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Health Supply Chain/Logistics

JSI's Logistics Services group works with governments, donor agencies, nongovernmental organizations and private companies to ensure the availability of health supplies. We improve health program supply chain efficiency and effectiveness by strengthening systems, training people, developing policies and mobilizing financing for essential health commodities. Most of the Publications cited here were developed by JSI's USAID | DELIVER PROJECT.

For more information as well as Country Reports, Fact Sheets, Policy Papers and other materials, please go to USAID | DELIVER PROJECT Publications.

For JSI-authored articles in peer-reviewed journals please go to Journal Articles.

Please note the following are listed in chronological order starting with the most recent publication.

Initiating In-Country Pre-Service Training in Supply Chain Management for Health Commodities: Process Guide and Sample Curriculum Outline (PDF, 322 KB)

This process guide and sample curriculum outline offers programs, governments, and projects interested in implementing pre-service training (PST) for supply chain management of health commodities a general understanding of the process, stages, steps, and activities required for initiating a successful PST training program. JSI/ USAID|DELIVER Project, 2010.

 

Segmenting Laboratory Commodities for Logistics System Design: A Guide  (PDF, 597 KB)

Download this publicationThis guide includes examples of practical laboratory practices that are specific to the process of segmenting laboratory commodities. This important tool, useful for laboratory logistics system designers, logically and systematically reviews, analyzes, and organizes the products to ensure an efficient and effective supply chain design. JSI/ USAID|DELIVER Project, 2010.

 

Assessing Policies and Practices That Affect Contraceptive Financing and Procurement: A Review Guide (PDF, 635 KB)

Download this publicationContraceptive security exists when every person can choose, obtain, and use high-quality contraceptives and condoms whenever they are needed. The purpose of this guide is to help national governments, donors, and other stakeholders improve the policy environment for contraceptive security and, in particular, the operational policies and practices for procuring and financing contraceptive supplies. This guide focuses on the public sector, but much of it may also be applied to the private sector, as well as financing and procuring other health commodities. USAID | Health Policy Initiative and the JSI/ USAID | DELIVER PROJECT. April 2010.

 

Logistics Management Units: What, Why, and How of the Central Coordination of Supply Chain Management  (PDF, 870 KB)

Download this publicationIncreasingly, countries have recognized the value of forming a management structure that is responsible for organizing, monitoring, and supporting supply chain activities within a logistics system - a logistics management unit (LMU). Although this may require a substantial human resource investment, it enables service providers to focus their time and energy on serving patients and permits logisticians to build stronger skills in supply chain management. This document describes an LMU, how it can be structured, the reasons for advocacy, and suggestions on how to begin. JSI/USAID|DELIVER Project, 2010.

 

Reengineering Public Health Supply Chains for Improved Performance: Guide for Applying Supply Chain Segmentation Framework  (PDF, 873 KB)

Download this publicationThis guide describes the process of segmenting a supply chain and provides a hypothetical example of an in-country application. The segmentation approach is a powerful tool for improving customer service and can easily be applied to public health supply chains. JSI/ USAID | DELIVER Project. 2010.

 

Building Blocks for Logistics System Design for HIV Tests and ARV Drugs: Inventory Control Systems, Logistics Management Information Systems, and Storage and Distribution (PDF, 1.58 MB)

Download this publicationA logistics system that manages any health commodity must have the infrastructure to support the supply chain as a whole in order to manage and move commodities. This document focuses on four elements that require careful management in the context of HIV and AIDS supply chains: (1) the inventory control system, (2) the logistics management information system, (3) storage, and (4) distribution. It is designed to help logisticians design logistics systems that are appropriate for managing these commodities. JSI/USAID|DELIVER PROJECT. July 2008.

 

Guide for Quantifying Laboratory Supplies  (PDF, 1.29 MB)

Download this publicationLaboratory commodities are used to provide preventive and care services that support public health programs, such as HIV and AIDS, tuberculosis, and malaria. The specific characteristics and quantities of laboratory commodities to be handled pose a particular challenge to managing the supply chain. Quantification of health commodities is a process that includes estimating the quantities and the cost of products required to meet customer demand and to fill the pipeline with adequate stock levels, taking into account service delivery capacity, supply pipeline requirements, and resources available for procurement. This guide describes the process and methodologies used for quantifying laboratory supplies. JSI/USAID|DELIVER PROJECT. July 2008.

 

Procurement Primer for Health and Family Planning Progr ams in Bangladesh (PDF, 4.47 MB)

This 100-page booklet provides a simple overview of goods and services procurement for health-sector projects in Bangladesh that have been financed wholly or in part by the World Bank and the International Development Association (IDA). JSI/DELIVER Project, 2008.

