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  • Pages
01 About
02 Framework
03 Process Steps
04 ASSESS
05 ASSESS: Prioritise and analyse KPIs
06 ASSESS: Three approaches
07 ASSESS: Refresh approach
08 ASSESS: Light review approach
09 ASSESS: Deep dive approach
10 ASSESS: Tools
11 ASSESS: Supply chain mapping tools
12 ASSESS: Geo-mapping tools
13 ASSESS: Reporting and dissemination
14 EVALUATE
15 EVALUATE: Vendor evaluation and selection
16 EVALUATE: 4 steps for optimal outsourcing
17 EVALUATE: In-country supply chain assessment
18 EVALUATE: External benchmarking
19 EVALUATE: Investment case model
20 EVALUATE: High-level vendor assessment matrix
21 EVALUATE: Examples of vendor evaluation
22 CONTRACT
23 CONTRACT: Critical success factors for contracting
24 CONTRACT: Nine-step contracting approach
25 CONTRACT: Templates and examples
26 IMPLEMENT
27 IMPLEMENT - 3 Steps
28 IMPLEMENT - Managing the transition process
29 IMPLEMENT - Peformance management tools
30 IMPLEMENT - Governance procedures
31 IMPLEMENT - Examples of successful outsourcing arrangements
32 Enabler Tools
33 POLICY
34 POLICY: Introduction to procurement policy
35 POLICY: Examples of effective policy tools
36 ADVOCACY AND GOVERNANCE
37 ADVOCACY AND GOVERNANCE: Stakeholder expectations
38 ADVOCACY AND GOVERNANCE: Guidelines for advocacy processes
39 ADVOCACY AND GOVERNANCE: Examples of governance structure and communication platforms
40 ADVOCACY AND GOVERNANCE: Example of logistic working groups
41 ADVOCACY AND GOVERNANCE: Example of supplier forums
42 PEOPLE
43 PEOPLE: Introduction and capability matrix
44 PEOPLE: Considerations across Process Steps
45 PEOPLE: Skills considerations
46 PEOPLE: Working conditions
47 PEOPLE: Motivation considerations
48 PEOPLE: UK Case study
49 TECHNOLOGY
50 TECHNOLOGY: Introduction
51 TECHNOLOGY: VAN
52 TECHNOLOGY: eLMIS
53 TECHNOLOGY: OpenLMIS
54 TECHNOLOGY: Logistimo
55 TECHNOLOGY: Stock Visibility System (SVS)
56 TECHNOLOGY: Route optimisation
57 CASE STUDIES
58 CASE STUDY: Zambia
59 CASE STUDY: Kenya
60 CASE STUDY: Uganda
61 CASE STUDY: Mozambique
62 Pharmacy toolkit
63 Pharmacy toolkit intro
64 Pharmacy toolkit case studies
65 Pharmacy toolkit framework
66 Pharmacy Assess
67 Pharmacy Evaluate
68 Pharmacy Contract
69 Pharmacy Implement
70 Pharmacy Enabler tools
71 Laboratory services toolkit
72 Laboratory services toolkit introduction
73 Laboratory services toolkit review
74 Laboratory services toolkit framework
75 Laboratory services: Assess
76 Laboratory services: Evaluate
77 Laboratory services: Contract
78 Laboratory services: Implement
79 Laboratory services: Enabler tools
80 Tool Index
81 Acknowledgements
82 CONTACT

Process Steps

1. Assess > 2. Evaluate > 3. Contract > 4. Implement

Enabler Tools

Policy | Advocacy and governance | People | Technology

Case Studies

OSTKonline, OSTK, outsourcing toolkit

Technology

Visibility and analytics network (VAN)

In this section you will learn:

  • What a VAN is
  • The three essential capabilities of a VAN

Introduction

VAN is a concept that provides end-to-end visibility of the entire supply chain. VAN is designed to ensure the availability of the right health commodities when and where they are needed. It provides end-to-end visibility of what happens and how well it happens (closed-loop) across the supply chain network. A VAN is founded on the principles of policy, process, technology and end-to-end visibility. These elements are grouped in a VAN blueprint.

