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  1. Optimize.WHO
  2. Supply chain and logistics
  3. Wednesday, 24 February 2010
Tunisia to demonstrate innovative supply chain solutions for the futureby Patrick Lydon and Ibrahim Abdel Rahim, WHO A new era of immunization supply systems officially got under way on Friday, January 22, 2010, in Tunis, when the Ministry of Public Health, the World Health Organization (WHO), and Project Optimize formally signed a cooperative agreement. The three-year project, with a budget of US$1.75 million, will focus on five key intervention areas: 1. Demonstrate the benefits of streamlining and integrating the supply chains for vaccines, drugs, and other temperature-sensitive products between national and regional levels. 2. Demonstrate the benefits of a "Zero Energy Cost Supply Chain" below the regional level by using solar energy to generate and feed into the grid the equivalent amount of the energy required for warehousing and transportation (using electric vehicles). 3. Modernize and improve the information systems that accompany the streamlining and integration solutions listed above. 4. Develop case studies on private-sector supply chains for vaccines and understand the role the private sector might play in the future. 5. Establish policies that promote adoption and scale-up of successful Optimize interventions in Tunisia (and, where applicable, in the Eastern Mediterranean Region) and develop a national long-term vision describing how vaccine supply systems will evolve to overcome future challenges. Ultimately, Tunisia envisions a vaccine supply chain that: Is part of a single, streamlined, and integrated health supply chain supported by a rationalized and modernized health information system. In this vision, the central medical store will be responsible for the procurement, storage, and distribution of all health commodities (vaccines and temperature-sensitive products and drugs) from the national level down to regional stores via decentralized inter-regional stores. The vision is that such a supply chain system will bring efficiencies in procurement, supply, storage, distribution, stock management, and quality of services at a lower overall cost to the system. It will also increase the responsiveness of the health supply chain to routine and emergency requests (e.g., H1N1) and prepare the system for the introduction of new larger-volume higher-cost vaccines and pharmaceuticals. Uses renewable energy sources in subnational segments of the supply chain for health products that require the cold chain. In other words, all the energy requirements for regional and district stores and for the transportation of health products down to health centers would be supplied by the sun. Increases and regulates the role of the private sector in future health commodity supply to ensure that the "six rights" are respected: right products, right quantities, right places, right times, right conditions, and at the right costs.WHO and PATH are very pleased to be collaborating with the Government of Tunisia on the Optimize project and look forward to working with the motivated, visionary, and creative Tunisian team. We invite you to comment on or post a question relating to this article by clicking the "post reply" button on this page. You will have to log in or register the process is very simple. Return to the Optimize newsletter.
Omesh K. Bharti Accepted Answer
Dear Moderator, It is important to include private sector for immunization but the cost should be borne by the government as like in India many areas that are inaccessible and there the private sector is approached by the poor as well. In doing this the vaccines can be supplied by the government alongwith the ILR or cold chain equipment and a board displaying that " Vaccination is done free here" need to be there for all to know. Thanks, Dr. Omesh Kumar BhartiM.B.B.S.,D.H.M.,M.A.E.(Epidemiology) Directorate of Health Safety and Regulation,Himachal Pradesh+91-9418120302 [][/email]; [email][/email] --- On Mon, 1/3/10, mojtaba05 wrote:
  1. more than a month ago
  2. Supply chain and logistics
  3. # 1
Mojtaba Haghgou Accepted Answer
The article provided good news and both EMRO and Project Optimize should be congratulated for selecting Tunisia for this important activity. Having worked in Tunisia, knowing the situation and their seriousness, I am certain that the result will be significant and the finding will be replicable and useful for other countries. I am also pleased to understand that the role of private sector in supply chain has been considered. However, in my opinion, the increasing role of the private sector in providing immunization services should also be included into the project. Tunisia has a strong pediatric association and undoubtedly they provide a big chunk of immunization particularly in large urban areas. The recent experience in Syria showed the importance of this sector in regard to vaccination programs. Tunisia is not an exception. Private sectors providing immunization services are increasing in Iran, Egypt, and the Gulf Countries and to a smaller extent in Pakistan too. In Syria, it is estimated that from 10 to 15% of total immunization is provided by private physicians particularly by pediatricians. My feeling is that Tunisian private sector must be more active in regard to provison of vaccination services. In Syria, private physicians purchase vaccines from pharmacies belong to Ministry of Health. The price of vaccines purchased from MOH pharmacies is high, on average as high as US $ 10 per dose. Unverified information indicates that the private physicians charge up to US $ 30 for each immunization when the bulk of immunization provided by the MOH is free of charge. The unanswered question in Syria was whether private physicians were aware of the VVM function or not. I hope the project includes the role of private sector in Tunisia, provides answers to these questions and addresses the efficiency and effectiveness of the private sector’s network of vaccination. I also would like to bring to your attention that EPI Tunisia was aware of theVaccination Supplies Stock Management (VSSM) computer tool originally designed by Eastern Mediterranean Regional Office and in some stage were interested to use it as their standard tool for the national and provincial stores. Version 4.5 of VSSM is now ready for use and it is translated into French and Arabic. VSSM provides possibility of management of all supplies (injection equipment, cold chain equipment, all types of pharmaceuticals) and supports bundling of all supplies with vaccines. Since one of the objectives of the project is to modernize the information system in Tunisia, I suggest considering the use of VSSM in Tunisia and to further prove its utility and suitability and to probe its further expansion and development through the activities of this project. Mojtaba Haghgou
  1. more than a month ago
  2. Supply chain and logistics
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