 

General Instructions: Avian Influenza Depopulation, Decontamination, and Disposal Kit (3-D Kit) (PDF, 3.31 MB)

Download this publicationTo support the containment of and response to a highly pathogenic avian influenza outbreak in recipient countries throughout the globe, USAID maintains the Avian Influenza International Stockpile (AIIS). The stockpile contains personal protective equipment (PPE) kits, decontamination kits, and laboratory specimen collection kits.

USAID's new Depopulation, Decontamination, and Disposal Kit (3-D Kit) provides first responders with an emergency supply of the critical equipment needed to safely carry out an initial outbreak response to highly pathogenic avian influenza. To prevent the spread of the virus to humans and other susceptible species, the first responders will use the equipment to ensure biosecurity, while safely performing poultry depopulation, disposal and cleaning, and disinfection. These guidelines were developed by JSI's USAID | DELIVER PROJECT, Task Order 2, and bio-hazard response experts and include step-by-step instructions on how to use the 3-D and Surveillance Biosecurity Kits, based on the deployment approach outlined in USAID Decontamination Kit Review. In addition to step-by-step instructions, the guidelines include standard operating procedures (SOPs) and operational checklists for correctly deploying the kits. JSI/USAID | DELIVER PROJECT, 2008.

 

The Logistics Handbook: A Practical Guide for Supply Chain Managers in Family Planning and Health Programs (PDF, 6.83 MB)

Download this publicationThe Logistics Handbook explains the major aspects of logistics management with an emphasis on contraceptive supplies. It is intended to help managers who work with supplies every day, as well as managers who assess and design logistics systems for entire programs. JSI/DELIVER Project, 2007.

 

Nepal: Scaling Up an Integrated Health Logistics System (PDF, 1.70 MB)

Download this publicationThis case study, developed as part of JSI's Best Practices in Scaling Up series, explores the implementation of an effective and sustainable integrated health logistics system. The paper delineates the steps used to design the integrated system, the training process, coordination and resource generation, and implementation. The logistics system now enables health staff nationwide to monitor drugs and supplies at each service delivery point and throughout the system to ensure that resources are used efficiently. Also included are highlights of what JSI staff learned along the way as scale up processes were implemented. Also included in the series is an Introduction to scale up as well as case studies from Guatemala, Romania, Turkey, Uganda, Zambia, and the DELIVER Project. Janardin Lamichhane and Heem Shakya, John Snow, Inc., 2007.

 

Decentralizing and Integrating Contraceptive Logistics Systems in Latin America and the Caribbean: Considerations for Informed Decision Making throughout the Health Reform Process (PDF, 530 KB)

Download this publicationThis paper, which builds on several previous documents produced by the DELIVER Project, is an overview of key issues and lessons that LAC countries and countries in Asia and Africa have learned during the process of integration and decentralization. The analysis highlights key ideas that policymakers, family planning managers, and logistics advisors can consider when implementing the decentralization and/or integration reforms of certain or all logistics systems functions to help sustain an efficient and continuous supply of contraceptives. Alix Beith, Nora Quesada, Wendy Abramson, Anabella Sánchez, Nadia Olson, 2007.

 

Monitoring and Evaluation Indicators for Assessing Logistics Systems Performance (PDF, 1.63 MB)

Download this publicationQuality monitoring is an integral part of any health logistics system, as it can describe the performance of the logistics system, evaluate strengths and weaknesses, and allow for accountability and advocacy. This document describes several indicators that are useful tools in monitoring and evaluating a logistics system for reproductive health commodities. These indicators can be used to measure the availability of commodities in a health facility, the performance of the logistics system, and, ultimately, commodity security. 2006.

 

Assessing Supply Chains for HIV/AIDS Commodities  (PDF, 2.85 MB)

Download this publicationThis paper is a resource for assessing supply chain management systems for HIV & AIDS programs. While many tools and indicators for different types of assessments will remain relatively standardized across commodity groups, including forecasting and monitoring and evaluation for the purposes of system design, a number of key differences exist for HIV/AIDS commodities, notably in the types of assessments, the special considerations during the process, and the frequency and follow up of assessments. This paper is a guide for advisors and in-country partners to understand the types of assessments that are undertaken to measure or monitor system performance, the purpose behind the different assessments, and the tools that are appropriate and valuable to use in the different circumstances. JSI/DELIVER Project. May 2006.

