Hiv Commodities Supply Chain Management in Resource Limited Settings: Strategies for Its Improvement

In: Science

Submitted By Selah
Words 351
Pages 2
HIV commodities supply chain management in Resource Limited Settings: Strategies for its improvement

Authors: William Mutabaazi, Rogers Sekabira, Herbert Kiberu, Julius Paalo, Joseph Ddamulira and Adeodata Kekitiinwa.

Background:
As countries scale up access to anti-retroviral therapy (ART), there is increasing demand for ARVs, Testkits and related supplies. However, challenges in supply of commodities have made it hard for PLHAs to have guaranteed access to optimal care. Baylor-Uganda has supported improvement of the supply chain management (SCM) of HIV commodities in facilities in three regions of Uganda. We evaluate the effectiveness of implemented SCM strategies in supported facilities.

Method: Three Medical logistics officers for Rwenzori, West Nile and Eastern regions wee recruited to provide technical support to health workers to forecast, quantify and order for supplies. A 3-day didactic training followed by mentorships with (3 rounds; each a minimum of 24 contact hours) Laboratory & Pharmacy staff to transfer logistics/inventory management knowledge and skills were conducted. An SMS system to report SCM issues was instituted. Regional stores stocked with HIV commodities were established to reduce emergency order lead times.

Results: Evaluation done between April and October 2011 in 29 health facilities in Eastern Uganda, 26 in Rwenzori, 3 in Kampala and 21 in West-Nile showed strengthened capacity of health workers to make accurate orders for ARVs/Test kits was strengthened. Proportion of HFs submitting accurate end of cycle order reports (on bimonthly basis) increased from 40% (28/70) to 82% (65/79). ARV stock outs reduced from 60% to 5% in over 90% of the HFs after intervention and those with < 5% expired inventory of ARVs increased from 30% to 80%. The number of HF with at least 2 month of stock increased from 10% (7/70) to 95% (75/79).…...

Similar Documents

Business Strategy and Human Resource Management: Setting the Scene

...nd H uman R esource Management: S etting t he S cene Ed van Sluijs & Frits Kluytmans MERIT Open University This article is based on a journey through the wilderness of strategic human resource management. Part 1 gives an overview of the recent literature on this topic, particularly pertaining to the two issues which received have most attention until now: the relational aspects and the content aspects. In part 2, we go deeper into the wilderness and explore the least known aspect of strategic human resource management, namely the process aspects. This exploration is based on the simultaneous study of the (scarce) literature and four cases. Finally, the connection between the three aspects is investigated. INTRODUCTION Increased integration between human resource management and business strategy is one of the most important demands that are placed upon modern strategic human resource management. In both the management and the academic literature, it is generally acknowledged that the strategic deployment and management of personnel can contribute to the success and continuity of the firm. Some go even further by stating that a firm’s human resources form the basis of the firm’s competitive advantage. In this view, the human resources are the most important assets of an organisation. At the same time, in addition to the importance of the human resources as such, it is believed to be important that the management of the human resources should be in perfect...

Words: 10708 - Pages: 43

Supply Chain Improvement

...Supply Chain Improvement Demand and profits are down and market uncertainties increased. You’ve reduced manufacturing costs and taken out spare capacity as far as practically possible. Where do you turn your attention next? In many cases, the only option is to look beyond the production process to the broader supply chain. Many leading edge companies have extended their management of physical logistics to address the entire supply chain process, from supplier to buyer, in order to shorten product life cycles, increase competition, and meet the heightened expectations of customers. There are clear opportunities for making supply chains more costeffective, more transparent and more responsive to improve customer service. Four areas are key to effective supply chain improvement: process, measurement, information management and technology. Best practice in these areas includes: • Integrating internal functional processes and systems across the enterprise. This includes the physical supply chain execution and management processes: o Customer service management o Demand management o Materials and Production planning o Logistics and inventory management o Order Fulfilment o Sourcing and Procurement o Supplier management o Product development and commercialisation • Collaborating with suppliers and customers, involves sharing information and integrating intercompany processes to improve resource utilisation and to enhance end-consumer satisfaction......

