Regional Logistics Strategic Plan 2015 -2018
Regional Logistics Strategic Plan 2015 -2018
WORLD HEALTH ORGANIZATION Regional Office for Africa #SB[[BWJMMFt
AFRO Library Cataloguing-in-Publication Data WHO AFRO Regional Logistics Strategic Plan 2015-2018 1. 2. 3. 4. 5. I. Disease Outbreaks – organization and administration Epidemics – organization and administration Surge Capacity – organization and administration Emergency Responders Disaster Planning – organization and administration – methods World Health Organization. Regional Office for Africa II.Title (NLM Classification: WA 295)
ISBN: 978 929023279 7
© WHO Regional Office for Africa, 2015
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Designed and Printed in the WHO Regional Office for Africa, Republic of Congo
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ACKNOWLEDGEMENTS EXECUTIVE SUMMARY 4&$5*0/o*/530%6$5*0/ #BDLHSPVOEBOE#VSEFOPG%JTFBTFT &QJEFNJDBOE1BOEFNJD"MFSUBOE3FTQPOTF1SPHSBNNF 3PMFPG-PHJTUJDT 4DPQFPG3-41o30BOE0VUCSFBLT 4&$5*0/o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òFDUJWFVTFPGUIF 4UPDL.BOBHFNFOUBOE*OWFOUPSZ4ZTUFN 4*.4 4&$5*0/o*.1-&.&/5"5*0/ .BOBHJOH*NQMFNFOUBUJPO 1SPKFDU4DIFEVMF .JMFTUPOFT %FMJWFSBCMFT 1SPKFDU$PPSEJOBUJPOo3FHJPOBM0VUCSFBL3FTQPOTF -PHJTUJDT"EWJTFS "'305FDIOJDBM-PHJTUJDT8PSLJOH(SPVQ &YJTUJOH1PMJDZBOE4UBOEBSET 3FHJPOBM$PPSEJOBUJPO 8$0$PPSEJOBUJPO 4&$5*0/.0/*503*/("/%&7"-6"5*0/ 4&$5*0/3*4,4"/%$)"--&/(&4 4&$5*0/o#6%(&5"/%5*.&'3".& iv
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WHO Team in emergency response in rural Ethiopia, 2007
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AGKNOWLEGMENT
ExEcuTivE suMMAry