 

Assessment Tool for Laboratory Services (ATLAS) (PDF, 1.45 MB)

Download this publicationThis document is a data gathering tool developed by the DELIVER project to assess laboratory services and logistics. The ATLAS is a diagnostic and monitoring tool that can be used as a baseline survey to complete an annual assessment or as an integral part of the work planning process. The ATLAS is primarily a quantitative tool with a small sample qualitative facility survey of available commodities and equipment. The information collected using the ATLAS is analyzed to identify issues and opportunities, and to outline further assessment and/or appropriate interventions. JSI/DELIVER Project. May 2006.

 

DELIVER Project: Scaling up Logistics Management Information Systems in Health Commodity Supply Chains (PDF, 574 KB)

Download this publicationThis case study, developed as part of JSI's Best Practices in Scaling Up series, examines the process that three country programs have used to scale up commodities supply chains to increase the number and types of products they provide. The case study highlights why commodity scale up is important, how logistics management information systems must be developed to support expended services, steps in the scale-up process and results from three country programs. Also included are highlights of what JSI staff learned along the way as scale up processes were implemented. Also included in the series is an Introduction to scale up as well as case studies from Guatemala, Nepal, Romania, Turkey, Uganda, and Zambia. Gregory Roche and Barbara Felling, John Snow, Inc., 2006.

 

Contraceptive Procurement Guide and Product Catalog 2006  (PDF, 1.47 MB)

The USAID Contraceptive Procurement Guide and Product Catalog 2006 is an annual publication of current contraceptive ordering procedures for Missions. It includes (1) USAID contraceptive ordering procedures (2) guidance on how to use logistics data and forecasts to calculate contraceptive requirements and (3) a catalog of contraceptives provided by USAID. JSI/DELIVER Project. 2006.

 

Contraceptive Security Index 2006: A Tool for Priority Setting and Planning (PDF, 3.91 MB)

Download this publicationThis powerful tool can be used to raise awareness about contraceptive security (CS) and the interrelationships between program components, different sectors, and program outcomes. At the national and international levels, the index can be used to set priorities; and to plan and advocate to support policies and other interventions that promote progress toward CS. At the country level, it can help identify areas of relative strength and weakness to help stakeholders target their resources more effectively and appropriately. JSI/DELIVER Project and Task Order 1 of the USAID | Health Policy Initiative, 2006.

 

Contraceptive Security Index User's Guide (PDF, 1.11 MB)

Download this publicationThis is the user's guide for the Contraceptive Security Index 2006: A Tool for Priority Setting and Planning. This guide was developed to help program managers, logisticians, and others get the most out of the index and effectively present its findings to decision makers. JSI/DELIVER Project, for the U.S. Agency for International Development, 2006.

 

Contraceptive Security: Practical Experience in Improving Global, Regional, National and Local Product Availability (PDF, 2.27 MB)

Download this publicationAt the Istanbul Conference in 2001, participants identified strategies for increasing contraceptive security to ensure that clients can chose, obtain, and use the methods they need. Five years after Istanbul, this report documents the progress made in improving contraceptive security. It documents the lessons learned in increasing and diversifying contraceptive finance; understanding and expanding the total market; and working with the public, private, and NGO sectors to improve service delivery and product availability. It also describes different regional initiatives adopted in Latin America, Africa, and Eastern Europe; and it identifies new challenges countries face around procurement and donor coordination and how these challenges have been addressed. The report describes what has been done and defines what remains to be done to improve contraceptive product availability. David Sarley, Raja Rao, Carolyn Hart, Leslie Patykewich, Paul Dowling, Wendy Abramson, Chris Wright, Nadia Olson, Marie Tien, John Snow, Inc., 2006.

 

Guidelines for Implementing Computerized Logistics Management Information Systems (LMIS) (PDF, 4.17 MB)

Download this publicationThis guide defines the computerized logistics management information system (CLMIS), recommends the components of a successful computerized LMIS and explains development, implementation and operations for such a system. It also provides lessons learned and sample reports and graphs. JSI/DELIVER Project, 2006.

 

Guidelines for the Storage of Essential Medicines and Other Health Commodities (PDF, 2.04 MB)

Download this publicationThis guide is a practical reference for those managing or involved in setting up a storeroom or warehouse. It contains written directions and clear illustrations on receiving and arranging commodities; special storage conditions; tracking commodities; maintaining the quality of the products; constructing and designing a medical store; and waste management; as well as additional resources. JSI/DELIVER Project, Revised March 2006.

