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The 5th Global Health Supply Chain Summit
Supply & Logistics Internal Control
Evaluation (SLICE)
Alan Fowler, CPA, CIA, CFE
[SPEAKERS NAMES]
November
14 -16, 2012[DATE]
Kigali, Rwanda
Multiple partners and tools were involved
in the development of SLICE
Partner
Organizations
 WHO Assessment
Instrument
Government
 DELIVER Guidelines
 DELIVER Assessment
Tools
 WHO Good Procurement
 WHO Good Storage
 World Bank Toolkits
 DELIVER Assessment
Reports
Deloitte
 Deloitte Supply Chain
Center of Excellence
(CoE)
 Deloitte Risk and Control
Knowledge Database
 Secure DISC (Deloitte
Integrated Supply Chain)
Toolkit
 USAID Assessment
Reports
 Deloitte Fraud Risk
Assessments
 EUV Tools
SLICE
Several supply chain points can be
evaluated using SLICE
Control
Environment
Port Clearing
Transportation
Monitoring &
Evaluation
People
STAR Reconciliations
STAR Tool Example
• By comparing shipping records from one facility to
receiving records at the next level, the tool highlights:
– Facilities with losses
– Specific commodities which went missing
– Supply chain levels and geographies with the greatest risk
Central
District
Depot 1
No Loss
Depot 2
No Loss
~917,000
Presentations
Distributed
1/2010 –
5/2011
Depot 3
Loss
Depot 4
No Loss
Clinic
Health Post
Loss
Hospital 2
No Loss
Clinic 1
No Loss
Clinic 2
Loss
Mission
No Loss
Data can be analyzed by geography and
commodity in a variety of ways
Geographic Analysis of Inventory Loss
Unaccounted for Commodities by Type
Improved transparency and metrics to
support decision-making
Risks
Results
• Inefficient warehouse and
distribution operations
• Non-compliant financial
management
• Lack of performance
management
• Reduced process time by 24% in
the warehouse receiving
department
• Improved average on-time
delivery by 16%
• Increased compliance of financial
management processes against
international standards
• Improved transportation reliability
by 33% through carrier
compliance initiatives
Strategy
People
Process
Technology