3FDVSSFOU PVUCSFBLT PG FQJEFNJD BOE QBOEFNJD EJTFBTFT SFNBJO B UISFBU UP TPDJBM BOEFDPOPNJDEFWFMPQNFOUPGDPVOUSJFTJOUIF8)0"GSJDBO3FHJPO5IFTFPVUCSFBLT BSF QBSUMZ UIF DBVTF PG IJHI NPSCJEJUZ BOE NPSUBMJUZ BOE OFHBUJWFMZ JNQBDU PO UIF EFWFMPQNFOUPGBò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öFMEJOTVQQPSUPGPVUCSFBLPQFSBUJPOT5IJT JNQPSUBODFJTFNQIBTJ[FEJOUIF8)0&NFSHFODZ3FTQPOTF'SBNFXPSLXIJDITQFDJöFT BTBOFTTFOUJBMSFRVJSFNFOUUIFQSPWJTJPOPGBENJOJTUSBUJWFBOEMPHJTUJDTVQQPSUUPFOTVSF BOFòFDUJWFBOESBQJESFTQPOTFTZTUFN 3FDPHOJ[JOH UIF DSJUJDBM SPMF BOE JNQPSUBODF PG MPHJTUJDT JO PVUCSFBL QSFQBSFEOFTT BOESFTQPOTF 8)0 JODMPTFDPMMBCPSBUJPOXJUIJUTQBSUOFST64"*% $%$BOE(0"3/ JOJUJBUFE UIF QSPDFTT PG EFWFMPQJOH B 3FHJPOBM -PHJTUJDT 4USBUFHJD 1MBO 3-41 XIJDI DPWFSTUIFQFSJPE 5IF 3-41 PVUMJOFT UIF LFZ MPHJTUJD JTTVFT DPOGSPOUJOH PVUCSFBL SFTQPOTF XJUIJO UIF 3FHJPO*UQSPQPTFTTJYTQFDJöDPCKFDUJWFTUPTUSFOHUIFOPVUCSFBLSFMBUFEMPHJTUJDT5IFTF PCKFDUJWFT BSF TVQQPSUFE CZ JNQMFNFOUBUJPO BDUJWJUJFT XIJDI SBOHF GSPN VQHSBEJOH TLJMMT PG FYJTUJOH 8)0 MPHJTUJDT DBQBDJUZ XJUIJO UIF 3FHJPO UP BEESFTTJOH PVUCSFBLT BOETVQQPSUJOH8)0DPVOUSZPóDFTUPTFUVQDSPTTCPSEFSMPHJTUJDOFUXPSLTBMMPXJOH DPVOUSJFTUPTVQQPSUFBDIPUIFSEVSJOHTVDIFNFSHFODJFT"OJNQMFNFOUBUJPOTUSBUFHZ BOEUJNFGSBNFBSFQSPWJEFEGPSUIFöWFZFBST
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AGKNOWLEGMENT
1. iNTrODucTiON
1.1
Background and Burden of Diseases
5IF 8)0 "GSJDBO 3FHJPO DPOUJOVFT UP CF BòFDUFE CZ SFDVSSJOH FQJEFNJDT BOE NBKPS QVCMJDIFBMUIFWFOUT"QQSPYJNBUFMZ BDVUFQVCMJDIFBMUIFWFOUTBSFSFQPSUFEUPUIF 8)0"GSJDBO3FHJPOBM0óDFBOOVBMMZ5IFNPTUGSFRVFOUMZSFQPSUFEFQJEFNJDTJODMVEF DIPMFSB NFOJOHJUJT NFBTMFT WJSBM IBFNPSSIBHJD GFWFST QMBHVF BOE EFOHVF 5IFTF FQJEFNJDTIBWFBTJHOJöDBOUJNQBDUPOIFBMUIBOEFDPOPNJDEFWFMPQNFOUJOUIF3FHJPO 5IFZ BMTP UFOE UP CF BTTPDJBUFE XJUI IJHI NPSCJEJUZ BOE NPSUBMJUZ SBUFT BOE PGUFO BòFDUMBSHFHFPHSBQIJDBSFBTBDSPTTOBUJPOBMGSPOUJFST$POEJUJPOTGBWPVSJOHSFDVSSJOH BOEPGUFOTFWFSFFQJEFNJDTBSFQSFWBMFOUJOUIF3FHJPO BOEJODMVEFJOBEFRVBUFBDDFTT UP TBGF XBUFS BOE TBOJUBUJPO VOEFSMZJOH IFBMUI DPOEJUJPOT MJNJUFE QVCMJD BXBSFOFTT PG QSFWBJMJOH IFBMUI SJTLT BOE XFBL IFBMUI TZTUFNT XJUI