Background: From LOGIVAC to LOGIVAC+
LOGIVAC + is the development of the LOGIVAC project and aims to continue the implementation of an optimized logistics system throughout Benin.
LOGIVAC was conducted jointly from April 2011 to July 2015 by AMP and the World Health Organization (WHO) with a generous grant from the Bill & Melinda Gates Foundation. The project led to the creation of a regional reference and resource center for health logistics, the Benin LOGIVAC Center, dedicated to strengthening the capabilities of logisticians and disseminating good professional practices. The project also developed and introduced innovative approaches for improving the performance of logistics systems.
Responding to Needs
The Benin LOGIVAC Center was set up in consultation with key stakeholders from the public and private sectors working in the health sector or supply chain management. The Center offers a range of academic and vocational training courses adapted to the needs of African countries. It is designed to strengthen the skills of staff engaged in managing the logistics systems of public health services. The Benin LOGIVAC Center supports the development of a community of practice for health logisticians. It should also make it easier for certified assessment teams to visit countries to design and set up efficient logistics systems.
The Center, based in Ouidah, Benin, is managed by the Regional Institute of Public Health (IRSP, Institut Régional de Santé Publique) and AMP.
When Benin's Ministry of Health stated that its vaccine supply chain needed to be improved ahead of the introduction of new vaccines, AMP and its partners carried out quantitative and qualitative assessments ("EVM" evaluation) using a modeling tool known as HERMES (developed by the Vaccine Modeling Institute). This innovative approach made it possible to clarify the problems encountered by the immunization program and the logistics system; it also helped to identify the best mechanism for enhancing vaccine availability in even the most remote locations in a more affordable manner.
Benin's Ministry of Health singled out four strategic guidelines for raising the performance of the vaccine supply chain:
- The re-organization of the vaccine logistics chain across Benin's health pyramid starting from the health area; and the delivery of vaccines directly to immunization centers through a "mobile warehouse"
- The renewal of cold chain equipment by replacing faulty absorption refrigerators with solar refrigerators
- The use of qualified logisticians for managing the supply chain
- The integration of the vaccine logistics chain and other health programs
These guidelines were applied by AMP in the Comè health area, which was designated by the Ministry of Health as a demonstration site. The objective was to validate the new vaccine logistics supply chain before rolling it out nationwide.
Accordingly, the Comè health area received cold chain equipment to equip the new vaccine depot and remote health centers, together with a vehicle for use as a mobile warehouse for delivering vaccines.
In collaboration with the Solar Electric Light Fund (SELF), technicians were trained in how to install and maintain solar cold chain equipment. Furthermore, staff from the health area were trained in effective vaccine management. A logistician, designated by the supervision team from the health area to manage the supply chain, attended a diploma course in health logistics.
After a year of testing in the demonstration site, the results showed a significant impact on the performance of vaccine logistics management, the quality of immunization, data quality, and the motivation of health workers. More specifically, no stock-outs were found; more than 10,000 vaccine doses that were unfit for consumption were withdrawn; and 100% of health facilities completed their monthly reports. The positive results convinced the Ministry of Health to extend the optimized vaccine logistics chain across the country, leading to the extension of LOGIVAC under the new project name "LOGIVAC+."
AMP is implementing LOGIVAC + to help the Ministry of Health set up the optimized logistics system in partnership with UNICEF and the National Agency for Immunization and Primary Health Care (ANV-SSP).