

Sierra Leone: Supply Chain Assessment for ARV Drugs and HIV Test Kits (5,603 KB)
English   
Author(s): Claudia Allers, Timothy O'Hearn, Meba Kagone
Date of Publication 2007
The assessment findings documented in this report highlight the experiences, the achievements, and the issues and challenges faced by the Sierra Leone national HIV/AIDS program in managing the supply chains for ARV drugs and HIV test kits.

South Africa: Final Country Report (1,869 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
The South African National Department of Health (NDOH) asked the U.S. Agency for International Development/ Pretoria to provide technical assistance to eliminate condom shortages and stockouts and improve the quality of public-sector condoms. In response, the Technical Assistance Service Contract (TASC) and DELIVER project designed and implemented a logistics management information system that was driven by service delivery site consumption and inventory data, together with a quality assurance program based on international standards and specifications.

Tanzania: 2020 Supply Chain Modeling. Forecasting Demand from 2020–2024 (1,085 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2012
In the developing world, logistical shortcomings can seriously impact the quality of human healthcare. Because of this, the USAID | DELIVER PROJECT partnered with LLamasoft, Inc., to develop a reusable modeling framework that could be used to forecast developing countries’ future public health supply chain needs. This report covers the application of the framework in Tanzania.

Tanzania: Final Country Report (1,244 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
USAID/Tanzania’s program focus is on preventing the spread of HIV/AIDS and increasing the use of reproductive and child health services. In concert with USAID’s health objectives, DELIVER’s activities in Tanzania concentrate primarily on three main areas of intervention: the development of a health management integrated logistics system, Commodity Security (in particular contraceptives), and the quantification and procurement of antiretroviral drugs.

Tanzania: Quantification and Supply Planning for Anti-Malarial Medicines (832 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2008
In May of 2008 the USAID | DELIVER PROJECT provided technical assistance in quantifying anti-malarial medicines and diagnostics, and preparing procurement plans for select partners in Tanzania, including the National Malaria Control Programme, the Accredited Drug Dispensing Outlet (ADDO) program, and the United Nations High Commission for Refugees (UNHCR).

Task Order 1 Uganda Final Report (452 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
Report addressing key project objectives and activities in Uganda.

Uganda: Final Country Report (1,791 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
From October 2001 to October 2006, the DELIVER project provided logistics technical assistance to the Uganda Ministry of Health and other health services systems. Technical assistance was provided across the full range of logistics activities: forecasting and quantification, procurement tracking, storage and delivery, and information systems for decision making.

Uganda: Mapping the Distribution of Commercial Goods to the Last Mile (5,325 KB)
English   
Author(s): John Durgavich, Betty Nabirumbi, Simon Ochaka
Date of Publication 2009
In February 2008, the USAID | DELIVER PROJECT, Task Order 1, conducted a study of distribution for a sample of common household goods in villages along the north shore of Lake Kwania in the Apac district of Uganda. The purpose of the study was to provide an overview of effective, alternate distribution channels operating in Uganda, their lessons for the future distribution of reproductive health products, and the strategic opportunities for ensuring distribution to the community level.

Uganda National Tuberculosis Logistics System Assessment Tool (LSAT) (900 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
In May and June 2009, the National Tuberculosis and Leprosy Program (NTLP), within the Uganda Ministry of Health (MOH), and with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, conducted an assessment of the performance of the logistics management and supply chain systems for tuberculosis commodities in Uganda.

Uganda's Apac District: Contraceptive Logistics System Assessment Action and Plan (339 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of an assessment of Apac district’s contraceptive supply chain and a short and long-term action plan to improve the contraceptive logistics system to ensure product availability in Apac district.

Uganda’s Hoima District: Contraceptive Logistics System Assessment and Action Plan: Covering the Last Mile to Ensure Contraceptive Availability (575 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
In September 2008, the USAID | DELIVER project carried out an assessment on availability of contraceptives, identifying strengths and weaknesses at selected health centers in six districts in Uganda. This was followed by an LSAT assessment workshop attended by the district people who were interviewed during the data collection excise and led to development of action plans for improving reproductive health supply logistics in the district.

Uganda’s Manafwa District: Contraceptive Logistics System Assessment and Action Plan: Covering the Last Mile to Ensure Availability (841 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of the assessment as well as the short- and long-term action plan to improve the contraceptive logistics systems and cover the last mile to ensure product availability in the district of Manafwa.

Uganda’s Mayuge District: Contraceptive Logistics System Assessment and Action Plan: Covering the Last Mile to Ensure Contraceptive Availability (648 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of the assessment as well as the short- and medium-term action plan to improve the contraceptive logistics systems and cover the last mile to ensure product availability in Mayuge district.

Uganda’s Nakasongola District: Contraceptive Logistics System Assessment and Action Plan: Covering the Last Mile to Ensure Contraceptive Availability (638 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of the assessment as well as the short and long-term action plan to improve the contraceptive logistics systems and cover the last mile to ensure product availability in Nakasongola district.

Uganda’s Sembabule District: Contraceptive Logistics System Assessment and Action Plan: Covering the Last Mile to Ensure Contraceptive Availability (1,001 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of the assessment as well as the short and long-term action plan to improve the contraceptive logistics systems and cover the last mile to ensure product availability in Sembabule district.