MJNJUFE DBQBDJUZ GPS UJNFMZ JEFOUJöDBUJPO BOE SFTQPOTF UP FQJEFNJDT 5IF JOFYUSJDBCMF MJOL CFUXFFO IVNBOT BOE BOJNBMTJO"GSJDBQPTFTBTFSJPVTSJTLUPQVCMJDIFBMUI HJWFOUIBUUIFNBKPSJUZPGFNFSHJOH BOESFFNFSHJOHJOGFDUJPVTEJTFBTFTIBWFPSJHJOBUFEGSPNBOJNBMT 5IF8)0 3FHJPOBM 0ó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öDBUJPOT QSPDVSFNFOU BOEEFMJWFSZPGFRVJQNFOUBOETVQQMJFTBU UIFQPJOUTPGOFFEXJUIJOBTIPSUUJNFGSBNFBSFFTTFOUJBMGPSFOTVSJOHFóDJFOUPVUCSFBL SFTQPOTF 4FWFSBM SFTPMVUJPOT QBTTFE CZ UIF 8)0 3FHJPOBM $PNNJUUFF GPS "GSJDB IBWF MBJE UIF GPVOEBUJPOGPSFóDJFOUPVUCSFBLSFTQPOTF5IFZJODMVEFUIFSFTPMVUJPOPO4USFOHUIFOJOH 1VCMJD )FBMUI -BCPSBUPSZ JO UIF "GSJDBO 3FHJPO "'33$ BOE 4USFOHUIFOJOH 1SFQBSFEOFTT BOE 3FTQPOTF 4USBUFHJFT UP &QJEFNJD BOE 1BOEFNJD QSPOF EJTFBTFT JODMVEJOHJOøVFO[B")/ "'33$ /PUBCMFJNQSPWFNFOUTJOFBSMZEFUFDUJPOBOE SBQJESFTQPOTFUPFQJEFNJDTIBWFCFFONBEFXJUIJOUIF3FHJPO GPMMPXJOHUIFBEPQUJPO PGUIF*%43TUSBUFHZBOE*)3 CZ.FNCFS4UBUFT
INTRODUCTION
1.2
Epidemic and Pandemic Alert and Response Programme
5IFSFHJPOBMPVUCSFBLSFTQPOTFQSPHSBNNFTVQQPSUT.FNCFS4UBUFTUPDPOEVDUFQJEFNJD SJTLBTTFTTNFOUTGPSWVMOFSBCMFQPQVMBUJPOTBOEHFPHSBQIJDBSFBT5IJTTUSFOHUIFOTOBUJPOBM DBQBDJUZ GPS UJNFMZ BOE FòFDUJWF FQJEFNJD QSFQBSFEOFTT BOE SFTQPOTF BOE FOIBODFT UIF EFWFMPQNFOUPGMBCPSBUPSZDBQBDJUJFTBOEFBSMZXBSOJOHTZTUFNT %VSJOHPVUCSFBLT SBQJESFTQPOTFUFBNT 335 BSFEFQMPZFEUPTVQQPSUöFMEDPPSEJOBUJPO EFUFDUJPO BOE DPOöSNBUJPO PG PVUCSFBLT BT XFMM BT DBTF NBOBHFNFOU BOE DPOUBJONFOU 8)0UPPMTHVJEFBOETVQQPSUPVUCSFBLSFTQPOTF JODMVEJOHUSBJOJOHBOEOBUJPOBMDBQBDJUZ CVJMEJOH 5IF DVSSFOU BQQSPBDI JT NBJOMZ SFBDUJWF BOE BE IPD JO UIBU MPHJTUJDT TVQQPSU JT QSPWJEFE BT BOE XIFO FBDI PVUCSFBL VOGPMET5IJT BQQSPBDI MFBET UP DSJTJT NBOBHFNFOU EVSJOHPVUCSFBLT XJUIWBSZJOHQFSJPETPGEFMBZ 5P TUSFOHUIFO OBUJPOBM SBQJESFTQPOTF DBQBCJMJUJFT JU JT OFDFTTBSZ UP EFWFMPQ DPOUJOHFODZ TUPDLT PG FTTFOUJBM TVQQMJFT FRVJQNFOU WBDDJOFT EJBHOPTUJD