GAVI Study – Outsourcing the Distribution Component of Vaccine and Medicine Supply Chains (2016)

Many government supply chains operate with limited transport capacity, which limits their ability to make last mile deliveries, and results in health workers collecting commodities from the next tier in the supply chain. Outsourcing is often used as a means to improve efficiencies, access new capabilities or access additional capacity, which has yielded successful results in some cases. Outsourcing is also an option when financing for an asset is not available which this is becoming an increasingly important issue now as donors are reluctant to pay for warehouses and trucks for Central Medical Stores (CMS).

This report focuses on how to outsource the physical distribution of vaccines and medical products to a private sector Logistics Service Provider (LSP) in sub-Saharan Africa. It analyses existing approaches to outsourcing, the challenges encountered and lessons learned. A number of outsourcing examples have been identified within the focus countries of Uganda, Zambia, Mozambique, Senegal, Nigeria, Ghana, Kenya, Tanzania and Malawi. These primarily focus on the distribution of ambient medical products, and incorporate many elements of vertical supply chains such as those part of the government operated CMS supply chain. There are just two examples of outsourced vaccine logistics that have been identified, a public private partnership in South Africa, and one in Nigeria.

The framework has been designed specifically to assist government operated CMS vaccine and medical supply chains in outsourcing distribution services. The report uses templates and documents to describe how to manage an outsourcing in a structured manner.  It also includes a practical toolkit to assist government operated CMS vaccine and medical supply chains in the outsourcing of distribution services. The Outsourcing Framework begins with a list of considerations for outsourcing and explains the process from creating a project plan and RFP, through contracting to implementation and business as usual.

Please click below to download the full report.

GAVI Study – Outsourcing the Distribution Component of Vaccine and Medicine Supply Chains

Many government supply chains operate with limited transport capacity, which limits their ability to make last mile deliveries, and results in health workers collecting commodities from the next tier in the supply chain. Outsourcing is often used as a means to improve efficiencies, access new capabilities or access additional capacity, which has yielded successful results in some cases. Outsourcing is also an option when financing for an asset is not available which this is becoming an increasingly important issue now as donors are reluctant to pay for warehouses and trucks for Central Medical Stores (CMS).

This report focuses on how to outsource the physical distribution of vaccines and medical products to a private sector Logistics Service Provider (LSP) in sub-Saharan Africa. It analyses existing approaches to outsourcing, the challenges encountered and lessons learned. A number of outsourcing examples have been identified within the focus countries of Uganda, Zambia, Mozambique, Senegal, Nigeria, Ghana, Kenya, Tanzania and Malawi. These primarily focus on the distribution of ambient medical products, and incorporate many elements of vertical supply chains such as those part of the government operated CMS supply chain. There are just two examples of outsourced vaccine logistics that have been identified, a public private partnership in South Africa, and one in Nigeria.

The framework has been designed specifically to assist government operated CMS vaccine and medical supply chains in outsourcing distribution services. The report uses templates and documents to describe how to manage an outsourcing in a structured manner.  It also includes a practical toolkit to assist government operated CMS vaccine and medical supply chains in the outsourcing of distribution services. The Outsourcing Framework begins with a list of considerations for outsourcing and explains the process from creating a project plan and RFP, through contracting to implementation and business as usual.

Please click below to download the full report.

A Manual for Motorcycle and Three-Wheeler Taxi Associations: Guidance on Setting-Up an Association and the Association’s Responsibilities to its Members

The findings, on which this manual is based, stem from the 2018 DfID-funded research carried out in Ghana, Tanzania, Uganda and Kenya on the use of motorcycle and three-wheeler taxis in rural contexts. A key recommendation, among others, is that motorcycle and three-wheeler taxi riders should belong to a registered association.

This Tanzania-focused manual is intended to offer guidance and advice to motorcycle and three-wheeler associations as well as their members, in an effort to support and facilitate riders to access training, encourage safer riding, and ensure overall efficiency of operations from set up and structure, to customer care and vehicle maintenance.

To read this manual, please click here.

