Health Logistics

Health  Logistics was a program supported by USAID Nepal and implemented by Lifeline Nepal. The Project started from September 26, 2013 to August 2016.

Purpose of Health Logistics Contract

The purpose of this program was to strengthen the Ministry of Health and Population’s (MOHP) existing logistics system to ensure sustained availability of essential and auxiliary health commodities in facility and community settings. The program provided technical support and training in the following focus areas:

• Decentralization of LMD’s logistics management through a nationwide commodity pull system and web-based LMIS
• Integration of the HIV/AIDS and general health logistics system without compromising quality or timeliness of the provision of commodities
• Capacity enhancement of LMD for consistent implementation of systems and programs without external assistance

Project Areas: 14 Districts of Mid and Western Development Region.

Project Activities:
1. Objective: To support the decentralization of LMD’s Logistics Management through a nationwide commodity pull system and web-based LMIS. The major achievements made during this annual period were;

• To decentralize logistics decision making and transfer of technology and development up to the peripheral level health facilities, LMD with support from H4L Logistics has piloted web-based LMIS in Jumla, Arghakhanchi and Bardiya.
• To provide support on cost comparisons using public versus private transporters to transport health supplies
• H4L Logistics took initiation in developing LMIS operation guideline for different level of health institutions with specific roles and responsibilities in evidence based supply chain management from LMIS data

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2. Objective: To successfully integrate the HIV/AIDS and general health logistics system without compromising quality or timeliness of the provision of commodities

• Preparation of integrated training documents and conduction of training at district level (HIV focal persons and district storekeepers), inclusion of HIV/AIDS commodities in consolidated forecasting and quantification of LMD, inclusion of HIV commodities in web-based LMIS
• The cost effective analysis of training was carried out on the basis of total expenses of pull system training (LMD and NHTC), HIV and AIDS logistics training (NCASC) and integrated training (HIV and AIDS and general, NCASC and LMD)
• Support provided to NCASC for the revision of National Consolidated Guideline for Treating and Preventing HIV in Nepal
• H4L Logistics initiated the installation of Pipeline software in NCASC, so that NCASC can build their capacity in pipeline monitoring of HIV and AIDS commodities.
• Technical support on disposal activities of expired and unusable commodities of HIV/AIDS.

3. Objective: To enhance the capacity of the LMD for consistent implementation of systems and programs without external assistance

H4L Logistics worked with government and partners to analyze the root cause of issues and provide benchmarks that inform decisions on the appropriate corrective and preventive actions to pursue.
• Provided TA to LMD in conducting the quarterly national pipeline review meetings
• Technical assistance to LMD in organizing National Level Annual Consensus Forecasting of RH/FP, MNCH, HIV and AIDS commodities, essential drugs and vaccine
• Supported LMD in quantification of Health Commodities to be procured every year
• Provided TA to LMD in developing “On the JOB Training” (OJT) package based on supervision checklist.
• Provided TA to LMD and NHTC to revise pull system training manuals
• Initiated to form Logistics Working Group in LMD
• Development of IMS and LMIS Feedback Software to give feedback to all Regional, Districts and HFs based on their LMIS data.

4. Monitoring and Evaluation (M&E)

• Monitored implementation of PBMS Plan
• Technical support visits to 14 H4L districts (Kapilbastu Arghakhanchi, Banke, Bardiya, Dang, Dailekh, Surkhet, Jajarkot, Kalikot, Jumla, Pyuthan, Rukum, Rolpa and Salyan) and some other districts for the monitoring, follow up of the LMIS reporting including Supply Chain Management.
• Monitored facility based web-based LMIS in the Jumla, Arghakhanchi and Bardiya.

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