Utilizing Technology for Efficient Health Supply Chain Management in Pakistan During COVID-19
The USAID Global Health Supply Chain Program has supported Pakistan in leveraging its logistics management information system (LMIS) to efficiently plan and deliver critical COVID-19 supplies. Through coordination with government entities and use of various LMIS interfaces, Pakistan has enhanced data-driven decision-making and response mechanisms. Systems such as TSMIS and KP Medicine LMIS have enabled real-time tracking and forecasting, ensuring timely procurement and distribution of health commodities. The evolution of LMIS in Pakistan reflects a commitment to self-reliance and effective supply chain management in the health sector, with a focus on transparency and standardized reporting of key indicators. To access Track FP2020 analytics and other health supply chain data, visit http://lmis.gov.pk/track20.php.
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USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM Procurement and Supply Management Using real-time data and technology to track and supply critical health commodities in Pakistan during COVID-19 Dr. Muhammad Tariq, GHSC-PSM Country Director September 2020 Photo: Lan Andrian
Health and humanitarian challenges necessitate reliable data for decision-making With the support of the USAID Global Health Supply Chain Program- Procurement and Supply Management (GHSC-PSM) project, the Government of Pakistan has used its mature logistics management information system (LMIS) to plan for and deliver critical COVID-19 supplies. Much of the is work has been coordinated through the Ministry of National Health Services, Regulations and Coordination (MoNHSR&C) and National Disaster Management Authority (NDMA). USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management 2
The evolution of LMIS in Pakistan One system, one database multiple interface variants Khyber Pakhtunkhwa Medicine LMIS Contraceptive LMIS Vaccine LMIS Sindh & Punjab HLMIS MoNHSR&C LMIS NDMA Proc & LMIS Balochistan LMIS All of these systems feed data from across the country into a single database for analysis and decision-making UNICEF HLMIS for MNCH LMIS For Medicines (Punjab, KP) Govt. self-reliance for commodity procurement 2020 2019 $100 M govt. financing Contraceptive & Vaccine LMIS UNICEF funded HLMIS for MNCH in Sindh and Punjab COVID-19 TSMIS COVID-19 LMIS COVID-19 Procurement Module Sindh COVID-19 training dashboard LifeLine ICT Inventory System 2018 SMS / email alerts and notifications Stock Optimization Intelligence Medicine LMIS for KP Medicine LMIS for Punjab provincial stores 2015-17 Interfacing with vertical systems Business Intelligence Forecasting Module Action based Executive Dashboard 2011-14 Demand Planning Supply Planning Consumption Module Warehouse Mgmt. Analytics & Dashboards USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
Rapid response to COVID-19 data visibility needs Travelers Surveillance MIS (TSMIS) 1 NDMA Procurement & LMIS MoNHSR&C LMIS 5 2 Govt. of Pakistan GHSC- PSM 3 4 Sindh COVID Training Dashboard COVID-19 Forecasting Calculator USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management 4
Systems allow Pakistan to easily report on international standard health supply chain indicators (Track FP20 analytics, PPMR, and Contraceptive Security Index) Pakistan LMIS automatically generates Track FP2020 analytics based on the government and NGO reported data This data is open access: http://lmis.gov.pk/track20.php USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
Pakistans financing of health commodities ranks 2nd highest among countries in the region Family Planning Commodity Financing & Procurement National financing Provincial government financing USAID financing Use of the right technology for data collection and analytics has allowed the Government of Pakistan to allocate funds for better public health $ 5 M on average per annum $ 108 M $ 130 M 2001 - 09 2010 - 14 2015 20 38 40 Pakistan self-reliance USAID support 25.89 30 25.19 22.37 21.81 20 20 20 18.25 Million dollars 16.09 20 10 10 0 0 0 0 0 0 0 0 0 0 0 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Years USAID GoP USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
Improving the capabilities of Pakistans LMIS Context / Motivation Methodology Pivot BI SC Control Tower Executive Dashboard 1 Demand Planning Predictor Results Evidence-based decision making Achieved SC Integrated Status USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
Advanced analytics tools track critical health commodities and supplies Control Tower PIVOT BI Tool 1. Past six months and current month s data visibility Predicts and projects next six months demand and supply; using algorithms. 1. Free hand tool for business intelligence Decision makers can design data views as per their requirements. Data can be exported to Excel 2. 2. 3. Executive Dashboard Demand Intelligence 1. 360 degrees analytics for executive to view stock at central warehouse, district stores and health facilities. System algorithms suggest the quantity need to be procured, based on the consumption data Drill down option to view granular information Allows to communicate decision via SMS and emails Demand planner can view and make demand plan: a. historic data b. Current stock on hand c. Requisition quantity and justification provided by the initiator d. Stock available at supplier warehouse e. Adjust requisition quantity 2. 3. 4. USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management 8
Analytics provide more power to the health services industry PIVOT BI Control Tower Demand Intelligence Executive Dashboard USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
Advanced analytics provide more power to the pharma industry FASP MODULE FASP Procurement PROCUREMENT MODULE LMIS LMIS Demand Financial planning Inventories visibility EXECUTIVE DASHBORD Production planning Supply planning GS1 tracking secondary & tertiary levels Consumption visibility USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management 10
Lessons learned Pakistan s open source LMIS business model was an ideal technology to meet the needs of COVID-19 visibility Use existing IT, human resources, and implementation partners to deploy new non-digitized information needs and systems Equip your decision-makers with advanced analytical tools; translating data into useful information is pivotal for evidence- based decision-making Encourage open source technology; use financial gains to procure commodities and HR capacity building Systems for Health Logistics, Health Services, Disease Surveillance and Industry should be on a singular technology platform to allow collaboration and ultimately help communities across the country USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM Procurement and Supply Management MTariq@chemonics.com Abstract: Using Real-Time Data and Technology to Track and Supply Critical Health Commodities in Pakistan During COVID-19 National Science and Technology Park (NSTP) NUST, H12, Islamabad, 44000, Pakistan +92 333 5555 291 The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project is funded under USAID Contract No. AID-OAA-I-15-0004. GHSC-PSM connects technical solutions and proven commercial processes to promote efficient and cost-effective health supply chains worldwide. Our goal is to ensure uninterrupted supplies of health commodities to save lives and create a healthier future for all. The project purchases and delivers health commodities, offers comprehensive technical assistance to strengthen national supply chain systems, and provides global supply chain leadership. For more information, visit ghsupplychain.org. ghsupplychain.org The views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. government. USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM-Procurement and Supply Management
