Applying a Systems Lens to Ethiopia’s Healthcare Supply Chain
Collaborating to Evaluate Healthcare Supply Chains Using Systems Methods
How might we help donors, managers, and employees to improve efficiencies in their pharmaceutical supply chain system?
Assessing this challenge, the Global Knowledge Initiative, Johns Hopkins University Global Obesity Prevention Center (JHU-GOPC), and Resilient Africa Network (RAN) partnered to provide a quantitative and qualitative systems analysis of Ethiopia’s pharmaceutical healthcare supply chain. Deliverables, such as systems maps and models will yield meaningful insights and recommendations for the enhancement of the healthcare supply chain.
Pulling from its canon of systems tools and methods and our previous work analyzing healthcare systems, GKI conducted an in-depth systems analysis examining the various components of Ethiopia’s health care supply chain. In this effort, GKI performed preliminary background research in preparing to collect valuable data in-country. GKI staff members also designed a systems-based field interview protocol with which to conduct 25 interviews with key stakeholders in Ethiopia. Guided by the protocol, GKI asked questions pertaining to various challenges and/or recommendations in supply chain management, operations, and distribution of health commodities. After analyzing this data, GKI suggested recommendations for mitigating current challenges, coupling the systems visualizations with supporting narratives as well as social network analysis, blending an array of systems techniques helpful in aiding systems-informed decision making.
Results / Outcomes
- Continued to introduce and apply systems monitoring and evaluation methods across USAID Missions and Bureaus through the innovative mechanism designed to usher in advanced Monitoring, Evaluation, Research and Learning (MERL) methods known as the Strategic Program for Assessing Complexity and Evaluating Systems (SPACES)
- Conducted 25 in-country interviews with systems stakeholders, including staff from John Snow, Inc., Chemonics, PFSA, FMoH, and USAID
- Created four systems maps that visualize current supply chain processes pertaining to data and quantification, procurement, stock management, and staff skills and incentives
- Provided seven recommendations for improving the management of the public sector supply chain