Online Program

Economic evaluation of public health supply chains in three African countries

Wednesday, November 4, 2015 : 8:30 a.m. - 8:50 a.m.

James Rosen, USAID | DELIVER PROJECT, Avenir Health, Glastonbury, CT
Joseph McCord, USAID | DELIVER PROJECT, John Snow, Inc., Arlington, VA
Cary Spisak, USAID | DELIVER PROJECT, John Snow, Inc, Arlington, VA
Julia Bem, USAID | DELIVER PROJECT, John Snow, Inc., Arlington, VA
Noela Kisoka, Systems Strengthening, John Snow Inc., Dar es Salaam, Tanzania
Marasi Mwencha, John Snow, Inc, Arlington, VA
Noel Watson, MA, PhD, OPSMEND, Medford, MA
Suzy Sacher, MPH, John Snow, Inc., Arlington, VA
Decision makers in developing countries must continually choose between different courses of action as they pursue public health goals. Among their most critical choices is how best to strengthen contraceptive and other commodity supply chains. Economic evaluation—studies that compare the costs and consequences of alternative supply chain investments—can be an important decision tool. The USAID | DELIVER PROJECT developed a framework for applying principles of economic evaluation to public health supply chains. Using this framework, the project designed and conducted supply chain economic analysis in three countries. In Nigeria, an experiment in 2013-14 compared the cost-effectiveness of a vendor managed inventory approach to delivering contraceptives and other public health commodities to other, traditional supply chain designs. The vendor-managed inventory approach was almost as cost effective as one other existing distribution system; it was more cost effective than two other systems. In Tanzania, a 2013-15 study employed cost-effectiveness and cost-benefit analysis to examine the impact of upgrading contraceptive and other supply management systems, including shifting from a paper-based to an electronic logistics management information system. In Zimbabwe in2014-15, cost-effectiveness analysis examined the impact of merging four separate distribution systems—including one focused on contraceptive supply--into a single, integrated management and distribution model. The presentation will describe the methods and results of each study. The studies in Tanzania and Zimbabwe are ongoing, with baseline data captured and analyzed in 2013 and 2014. End line data collection will occur in March-June 2015, with results expected by July 2015.

Learning Areas:

Biostatistics, economics
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Discuss the merits of supply chain economic evaluation and when it makes sense to use this tool as part of investment decisionmaking Identify three different types of supply chain economic evaluation Describe how principles of supply chain economic evaluation were applied in three countries in Africa

Keyword(s): Economic Analysis, Public Health Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: For the last 8 years, I have worked on the USAID | DELIVER PROJECT. The USAID | DELIVER PROJECT, in partnership with ministries of health and other organizations, improves health outcomes in developing countries by increasing the availability of health supplies. We do this through developing and implementing logistics solutions and building sustainable capacity. My focus on the project has been largely on monitoring and evaluation and health financing.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.