Download French (PDF, 1.16 MB)

Download Russian (PDF, 1.32 MB)

Download Spanish (PDF, 2.16 MB)

Download Chinese (PDF, 949 KB)

Download Arabic (PDF, 2.80 MB)

Download Urdu (PDF, 8.64 MB)

 

Options for Contraceptive Procurement: Lessons Learned from Latin America and the Caribbean (PDF, 1.36 MB)

Download this publicationIn upcoming years, countries in the Latin America and Caribbean Region will see a gradual decline in donations and technical assistance toward ensuring contraceptive security. In light of this trend, governments throughout the region are faced with ensuring the provision of family planning services, including a continuous supply of contraceptives. This report analyzes the legal and regulatory framework in each of nine focus countries that may affect future procurement of contraceptive commodities, as well as the current policy environments of five USAID "graduated" countries that are now procuring contraceptives without foreign assistance. David Sarley, Varuni Dayaratna, Wendy Abramson, Jay Gribble, Nora Quesada, Nadia Olson, Verónica Siman Betancourt, 2006.

 

Supply Chain Manager User's Manual (PDF, 2.79 MB)

Download this publicationThis guide explains how to install and use Supply Chain Manager, Version 3, a software tool written in Microsoft Access 2000®. Version 3 of Supply Chain Manager is designed to support the features of today's integrated distribution systems. JSI/DELIVER Project, 2006.

 

Contraceptive Security Index Technical Manual (PDF, 573 KB)

Download this publicationFinancial analysis is relevant for all major components of the logistics cycle. This guide was developed to help address one of the areas of unmet need in financial analysis: the definition of an approach for designing and conducting a cost analysis.

 

Guidelines for Warehousing (PDF, 2.64 MB)

Download this publicationThese guidelines were written for anyone trying to meet and solve the challenges of operating a warehouse today. They are an important reference tool for managers and staff, whether they are constructing a new warehouse system, or redesigning their current system. The guidelines consist of four sectionshuman resource, layout planning, tracking systems and material handling equipment, and warehouse management system. The text is augmented by detailed illustrations, including a proposed organogram for staff. JSI/DELIVER Project, 2005.

 

Logistics Indicators Assessment Tool (LIAT) (PDF, 451 KB)

Download this publicationA quantitative data collection instrument, developed by DELIVER, which assesses health commodity logistics system performance and commodity availability at health facilities. The User's Guide is included and provides detailed instructions on how to use the tool. 2005.

 

Process Mapping for Improved Health Logistics System Performance  (PDF, 306 KB)

Download this publicationThis paper explains how and why process mapping is used; explains process mapping within the context of logistics systems re-engineering; and describes the workflow data collection, charting, and analysis process. JSI/DELIVER Project, 2005.

 

Contraceptive Forecasting Accuracy: Trends and Determinants (PDF, 934 KB)

Download this publicationThis study examines the accuracy of the contraceptive forecasts contained in the Contraceptive Procurement Table (CPT) database, which is maintained by JSI/DELIVER to evaluate the quality of the forecasting process, to assess the utility of the forecasts in procurement planning, and to monitor and evaluate project progress. One-year-ahead contraceptive forecasts for 50 clients from 19 countries for 1995 to 2003 are analyzed. Among others, the results indicate that the forecast accuracy has been improving over time, which is partly attributable to the improvement of the client's logistics management information system and the use of the PipeLine software for preparing the CPTs. JSI/DELIVER, 2004.

 

Contraceptive Security Index 2003: A Tool for Priority Setting and Planning (PPT, 4.32 MB)

Provides an overview of the Contraceptive Security Index. Includes a description of methodology and uses. 2003.

 

Guidelines for Assessing Costs in a Logistics System: An Example of Transport Cost Analysis (PDF, 667 KB)

Financial analysis is relevant for all major components of the logistics cycle. This guide was developed to help address one of the areas of unmet need in financial analysis: the definition of an approach for designing and conducting a cost analysis.

 

Safe Injection and Waste Management: A Reference for Logistics Advisors (PDF, 2.26 MB)

Download this publicationThis publication is a reference for logistics advisors as they face the challenge of designing and supporting programs to improve injection safety and injection waste management. The reader will find useful information and tools, as well as discussions of important issues, including those related to commodity security for safe injection devices (i.e., injection device security) and the development of a safe injection and waste management policy. JSI/DELIVER Project, 2004.

 

Logistics Management Information Systems (LMIS) Assessment Guidelines  (PDF, 376 KB)

Download this publicationA logistics management information system (LMIS) assessment identifies differences between the way a program's LMIS should work and how it actually works. Problems and their possible causes are analyzed to distinguish those related to LMIS from other issues. Once the causes of LMIS problems are identified, solutions can be recommended. These guidelines are intended as a comprehensive general reference for field advisors conducting LMIS assessments. The questions and checklists presented here can be condensed or adapted based on what is and is not known about the scope of the assessment trip. JSI/FPLM Project, 2003.

