Malaria Control and Elimination - Supply Chain Management

Supply Chain Management in Equatorial Guinea

In Equatorial Guinea, previously under the Bioko Island Malaria Control Project (BIMCP) and now under the Bioko Island Malaria Elimination Project (BIMEP), MCDI procures and manages malaria supplies for the National Malaria Control Program following international guidelines; these supplies include ACTs (Artesunate + Amodiaquine) and Quinine for the treatment of uncomplicated and severe malaria, Sulfadoxine-Pyrimethamine (SP) for prevention of malaria in pregnancy, microscopes and reagents for facilities with laboratories, and Rapid Diagnostic Tests (RDTs) for those without.

The BIMEP has developed and implemented systems for international procurement, involving: shipment to Equatorial Guinea; storage (in BIMEP warehouses); inventory management (using an Excel-based software program called Malaria Inventory and Supply Management - MISM), which includes calculation of reorder points) and regular rounds of distribution to health facilities.

Supplies are procured from registered vendors, based on international competitive bidding and following quality controls ensuring compliance with international standards and ensuring that labeling and instructions are in local language. Medicines are stored in the BIMEP warehouses under temperature-regulated conditions, with stock controls and security measures. The distribution is conducted by the project via monthly distribution rounds to all Government and participating private health facilities to monitor leakages.

Health facilities are re-stocked based on a physical check of their inventories and verification of expiration dates. Health facility records (patient registers and prescription forms) are checked to ensure consistency with the consumption of antimalarial treatments. RDT consumption is monitored through laboratory registers at hospitals and health centers and through other registers at health posts. Health facility staff are trained in the usage of the MISM to support recordkeeping and in the use of the “first expiry, first out” system, to ensure that no products are used beyond their expiration dates. Stock-outs, previously common, are now extremely rare at all public health facilities.

Supply Chain Management in Benin

In Benin, since the beginning of ARM3 Project Year 5, MCDI assumed the lead role of supply chain management, including the quantification of ACTs and malaria related supplies, conducting supervision of stock management personnel at health facilities, ensuring logistical data quality assurance (QA), implementing End User Verification surveys and providing technical assistance to the NMCP to solve key problems contributing to stock-outs.

MCDI worked with the National Malaria Control Program to develop "100% supervision," in-service training and mentoring at public and registered private health facilities. Monthly supervisory visits focus on skills in stock management as well as reporting and use of data for decision-making. Pharmacy and logistics experts from the NMCP, USAID/Benin, and ARM3 presented the commodity pool and “100% supervision” at the Global Health Supply Chain Summit in Tanzania in 2016. International judges recognized this work with a global prize for innovation.

Read more about ARM3's accomplishments in improving supply chain management for malaria commodities in Benin.

Supply Chain Management in Gabon

One of the goals of MCDI's integrated maternal and neonatal survival project in Gabon is to improve the supply chain for malaria and HIV commodities to Nyanga Province, one of Gabon's most rural provinces. This includes diagnostic testing for malaria and HIV, bed nets, IPTp medicine, antiretroviral treatments and supplies for antenatal care clinics. MCDI is using its knowledge from Equatorial Guinea and Benin to rapidly improve the local health supply chain management systems by working with Gabon's Ministry of Health.