Sammendrag
The two facilitators analyzed a case study of the Ethiopian Public Health Commodity Supply System (EPHCSS) which is supplying more than 3000 health institutions all over the country. The supply network actors are manufacturers, third party transportation providers, the governmental Pharmaceuticals Fund and Supply Agency (PFSA) with a central hub, 11 regional hubs and 7 subhubs, and the health institutions.
Process and activity flows of the supply network was mapped in a process model to get a thorough understanding of the EPHCSS. Analysis of the model identified tension points relating to each of the supply chain challenges- stock outs, overstock, counterfeit products and inefficient recalls. To analyze the tension points identified, data was collected using a triangulation of interviews of actors in the supply network, standard operating procedures, and the authors work experience in the Ethiopian health supply system. Based on the process model and the analysis, we identified the potential for mitigating supply chain challenges by enhancing visibility. Based on the insight of the case study, the constraints of the Ethiopian supply system, references to similar projects, and cases from literature; improvement recommendations are suggested. Finally, those improvement recommendations are analyzed for a fitness of relevance using supply chain visibility scorecard methodology.
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