Instructor’s Manual for the Competency based Curriculum for Training Motorcycle and Tricycle Riders with emphasis on Motorcycle Taxi (Boda Boda) Riders

Motorcycle (boda boda) and motor tricycle (bajaji) taxis are an increasingly utilised form of commercial transport in both urban and rural Africa and beyond. With this new rise of commercial vehicles on the road, issues of safety and riders’ competency have been of real concern; calling for stricter regulation and standards of training. In 2015 through funding from the Africa Community Access Partnership (AfCAP), the Tanzanian Surface and Marine Transport Regulatory Authority (SUMATRA) worked with Transaid to develop a competence based curriculum for motorcycle taxis and tricycles to address these needs.

An Instructor’s Manual, again through AfCAP funding, has recently been developed by Transaid and endorsed by SUMATRA, complementing the existing competence based curriculum. The combination of the curriculum and manual is now expected to improve and standardise the quality of training in Tanzania and enable a large number of training schools to offer effective training to riders. This is particularly relevant now, given the growing dependency on these means of transportation. This Instructor’s Manual is meant to support the work of competence based training institutions, as well as to promote comprehensive good practice for this emerging sub-sector.

To read this manual, please click below.

Vehicle Logbook [Arabic version]

This Logbook is to be used to gather quantitative data to assist senior management to make informed decisions. Data gathered includes distance travelled via odometer readings, number of loading points, number of drivers driving hours and project activity. This data can then be used to produce a series of Key Performance Indicators (KPIs), using simple calculations, such as vehicle availability and on time deliveries and more.

Click below to download this tool.

RS56. Session plans on how to run a Train the Trainer course using adult learning principles

The following tools are a set of session plans that provide information on how to conduct a three day Train the Trainers course.  Each session plan has an outline of the methodologies and activities that can be used to help participants develop their confidence, knowledge and ability to run participative training events.   The sessions themselves are participative so as to also practically demonstrate that it is possible to undertake training without the use of lots of PowerPoints and are based on the best principles of how adults learn best.

Transport Management Systems Manual

This manual comprises a self-directed course on managing sustainable, cost-effective transport management systems for Ministries of Health and other organizations implementing public health programs. It is to be used by local managers of public health services.

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3PL Capacity Assessment Tool

This tool should be used to enable national medical stores to assess the capacity and experience of Third Party Logistics providers. This tool is most useful when 3PLs also are able to provide client references to show examples of the nature and scale of their existing contracts, and the degree to which they are delivering against agreed service levels. The tool was recently used during Transaid’s trip to Sudan, to assess the cost effectiveness and operational performance of the outsourced transport provider used by the National Medical Stores Fund (NMSF). During the visit the Transaid Team also reviewed NMSF’s in-house fleet management and met with representatives of the new Abdel¬hamid Ibrahim Training Center  to discuss and provide transport-specific training content.

The tool was used to undertake an assessment of NMSF’s main transport provider, Suda-Post, in their role of delivering medicines from the NMSF warehouses in Khartoum to regional stores in each state. It was used to review Suda-post’s fleet size and the number of drivers dedicated to NMSF’s operations, the level of transport training provided for staff, the rigour of their Key Performance Indicator data, and there service provision including reporting and proof of delivery tracking. Ultimately this assessment identified a number of areas for operational improvement, albeit with a recognition that the Suda-Post and NMSF teams are clearly dedicated and professional albeit with some resources challenges.

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Transaid presentation at Regional Road Safety Seminar in Tanzania (13-14 March, 2017)

This seminar brought together different stakeholders in the transport industry including the International Road Federation (IRF) Geneva, in partnership with the Tanzania Ministry or Works, Transport & Communications to help improve the understanding of road safety initiatives taking place in Tanzania and the wider region and to share best practice.

T22. Trip Request Form

This tool is to be used when an individual requests the use of a health vehicle in order to keep track of the trips made by the vehicle and the purpose of these trips, and also to record any trips which were not possible because of insufficient vehicle availability.

T20. Accident Report Form

This tool is to be used as a means of reporting accidents and should be used as part of the overall management of a vehicle fleet.