Manager - People that Deliver

Manager - People that Deliver

THE IMPORTANCE OFPROFESSIONALISING THELOGISTICIAN’S ROLE IN AFRICAProfessionalisation of Supply Chain ManagementGlobal Positioning & Harmonisation Conference28-29 June, WHO/GenevaDr Avocksouma Djona, WHO AFRO/HRHAvocksouma-June 2011 1

Overview• Scale of the shortage in healthprofessionals• Challenges• The logistician’s environment• Professionalisation• Expected profile• Background and outlookAvocksouma-June 2011 2

Scale of the shortage• Deficit: over 4 million professionals,doctors, nurses and midwives:• 2.4 million overall• 1.3 million for the African region• Sub-Saharan Africa:• 11% of the world’s population• 24% of the disease burden• 3% of health professionals• 1.49% of all doctors; 4.18% of all registered nurses andmidwives•

Challenges (1)Implementing Primary Health Servicesrequires:• Including logistics operations in theorganisational chart of the health sector• Revising the curricula of staff membersthat are required to handle logisticsoperations• Creating a specific network for logisticsmanagers• Addressing cross-functionality concernsAvocksouma-June 2011 5

Challenges (2)• Health system performance• No products (vaccines, medicines, etc.): novaccinations, surgeries, etc.• Logistics failures represent:­ A failure of the medical system­ A management failure (wasting of limited resources, impact onhealth staff’s motivation)• Being a professional means anticipating,streamlining, evaluating, and linking action toperformance• Activities: practices that are standardised and canbe replicated and sharedAvocksouma-June 2011 6

THE LOGISTICIAN’S ENVIRONMENT• Health system• Functional logistics chain• Organisation/structure• Partners, including the private sector• Multidisciplinary team• Services provided to thepopulation/community• Security of equipment and peopleAvocksouma-June 2011 7

The logistician’s environmentLogistics

PROFESSIONALISATION VIA ACUSTOMISED HR POLICY Initial and ongoing training defined accordingto a competency framework Basic, intermediate and advanced levels Positions defined by job descriptions With career opportunities Measures aimed at motivation, recognitionand retention Representation in the organisationalhierarchyAvocksouma-June 2011 9

LOGISTICIAN = MANAGER Partner in the health system Make physical resources available at the right place andat the right time and ensuring they correspond to a realneed Manager Manage healthcare resources and maintenanceeffectively Implement best practices in a multidisciplinary andversatile team Innovator Use new technology effectively Trainer Pass skills on to others effectivelyAvocksouma-June 2011 10

BACKGROUND ANDOUTLOOK• Consensus seminars in Ouidah and Kinshasa• Maputo and Ouagadougou Declarations (TFI)• Approach of WHO/UNICEF and partners(2005-2010)• Advocacy (adoption of new body byresolution during RC* meeting)• Making the sector attractive: recruiting, careermanagement, effective utilisation*RC: Regional Committee Avocksouma-June bringing together 2011 Health Ministers of the African 11 Region

CONSENSUS SEMINARS (1)“Health logistics are the operations related tothe use of material resources that are crucial tothe effectiveness, quality and efficiency ofhealthcare activities within programmes andfacilities with satisfactory safety and securityconditions.• They call upon managerial and technical skillsrelated to the management of flows, generalservices and healthcare operations.”Avocksouma-June 2011 12

CONSENSUS SEMINARS (2)• “The health logistician is responsible foroptimising the use of the technical and materialresources made available to the healthsystems, with a view to ensuring effectiveness,quality and traceability in healthcareoperations.• With technical knowledge and practicalexperience, the logistician is first and foremosta logistics manager and coordinator.• The logistician’s role is cross-functional.”Avocksouma-June 2011 13

CONSENSUS SEMINARS (3)Job description & basis for reference tool on skillsacquired through training:• Plan the logistics activities for intermediary level health carestructures and interventions• Manage the supply chain• Manage, administer/coordinate the logistics aspects of the healthsystems in place• Manage the use and maintenance of equipment and technicalsupplies• Manage infrastructures and general resources• Provide logistics support in emergencies and during humanitarianoperations• Stimulate intersectoral collaboration and community participationAvocksouma-June 2011 14

TFI & ARCITFI 2006“Given the recognised need for health logistics officers at district leveland the present lack of such officers in the countries, WHO/AFRO,Bioforce and partners should urge countries to create positions ofhealth logistics officers in district health management teams,coordinate their efforts and mobilise necessary resources toinitiate adequate training in logistics for health in support of thepresent move toward greater integration of public healthinterventions.”ARCI 2010• “To strengthen logistics and delivery of vaccines, the conferenceparticipants suggested that WHO and its partners considerintroducing for discussion a document on the creation of healthlogistics officer positions during the Regional Committee of HealthMinisters.” Avocksouma-June 2011 15

Prospects• Role and place in the health system• Involvement of other ministries: Finance,Public Administration, Education, Health• Policy for effective HR use at all levels• Regulations• Role of social partners, including professionalassociationsAvocksouma-June 2011 16

CONCLUSION• Roadmap• Commitments: take action now• Ensure sustainability• WORKING WITHOUT PLANNINGMEANS PLANNING FOR FAILURE!!!!Avocksouma-June 2011 17

THANK YOU VERY MUCH!Avocksouma-June 2011 18

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