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PMI: Presidents Malaria Initiative - Saving lives in Africa.

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PMI Supports Strengthening of Supply Chain Systems to Get Commodities Where They Are Needed

One of the major constraints to successful malaria control efforts is the ability to provide essential commodities when and where they are needed. In order to do this, National Malaria Control Programs (NMCPs) must maintain an effective supply chain so they are able to select the correct commodity, forecast needs, procure the correct quantity, and once these commodities are in country, manage their storage, distribution, and inventory. An effective supply chain must balance between overstocking, which can waste expensive commodities, and stockouts of essential medicines and other health supplies, which can result in increases in morbidity and mortality. For malaria prevention and treatment, maintaining adequate supplies of essential commodities can be a matter of life and death.

To ensure adequate stocks of antimalarial drugs and other commodities, PMI works with NMCPs to strengthen each link in their supply chain, from selection of the appropriate products to monitoring stocks on shelves in rural health clinics. The photos below are examples of supply chain management activities that PMI supports.

 

Photo: At Cotonou-Port, Benin, a soldier stands guard over shipping containers that hold 280,000 ITNs procured by PMI.  ITNs, like other essential malaria commodities, are expensive and require appropriate security measures at each stop of the supply chain. ITNs are also bulky and heavy, making them hard to store and transport.  (click here to see more) Photo: A supply of artemisinin-based combination therapies (ACTs) procured by PMI arrive in Sudan. ACTs are often shipped by air because they have a shelf life of only about two years and must be shipped, distributed, and used in a timely manner.   (click here to see more) Photo: A worker unloads bales of ITNs in the northern Ugandan district of Gulu. Each bale contains about 50 nets. PMI supports planning and distribution of nets through a variety of channels, including immunization and health campaigns, antenatal and child health clinics, and the commercial sector. (click here to see more) Photo: Boxes of ACTs are properly stored in the Salima District Hospital Pharmacy in Malawi.  To ensure the quality of drugs and other antimalarial supplies, pharmacy managers must maintain proper storage of commodities, which can include temperature and humidity controls, and even the correct arrangement of storerooms and shelves -- to follow the “first to expire, first out” policy.  PMI supports staff training and supervision on proper pharmaceutical management.  (click here to see more)
Photo: A worker reviews medicine stock cards at the Chainama Clinic in Lusaka, Zambia. Monitoring stocks of drugs is essential to avert shortages and overstocking, especially important for drugs like ACTs that are expensive and have a short shelf life. PMI supports training of pharmacy workers to carry out routine monitoring of drug supplies.    (click here to see more) Photo: Long-lasting ITNs are delivered by motorcycle to remote districts in Liberia during a door-to-door campaign, supported by PMI, in May 2009. (click here to see more) Photo: PMI project manager Meba Kagone (center) and Gabriel Thompson (right), from the NMCP, review household data with a community health worker in Bomi County, Liberia. During this door-to-door campaign, 172,000 nets were distributed in two counties. PMI works with NMCPs and other partners to improve systems for distributing and storing essential commodities. (click here to see more.) Photo: An effective supply chain is necessary to get commodities down to the last mile, in this case, the home of Mareme Diouf and her daughter in the village of Thiobe, Senegal. They were the beneficiaries of a long-lasting ITN provided through a PMI-supported mass distribution of ITNs.   (click here to see more)
 
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