Words: 784 - Pages: 4

Supply Chain Strategies

...CHAPTER 13 – STRUCTURE OF THE SUPPLY CHAIN AIMS OF THE CHAPTER Products move through a series of operations in their process. This movement usually includes a physical flow of goods, and then we refer to the flow of materials through a supply chain. This chapter introduces the concept of logistics – or supply chain management – which is responsible for this flow. The chapter looks at the broad area of design, emphasising the number of points on the supply chain, the best locations for these, and the relationships between them. The aim of the chapter is to introduce the concept of supply chain management. More specific aims are to: • Explain the role of logistics – or supply chain management Logistics – which is equivalently known as supply chain management and sometimes physical distribution – is responsible for all the physical movement of materials. This includes movement into the process from suppliers, through operations, and then out of the process to customers. It is difficult to think of any business activity that does not depend, to some extent on logistics supplying required materials. Activities generally included in logistics are procurement, inward transport, receiving, warehousing, stock control, order picking, material handling, distribution, recycling, returns and waste disposal, location and associated communications. • Appreciate the role and importance of supply chains A supply chain consists of the series of activities and......

Words: 3488 - Pages: 14

Supply Chain Management

...THE IMPACT OF SUPPLY CHAIN MANAGEMENT ON GOVERNMENT INSTITUTIONS A Research Dissertation by GEORGE FREDERICK JACOBSON STUDENT NO. 94032512 B. TECH: PURCHASING MANAGEMENT Submitted in partial fulfilment of the requirements for the degree MBA in the Business School Faculty of Management Sciences TSHWANE UNIVERSITY OF TECHNOLOGY Supervisor: Prof. J A Watkins Pretoria 4 June 2007 PUBLICATION OF DISSERTATION The attention of the reader is specifically drawn to the fact that the national Government departments, who sanctioned this research study, specifically requested that the work should not be published due to the sensitivity of ongoing remedial actions. DECLARATION OF COPYRIGHT I hereby declare that this dissertation submitted for the degree (Magister Technologia) at the Tshwane University of Technology, is my own original unaided work and has not previously been submitted to any other institution or higher education. I further declare that all sources cited are cited or quoted are indicated or acknowledged by means of a comprehensive list of references. G.F. JACOBSON Copyright© Tshwane University of Technology (2007) i DEDICATION This study is dedicated to my family and friends for their love and support through this process allowing me to grow as a person. ii ACKNOWLEDGEMENTS I would like to express my sincere gratitude and appreciation to the following: My Lord and Saviour, Jesus Christ for His continued......

Words: 23698 - Pages: 95

Supply Chain Strategy

...supplier, Valley Bakers, to review the outcomes of their 180-day CPFR pilot program. When her drink arrived she hardly touched it,except to stir it nervously, until Gordon returned from the ticket counter. When she had agreedto accept the promotion to Category Director last year, she had no idea that the pressures ofthis job would be so enduring. The last six months had seemed like one long, dull headache. Since the initiation of the CPFR pilot program, it seemed that Valley, their supplier, had been making all the demands in this relationship. Wasn’t the customer supposed to be the one who was always right? Gordon eased into the chair next to her and immediately noticed the weary, pained look on her face. As Vice President of Supply Chain Operations for Texan Foods for the last 9 years, he had learned a lot about dealing with employee and customer frustrations. The CPFR pilot with Valley had tested his resolve as well. Valley’s CPFR team was unhappy with the small performance gains – and the occasional significant losses – that the program had delivered for the 34 SKUs that had been included in the pilot. Valley had wanted a more comprehensive level of collaboration from the very first day, and they were sure that Gordon was withholding information from them that would allow their small company to realize greater cost savings sooner. Always taking a conservative approach to new initiatives, Gordon had been adamant that the pilot program would only take a......

