The Tanzanian government, in its quest to improve the health care supply chain and the availability of essential health commodities, has taken several measures over the years, including the development of robust electronic systems to improve data transparency. However, the use of available data for informed decision-making was still very low. This prompted the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) in 23 regions, including Geita Region, to compensate for the underutilization of data. Following the introduction of TLD, which replaced TLE as the standard drug of choice for HIV/AIDS care and treatment in Tanzania, Geita Region faced a higher risk of wasting about 40 000 tins of TLE through expiry, at a cost of 615 million Tanzanian shillings. To mitigate this huge risk, the Geita regional IMPACT team implemented data-driven interventions under the IMPACT team approach. Therefore, this study aimed at assessing the impact of the implemented data-driven IMPACT processes on minimizing TLE wastage during the TLE-TLD transition in the region. Among the notable methods employed by the regional IMPACT team in Geita to mitigate the risks of TLE wastage, were the development of a standardized tool to collect various logistics and service data from all health facilities and then conducting two phases of data analysis to identify the risks of TLE wastage before developing interventions to prevent wastage. Finally, all councils in the region took the agreed data-driven actions to save the available TLEs. The region's collective efforts through the IMPACT teams resulted in the salvage of approximately 1.2 million tabs of TLE valued at US$263,918 by July 2021, representing 99.95% of the stock available in August 2020, the start of the intervention period. These results suggest that the IMPACT approach is very vital in enhancing data-driven decision-making in identifying supply chain issues and finding innovative and appropriate solutions. In addition, effective data use, strong team spirit and leadership support were found to be critical in solving health supply chain problems. Therefore, it is recommended that the IMPACT approach be strengthened and transferred to lower levels of the supply chain to improve data use and supply chain performance.
| Published in | International Journal of Health Economics and Policy (Volume 7, Issue 4) |
| DOI | 10.11648/j.hep.20220704.11 |
| Page(s) | 78-83 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
IMPACT Approach, TLE, TLD, Supply Chain Management, Shelf Life, Stock Status, Overstocked, No Demand
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APA Style
Japhet Simeo, Eddom Silabi, Martha Kikwale, Hemedi Mahamudu, Charles Mateso, et al. (2022). The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition: A Case of Geita Region. International Journal of Health Economics and Policy, 7(4), 78-83. https://doi.org/10.11648/j.hep.20220704.11
ACS Style
Japhet Simeo; Eddom Silabi; Martha Kikwale; Hemedi Mahamudu; Charles Mateso, et al. The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition: A Case of Geita Region. Int. J. Health Econ. Policy 2022, 7(4), 78-83. doi: 10.11648/j.hep.20220704.11
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author = {Japhet Simeo and Eddom Silabi and Martha Kikwale and Hemedi Mahamudu and Charles Mateso and Ondo Baraka and Lynne Nuru Mshamu and Salum Ndimu and Athanas Ntaganyamba and Projestus Tehingisa and Furaha Kibaba and Mathew Mganga and Lameck Yohana},
title = {The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition: A Case of Geita Region},
journal = {International Journal of Health Economics and Policy},
volume = {7},
number = {4},
pages = {78-83},
doi = {10.11648/j.hep.20220704.11},
url = {https://doi.org/10.11648/j.hep.20220704.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20220704.11},
abstract = {The Tanzanian government, in its quest to improve the health care supply chain and the availability of essential health commodities, has taken several measures over the years, including the development of robust electronic systems to improve data transparency. However, the use of available data for informed decision-making was still very low. This prompted the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) in 23 regions, including Geita Region, to compensate for the underutilization of data. Following the introduction of TLD, which replaced TLE as the standard drug of choice for HIV/AIDS care and treatment in Tanzania, Geita Region faced a higher risk of wasting about 40 000 tins of TLE through expiry, at a cost of 615 million Tanzanian shillings. To mitigate this huge risk, the Geita regional IMPACT team implemented data-driven interventions under the IMPACT team approach. Therefore, this study aimed at assessing the impact of the implemented data-driven IMPACT processes on minimizing TLE wastage during the TLE-TLD transition in the region. Among the notable methods employed by the regional IMPACT team in Geita to mitigate the risks of TLE wastage, were the development of a standardized tool to collect various logistics and service data from all health facilities and then conducting two phases of data analysis to identify the risks of TLE wastage before developing interventions to prevent wastage. Finally, all councils in the region took the agreed data-driven actions to save the available TLEs. The region's collective efforts through the IMPACT teams resulted in the salvage of approximately 1.2 million tabs of TLE valued at US$263,918 by July 2021, representing 99.95% of the stock available in August 2020, the start of the intervention period. These results suggest that the IMPACT approach is very vital in enhancing data-driven decision-making in identifying supply chain issues and finding innovative and appropriate solutions. In addition, effective data use, strong team spirit and leadership support were found to be critical in solving health supply chain problems. Therefore, it is recommended that the IMPACT approach be strengthened and transferred to lower levels of the supply chain to improve data use and supply chain performance.},
year = {2022}
}
TY - JOUR T1 - The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition: A Case of Geita Region AU - Japhet Simeo AU - Eddom Silabi AU - Martha Kikwale AU - Hemedi Mahamudu AU - Charles Mateso AU - Ondo Baraka AU - Lynne Nuru Mshamu AU - Salum Ndimu AU - Athanas Ntaganyamba AU - Projestus Tehingisa AU - Furaha Kibaba AU - Mathew Mganga AU - Lameck Yohana Y1 - 2022/10/28 PY - 2022 N1 - https://doi.org/10.11648/j.hep.20220704.11 DO - 10.11648/j.hep.20220704.11 T2 - International Journal of Health Economics and Policy JF - International Journal of Health Economics and Policy JO - International Journal of Health Economics and Policy SP - 78 EP - 83 PB - Science Publishing Group SN - 2578-9309 UR - https://doi.org/10.11648/j.hep.20220704.11 AB - The Tanzanian government, in its quest to improve the health care supply chain and the availability of essential health commodities, has taken several measures over the years, including the development of robust electronic systems to improve data transparency. However, the use of available data for informed decision-making was still very low. This prompted the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) in 23 regions, including Geita Region, to compensate for the underutilization of data. Following the introduction of TLD, which replaced TLE as the standard drug of choice for HIV/AIDS care and treatment in Tanzania, Geita Region faced a higher risk of wasting about 40 000 tins of TLE through expiry, at a cost of 615 million Tanzanian shillings. To mitigate this huge risk, the Geita regional IMPACT team implemented data-driven interventions under the IMPACT team approach. Therefore, this study aimed at assessing the impact of the implemented data-driven IMPACT processes on minimizing TLE wastage during the TLE-TLD transition in the region. Among the notable methods employed by the regional IMPACT team in Geita to mitigate the risks of TLE wastage, were the development of a standardized tool to collect various logistics and service data from all health facilities and then conducting two phases of data analysis to identify the risks of TLE wastage before developing interventions to prevent wastage. Finally, all councils in the region took the agreed data-driven actions to save the available TLEs. The region's collective efforts through the IMPACT teams resulted in the salvage of approximately 1.2 million tabs of TLE valued at US$263,918 by July 2021, representing 99.95% of the stock available in August 2020, the start of the intervention period. These results suggest that the IMPACT approach is very vital in enhancing data-driven decision-making in identifying supply chain issues and finding innovative and appropriate solutions. In addition, effective data use, strong team spirit and leadership support were found to be critical in solving health supply chain problems. Therefore, it is recommended that the IMPACT approach be strengthened and transferred to lower levels of the supply chain to improve data use and supply chain performance. VL - 7 IS - 4 ER -