Human Resource Capacity Assessment for Health Supply Chain .._1_

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Human Resource Capacity Assessment for Health Supply Chain .._1_ Powered By Docstoc
					Ethiopia Human Resource in
 Supply Chain Management

    Opportunities and Challenges

         Ribka Mekonnen
LMIS Advisor at Pharmaceutical Funds
        and Supply Agency
Country Background
       •Ethiopia is located in the North
       Eastern part of Africa
       •Area: 1,104,300 square kilometers
       •Total Population: 73.9 million (CSA
       •Least Urbanized: only16.4% of the
       population lives in Urban areas
       •Average size of household: 4.8
           Country Background
• Ethiopia is Decentralized country:
  -9 Administrative regional states
  -2 City Administrations
• Ethiopia's economy depends heavily on the
  agricultural sector
• National Health Expenditure 1.2 billion(07/08)
• Annual Pharmaceutical import : 6 billion birr
  (346,820,809 USD )
     Heath Administrative Structure
• FMoH, Regional Health Bureau, Zonal Health
  Department, Woreda /Sub city Health Offices, and
  health facilities
• Health problems are mainly preventable communicable
  diseases like malaria, TB
    -with high maternal and under five mortality
• The potential health service coverage is 89.6%
• Total number of existing health facilities
   üHealth Post: 15,095 (HSDP Annual performance report,
   üHealth Centers: 2,660
     Health staff to population ratio
Doctors to population ratio 1/14,662

Health officers to population ratio 1/63,785

Nurses to population ratio 1/4,725

Health extension workers to population ratio
Pharmacist to population ratio 1/42,000
         Health Care Delivery System:
           three-tier health system
            Hospital                        Tertiary level health care
            3.5 – 5.0

         General hospital            Secondary level health care
  (1000000-1500000) people
              Primary hospital
                   Health center
center                                               Primary level
                     15000-25000                      health care
40000                 Health post
      The Supply Chain System (1)
• The efforts to improve the overall pharmaceuticals
  management activity began with the MOH
  Pharmaceutical Logistics Master Plan (PLMP)
• The goal of the PLMP was to establish a single supply
  chain that will provide pharmaceuticals to all hospitals,
  health centers and health posts in Ethiopia
• The Pharmaceutical Funds and Supply Agency
  established in 2007
• The supply chain management is an integrated system
    The Supply Chain System (2)
• Three core processes of PFSA:
  – Forecasting and Capacity Building Core-Process
  – Pharmaceuticals Procurement Core-Process
  – Pharmaceuticals Storage and Distribution Core-Process
• Centralized Procurement and Forecasting
• 11 main and secondary branches to increase
  warehousing and distribution efficiency
• National Drug advisory committee responsible for
  drug selection at national level
      Staffing of the SCM System
• Pharmacists, druggists and pharmacy technicians at
  all levels of the supply chain system
• Nurses and other health professionals at health
       Purpose of the assessment
The overall purpose human resource capacity assessment
• To assess and document the state of Ethiopia’s human
  resource capacity in supply chain management and
  professionalization efforts in public health supply
• To identify professionalization efforts spearheaded by
  the Federal Ministry of Health and other partners, as
  well as areas of improvement for supply chain Human
  Resource capacity in Ethiopia.
    HR SC Components Evaluated
•   Powerful Constituencies
•   Policy and Plans
•   Workforce development
•   Performance Management
•   Professionalization
           Recommendations (1)
• More work should be put into sustainability of SCM
• Organizational as well as individual responsibilities
  need to be lean, clean and clear
• Focus on Pre-Service Training in all health schools
• Establish a minimum standard of knowledge and
  skills for people working at various levels of the
  supply chain especially storekeepers
        Recommendations (2)
• Introduce Supply Chain accreditation
• Qualifications should be developed with local
• Make SC courses easily accessible from
  Universities and Teaching Institution for
  staff in service 
 Thank You !!

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