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USAID | DELIVER Project Receives High Marks for Pakistan’s LMIS

March 22, 2017

USAID recently released an independent evaluation of Pakistan’s digital logistics management information system (LMIS) that found improvements in supply chain performance and data-driven decisionmaking.

Designed and implemented by JSI’s USAID | DELIVER PROJECT the web-based contraceptive LMIS (cLMIS) was rolled out at the federal and provincial levels and all 149 districts. The success of the cLMIS depended not only on the technology for better supply chain data visibility, but on the change management approaches that improved processes and empowered people to use data for decisionmaking. The technology and implementation approach was then adapted to manage vaccines for the EPI program (vLMIS), and has been deployed in 83 districts so far.

Key findings from the evaluation include:

  • DELIVER improved supply chain performance: The cLMIS and vLMIS have improved the operation and performance of their respective supply chains. Trends in reporting rates, consumption, and vaccine coverage, and reductions in wastage rates, have increased significantly in project-supported provinces relative to other provinces.
  • DELIVER facilitated data-driven decisionmaking: The most common explanation of how the LMIS had improved supply chains was using more timely and accurate inventory data to align resupply orders with demand.
  • DELIVER promoted best practices: Respondents identified the LMIS itself to be a best supply chain management practice, as it not only shifted the traditional manual reporting system to convenient and timely online reporting, but at the same time introduced the much needed LMIS for vaccines and contraceptives. The warehousing practices promoted by the project—e.g., FEFO, FIFO, tracking expiry dates, and more closely aligning inventory to demand—are also best practices in supply chain management.
The evaluators interviewed managers and data entry personnel, operators, and staff, who reported that they are using the skills they learned to improve supply chain performance. Eighty-eight percent of 33 managers and 100 percent of 27 cLMIS users believed it was useful enough to be sustainable. Asked to explain their responses, 89 percent of 54 responses noted that the cLMIS facilitates monitoring and supervision of facilities and stocks, and enhances reporting and forecasting accuracy.

One user said, “Since 2011, I have been using cLMIS for monthly reporting on family planning services and forecasting for quarterly requisition to the central warehouse to avoid any interruption in the supply of commodities to the district. [It makes] decisionmaking based on the supply, demand, and consumption pattern at district level easy.”

A department of health manager described the value of the vLMIS. “We have been using the reports and graphs from the vLMIS for many meetings at the provincial level. It was helpful [to] know the vaccine coverage and requirements for the next period.”

JSI continues to strengthen the vaccine supply chain in Sindh province, where we are supporting three focus districts to use the vLMIS data. Quality improvement teams have been established in the district health departments to use the data provided by vLMIS to make operational decisions, identify and resolve problems, and improve performance of the supply chain at the last mile.