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1. CLICK TO ADD TITLE The 6th Global Health Supply Chain Summit November 18 -20, 2013Addis Ababa, Ethiopia LOGIVAC : Development of a training program in Health Supply Chain Management Philippe JAILLARD, AMP [SPEAKERS NAMES] [DATE]

2. logisticssystems: weakinfrastructure, inadequate essential services, and a shortage of skilled human resources.  supplyshortages or wastages, leading to missedopportunitiesfor preventive and curative activities. • New technologies and strategies, emerging trends, coordination  professional training to build, maintain and continuously upgrade human resource capacities

3. Supply chain management is complex…… and involves many different parts 1 Global context: e.g. political commitment funding and financing; global coordination 2 3 4 5 Information Equipment People Products 6 System design Limited supervision Lack of expertise PEOPLE … that deliver & handle products … … enter & analyze information … … operate & maintain equipment … … design and optimize the system … … influence the local and global context… … manage partnership with service providers! Limited training offer (adapted to field) Lack of recognition and incentives Based on BMGF Routine Immunization Supply Chain Strategy

4. But who is actually managing the vaccine supply chain: HR Profile from Benin Representative sampling from EVM assessment from 2012 shows the education level of the staff involved in vaccine logistics for 40 health facilities/vaccine stores • No dedicatedsupplychain training in these curricula (pre-service training). “When you use a nurse or a physician as a logistician, you lose the nurse or physician and you don't get a good logistician!” Saracino, former Minister of Health, Côte d'Ivoire, TFI Members Briefing, Harare, Oct.2006

5. Benin host the first regional logistics reference center for Central and Western Africa LOGIVAC, a joint AMP & WHO Project Demonstration siteforstudents, forevaluations, foroptimizingthesystemandother operational researches SustainableRegional Training & Reference Centers Certified professional andacademicpre-serviceandin-servicetraining Network of logistics expertsthat can provide consulting services Consortiumofpublicand private partners… Support recognition of a common professional qualification for health supply chain manager and promote center Aligned with People that Deliver

6. Overall approach and training curriculum has been developed in consensus with partners Successive consensus workshops organized Successive situation analysis emphasized the needs for professionalization of human resources in health logistics • Situation analysis of HSC Training needs and training offer in Africa, AMP • Studies in West Africa, Institut Bioforce • WHO Consultation on SC professionalizationCotonou • LiteratureReview, • People That Deliver • Regionalstudy, WHO • Landscapeanalysis, • Project Optimize • ARCI • meeting • TFI meeting 2005 2006 2007 2008 2009 2010 2011 2012 2013 • Ouidah • Kinshasa • Paris • Ouidah • First edition of bachelor degree Profession and competency framework were defined Profession and competency framework were defined Strategy defined and priorities were set Strategy defined and priorities were set

7. Summary of key results from the situation analysis and benchmarking (May 2012) Findings Implications for the LOGIVAC Center • Programme • The scope of the training programme offered by the institutions is focused –allowing the institutions to develop a credible expertise in specific fields • Pricing • Inscription fees for long-term pre-service Masters qualification can reach up to € 15 000 in terms. • Inscription fees for shorter trainings range € 600 – 1650 for 40 hours of training • Promotion • Some institutions very strong in promoting the benefits • career progression • international alumni network • international recognition of degree Focus on health logistics, with a clearly defined geographic scope for Africa ; provide a comprehensive training offer adapted to identified needs Ensure training offer is competitive, especially to degrees that are offered in the sub-region ; facilitate access with integration in national plan, sponsorship Integrate best practices for promotion of the training offer ; ensure regional accreditation, provide additional services (professional network, operational research and TA)

8. LOGIVAC training Strategy : focus on pre-service training first and develop short-training courses to meet country needs Supply chain design Vacc Man 2 Solar Cold Chain Vacc Man 1 Transport management 1 LMIS Transport management 2 Transport management 3 Outsourcing Contracting Certificate Credits New vaccine introduction Logistics Bachelor in Health Logistics Equipment maintenance CCEM Basics Logistics Health systems Health logistics Basics Logistics Health systems Health logistics Supplementary activities EVM Vacc Man 3 In Service - Taylor made training Pre service training

9. Quality of the training is assured by including experts into the training development process Instructional engineering Detail curriculum Instr. design & content Review and adapt content Quality assurance Skill transfer Objectives and desired outcomes Training strategy Target audience Learning methods Educational conception Document and detail each training module (learning objectives, hrs. of training, types of exercises, bibliography,…) Review by consortium and within curriculum workshops Identify existing content mobilize experts Instructional design with experts Feedback loops between experts, instructional designers and project coordinator Review of content by experts from UNICEF, WHO, IRSP, Institut Bioforce, RTT, AMP, MoH… Training of trainers; facilitators guide QA system to be implemented by hosting institution (IRSP) Based on academic and professional referential Co facilitation by teacher and professional Comprehensive training material kit Support institution willing to adapt the training

