DDI_GHA_2005_LIAT-LSAT_v01_M Development Economics Data Group <_value> NADA Version 01 (August 2011) Quantitative and Qualitative Logistics System Assessment Survey 2005 LIAT-LSAT 2005 GHA_2005_LIAT-LSAT_v01_M John Snow, Inc. Manoff Group Program for Appropriate Technology in Health Crown Agents Consultancy, Inc. NADA U.S. Agency for International Development John Snow, Inc. / USAID | DELIVER PROJECT 1616 Fort Myer Drive, 11th Floor Arlington VA 22209 United States Tel 703-310-5211 Fax 703-528-7480 Email AskDeliver@jsi.com Web www.deliver.jsi.com DELIVER Project Health Facility Survey The Ghanaian Ministry of Health (MOH)/Ghana Health Services and their partners recognized that a sound logistics system is critical for achieving the continuous availability of public health commodities at health facilities. As a result, attention and resources have been allocated to strengthen logistics systems. Key steps have been taken to ensure the availability of public health commodities, including the design and implementation of logistics systems, training of health workers on logistics, provision of technical expertise, and policy formulation to achieve commodity security. In 2006, a Logistics System Assessment and Stock Status Survey was conducted to provide information to the MOH, USAID/Ghana, and other stakeholders in Ghana on the availability of health commodities and logistics information at the central, regional, district, and health facility levels. This comprehensive assessment of the logistics system consisted of both quantitative and qualitative data collection using two separate data collection tools: the Logistics Indicators Assessment Tool (LIAT) and the Logistics System Assessment Tool (LSAT), respectively. Specific assessment objectives included assessing selected inventory control procedures and logistics management practices (i.e., ordering, transport and distribution, supervision, etc.) within the system, as well as collecting data on stockout rates, stockout frequency and duration, consumption/issue rates, current stock on hand, and storage conditions. The commodities included in this study were family planning, essential medicines, and HIV test kits. With previous and subsequent assessments, these studies will allow the MOH and its partners to monitor progress over time and to adjust the logistics system as needed. Ghana National - Health facilities Sample survey data [ssd] The 2005 Quantitative and Qualitative Logistics System Assessment Survey (LIAT and LSAT) covered the following topics: LIAT - Facility Identification - Contraceptives - Essential Medicines - HIV test Kits - Stock Status - Storage Conditions - LMIS Data Quality LSAT - Organization and Staffing - Logistics Management Information System (LMIS), Reproductive Health Program - Product Selection - Forecasting - Obtaining Supplies/ Procurement - Inventory Control Procedures - Warehousing and Storage - Transport and Distribution - Organizational support for Logistics System - Product Use - Finace/ Donor Coordination/ RHCS Planning, Reproductive Health Program In order ensure that a nationally representative sample was chosen for the baseline study, a total of 148 facilities were randomly selected across all 10 regions within Ghana. A total of 10 teams, consisting of two trained data collectors, were dispatched to each of the regions over a two week period to collect data from the selected health facilities. The teams visited the following sample of sites: • 1 Central Medical Store (CMS) • 1 Public Health Reference Laboratory (PHRL) • 10 Regional Medical Stores (RMS) • 46 Hospitals • 90 Health Center/Clinics Other LOGISTICS INDICATORS ASSESSMENT TOOL (LIAT) Before implementing the survey tool, data collectors participated in a four-day training course instructing them on the use of the LIAT instrument. As part of the orientation, data collection guidelines were discussed to identify the types of information to be gathered, to standardize the data collection process, and to promote comparability of results. At this time, input from survey team members was integrated into the survey tool; which was then pilot tested on four health facilities in the Greater Accra Region. After the field test, slight modifications were made to the tool prior to its use in the assessment. Over a two week period, data were collected in all 10 regions. A single data collection team, consisting of two people, was deployed to each region. Each team was assigned a leader who was responsible for overseeing the data collection process in their assigned region. LOGISTICS SYSTEM ASSESSMENT TOOL (LSAT) The LSAT was conducted as a one-day workshop with 23 participants including representatives from all levels of the health system and key stakeholders from several other organizations involved in contraceptive and essential medicine commodity logistics. The areas assessed included organization and staffing, logistics management information system, product selection, forecasting, obtaining supplies/procurement, inventory control procedures, warehousing and storage, transport and distribution, organizational support for the logistics system, product use, and finance/donor coordination and commodity security. Each section was scored to allow for tracking of progress over time, and the identification of strengths and weaknesses; helping managers to focus on areas of concern. Not specified