Logistics and Health Supply Chain Management
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Questions and Answers

What is a primary focus of the Ghana Supply Chain Master Plan (2021-2025)?

  • Increasing reliance on international suppliers
  • Outsourcing all supply chain functions
  • Identifying and implementing strategic interventions (correct)
  • Reducing warehousing facilities
  • Which distribution method is adopted for ensuring health commodities reach 'hard-to-reach' communities?

  • Transport via commercial airlines
  • Regular truck delivery through main roads
  • Aerial Logistics with Unmanned Aerial Vehicles (ZIPLINE) (correct)
  • Use of bicycles for last-mile delivery
  • What structure has been institutionalized for effective accountability in the supply chain system?

  • SC governance structure with a Steering Committee (correct)
  • Decentralized procurement committees
  • Single tier management system
  • Private sector advisory boards
  • Which approach is used to improve procurement efficiencies in the Ghana Health Sector?

    <p>Framework Contracting</p> Signup and view all the answers

    How many Regional Medical Stores (RMSs) does Ghana currently maintain?

    <p>8 RMSs</p> Signup and view all the answers

    What is a goal of the Ghana Pharmaceutical Traceability Strategy?

    <p>To enhance data quality and traceability of health commodities</p> Signup and view all the answers

    What logistical principle is used for the distribution of health commodities in Ghana?

    <p>Last Mile Distribution (LMD)</p> Signup and view all the answers

    Which organization is mentioned as supporting the implementation of Last Mile Distribution in Ghana?

    <p>Global Fund (GF)</p> Signup and view all the answers

    What is the main objective of inventory management in healthcare?

    <p>To maintain optimal stock levels to prevent shortages or overstock.</p> Signup and view all the answers

    Which factor is essential for effective transportation logistics in the health supply chain?

    <p>Ensuring products reach their destination with minimal lead times and costs.</p> Signup and view all the answers

    Which of the following best describes supply chain resilience in healthcare?

    <p>The capacity to quickly recover from disruptions and maintain supply.</p> Signup and view all the answers

    In healthcare procurement, what is the primary goal?

    <p>To source and acquire medical products that are both high-quality and cost-effective.</p> Signup and view all the answers

    What is a key aspect of effective distribution strategies in healthcare?

    <p>Redesigning the network to minimize costs while ensuring product availability.</p> Signup and view all the answers

    What is a significant consideration in cold chain management?

    <p>Understanding the temperature requirements for different products.</p> Signup and view all the answers

    How can healthcare organizations enhance sustainability in their supply chains?

    <p>By implementing green logistics practices to minimize ecological impact.</p> Signup and view all the answers

    What is a critical challenge for health supply chain management related to risk?

    <p>Mitigating risks linked to supply disruptions, regulatory changes, and disasters.</p> Signup and view all the answers

    What is a key component of effective inventory management?

    <p>Implementing a Just-In-Time (JIT) approach</p> Signup and view all the answers

    Which factor is essential in developing a distribution plan for procurement?

    <p>Seasonal fluctuations in demand</p> Signup and view all the answers

    What is a critical consideration during the transportation logistics stage?

    <p>Selecting multiple transport types for cost efficiency</p> Signup and view all the answers

    Which procurement method allows for direct negotiation with a single supplier?

    <p>Single/Sole Sourcing</p> Signup and view all the answers

    In healthcare procurement, which quality aspect is crucial before using equipment?

    <p>Quality Testing by FDA</p> Signup and view all the answers

    What is an important aspect of supply chain resilience?

    <p>Diversifying suppliers to mitigate risks</p> Signup and view all the answers

    What should be included in the procurement activities timeline?

    <p>Each phase's initiation and completion dates</p> Signup and view all the answers

    Which element is crucial when drafting a procurement contract?

    <p>Including delivery terms and payment terms</p> Signup and view all the answers

    Study Notes

    Logistics and Health Supply Chain Management

    • Topic: Logistics and health supply chain management
    • Facilitator: Edward Bright Agyekum, PhD, Director, Procurement & Supply Chain Directorate-MOH
    • Date: September 5th, 2024

    Outline

    • What is Supply Chain Management?
    • Logistics and Health Supply Chain Management
    • SCM in Ghana Public Health Sector
    • Procurement Cycle

    What is Supply Chain Management (SCM)?

