JSI's USAID | DELIVER PROJECT began technical assistance in India in 2013, working in four USAID priority states—Haryana, Himachal Pradesh, Jharkhand, and Uttarakhand—three of which were experiencing increasing rates of HIV infection among antenatal care clients.
DELIVER staff worked with the State Health Missions (SHMs), conducting landscape assessments to map the organizational structure for HIV and AIDS and reproductive, maternal, newborn, child, and adolescent health (RMNCH+A) supply chains. The project examined three supply chain areas—people, processes, and technologies—identifying a number of key SCM gaps.
The project found that in states where procedures for essential medicines supply chain operations existed, they were largely undocumented or inconsistently applied. Also, staff responsible for supply chain management tasks often had little or no training.
The project provided technical assistance to develop formal guidance on roles and responsibilities for each function of the supply chain, as well as on the use of data for decisionmaking, with an emphasis on developing and implementing standard operating procedures (SOPs) and building health personnel’s basic supply chain management capacity.
This report presents examples of how the project helped to increase supply chain efficiency and standardization, while encouraging leadership and management-level engagement. The work provides a basis for India to further strengthen its public health supply chain systems with the roll-out of standard operating procedures and the implementation of supportive supervision visits throughout the priority states. JSI/DELIVER Project. 2016.