The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers

Japhet Simeo; Eddom Silabi; Deusdedith James; Said Ally; Imakulata Mwalulefu; Martha Kikwale; Mathew Mganga; Ondo Baraka; Athanas Ntaganyamba; Winyfrida Emmanuel; Abdallah Mushi; Feisal Said; Ali Msoud; Daud Msasi; Ntuli Kapologwe; Ally Hamza; Blandina Temba

doi:doi:10.11648/j.hep.20230802.11

The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers

Japhet Simeo, Eddom Silabi, Deusdedith James, Said Ally, Imakulata Mwalulefu, Martha Kikwale, Mathew Mganga, Ondo Baraka, Athanas Ntaganyamba, Winyfrida Emmanuel, Abdallah Mushi, Feisal Said, Ali Msoud, Daud Msasi, Ntuli Kapologwe, Ally Hamza, Blandina Temba

Published in International Journal of Health Economics and Policy (Volume 8, Issue 2)

Received: 28 March 2023 Accepted: 21 April 2023 Published: 10 May 2023

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Abstract

The effective delivery of integrated health services depends on the extent to which the six pillars of a health system as recommended by WHO are adhered to such as adequate human resources for health, service delivery, financing, health system governance, information, quality medicines and technologies. However, to improve supply chain management leading to uninterrupted supply of medicines and other health commodities, the use of data to inform all parts of the health supply chain logistics system, that include product selection, forecasting, quantification, procurement, storage and finally distribution of health commodities, is very important. Previously, Tanga Region had been facing a number of health supply chain issues such as delays in reportingfrom health facilities, a high number of orders for overstocked and no-demand health commodities, unnecessary higher expenditure on health commodities and a high rejection rate for the same R&R rejection reasons. Soon after the introduction of the IMPACT approach in the region, the IMPACT team at the regional level adopted some innovative data-driven strategies at its regular meetingssuch as regular data extraction and analysis to review indicators, monitoring timeliness of reporting as well as data quality, monitoring stock orders to avoid expiry dates, and sharing feedback with councils to take action to address identified gaps. These efforts resulted into decrease in the values of reordered overstocked and not in demand health commodities, massive improvement in terms of reporting timeliness from 76% in January 2022 to 99% in January 2023 and slight increase in the availability of essential health commodities. This study found that improving reporting timeliness and supply chain data quality is a cornerstone towards uninterrupted supply of health commodities and reduced health commodities wastages. Since IMPACT Team techniques has been vital in the identified supply chain improvements then it is an approach that can be applied to improve other supply chain indicators and reduce wastages. Despite the marginal improvement in the availability of health commodities, this study recommends the use of facility formulary-based approach in the calculation of health commodities availability to increase the validity of the results.

Published in	International Journal of Health Economics and Policy (Volume 8, Issue 2)
DOI	10.11648/j.hep.20230802.11
Page(s)	28-34
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), 2023. Published by Science Publishing Group

Keywords

IMPACT Team, Commodity Ordering, Stock out, No Demand Ordering and Over Stock

References

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[4]	WHO. Monitoring the Building Blocks of Health Systems : a Handbook of Indicators and. 2010; 110.
[5]	Lugada E, Ochola I, Kirunda A, Sembatya M, Mwebaze S, Olowo M, et al. Health supply chain system in Uganda: assessment of status and of performance of health facilities. J Pharm Policy Pract. 2022; 15 (1): 1–11.
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[7]	USAID Deliver. USAID \| DELIVER PROJECT, Task Order 1. 2011. The Logistics Handbook: A Practical Guide for the Supply Chain Management of Health Commodities. Arlington, Va.: USAID \| DELIVER PROJECT, Task Order 1. [Internet]. Second Edi. USAID \| DELIVER PROJECT, Task Order 1. John Snow,; 2011. 174 p. Available from: http://deliver.jsi.com/dlvr_content/resources/allpubs/guidelines/LogiHand.pdf
[8]	Simeo J, Silabi E, Kikwale M, Mahamudu H, Mateso C, Baraka O, et al. The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition : A Case of Geita Region. Int J Heal Econ policy. 2022; 7 (August 2020): 78–83.
[9]	Nyallu C, Silabi E, Moses MM, Mshamu LN, Mollel G, Omar RA, et al. The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC. 2023; 8 (December 2021): 16–22.
[10]	Sukums F, Simba D, Kumalija C, Asiimwe S, Pothepragada S, Githendu P. Avoiding pitfalls: Key insights and lessons learnt from customizing and rolling out a national web-based system in Tanzania. Electron J Inf Syst Dev Ctries. 2021; 87 (6).
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[12]	Technical Assistance - Tanzania. Creating a Demand Driven-Supply Chain : Aligning Stakeholders and Priorities. 2018; (October).
[13]	S. H, R. L. Improving access to life-saving medicines through mobile community health supply chain management. Ann Glob Heal. 2015; 81 (1).
[14]	MOHCDGEC. IMPACT Team approach for data Management to improve health commodities supply chain in Tanzania [Internet]. First. Dodoma: Tanzania Ministry of Health; 2021. 54 p. Available from: https://www.moh.go.tz/
[15]	Lamphere B, Machagge M, Adane TD. IMPACT Team Approach to Supply Chain Management. Reprod Heal supplies coaltion [Internet]. 2019; 39. Available from: https://www.rhsupplies.org/
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APA Style

