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Consultancy at Global Health Supply Chain Tanzania (GHSC) November, 2022

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Consultancy at Global Health Supply Chain Tanzania (GHSC) November, 2022
GLOBAL HEALTH SUPPLY CHAIN PROGRAM TECHNICAL ASSISTANCE – TANZANIA
Consultancy – Opportunity

Statement of Work
Purpose: To develop an interim transition plan for CMS to articulate a priority road map for the semi-autonomous agency
Period of Performance: December 1st 2022 to January 20th, 2023(35days)
Place of Performance: Zanzibar
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Background
The
Zanzibar health care delivery system is divided into primary,
secondary, and tertiary healthcare services. While the management of
primary health care services was devolved to the Local Government, this
government system came to an end by July 2021. Subsequently, all
primary, secondary, and tertiary health care services will fall under
the Central Government managed by the Ministry of Health (MoH). Supply
of essential medicines, reagents, and equipment is through the Zanzibar
Health Commodity Supply Chain (ZHCSC) which integrates several
institutions including institutions outside the health facilities
themselves. The supply chain is supported by an Electronic Logistics
Management Information System (eLMIS), which provides logistics
management information necessary for effective decision-making. It is
based on a system of records and reports on health commodity supply and
consumption that are digitally maintained. The system is hitherto
managed centrally by the MoH. The main role of CMS is to stock and
supply essential medicines based on needs. The eLMIS supports key
decision-making for the needs and order of medicines by making available
information on stock and consumption patterns of medicines covering all
the health facilities. The Procurement Unit in MoH does the procurement
on requirements lodged by CMS through the Chief Pharmacist.

The
Central Medical store is one of the institutions of the Ministry of
Health Zanzibar responsible for promoting healthcare delivery by
ensuring access to essential medicines and quality supplies needed to
meet the needs of the people through health centers, territories,
regions, and appeals. Before 2011 the Central Medical Stores was a unit
under the Chief Pharmacist’s Office. In 2011 it was given the status of a
department with two warehouses in Maruhubi (Unguja)and Micheweni
(Pemba).

Currently, the CMS is responsible for receiving,
storing, and distributing essential medicines, medical devices,
laboratory diagnostic, and radiation diagnostic equipment as well as
supplying various information on the use of medicines for assisting the
Government to provide appropriate decisions.

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The
CMS has four divisions which are Customer service, Quality Control
(Quality Assurance), Procurement and medication Management, and
administration and finance.

While the HSCR found notable
strengths, it also indicated that there is room for improvement in a few
areas. The supply chain’s inadequate effectiveness and efficiency of
the Central Medical Stores have become more significant recently,
leading to a decline in the system’s performance. Some of the
contributors to this decline have included broader health sector
changes, including unintended consequences from decentralization within
the health sector, local efforts to increase the involvement of the
private pharmaceutical sector, and persistent underfunding due to
internal system payment problems.

A central institution in the
Supply Chain is CMS, an organization with responsibility for the storage
and supply of health commodities. The Zanzibar Medicines Policy
Implementation Plan 2016-2021 states, “Procurement of all pharmaceutical
supplies for the public sector is handled through the Ministry of
Health Procurement Unit, but in future will be carried out by CMS”.
Being such a central organization in the supply of health commodities
and in line with the magnitude of its mandate, CMS needs to be run in
such a way that it is effective and efficient. It needs to be able to
make rapid decisions, respond to needs and adapt accordingly. There is a
need for this organization to be transformed into an effective and
efficient organization to effectively provide the required support to
the Supply Chain. This can be achieved if this current Department in MoH
is set up as a semi-autonomous institution.

In December 2019,
the MOH requested support from USAID to conduct the Holistic Supply
chain Review (HSCR) of the public health sector supply chain. HSCR aimed
to perform an end-to-end review of the health commodities supply chain
in Zanzibar and propose viable options (priorities) to invest in and
improve the performance of the supply chain. The MOH and GHSC-TA-TZ
worked together to plan the review, and the review was conducted from
March to September 2021.
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Recognizing
these challenges, in late 2021, the Ministry of Health decided to
address the supply chain situation through the transformation of the CMS
to become a semi-autonomous department with a full mandate to produce,
procure, store, and distribute health commodities. The MOH submitted the
draft bill to establish the CMS semi-autonomous to Balaza la
Wawakilishi (BLW)for legislative proceedings.

Purpose:
Develop
the interim transition plan to assist the transformation of the CMS
into an effective and efficient semi-autonomous supply chain
institution. The Transition plan intends to provide a set of guiding
policies and interventions, along with corresponding implementation
activities, to address the priority road maps required to achieve the
semi-autonomous status of the CMS.

Objectives:

  • Review progress and identify and execute key steps to ensure the plan’s successful completion.
  • Conduct
    a Strategic workshop to develop the transition plan (define the
    roadmap, vision, principles, and strategic interventions) required to
    form a semi-autonomous CMS for the public sector’s supply chain.
  • Identify
    desired objectives and best practices, and strategic interventions for
    implementation of the transition plan to achieve semi-autonomous
  • Conduct
    Business Process Mapping to identify result areas, key activities for
    effecting coordination and informing the development of HR capacity and
    role profiles at CMS during the transition
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Activities

  • Develop and present an inception report
  • Conduct desk review of reports on previous work on CMS governance structures and business mandate
  • Develop
    the transition plan with a defined roadmap, vision, principles, and
    strategic interventions required to form a semi-autonomous CMS for the
    public sector’s supply chain

A) Develop methods and tools for
tracking the progress implementation of the interim transition
planPresent preliminary interim transition plan to CMS/MOH

  • Prepare a final interim transition plan and report with recommenda­tions
  • Schedule and conduct planning and meetings with CMS and other key supply chain stakeholders as needed.

Deliverables/Outputs

  • An interim transition plan to achieve CMS semi-autonomous
  • PowerPoint presentation of the Interim transition plan

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Travel
There will be travel to Zanzibar for both consultant and project staff.

MODE OF APPLICATION:
If you are interested in applying this position please send your resume, cover letter to ghsc.recruitmenttz@gmail.com.
Deadline 21st November, 2022.


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