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CLICK TO ADD TITLE The 5th Global Health Supply Chain Summit November 18 -20, 2013Addis Ababa, Ethiopia Warehouse in a Box Project Arno Haigh [SPEAKERS NAMES] [DATE]

Warehouse-in-a-Box - Background In 2010, the Government of Tanzania (GoT) and USAID discussed the country’s chronic lack of supply chain infrastructure. These included - • Limited storage space. • Lack of quality storage facilities impacting GoT’s ability to provide access to health commodities and services to patients. • Poorly constructed, maintained or managed facilities putting products at risk of damage , diversion or expiry. USAID, through implementing partner SCMS, proposed to the GoT an unprecedented project to install pre-fabricated warehousing units (warehouse-in-a-box or WiB) in three initial locations in Tanzania.

Warehouse-in-a-Box - Background Further collaboration with the Global Fund has seen the authorization of two additional warehouses and the extension of the original 3 warehouse units. Imperial Health Sciences (IHS) were appointed the sub-contractor by SCMS to manage and deliver the WiB projects.

Warehouse-in-a-Box – What is a WiB? • The WiB facilities is a turnkey solution which includes: • Infrastructure • Equipment • Skills transfer for rapid erection of a fully functional , ready-to-use , pharmaceutical warehouse and operational service • WIB comprises of pre-engineered modular components and fittings that can be erected quickly and easily and can be fully maintained and operated by local personnel • Long term scalability is made possible through the modular design , which is readily adjustable to encompass future growth demands

Warehouse-in-a-Box – What is a WiB? • The design and the configuration of all warehouse modules are based on fundamental process flows , providing a replicable and scalable solution • Standards and operational benchmarks are aligned with International Supply Chain Principles • WIB includes all required Materials Handling Storage & Equipment (racking, forklifts, cages, conveyors, pallet-jacks) • All office and security equipment • A complete set of ISO-certified SOP’s to ensure warehouse staff adhered to International Best Practices • On the job staff training • Post installation audit

Warehouse-in-a-Box – Schedule of Facilities of GoT • Below is a schedule of the facilities, the sizes , pallet locations and dates of completion for the Tanzania WiB project:

Warehouse-in-a-Box – What are the steps in installing a WiB? Macro Phases Phase 1: Groundwork Foundation and Substructure Phase 2: Civil Works Phase 3: Assembly of Steel Structure and Insulated Panels Phase 4: Kitting Phase 5: Training Result: Full kitted and operational warehouse A suitable size of land needs to made available Secure utilities & services ( water & electricity)

Warehouse-in-a-Box – What are the steps in installing a WiB? • Phase 1: Groundwork Foundation and Substructure • Review the selection of land to ensure that the site is suitable for the installation of the WiB • Determine scope of work for column foundations , compacting of ground, pouring of concrete slab , drainage , sewerage and electrical connections • Phase 2: Civil Works • Selection of In-Country engineers and civil contractor • Developing and issuing of building plans for issuing to local authorities • Preparing the site for the assembly of the WiB by installing temporary facilities such as water and electricity and site office

Warehouse-in-a-Box – What are the steps in installing a WiB? • Phase 3: Assembly • Steel structure • Insulated Cladding • Roof • Phase 4: Kitting • Air – Conditioning • Steel Pallet Racking • Materials Handling ( MHE) equipment • Generator • Lighting • Fridge • Offices , Security Control Room & Ablutions

Warehouse-in-a-Box – What are the steps in installing a WiB? • Phase 5: Training • Consists of three modules: • Supply Chain Management • Quality Assurance • Warehouse Operations Management • Project Management by Imperial Health Sciences – IHS. • Comprehensive Project Plan • Risk Matrix • Project task list • Communication plan • Project Charter • Weekly Dash Board • Quarterly Reports

Warehouse-in-a-Box – Architectural View

Warehouse-in-a-Box – Photographic display of Phases 2: Foundations and stud columns 3: Installation of steel frame 1: Site selection 4: Application of cladding to steel frame 5: Concrete Slab

Warehouse-in-a-Box – Photographic display of Phases 8: Completed pre-fabricated warehouse 6: Completed warehouse shell 7: Installation of kitting

Warehouse-in-a-Box – Training Programme • The comprehensive training programme involves: • Quality management systems aligned to the operation. • Full set of customized Standard Operating Procedures – SOP’s • Operational training on all processes • Job description creation, organogram and warehouse mapping • MHE training and licensing • Health & Safety training • Security training and evaluation for the site and operation • WHO – Good Warehousing Practice ( GWP) training

Warehouse-in-a-Box – Training Programme • Check lists and self-audit program for continuous improvement • Procurement overview • Distribution and chain of custody training • Commissioning & training on all key equipment installations including maintenance requirements and local supplier/service identification: • Racking • Air – Conditioning • Generator • MHE • General maintenance of the site and housekeeping

Warehouse-in-a-Box - Pictorial Keko

Warehouse-in-a-Box - Pictorial Mbeya

Warehouse-in-a-Box - Pictorial Dodoma

Warehouse-in-a-Box – Lessons Learnt • Significant commitment from all stakeholders - WiB projects are time and resource-intensive and require collaboration and coordination of committed stakeholders • Government collaboration - a WiB project consists of activities such as land identification, environmental impact assessment, availability of municipal facilities and approval (water, electricity, building inspection), groundwork's, installation, kitting and staff training • Project Management Team (PMT) - without collective Political Will of stakeholders, such an ambitious project would be not be successful

Warehouse-in-a-Box – Proven Results • These donated WiB’s incur no monthly rental costs to GoT, saving about $1 million per annum in rental costs. The overall payback period of rental savings versus the warehouse cost is about 3.5 years. Final cost savings are estimated to exceed $3 million • Pallet positions available before were 12400 positions in 2009. Positions have tripled to 36629 representing a 195% increase in capacity with only a 60% increase in area • To ensure that the potential from the new warehouses is fully achieved , 440 GoT (MSD) warehouse personnel have been certified after attending training courses offered through the WiB roll-out

Warehouse-in-a-Box – Pending Projects • Other WiB projects are currently under discussion with SCMS countries: • Nigeria – two WiB facilities • Democratic Republic of Congo – one facility • Rwanda – one facility • Cote D’Ivoire – one facility

Thank you – Arno Haigh

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