Japhet Simeo, Eddom Silabi, Deusdedith James, Said Ally, Imakulata Mwalulefu, et al. (2023). The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. International Journal of Health Economics and Policy, 8(2), 28-34. https://doi.org/10.11648/j.hep.20230802.11

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ACS Style

Japhet Simeo; Eddom Silabi; Deusdedith James; Said Ally; Imakulata Mwalulefu, et al. The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. Int. J. Health Econ. Policy 2023, 8(2), 28-34. doi: 10.11648/j.hep.20230802.11

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AMA Style

Japhet Simeo, Eddom Silabi, Deusdedith James, Said Ally, Imakulata Mwalulefu, et al. The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. Int J Health Econ Policy. 2023;8(2):28-34. doi: 10.11648/j.hep.20230802.11

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@article{10.11648/j.hep.20230802.11,
  author = {Japhet Simeo and Eddom Silabi and Deusdedith James and Said Ally and Imakulata Mwalulefu and Martha Kikwale and Mathew Mganga and Ondo Baraka and Athanas Ntaganyamba and Winyfrida Emmanuel and Abdallah Mushi and Feisal Said and Ali Msoud and Daud Msasi and Ntuli Kapologwe and Ally Hamza and Blandina Temba},
  title = {The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers},
  journal = {International Journal of Health Economics and Policy},
  volume = {8},
  number = {2},
  pages = {28-34},
  doi = {10.11648/j.hep.20230802.11},
  url = {https://doi.org/10.11648/j.hep.20230802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230802.11},
  abstract = {The effective delivery of integrated health services depends on the extent to which the six pillars of a health system as recommended by WHO are adhered to such as adequate human resources for health, service delivery, financing, health system governance, information, quality medicines and technologies. However, to improve supply chain management leading to uninterrupted supply of medicines and other health commodities, the use of data to inform all parts of the health supply chain logistics system, that include product selection, forecasting, quantification, procurement, storage and finally distribution of health commodities, is very important. Previously, Tanga Region had been facing a number of health supply chain issues such as delays in reportingfrom health facilities, a high number of orders for overstocked and no-demand health commodities, unnecessary higher expenditure on health commodities and a high rejection rate for the same R&R rejection reasons. Soon after the introduction of the IMPACT approach in the region, the IMPACT team at the regional level adopted some innovative data-driven strategies at its regular meetingssuch as regular data extraction and analysis to review indicators, monitoring timeliness of reporting as well as data quality, monitoring stock orders to avoid expiry dates, and sharing feedback with councils to take action to address identified gaps. These efforts resulted into decrease in the values of reordered overstocked and not in demand health commodities, massive improvement in terms of reporting timeliness from 76% in January 2022 to 99% in January 2023 and slight increase in the availability of essential health commodities. This study found that improving reporting timeliness and supply chain data quality is a cornerstone towards uninterrupted supply of health commodities and reduced health commodities wastages. Since IMPACT Team techniques has been vital in the identified supply chain improvements then it is an approach that can be applied to improve other supply chain indicators and reduce wastages. Despite the marginal improvement in the availability of health commodities, this study recommends the use of facility formulary-based approach in the calculation of health commodities availability to increase the validity of the results.},
 year = {2023}
}