Words: 12339 - Pages: 50

Supply Chain Strategy

...Then we also go ahead and recommend the best alternative according to us and discuss the reasons behind it. Alternatives with their pros and cons: - 1) Keep its existing supply chain a) Advantages: No major changes and additional costs involved. b) Disadvantages: Ford’s IT will eventually become obsolete. 2) Form a mix of online and offline operations and lay procedures to enable customization and ordering by customers over the internet but maintain physical dealerships as well. a) Advantages: Customization to clients, start of vertical integration, b) Disadvantages: Costly, time consuming, requires internal and external changes which are not easy to handle and integrate with other operations. Team 4 Critique 4 3) Create a virtually integrated supply chain based on Dell's model. Ford and all its suppliers would share information between their systems and the Internet to coordinate the flow of materials and production. All customer orders would be taken either via Ford's web site or by phone and then built. A pull system would be implemented completely. a) Advantages: Customization to clients, start of vertical integration in the supply chain. b) Disadvantages: Ford's traditional processes and production methods would have to be changed to take advantage of this new form of supply-chain management. Since it is a very costly and time consuming activity, the difference in the two industries makes it a risky option. After more careful examination and review......

Words: 911 - Pages: 4

Supply Chain Management

...EXECUTIVE SUMMARY As every business concern irrespective of its size, nature, and age needs an adequate concentration on its supply chain to carry out regular business operations and survive in the international competition. A supply chain is a system of organizations, people, technology, activities, information and resources involved in moving a product or service from supplier to customer. Supply chain activities transform natural resources, raw materials and components into a finished product that is delivered to the end customer. The project report titled “Consumer Buying Behavior of Volkswagen Cars For Shreekripa Automobiles Pvt. Ltd, Nashik” deals with this matter and is based on the in-house industrial training at Shreekripa Automobiles Pvt. Ltd, pertaining to the requirement for the Master of Business Administration from “Kautilya Institute of Management & Research, Wagholi, Pune”. Everest Industries Ltd formerly subsidiary of ACC Ltd, Founded in 1934, is engaged in building solutions like Roofing, Ceiling, Wall, Flooring, Cladding, Door and the Pre Engineered steel Buildings for the Industrial, Commercial & Residential sector. Holcim, world’s second largest cement producer gained control of Everest Industries after acquiring ACC by gaining majority stake in Ambuja cements India from Sekhsarias. In 2006 Holcim exited from Everest Industries after selling their stake back to Everest finvest (India) controlled by Sekhsarias for Rs 134 a share. Company is......

Words: 5605 - Pages: 23

Guide to Supply Chain Management

...Chapter 1 - Introduction A supply chain is basically a group of independent organizations connected together through the products and services that they separately and/or jointly add value on in order to deliver them to the end consumer while supply chain management is a set of approaches utilized to efficiently integrate suppliers, manufacturers, warehouses, and stores, so that merchandise is produced and distributed at the right quantities, to the right locations, and at the right time, in order to minimize systemwide costs while satisfying service level requirements. Supply chains can be triggered by product supply (commodities) or by customer demand (customized products). The degree of customization dictates how much and in which format the supplying company holds inventory: no stock at all, raw or basic materials only or sub-assemblies of their products as in the famous example of Dell computers. The strategies and associated decoupling of product supply from customer demand form a crucial part of supply chain management. Supply Chain Council has developed the supply chain operations reference model (SCOR) that depicts the broad spectrum of generic functional processes in the supply chain and shows that the functional processes of plan, source, make, deliver and return take place within every stage of the supply chain. When you start engaging in supply chain management, you will most likely be confronted with some of these questions: * How many products......