10. Quality of the training is assured by including experts into the training development process Instructional engineering Detail curriculum Instr. design & content Review and adapt content Quality assurance Skill transfer Objectives and desired outcomes Training strategy Target audience Learning methods Educational conception Document and detail each training module (learning objectives, hrs. of training, types of exercises, bibliography,…) Review by consortium and within curriculum workshops Identify existing content mobilize experts Instructional design with experts Feedback loops between experts, instructional designers and project coordinator Review of content by experts from UNICEF, WHO, IRSP, Institut Bioforce, RTT, AMP, MoH… Training of trainers; facilitators guide QA system to be implemented by hosting institution (IRSP) Based on academic and professional referential Co facilitation by teacher and professional Comprehensive training material kit Support institution willing to adapt the training Bachelordegreecreated by Abomey-CalaviUniversity (Benin) Training provided by Regional Institute of Public Health (IRSP), Ouidah

11. Bc degree applies blended training methods … 11 months

12. … and is a comprehensive health logistics training

13. Launch of the training by the minister of health of Benin on the 24th March 2013 Target • Health personnel whose duties require knowledge and skills in logistics. • Private sector supply chain managers wishing to develop in the health sector Requirements Baccalaureate + 2 years of higher / tertiary education.

14. Overview of the 1st edition of trainees 24 studentsfrom 8 countries - 5 women Current position • EPI (14) • Essential drug (3) • Lab(3) • others(4) Sponsorship • AMP (10) • GSK (7) • WHO (5) • Self funding (2) 2 2 5 2 4 7 1 Number of trainees and location 7 1

15. Field trips are regularly done by the students (Example 6th and 9th of May – Water & Sanitation) Hôpital de Zone de Comé et le centre de santé de Akodéha Hospital in Ouidah • Identifier les différentes sources d’énergie et système de fourniture de courant au niveau de l’Hôpital • Lire le plan d’ouvrage des bâtiments de l’Hôpital. Décrire le lien entre notre environnement physique (et en particulier l'eau, l'hygiène et l'assainissement) et la santé des populations

16. Scores from have improved between CD-ROM 1 and the CD-ROM 2 Ø 97 Improvements Min: 2 Avg: 17 Max: 56 CD-ROM 2 Ø 80 CD-ROM 1 E-tutor supports students and is in regular contact with the students and tracks their activities on the e-learning platform

17. Video on the Bachelordegree(7 min)

18. Starting the 2nd edition bachelor degree training - Recommendations from the pedagogic review from the 1st edition: • Distance learning will be provided once before the Face to Face session • Distance learning evaluation will be done during F to F session • Internship will be organized in Benin for all students for better supervision - Available capacity: 25 – 30 students - Start date: 2 December 2013 Key facts • - 78 applicants from 16 countries; 58 are eligible for registration • - Costs: € 8,000 inscription fees + budget for transport and living expenses • - Scholarships to date • Private sector: GSK: 8for participants from DRC • WHO: 8 scholarships • UNICEF: 8 • Countries: 2 • Self funding : 3 Candidates and scholarships

19. LOGIVAC center sustainability based on institutional arrangement, partnership and business model • Owned and managed by AMP and IRSP with a scientific and technicaladvisory group • Liaisewithpartners institutions, centers, organization and countries • Develop a quality assurance system • Business model : • LOGIVAC project paid for investment (training curriculum development and engineering) • LOGIVAC center incomes : scholarships, technical assistance, sponsoring LOGIVAC Center : a joint AMP – IRSP center

20. Development of the LOGIVAC center Bachelor degree training • Implementation of the 2nd edition • Revision of the training method and material • Implementation of the Quality assurance system • Review of training implementation • Implementation of a marketing plan • Development of alumni discussion group and network Reference Center • Development and implementation of short training • Solar cold chain • Basics of supply chain management • Other trainings according to needs • Partnership with existing professional networks • Establishment of the scientific and technical advisory group • Establishment of MoU with other training institution, organizations • Development of operational research activities and technical assistance to countries • Benin vaccine supply chain redesign scaling up • GAVI - End to End vaccine supply chain strategy

21. Plan for expanding to an Anglophone location English version of the preservice training maybeimplemented in 2014 Bachelor degree training - Training material (incl. distance learning) will be transferred to a training institution in an Anglophone country - LOGIVAC project will support - Adaptation of training curriculum to the academic organization - Translation of training material - LOGIVAC center will ensure liaison with training institutions and contribute to QA system implementation EAC Center of excellence to bediscussed in April 2014 (EAC MoHconcil) Reference Center - Eastern African Community requested AMP’s support - Feasibility study for the establishment of a center : location and operationalization, - HR & Training needs assessments • LOGIVAC center will ensure liaison between reference center • Sharing of best practices • Pooling of resources • QA system

22. Conclusion - -

23. Aknowledgements