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TY  - JOUR
T1  - The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers
AU  - Japhet Simeo
AU  - Eddom Silabi
AU  - Deusdedith James
AU  - Said Ally
AU  - Imakulata Mwalulefu
AU  - Martha Kikwale
AU  - Mathew Mganga
AU  - Ondo Baraka
AU  - Athanas Ntaganyamba
AU  - Winyfrida Emmanuel
AU  - Abdallah Mushi
AU  - Feisal Said
AU  - Ali Msoud
AU  - Daud Msasi
AU  - Ntuli Kapologwe
AU  - Ally Hamza
AU  - Blandina Temba
Y1  - 2023/05/10
PY  - 2023
N1  - https://doi.org/10.11648/j.hep.20230802.11
DO  - 10.11648/j.hep.20230802.11
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  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20230802.11
AB  - The effective delivery of integrated health services depends on the extent to which the six pillars of a health system as recommended by WHO are adhered to such as adequate human resources for health, service delivery, financing, health system governance, information, quality medicines and technologies. However, to improve supply chain management leading to uninterrupted supply of medicines and other health commodities, the use of data to inform all parts of the health supply chain logistics system, that include product selection, forecasting, quantification, procurement, storage and finally distribution of health commodities, is very important. Previously, Tanga Region had been facing a number of health supply chain issues such as delays in reportingfrom health facilities, a high number of orders for overstocked and no-demand health commodities, unnecessary higher expenditure on health commodities and a high rejection rate for the same R&R rejection reasons. Soon after the introduction of the IMPACT approach in the region, the IMPACT team at the regional level adopted some innovative data-driven strategies at its regular meetingssuch as regular data extraction and analysis to review indicators, monitoring timeliness of reporting as well as data quality, monitoring stock orders to avoid expiry dates, and sharing feedback with councils to take action to address identified gaps. These efforts resulted into decrease in the values of reordered overstocked and not in demand health commodities, massive improvement in terms of reporting timeliness from 76% in January 2022 to 99% in January 2023 and slight increase in the availability of essential health commodities. This study found that improving reporting timeliness and supply chain data quality is a cornerstone towards uninterrupted supply of health commodities and reduced health commodities wastages. Since IMPACT Team techniques has been vital in the identified supply chain improvements then it is an approach that can be applied to improve other supply chain indicators and reduce wastages. Despite the marginal improvement in the availability of health commodities, this study recommends the use of facility formulary-based approach in the calculation of health commodities availability to increase the validity of the results.
VL  - 8
IS  - 2
ER  -

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Author Information

Japhet Simeo

Regional Health Management Team, Regional Secretariat, Tanga, Tanzania
Eddom Silabi

Pathfinder International, Dar es Salaam, Tanzania
Deusdedith James

Regional Health Management Team, Regional Secretariat, Tanga, Tanzania
Said Ally

Regional Health Management Team, Regional Secretariat, Tanga, Tanzania
Imakulata Mwalulefu

Regional Health Management Team, Regional Secretariat, Tanga, Tanzania
Martha Kikwale

Pharmaceutical Services Unit, Ministry of Health, Dodoma, Tanzania
Mathew Mganga

Department of Health, Social Welfare and Nutrition Services, President’s Office Regional Aministration and Local Government, Dodoma, Tanzania
Ondo Baraka

Capacity Building and Data Use, USAID Global Health Supply Chain, Dar es Salaam, Tanzania
Athanas Ntaganyamba

Capacity Building and Data Use, USAID Global Health Supply Chain, Dar es Salaam, Tanzania
Winyfrida Emmanuel

Department of Health, Social Welfare and Nutrition Services, President’s Office Regional Aministration and Local Government, Dodoma, Tanzania
Abdallah Mushi

Pharmaceutical Services Unit, Ministry of Health, Dodoma, Tanzania
Feisal Said

Council Health Management Team, Handeni Town Council, Tanga, Tanzania
Ali Msoud

Council Health Management Team, Handeni Town Council, Tanga, Tanzania
Daud Msasi

Pharmaceutical Services Unit, Ministry of Health, Dodoma, Tanzania
Ntuli Kapologwe

Department of Health, Social Welfare and Nutrition Services, President’s Office Regional Aministration and Local Government, Dodoma, Tanzania
Ally Hamza

Council Health Management Team, Handeni Town Council, Tanga, Tanzania
Blandina Temba

Pathfinder International, Dar es Salaam, Tanzania

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APA Style

Japhet Simeo, Eddom Silabi, Deusdedith James, Said Ally, Imakulata Mwalulefu, et al. (2023). The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. International Journal of Health Economics and Policy, 8(2), 28-34. https://doi.org/10.11648/j.hep.20230802.11

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ACS Style

Japhet Simeo; Eddom Silabi; Deusdedith James; Said Ally; Imakulata Mwalulefu, et al. The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. Int. J. Health Econ. Policy 2023, 8(2), 28-34. doi: 10.11648/j.hep.20230802.11

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AMA Style

Japhet Simeo, Eddom Silabi, Deusdedith James, Said Ally, Imakulata Mwalulefu, et al. The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers. Int J Health Econ Policy. 2023;8(2):28-34. doi: 10.11648/j.hep.20230802.11