Words: 1868 - Pages: 8

Operations Strategy and Supply Chain Management

...Supply Chain Management: Challenges, Remedies and the Impact of change - Overview By Adawari Josiah Jumbo Student No.: 15522057 Submitted To Laureate Online Education & University of Liverpool – Online Masters Degree In Partial fulfillment for the award of Master of Science (M.Sc.) Degree in Operations and Supply Chain Management Instructor: Professor Anshuman Khare 2010. ACKNOWLEDGEMENT I am delighted to say thanks my Instructor Professor Anshuman Khare for your professional support and supervision all through this module including this project work for your encouragement is commendable. The learning acquired through interaction with my course mate has been tremendous, I therefore say thanks to my entire class mate. I also appreciate all authors whose works aided me in this project. I am sincerely indebted to all of you. To God, I say thanks for your kindness and support for this programme. Adawari Josiah Jumbo ABSTRACT This research was carried out to find out the challenges and the economic and operational impact of change on supply chain, including the options available to improve the challenges and create increased performance on the chain. To drive home the study we focused on PHRC Limited in Nigeria. We also undertake a comprehensive review of...

Words: 2614 - Pages: 11

Supply Chain Management

...Analysis OF SUPPLY CHAIN MANAGEMENT AT BRITANNIA INDUSTRIES Acknowledgement It would be of great pleasure for me to take the opportunity of thanking nearly everybody who had been of great help in the completion of my dissertation. My sincere gratitude goes to MR.KAPIL GARG (DEPPT. OF MANAGEMENT) and MR.MANORANJAN (DEAN). My institute guide, without whose help this dissertation would have seemed impossible. I owe immensely for the minute help that was forwarded to me by friends in my organization. Both of the above mentioned persons supported me incredibly and guided me with suggestions and probation’s for the betterment of my accomplished work. It has been of great learning to be on the job and doing the dissertation simultaneously, which enriched my knowledge and developed my outlook. I am looking forward to continued support from my friends and colleagues in future as well. Only with their encouragement and coorporation. SARITA KUMARI Contents Chapter 1: Introduction -Need of the study - Background Chapter 2: Research methodology -Objectives of the study -Research Methodology (sample size, instrument used, Methods of data collection) Chapter 3: Descriptive work of subtopic on study Chapter 4: Data analysis &......

Words: 20677 - Pages: 83

Supply Chain Management

...Supply Chain Management: Food (Pineapples and Plantains) Chestnut Hill Farms Table of Contents I. Major manufacturers/producers or service providers for pineapples and plantains II. Total output worldwide regarding pineapples and plantains – divided by countries. III. The import export statistics to show major producers and major consumers for pineapples and plantains IV. Local manufacturer Chestnut Hill Farms: vendors/suppliers, distributors, wholesalers and retailers. V. Pineapple and plantain flowchart (vertical integration) VI. Discuss major problems and issues in the pineapple and plantain supply chain VII. Include, suggestions, if any, for making improvements regarding the pineapple and plantain supply chain I. Major manufacturers/producers or service providers for pineapples and plantains Today many countries have become pineapple producers, making the fruit production grow over 400% since 1960. Then again, a rise of 50% was seen after the introduction of what they call the “Gold” variety, developed in the 1990s by Fresh Del Monte. Pineapple consumption has double in last 10 years, making the industry grow into a more complex chain. Other major fruit product today is plantains, which production has grown over 60% in the last 30 years. Plantains have become a major part of food in Central and West Africa, and in other regions such as the Caribbean Islands, South, and Central America. As comsuption for both fruits......

Words: 5513 - Pages: 23

Strategies in Supply Chain Management for the Trading Agent Competition

...Strategies for Supply Chain Management for the Trading Agent In an effort to address the of increasingly sophisticated and advanced methods of supply chain management, a joint team of researchers from the e-Supply Chain Management Lab at Carnegie Mellon University, formed The Trading Agent Competition (TAC). This particular forum was designed to address the problem of trading agent competition within the global marketing structure. Within this writing, the problems inherent to trading agent competition will be addressed and certain formulas will determine the validity of such theorems. A definitive description of a supply chain can be described as “a process that transforms materials into products and delivers them to customers through specific activities” 1. An overall objective of supply chain management is to improve upon the timely delivery of goods to suppliers and customers alike, thus while keeping costs at a minimum. This includes all handling and storage costs involved within the supply chain management process. Key aspects of the stages involved are securing raw materials, manufacturing, storing, negotiating, the receipt of customer orders, and delivering the products, paired with using standards adopted from long withstanding relationships between major trading firms. 1 P.B. Schary, T. Skjott-Larsen, Managing the Global Supply Chain, second ed., Copenhagen Business School Press, 2001. The pretense of......