The VAN is based on the control tower practice from the private sector. The private sector leverages the VAN concept to manage complex supply chains and reduce risks associated with shipment delays and cost overruns. By removing the risk of operating "blind" through the use of a control tower the private sector was able to proactively identify, mitigate and address supply chain-related issues. Research by Accenture1 shows that a control tower is a value driver due to its ability to assist with offering higher customer service at a lower cost. In many cases, private sector companies claim that the control tower concept, called VAN in the public health care sector, has produced enough savings in distribution costs to pay for themselves.

The VAN and supply chain management processes

The VAN utilises a team of highly skilled people for delivery, performs complex analytics to enable the right decision-making at the right time to ensure product availability and creates optimised holistic plans for the supply chain and makes proactive corrective action recommendations. In short, the VAN aims to make the supply chain more collaborative, aligned, agile, and demand-driven and can support outsourcing arrangements through full visibility of the supply chain and ensuring alignment with all engaged stakeholders.

VAN encompasses four key supply chain management processes:

  • Demand planning
  • Supply planning and inventory management
  • Distribution and transportation management
  • Cold chain management

Demand planning

Demand Planning is a multistep process to create a forecast (future demand) based on consumption patterns and inputs from health care experts/ facility representatives using statistical tools or a demand planning engine.

Supply planning and inventory management

Inventory management is a process to define the right inventory levels at various nodes within a supply chain network to minimise stock out, reduce wastage of material due to expiry and optimise investment in inventory and storage facilities as per the available budget. The process also involves the creation of replenishment order plans and the initiation of stock transfers. The supply planning process secures supplies to meet future projected demand. In case of a supply disruption, the supply planning process will inform all stakeholders and initiate inventory allocation/movement to manage risk.

Distribution and transportation management

Ensures the cost-effective storage and distribution of products between warehouses and health facilities while maintaining product potency. The Transport Planner creates a distribution plan based on replenishment order plans which are then executed by the warehouse. In case of any delayed or short/excess supply, an alert is sent to stakeholders and inventory movement is initiated with the help of inventory planners to avoid any stock situations. A root cause analysis identifies the reasons for exception and suggests corrective and preventive action. Products are stored at warehouse and health facilities as per the specified guidelines. The process includes management of third-party service providers, optimisation of resources and securing the supply chain.

Cold chain management

Cold chain management covers steps involved in storage and distribution of temperature-controlled drug.

The three essential capabilities of a VAN

The following three essential capabilities of VAN lead to improvements in the distribution of commodities to health facilities and patients.

1. End-to-end visibility

What is happening now? Integrated IT and data aggregation from multiple sources bring end-to-end supply chain visibility across health commodities and programmes.

2. Analytics and insight

Why is this happening? What could happen next? How could we improve? Data visualisation, business intelligence, and predictive modelling performed by a VAN team with specialised expertise.

3. Continuous improvement Let’s make it happen. Defined analytical processes create alerts, conditional actions, and workflows to internal and external recipients. Central government retains an oversight role and monitors long-run supply chain performance.

The VAN blueprint

VAN is supported by policies, people, processes and technology in a blueprint. The VAN blueprint (outlined below) guides implementation in public health sectors.

POLICY

  • Enabled with visibility of the end to end supply chain
  • Setup to deliver supply chain services to all programmes and tiers
  • Empowered to measure performance

The VAN is more than...

  • An improvement mechanism for one domain (procurement, warehousing)
  • A project to improve milestones/KPIs for one programme

TECHNOLOGY

  • Systems for data collection and aggregation that generate alerts and deliver actionable insight, with automation wherever possible

The VAN is more than...

  • New supply chain transactional systems for recording orders, shipments, budget etc.

PEOPLE

  • Team of expert professionals with unified and efficient governance
  • Team organised to aggregate tasks and speed up decision making
  • People trained on quantitative analysis of supply chain performance

The VAN is more than...

  • A new name for the existing roles that operate the supply chain

PROCESS

  • Data-driven processes that use analytical methods to plan, proactively respond and recommend continuous improvements that improve availability to beneficiaries

The VAN is more than...

  • Better standard operating procedures and improved adherence
  • Business process re-engineering of everything on the ‘world on a page’
  • One-off system redesign
NEXT: Explore Electronic Logistics Management Information Systems

About | Framework | Pharmacy toolkit | Laboratory services toolkit | Tool Index | Acknowledgements | Contact


Source: Accenture – Visibility & Analytics Networks (VAN) Project and Improving the Last Mile Supply Chain - How a Visibility & Analytics Network Can Improve Supply Chain Performance. March 2015.