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  • Better Enforcement of Anti-Corruption Measures is the Way Forward for Efficient Pharmaceutical Procurement Systems

    Lakshmy Subramanian

    Corruption is a multi-layered challenge and is not restricted to one level of bureaucracy. It pervades large parts of the state administration and has long-lasting impacts on a country. Failure to penalise the perpetrators creates a general disregard for existing laws. Corruption in procurement defeats the purpose of serving the citizenry and attempts to curb corruption by implementing anti-corruption measures into the procurement procedures can, therefore, appear optimistic in such a setting.

    25th November 2020

  • Mobile Technology for Data Collection in the Health Supply Chain: Case Studies and Shared Learnings from Low- and Middle-Income Countries

    Pamela Steele, Priyanka Raj, Joanna Nayler

    Data plays a critical role in the Health Supply Chain and has attracted increasing attention in recent years. The flow of data in LMIC’s is often hindered, and many countries are reliant on burdensome and more inaccurate methods of paper-based data collection. At the same time, mobile technologies are acknowledged as one of the most successful methods of data collection, and the use of mobile technologies is rapidly rising in LMICs; African countries have the fastest growing mobile market in the world. ...

    11th November 2020

  • Strengthening Health Supply Chain Performance through Robust Costing Methods and Cost-calculating Tools

    Pamela Steele

    The public sector is still in the nascent stage of linking Supply Chain impacts to its primary goal of effective and efficient health care delivery. Associating a cost to this Supply Chain is even more nascent, as international and bilateral donors, limited in their funds, now request their beneficiaries to show ‘value for money’ for their projects (USAID, GFATM) or ‘pay for performance’ (World Bank). Not surprisingly, the availability of calculating tools for costing the Public Health Supply Chai...

    19th October 2020

  • Human Resources for Health Supply Chain Transformation: Exploring Common Best Practices in the African Health Supply Chain

    Pamela Steele, Andrey Levitskiy, Joanna Nayler, Dr Lakshmy Subramanian

    Human resource management (HRM) is a critical component of an effective health supply chain that emphasizes the importance of human capital for successful Supply Chain Management (SCM) and customer satisfaction, citing the positive impact of strategic HRM on organizational performance.  The present study aims to identify best practices in HRM and to understand if and how these are applied across health supply chain organizations in Sub-Saharan Africa. The study is informed by the HRM theoretical framewor...

    18th August 2020

  • A Case for Local Pharmaceutical Manufacturing in Africa in Light of the COVID-19 Pandemic

    Pamela Steele, Dr Gamal Khalafalla Mohamed Ali, Andrey Levitskiy, Dr Lakshmy Subramanian

    The successful experience of industrialized nations proves that health systems, when coordinated with technological development, can also generate goods and services that are crucial for economic development. Like many low- and middle-income countries, sub-Saharan African nations also aspire to develop their pharmaceutical industry by promoting access to affordable quality medicine. Many countries are taking restrictive measures during the current Covid-19 pandemic to secure adequate access to medical pro...

    15th July 2020

  • Developing a Sustainability Index for Public Health Supply Chains

    Lakshmy Subramaniana, Constantinos Alexioua, Joseph G. Nellis J, Pamela Steele, Foyeke Tolani

    There is little evidence of research on the sustainability of public health supply chains. Existing studies cover only the triple-bottom approach so there is a need to delve deeper to identify and quantify additional aspects. To this end, we developed a Supply Chain Sustainability Index which in addition to measuring the economic, social, and environmental footprints, also measures the stakeholder collaboration, health outcomes, and product/service and process quality initiatives.

    2nd April 2020

  • Evaluating Constraints and Prospects in Public Health Supply Chain: the Case of the Ethiopian Pharmaceutical Supply Agency (EPSA)

    Loko Abrham Bongasse, Mehari Tekesete Tesfazig, Goitom Gigar Abera, Tesfalem Adraro Angelo, Kalkidan Lakew Belayneh, Levitskiy Andrey, Steele Pamela, Tolani Foyeke

    This paper presents the findings on supply chain constraints (or bottlenecks) identified by EPSA’s Admas Programme, launched by Pamela Steele Associates and its consortium partners in late 2018.

    10th January 2020

  • Aligning Health Supply Chain Maturity with Technology Transfer in Low- and Middle-Income Countries

    Pamela Steele, Foyeke Tolani, Lakshmy Subramanian

    This is a study of the constraints on the introduction of technology in low- and middle-income country (LMIC) supply chains. Some of these countries do not recognise the absorptive capacity that must be in place to enable the diffusion of technology. In the absence of such capacity, major challenges can arise in a country after the technology transfer takes place. Therefore, to overcome this gap in the literature, we attempt to understand the role of technology transfers in the public health supply chains...

    1st January 2020

  • The Multi-Faceted Challenges of Health Technology in Low- and Middle-Income Countries

    Pamela Steele, Foyeke Tolani, Lakshmy Subramanian

    Technology has emerged as an important tool to improve health outcomes by promoting better access to healthcare and essential medicine. However, many people lack access to health technology due to various challenges faced by low- and middle-income countries (LMICs). The lack of technology can contribute to the deterioration of public health and increase the burden on already constrained health systems. This paper seeks to provide an overview of the mentioned challenges from a multi-disciplinary perspectiv...

    23rd October 2019

  • Interventions to Improve Access to Medicine in Developing Countries: Mapping WHO’s Building Blocks and Supply Chain Functions

    Pamela Steele, Lakshmy Subramanian, Foyeke Tolani

      Access to medicine remains poor and inequitable in many low- and middle-income countries (LMICs). This is a complex and multi-dimensional issue calling for holistic solutions. Studies in this area focus on singular disciplines, highlighting one or two main issues; this paper seeks to consider this issue from a multi-disciplinary perspective. It first enumerates the supply chain bottlenecks which lead to poor access to medicine. Since access is dependent on a host of factors, it is critical to under...

    21st June 2019

  • Supply Chain Maturity in Frontier Markets

    Pamela Steele Associates Ltd

    Using the Frontier Markets Supply Chain Maturity Model to Improve Supply Chain Performance in Resource-Constrained Environments One of the challenges for supply chains functioning under extreme resource constraints is to find a relevant framework or model which applies realistic expectations for capabilities and performance and provides a common language for partners and stakeholders. Here we propose the Supply Chain Maturity Model as one such framework.

    15th February 2019

  • Root Cause Analysis: Examples of Factors that Affect Access to Benefits

    Pamela Steele Associates Ltd

    This flowchart maps out supply chain factors that could reduce the benefits of medicine.

    14th February 2019

  • Achieving Operational and Financial Self-Sustainability: an Approach for Public Health Supply Chains in Frontier Markets

    Pamela Steele Associates Ltd

    For many years, the development community has focused on ‘sustainability’ across many areas of public health. We find that ‘sustainability’ can have several definitions and meanings for different stakeholders, which makes it a challenge to converse about clearly with governments. This paper aims to define the categories and focus areas of a ‘self-sustaining supply chain,’ in the sense of a supply chain that can sustain itself without external involvement.

    12th February 2019

  • Driving supply chain transformation through monitoring and evaluation

    Pamela Steele Associates Ltd

    PSA synthesised and expanded upon the lessons learnt during IAPHL-moderated discussions on M&E.  In drawing these sources together, we hope to offer practitioners a deeper dive into the M&E challenge, and clearer guidance on how to approach it.

    22nd August 2018