Copy | Download

@article{10.11648/j.hep.20230802.11,
  author = {Japhet Simeo and Eddom Silabi and Deusdedith James and Said Ally and Imakulata Mwalulefu and Martha Kikwale and Mathew Mganga and Ondo Baraka and Athanas Ntaganyamba and Winyfrida Emmanuel and Abdallah Mushi and Feisal Said and Ali Msoud and Daud Msasi and Ntuli Kapologwe and Ally Hamza and Blandina Temba},
  title = {The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers},
  journal = {International Journal of Health Economics and Policy},
  volume = {8},
  number = {2},
  pages = {28-34},
  doi = {10.11648/j.hep.20230802.11},
  url = {https://doi.org/10.11648/j.hep.20230802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230802.11},
  abstract = {The effective delivery of integrated health services depends on the extent to which the six pillars of a health system as recommended by WHO are adhered to such as adequate human resources for health, service delivery, financing, health system governance, information, quality medicines and technologies. However, to improve supply chain management leading to uninterrupted supply of medicines and other health commodities, the use of data to inform all parts of the health supply chain logistics system, that include product selection, forecasting, quantification, procurement, storage and finally distribution of health commodities, is very important. Previously, Tanga Region had been facing a number of health supply chain issues such as delays in reportingfrom health facilities, a high number of orders for overstocked and no-demand health commodities, unnecessary higher expenditure on health commodities and a high rejection rate for the same R&R rejection reasons. Soon after the introduction of the IMPACT approach in the region, the IMPACT team at the regional level adopted some innovative data-driven strategies at its regular meetingssuch as regular data extraction and analysis to review indicators, monitoring timeliness of reporting as well as data quality, monitoring stock orders to avoid expiry dates, and sharing feedback with councils to take action to address identified gaps. These efforts resulted into decrease in the values of reordered overstocked and not in demand health commodities, massive improvement in terms of reporting timeliness from 76% in January 2022 to 99% in January 2023 and slight increase in the availability of essential health commodities. This study found that improving reporting timeliness and supply chain data quality is a cornerstone towards uninterrupted supply of health commodities and reduced health commodities wastages. Since IMPACT Team techniques has been vital in the identified supply chain improvements then it is an approach that can be applied to improve other supply chain indicators and reduce wastages. Despite the marginal improvement in the availability of health commodities, this study recommends the use of facility formulary-based approach in the calculation of health commodities availability to increase the validity of the results.},
 year = {2023}
}

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TY  - JOUR
T1  - The Question of Quality Ordering of Health Commodities in Tanga Region, IMPACT Approach Becomes Relevant Driver to the Answers
AU  - Japhet Simeo
AU  - Eddom Silabi
AU  - Deusdedith James
AU  - Said Ally
AU  - Imakulata Mwalulefu
AU  - Martha Kikwale
AU  - Mathew Mganga
AU  - Ondo Baraka
AU  - Athanas Ntaganyamba
AU  - Winyfrida Emmanuel
AU  - Abdallah Mushi
AU  - Feisal Said
AU  - Ali Msoud
AU  - Daud Msasi
AU  - Ntuli Kapologwe
AU  - Ally Hamza
AU  - Blandina Temba
Y1  - 2023/05/10
PY  - 2023
N1  - https://doi.org/10.11648/j.hep.20230802.11
DO  - 10.11648/j.hep.20230802.11
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  - 28
EP  - 34
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20230802.11
AB  - The effective delivery of integrated health services depends on the extent to which the six pillars of a health system as recommended by WHO are adhered to such as adequate human resources for health, service delivery, financing, health system governance, information, quality medicines and technologies. However, to improve supply chain management leading to uninterrupted supply of medicines and other health commodities, the use of data to inform all parts of the health supply chain logistics system, that include product selection, forecasting, quantification, procurement, storage and finally distribution of health commodities, is very important. Previously, Tanga Region had been facing a number of health supply chain issues such as delays in reportingfrom health facilities, a high number of orders for overstocked and no-demand health commodities, unnecessary higher expenditure on health commodities and a high rejection rate for the same R&R rejection reasons. Soon after the introduction of the IMPACT approach in the region, the IMPACT team at the regional level adopted some innovative data-driven strategies at its regular meetingssuch as regular data extraction and analysis to review indicators, monitoring timeliness of reporting as well as data quality, monitoring stock orders to avoid expiry dates, and sharing feedback with councils to take action to address identified gaps. These efforts resulted into decrease in the values of reordered overstocked and not in demand health commodities, massive improvement in terms of reporting timeliness from 76% in January 2022 to 99% in January 2023 and slight increase in the availability of essential health commodities. This study found that improving reporting timeliness and supply chain data quality is a cornerstone towards uninterrupted supply of health commodities and reduced health commodities wastages. Since IMPACT Team techniques has been vital in the identified supply chain improvements then it is an approach that can be applied to improve other supply chain indicators and reduce wastages. Despite the marginal improvement in the availability of health commodities, this study recommends the use of facility formulary-based approach in the calculation of health commodities availability to increase the validity of the results.
VL  - 8
IS  - 2
ER  -

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