Washington D.C., USA, 22-27 July 2012www.aids2012.org

Human Resources Reinforcement in Health Logistics:

A parternish betweenBurkina Faso’s Ministry of Health and the Bioforce

Institutefor a Performing Health Products Supply Chain

Dr. Arsène OUEDRAOGOPharmD, MSc FELTP

Director of Pharmaceutical Supply

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Burkina Faso’s Overall Profile

• Landlocked country (UEMOA)• 15, 730, 000 inhabitants (2010 – www.insd.bf)• Pop. < 15 year-old: 48% (2010) • Urban pop.: 26% • Poverty: 57% of pop. live with less than 1.25 USD per day• Malaria, HIV, TB, malnutrition, maternal and child mortality

• PNS (2011), PNDS II (2011-2020), Triennial Plan (2011-2012), PPN

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Context of the projet

International / Regional Context:• MDGs 4 (child health), 5 (maternal health), 6 (combat HIV/AIDS)• Existing initiatives: the People that Deliver Initiative, the Optimize

project (2020 Vision for Health), LOGIVAC, the Decade of Vaccines, the Maputo Declaration, the NUVI Call for Action, etc.

• WAHO: harmonizing member-countries’ job descriptions for health staff

National Context:• PNDS 2011-2020, Pharmaceutical strategic plan 2012-2016• Active member of the PtD Initiative (focus country, Board

member)• MoH’s National Health Human Resources Development Plan

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Sources de

Financement

Structure d'appro-

visionnement

1er point de stockage

2ème pointde stockage

Structure dispensatrice

CAMEG (Population)

USAID

Systèmes d'approvisionnement des produits pharmaceutiques au BURKINA FASO, Sept 2010

UNICEF

FNUAP

MEGContra-ceptifs

Autres Antipaludique

REACTIFS ACT

TB IO VACCINSDispositifsMédicaux

ARVsPed

ARVs

Fonds commun

Bailleurs multilatéraux

Bailleurs bilatéraux

ONG/Privé

CSPS

PATIENT

3ème pointde stockage

CM/CMACHR

GDF

CHU

UNITAID

ETAT DAF/MS

PROMACO

ONG/Association

CAMEG CHAIFournisseurs

privés DeliverGDF GFAOMS FNUAPUNICEF

CAMEG CNTSPNT central DSF centralPEV central

DGPML UNICEF Burkina

CAMEG Agences régionales DRS Dépôts district

Structures privées

PADS :BM, Fonds Mondial R8 Bill et Melinda Gates Pays-bas, AFD, ASDI

FNUAP, Etat

Dépôts district (DRD)

CRTS

CHR CHU

DLM

GAVI

Etat

CHU CHR CMA

Ministère de la SantéDu Burkina

Fonds Mondial

R6

(SP/CNLS-IST)

MSF

PLANBURKINA

OMS

MSF

MSF

Burkina Faso’s Health Supply ChainRapidly increasing health assistance from donors has been very beneficial but resulted in huge increases in the quantity, value and complexity of medicines and commodities flow

Washington D.C., USA, 22-27 July 2012www.aids2012.org

The HR Project in Health Logistics

Project Justification:– Numerous existing health programs require effective

logistics management for their implementation, to truly improve vulnerable populations’ health situation;

– Financial and material resources are few, which demands efficient/optimal management;

– Absence of health logisticians at all levels of the health system;

– Forecasted pharmaceutical spending (2010): 83.3 million USD

• Importations (99%)• 1 pharmacist/33, 000 inhabitants

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Situation of Importations: 1994 – 2010 (CIF value in million USD)

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Synoptic Project Sheet 1/3

• Period: 2012 – 2014• Overall goal: Contribute to the improvement of

maternal and child health (MCH) in Burkina Faso• Project purpose: Improve MCH products

supply management and equipment availability through the professionalization of actors in charge of logistics.

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Synoptic Project Sheet 2/3: Activities

• Activities linked to Outcome 1:– Awareness raising and involvement of key actors – Setting up and functioning of a Coordination Committee on health logistics

• Activities linked to Outcome 2:– Legal framework review and creation of the health logistician (HL) position– Creation and implementation of (pre-service and in-service) training programs

on the basis of existing curricula– Networking amongst the people trained via a health logistics professionals’

network• Activities linked to Outcome 3:

– Definition of acting HLs’ working environment and methodology in the pilot regions

– Identification and training of 25 in-office health agents to take on HL duties – Support to the purchase of equipment to make HLs operational– Implementation of activities by HLs, in accordance with the country’s health

objectives

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Synoptic Project Sheet 3/3

Expected outcomes:

1) Coordination of MCH products and equipment supply is improved

2) Human resources capacity in the health logistics chain is reinforced

3) The health system’s operational framework allows effective implementation of logistics activities in 3 pilot regions, including active participation to MCH programs

Estimated costs: 2, 440, 283 €

Washington D.C., USA, 22-27 July 2012www.aids2012.org

BeneficiariesDirect beneficiaries:• Burkina Faso’s health system / regional institutions: optimized coordination

in health products and equipment supply;• 35 trainers: reinforcement of their training capacities in health logistics;• 100 health logisticians: pre- and in-service training; • 25 in-office health agents: training on health logistics; • Regional partner-institutions (WAHO notably): a model of human resources

skills development in health logistics, which they could reproduce and adapt to other countries in the region.

 

Indirect Beneficiaries:• Burkina’ Faso’s population in general, and mothers and children in

particular (507, 968 under-five children; 1, 005, 937 women of childbearing age): extended access to health care and products;

• Health practitioners: improved working conditions;• The education sector: training capacity reinforcement.

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Je vous remercieTHANKS

AIDS: TURNING THE TIDE TOGETHER