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CLICK TO ADD TITLE. The 6th Global Health Supply Chain Summit November 18 -20, 2013 Addis Ababa, Ethiopia. A benchmarking methodology for sustaining efficiencies of global health supply chains Gemma Berenguer. [SPEAKERS NAMES]. [DATE]. Who are we?. Main goal.
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CLICK TO ADD TITLE The 6th Global Health Supply Chain Summit November 18 -20, 2013Addis Ababa, Ethiopia A benchmarking methodology for sustaining efficiencies of global health supply chains Gemma Berenguer [SPEAKERS NAMES] [DATE]
Who are we? Benchmarking Global Health Programs
Main goal • How to get more health for the money?
How to get more health for the money? * table extracted from CGD value for money report
What is benchmarking? • Measurement, of own and the benchmarking partners' performance level, both for comparison and for registering improvements. • Comparison of performance levels, processes, practices, etc. • Learning, from the benchmarking partners to introduce improvements in your own organization. • Improvement, which is the ultimate objective of any benchmarking study.
Goals • Create a process for continuous improvement for global health programs • Driven by data i.e., measureable • Systematic – leveraging best practices from similar contexts
Focus of our study • Organizations in Sub-Saharan African countries • 44 countries • Reproductive health products (http://www.myaccessrh.org/home) • Purchase Order Date, Shipment Date, Receipt Date, funding organization, procurement organization, product, quantity, value
Data Envelopment Analysis (DEA) Indentify a set of metrics For each metric (or combinations of metrics) determine an efficient frontier
DEA Model • Slack-based Model (SBM) • Output-oriented • Variables returns to scale
Are these the only variables? • Not all variables have the same role!! • Input and outputs variables • Environmental variables • Random shocks • Managerial inefficiencies
Environmental variables • GDP, literacy, public health, density, landlocked country, LPI, civil liberties, merchandise • Random shocks • Population size • Managerial inefficiencies • Funding concentration
Methodology Stage 1: DEA analysis • Input variables • Output variables • Environmental variables • Random shocks • Managerial inefficiencies Stage 2: SFA analysis Stage 3: DEA analysis • Input variables • Readjustment of output variables • Results on where does your organization stand related to others that are similar • Recommended performance measures to use • Recommended best practices to implement to achieve continuous improvement
Managerial inefficiency drivers • Funders • Funding concentration (i.e., number of funders) • Specific funder metrics and constraints • Specific initiatives run by countries • No import duties on pharma products • Free provision of reproductive health products • Flexible and robust reproductive health supply chain • Transportation improvement
Impact of this study (contributions) Create awareness of importance of collecting data Introduce new benchmarking technique to be used in different global health programs Introduce the culture of continuous improvement in global health delivery programs Discuss drawbacks/advantages of donor concentration Discuss several best practices implemented by countries
THANK YOU gemmabf@purdue.edu