Transcript Document

Myanmar Ministry of Health:
Reducing fragmentation in
supply chain management
Dr Maung Maung Than Htike
Deputy Director
International Health Division
Myanmar MOH
Agenda:
Background and challenges
Approach and vision
Progress to date
Next steps
Background and challenges
• Myanmar faced long standing sanctions
• Ministry of Health budgets increase exponentially
• Insufficient data and information to ensure higher
budgets are used to greatest effect
• Very little systems automation, infrastructure is old and
requires significant investment and many outdated SOPs
• National distribution system and procurement system
unable to cope with exponential growth in commodity
procurement
• Increasing numbers of donors and highly fragmented
vertical programs, all with their own physical supply
chains
Current major supply chains in the
Myanmar health system
Approach
• International Health Division; focal point for all
international support to MOH
• MOH developed decentralization strategy to overcome
information and infrastructure constraints. This devolved
budgets and procurement to lower levels
• MOH signed an MOU with the Supply Chain
Management System in 2013 for technical assistance to
develop strategic level coordination and collaboration
• MOH established a National Supply Chain Task Force to
coordinate the activities of all partners and programs
Progress to date
• First National Supply Chain Workshop in November 2013
attended by 137 MOH, donor and development partners
established a vision of a single national supply chain
• National Supply Chain Baseline Assessment in March
2014 qualified the state of national supply chains
• Procurement options analysis in May 2014 carried out by
SCMS and World Bank made recommendations for
refining decentralized procurement
• Second National Supply Chain Workshop in August 2014
developed a draft National Supply Chain Strategy
• MOH is committed to developing a national supply chain
master plan to harmonize systems and reduce complexity
Next steps
• MOH is starting a consultation process to finalize the
National Supply Chain Strategy and then develop
detailed implementation plans with costs
• MOH will continue to refine the decentralized
procurement approach with the objective of ensuring
the lowest level facilities in the system have the
medicines and commodities they need
• MOH will work with vertical programs and development
partners to reduce fragmentation, harmonize and
develop programs, especially towards achieving to goal
of becoming the Global Fund Principal Recipient
Thank you for your attention