West Africa: Final Regional Report (539 KB)
English   
Author(s): DELIVER project
Date of Publication 2007
Funding from USAID/West Africa, USAID Africa Bureau, and USAID/Washington has enabled the DELIVER project to provide technical support at the regional level, primarily through the West Africa Health Organization and through regional supply chain training Country interventions in Burkina Faso, Cameroon, Togo, and Sierra Leone have also been conducted in close partnership with Ministries of Health, UNFPA, AWARE–RH and other partners, and have led to improvements in the reproductive health commodity security (RHCS) environment.

Zambia: Antimalarial Drugs Stocktaking Report (1,662 KB)
English   
Author(s): Dr. Arturo Sanabria, Rabson Zyambo, Gamariel Simpungwe, Walter Proper
Date of Publication 2008
In April and May 2007, the Ministry of health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 3, conducted an assessment of antimalaria drugs stock status. This was part of the nationwide stocktake of essential drugs with particular focus on drugs used in treatment of malaria and opportunistic infections in Zambia.

Zambia: ARV Supply Chain Costs Pilot of the Supply Chain Costing Tool (730 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
This report presents the findings of the costing exercise, as well as the implications from the results for Zambia’s ART program; it also illustrates what the Supply Chain Costing Tool does and how its output can be used.

Zambia: Family Planning Quantitative and Qualitative Logistics System Assessment, March 2008: LIAT and LSAT Results (2,800 KB)
English   
Author(s): Disha Ali, Mika Bwembya, Ethan Collins, David Papworth, Erika Ronnow
Date of Publication 2008
In 2008 a Logistics System Assessment and Stock Status Survey was conducted to provide the MOH, USAID/Zambia, and other stakeholders with information on the availability of family planning commodities and logistics information at the district and health facility levels. This comprehensive assessment of the logistics system consisted of both quantitative and qualitative data collection using two separate data collection tools: the Logistics Indicators Assessment Tool (LIAT) and the Logistics System Assessment Tool (LSAT).

Zambia: Final Country Report (874 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
During the year that DELIVER has been in Zambia, it has assisted the MOH to carry out two important national forecasts and quantifications for ARVs and HIV tests. It has procured more that U.S.$9 million in U.S. Government/USAID-funded ARVs and HIV tests and assisted the national government in developing Global Fund to Fight AIDS, Tuberculosis and Malaria procurement plans. The project has also facilitated the design of a strengthened ARV logistics system and a strengthened HIV test logistics system. Implementation of both systems started before the official end of the DELIVER project.

Zambia: National Long Term Forecasting and Quantification for Family Planning Commodities (2009-2015) (572 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In December 2008, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, prepared a long term forecast and supply plan for contraceptive commodities for the period of 2009 to 2015.

Zambia: National Long Term Forecast Report for ARV Drugs (2008 – 2015) (2,902 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In October 2008, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, with funds from the President’s Emergency Plan for AIDS Relief (PEPFAR). conducted a national long term forecast of ARV drug for 2008 through 2015.

Zambia: National Quantification of HIV Test Kits (2009-2015) (1,795 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In December 2008, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, with funds from the President’s Emergency Plan for AIDS Relief (PEPFAR). conducted a national long term forecast of rapid HIV tests for 2008 through 2015. The quantification’s overall objective was to calculate rapid HIV test requirements for each year of the forecast period and to use those requirements to mobilize resources for the country. This report presents the findings of the forecast as well as the methodology used and assumptions made to arrive at those findings.

Zambia: PMTCT-Only Drug Logistics System Assessment Results and Recommendations (1,573 KB)
English   
Author(s): Erin Hasselberg, Peter Lisulo
Date of Publication 2008
In October and November 2008, the Ministry of Health (MOH), with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, and support from other partners conducted an assessment of the performance of the PMTCT-only drug logistics system in Zambia. The survey’s overall objective was to assess how well the PMTCT-only logistics system was managing select ARV commodities at public health facilities and also how well the On-the-Job training was rolled out from the districts to the facilities.

Zimbabwe: Final Country Report (882 KB)
English   
Author(s): DELIVER Project
Date of Publication 2007
This report summarizes DELIVER’s key role as the distributor of USAID’s donated condoms and manager of the logistics system for public-sector condoms and antiretroviral (ARV) distribution for Zimbabwe’s Ministry of Health and Child Welfare (MOHCW). DELIVER worked closely with the MOHCW and the U.S. Government to improve the availability of HIV/AIDS condoms in rural health centers and other public sector sites. DELIVER was tasked with improving logistics system performance, human capacity in logistics management, and resource mobilization for commodity security.

Zimbabwe: Logistics System Designs for Tuberculosis Commodities (489 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2009
In March 2009, the Ministry of Health and Child Welfare of Zimbabwe, with technical assistance from the USAID | DELIVER PROJECT, Task Order 1, designed three logistics systems to manage tuberculosis commodities for the public sector. These three systems manage different tuberculosis commodities and serve different types of facilities. The three systems will be piloted from June 2009 to April 2010. This report presents the parameters of each logistics system as well as the proposed implementation plan for the pilot.

Zimbabwe: Supply Chain Costing of Health Commodities (2,162 KB)
English   
Author(s): USAID | DELIVER PROJECT
Date of Publication 2010
A costing analysis was conducted for the USAID | DELIVER PROJECT field office in Harare to compare six different scenarios, based on the Delivery Team Topping Up (DTTU) system and the essential drug system. This report presents the findings of the average supply chain costs of delivering U.S.$1.00 of health commodities by looking at the relationship between average costs and the value of products managed by the supply chain.