    • SCM is the process of handling the flow of goods and services from raw manufacturing to consumer consumption.
    • It requires an organization to have a network of suppliers that serve as links along the chain
    • Lambert, Stock, and Ellram (1998) define SCM as the "alignment of firms that bring products or services to a market."
    • Chopra and Meindl (2007) believe a supply chain consists of all parties involved (directly or indirectly) in fulfilling a customer request.
    • This includes all functions within an organization such as healthcare including new product development, marketing, operations, distribution, finance, and customer service.

    Logistics in Healthcare

    • Ensures the safe and efficient movement of medical products including sensitive items like vaccines, blood and organs, which often require specialized handling and temperature control
    • Involves the storage of medical supplies and equipment in facilities that meet regulatory standards (cleanliness, temperature, and humidity)
    • Focuses on maintaining optimal stock levels to avoid shortages or overstock; leading to wastage or expired products
    • Ensures products reach their destinations through an efficient network, minimizing lead times and costs

    Health Supply Chain Management

    • Involves the sourcing and acquisition of medical products, ensuring quality standards are met and products are cost-effective.
    • Requires collaboration among manufacturers, suppliers, healthcare providers, and regulatory bodies to ensure smooth product flow from production to end-use.
    • Identifies and mitigates risks such as supply disruptions, regulatory changes, or natural disasters that can affect the availability of medical supplies.

    Key Considerations

    • Regulatory Compliance: Adherence to health regulations and standards is crucial for medical product safety and effectiveness (varies by country).
    • Cold Chain Management: Maintaining products at specific temperatures throughout the supply chain is particularly important for vaccines and biologics.
    • Sustainability: Healthcare organizations increasingly focus on reducing the environmental impact of their supply chains through green logistics practices.

    The Cycle View of Supply Chain

    • Shows the cycle of activities involved in supply chain management with stages such as customer order cycle, replenishment cycle, manufacturing cycle, and procurement cycle.
    • This illustrates the interconnectedness of the various stages and parties involved (customer, retailer, distributor, manufacturer, and supplier).

    Why is Supply Chain Important?

    • Boosted Customer Service: Meeting customer expectations with the correct product assortment and quantity delivered on time (critical for patients’ medications).
    • Reduce Operating Costs: Quickly delivering expensive products avoids costly inventory holding.

    Ghana Health Sector Supply Chain System

    • Initiatives since 2016 aimed at reforming the supply chain by enhancing distribution of health commodities to various tiers, primarily the Central RMSs and Teaching Hospitals and service delivery points (SDPs).
    • Data generation, analysis, reporting, visibility, and use of enhanced procurement efficiencies through framework contracting are parts of these initiatives.
    • Warehousing strategy development/implementation for optimal commodity management and distribution.
    • Supply Chain Master Plan (2021-2025) interventions focused on achieving universal health coverage (UHC) through sustainability, transparency, innovation, coordination, collaboration, and private sector participation.
    • Ghana Pharmaceutical Traceability Strategy implementation using global standards to improve health system data quality, traceability & access to safe & effective medicines.
    • Logistics and distribution approach such as Last Mile Distribution (LMD) or Scheduled Distribution implemented. Implementation at Central level, 8 Regional Medical Stores, and Bono & Western RMSs, using resources (including use of aerial logistics with Zipline for hard-to-reach communities).
    • Warehousing maintenance/refurbishment including use of smart temperature monitoring systems.
    • Ghana Integrated Logistics Management Information System (GhiLMIS) with current data capture and processing, Order Turnaround Time reduction, Inventory Record Update & ongoing interventions to address non-optimal system use and integration with LIMS. Implementation with hospitals, regional hospitals and health centres.
    • Framework Contracting Arrangement (FWC) procurement process with 3 successful rounds and an ongoing Round 4 process.

    Procurement Cycle

    • Includes stages like planning, sourcing, contracting, evaluation, distribution, storing, and disposal. Detailed descriptions are provided.

    Challenges

    • Inadequate qualified supply chain practitioners.
    • Duplication and overlapping of responsibilities and roles.
    • Lack of appreciation for the important role of supply chain functions (coordination & cooperation).

    Conclusion: Societal Roles of SCM

    • SCM improves human healthcare—humans depend on supply chains to deliver medicines and healthcare.
    • SCM performance is critical during a medical emergency (life/death situation—e.g., medical rescue helicopters and delivery of essential medicines at hospitals).
    • Excellent supply chain execution provides availability of essential medicines and equipment needed at hospitals, as illustrated by the example of Zipline in Ghana.

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    Description

    This quiz focuses on the critical aspects of logistics and health supply chain management. You will learn key definitions, the procurement cycle, and the specific context of supply chain management within Ghana's public health sector. Test your understanding of how goods and services flow from production to consumer consumption.

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