Words: 1130 - Pages: 5

Green Supply Chain Management

...Green Supply Chain Management and Its Effects on Environmental and Operational Performance in Automobile Industry in Karachi Syeda Unaiza 7153, Talha Hamid 6307, Abdul Qadeer 6758,Hassan Sajid 6303 December 18, 2015 1 Contents 1 Introduction 1.1 Background of Study . . . . . . . . . . . . 1.2 Problem Statement: . . . . . . . . . . . . . 1.3 Objectives of Study . . . . . . . . . . . . . 1.4 Research Questions . . . . . . . . . . . . . 1.5 Significance of study . . . . . . . . . . . . 1.6 Limitations and Delimitations of the Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5 6 7 7 7 8 2 Review of the Related Literature 9 3 Research Methodology 3.1 Respondent Sample and Methods 3.2 Semi structured interview . . . . 3.3 Self-completion questionnaires . . 3.4 Focus group/group interview . . . 3.5 Triangulation . . . . . . . . . . . 20 20 21 22 23 23 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 2 1 Introduction Supply Chain Management is the process of managing and controlling of a compound network......

Words: 5854 - Pages: 24

Supply Chain Strategy

...A. Supply Chain Strategy There are three main types of supply chain strategies vertical integration, Keiretsu networks and virtual companies. Vertical integration develops the ability to produce goods and services previously purchased or to actually buy a supplier or distributor it can be forward or backward integration. Backward integration suggests a firm purchase its suppliers. Forward integration in the other hand, on the other hand, suggests that a manufacturer of components make the finished product. Vertical integration may provide opportunities for cost reduction, quality adherence and timely delivery. “Doing everything” is extremely difficult, risky and costly. It is not recommended for this group even though the talent is available. Lets first analyze the other strategies. Keiretsu networks are part collaboration, part purchasing from a few suppliers. The manufacturers are of then financial supporters through ownership or loans. The supplier becomes part of the company coalition known as keiretsu. Members of the keiretsu can also have suppliers farther down the chain, making even second and third-tier supplier’s part of the coalition. Even though this strategy is less risky it is one that the management is not accustomed to and there is still another strategy we haven’t discussed. The investors have the team and the managerial experience but do not have experience managing the type and scope of operation that requires manufacturing and supply......

Words: 5060 - Pages: 21

Supply Chain Management

...SUPPLY MEASUREMENT BUSINESS METRICS Definition - A business metric is any type of measurement used to gauge some quantifiable component of a company's performance, such as return on investment (ROI), employee and customer churn rates, revenues, EBITDA, and so on. It can also be defined generally as a unit or units of measure to gauge a company's performance and provide the company's employees with a standard to improve. The current interest in performance measurements has led to a variety of supporting adages or clichés in the industry, such as: • “Anything measured improves.” • “What you measure is what you get.” • “Anything measured gets done.” • “You can’t manage what you do not measure.” These are not new business ideas, but there are a few new twists. Using measurements to support manufacturing operations has its roots back to the late 19th and early 20th centuries with ideas espoused by Frederick W. Taylor, the father of applying scientific methods to running business. His ideas for time and motion studies of operations were successfully used to scientifically manage production lines and warehouse operations. These ideas, however, led to exaggerated business processes that transitioned into “running a business by the stopwatch” with employers treating human employees as if they were highly reliable, predictable machines to be monitored and controlled. Over time, the workplace’s view of performance measurement became more humane and these exaggerated types...

Words: 8425 - Pages: 34

12Pcs Pinceaux De Maquillage Set Poudre Fard À Paupières Eye-liner Yeux Brosse | 26.11.2018 | Rick and Morty