 

Bangladesh Bidder's Guide  (PDF, 3.08 MB)

Download this publicationJSI's DELIVER Project developed this guide which provides a simplified explanation of competitive bidding and contracting procedures for health-sector projects in Bangladesh financed wholly or in part by the World Bank's International Development Association (IDA). JSI/DELIVER Project, 2003.

 

Concepts of Logistics System Design (PDF, 1.28 MB)

Download this publicationA frequent problem in logistics system design is that projects are undertaken piecemeal, with no organized framework for analysis; consequently, systems are developed that are too complex or that lack the flexibility to change as the program environment changes. This JSI/DELIVER document advocates a holistic approach to designing logistics systems for contraceptives, essential drugs, and medical commodities discusses some of the most important issues in the design of logistics systems and describes briefly several different types of systems. RC Owens, Jr., and T. Warner, JSI/DELIVER Project, 2003.

 

Contraceptive Security Index Technical Manual (PDF, 573 KB)

This manual and the accompanying wall chart are tools that measures a country's level of contraceptive security and how to monitor CS over time. The manual describes, in detail, the indicators selected and the methodology used to calculate the index, including indicator calculations, scales, conversions, and weighting. 2003.

 

Malawi Health Commodities Logistics Management System Procedures Manual (PDF, 4.84 MB)

Download this publicationDeveloped for the Republic of Malawi Ministry of Health and Population (MOHP), this 106-page manual provides standard operating procedures for the management of health commodities within the MOHP integrated supply chain. 2003.

 

ProQ User's Manual (PDF, 2.43 MB)

Download this publicationThe ProQ manual explains how to use ProQ software. It includes an introduction to ProQ and quantification, in general; instructions for installing the software on the user's computer; navigation techniques and conventions; instructions for conducting a quantification, and printing reports. JSI/DELIVER Project, 2003.

 

PipeLine 4.0 User's Manual (PDF, 6.99 MB)

Download this publicationThis user's guide explains how to install and use the Pipeline Monitoring and Procurement Planning System (PipeLine), a software tool designed to help program managers regularly monitor the status of their product pipelines and product procurement plans. JSI/DELIVER Project, 2000.

 

The Contraceptive Forecasting Handbook for Family Planning and HIV/AIDS Prevention Programs  (PDF, 6.08 MB)

Download this publicationContraceptive Forecasting Handbook for Family Planning and HIV/AIDS Prevention Programs is a reference book for forecasting commodity needs for family planning and HIV and AIDS prevention programs. Topics range from general methodological considerations to special considerations when forecasting for HIV and AIDS prevention programs. JSI/USAID DELIVER Project, 2000.

Download French (PDF, 11.81 MB)

Download Spanish (PDF, 5.96 MB)

 

Pocket guide to managing contraceptive supplies (PDF, 1.17 MB)

Download this publicationThis guide is for the staff of family planning or health clinics who manage contraceptive supplies and for the supervisor who oversees these logistics activities. This booklet is not a complete logistics text; its purpose is to be a quick reference for logistics formulas and principles to help staff manage supplies (both contraceptives and other commodities) correctly and efficiently. JSI/DELIVER Project, 1998.

 

Contraceptive Logistics Guidelines For Refugee Settings (PDF, 1.11 MB)

Download this publicationThe guidelines in this manual provide an outline of basic contraceptive logistics management principles and procedures used by program managers in camps for refugees or displaced persons. By using the steps outlined in the manual, program managers can design and implement a simple contraceptive logistics system in a camp where family planning programs are underway. Chapters cover estimating quantities of contraceptives needed, designing and developing contraceptive logistics management information systems, managing contraceptive inventories, and storing contraceptives.JSI/Family Planning Logistics Management (FPLM). 1996.

 

Pest Management for Warehouses Storing Contraceptive Products in Developing Countries (PDF, 501 KB)

Download this publicationA guide to managing pests and the potential for pest damage in warehouses storing contraceptive commodities for family planning. JSI/DELIVER Project. 1994.

 

Developing National Training Strategies in Family Planning Logistics: How Hard Can it Be? (PDF, 638 KB)

Download this publicationThis paper, originally presented by JSI/DELIVER staff at the 121st Meeting of the American Public Health Association in October 1993, continues to be popular. It explains the different methods to train family planning personnel at all levels of the health care system in the area of contraceptive logistics. The paper illustrates training examples from cases around the world. JSI/DELIVER Project, 1993.

 

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