AMP was contracted by WHO/HQ/IVB to conduct the Effective Vaccine Management (EVM) assessment of Djibouti.
According to the WHO, “EVM is designed to help countries to develop strength-in-depth by building a culture of quality based on a structured approach to supply chain management, monitoring and evaluation.” The EVM tool is used to assess the quality and sufficiency of the seven component elements of an effective supply chain and these components are measured using nine basic criteria. Each criterion is divided into a number of requirements and sub-requirements; together they characterize the fundamental qualities of a good vaccine supply chain. The tool uses a structured questionnaire that is designed to allow the evaluation of four distinctly different levels in the supply chain (the primary, the sub-national, the lowest delivery, and the service points). A score of 80% is required to meet the EVM standard and spider charts are used to illustrate the scores. The assessment generates an improvement plan of the supply chain and this report, along with the EVM report, are mandatory for GAVI funding.
For the EVM assessment, AMP, as the lead coordinator, had the following objectives:
- To make the site selection in cooperation with the Ministry of Health (MOH) in Djibouti
- To facilitate the training of in-country assessment teams
- To prepare materials for data collection
- To supervise the assessment teams throughout the assessment
- To supervise data entry and clean the collected data
- To analyse the data collected
- To extract and generate facility specific recommendations in conjunction with national colleagues
- To prepare and present results and recommendations to the MOH
- To write the report
- To prepare, in collaboration with WHO/MoH colleagues, the EVM Improvement Plan
AMP’s assessment was successful. Djibouti received approval from the IRC/GAVI board for introduction of both PCV and rotavirus vaccines. Furthermore, AMP’s assessment was one of the 16 assessments that received a AA rating from GAVI. This grade implies that Djibouti’s EVM report and improvement plan were both “Fit for Purpose.”