BOE USFBUNFOU TVQQMJFT BOE UPQSFQPTJUJPOUIFTFBUTUSBUFHJDMPDBUJPOT6TVBMMZ MJNJUFEöOBODJBMSFTPVSDFTBSFQSPWJEFE UP TVQQPSU BOE TVTUBJO OBUJPOBM SFTQPOTF XIFSF OFDFTTBSZ 5IF SFTQPOTF QSPHSBNNF JT TVQQPSUFE CZ FYQBOEFE IFBMUI QSPNPUJPO BDUJWJUJFT JO DPMMBCPSBUJPO XJUI FYJTUJOH IFBMUI QSPNPUJPOBOEIZHJFOFFEVDBUJPOQSPHSBNNFT .FNCFS4UBUFTIBWFMJNJUFEDBQBDJUZUPSBQJEMZNPCJMJ[FSFTPVSDFTBOESFTQPOEUPPVUCSFBLT /BUJPOBMQSFQBSFEOFTTQMBOTBSFVTVBMMZCSPBEBOEBMMIB[BSETPSJFOUFE SBUIFSUIBOGPDVTFE POTQFDJöDPVUCSFBLT %VSJOHUIFöGUZOJOUITFTTJPOPGUIF3FHJPOBM$PNNJUUFFGPS"GSJDB .FNCFS4UBUFTBHSFFE UP FTUBCMJTI B GVOE UP TVQQPSU SFTQPOTF UP FQJEFNJD BOE QBOEFNJD UISFBUT 5IF "GSJDBO 1VCMJD)FBMUI&NFSHFODZ'VOETVQQPSUTOBUJPOBMFòPSUTJOEFQMPZJOHSBQJESFTQPOTFUFBNT QSPDVSFNFOU BOE QSFQPTJUJPOJOH PG FQJEFNJD BOE FNFSHFODZ SFTQPOTF TVQQMJFT EVSJOH PVUCSFBLTBOEPUIFSFNFSHFODJFT
1.3
Role of Logistics
4VQQPSUGPSMPHJTUJDTEVSJOHSFTQPOTFUPPVUCSFBLTDPWFSTUIFGPMMPXJOHBSFBT%FWFMPQNFOU PG TQFDJöDBUJPOT GPS FRVJQNFOU QSPDVSFNFOU BOE NBOBHFNFOU PG TVQQMJFT USBJOJOH BOE EFQMPZNFOU PG MPHJTUJD QFSTPOOFM QSPWJEJOH FRVJQNFOU BOE TVQQMJFT UP SBQJESFTQPOTF UFBNTBTXFMMBTQSPWJEJOHDPNNVOJDBUJPOBOETFDVSJUZTVQQPSUEVSJOHPVUCSFBLT -PHJTUJDJBOTJONPTU8$0TTFSWFTQFDJöDGVODUJPOTMJLF8$0USBOTQPSUNBOBHFNFOUBOE&1* MPHJTUJDT 5IFTF 8$0 MPHJTUJDJBOT BTTVNF OP PWFSBMM PVUCSFBL MPHJTUJDT SFTQPOTJCJMJUZ FWFO EVSJOH FNFSHFODJFT OFJUIFS EP UIFZ IBWF BEFRVBUF USBJOJOH BOE TLJMMT UP BQQSPQSJBUFMZ IBOEMFMPHJTUJDTEVSJOHFNFSHFODZSFTQPOTF
1SFQPTJUJPOJOHBOE XIFSFOFDFTTBSZ SBQJEEFQMPZNFOUPGFRVJQNFOUBOETVQQMJFTTVDIBT MBCPSBUPSZSFBHFOUT ESVHTBOEQFSTPOBMQSPUFDUJWFFRVJQNFOUBSFFTTFOUJBMDPNQPOFOUTPG PVUCSFBLMPHJTUJDT5IFZFOIBODFDBQBDJUZPGTVSWFJMMBODFUFBNTUPSBQJEMZEFUFDUBOEDPOöSN PVUCSFBLT BOEFOTVSFUIBUBQQSPQSJBUFJOUFSWFOUJPOTBSFQSPNQUMZJNQMFNFOUFEUPDPOUSPM PVUCSFBLBOEQSFWFOUGVSUIFSTQSFBE 3FTQPOEJOHUPPVUCSFBLTPGNFBTMFT QPMJPBOEZFMMPXGFWFSUIBUSFRVJSFSFBDUJWFWBDDJOBUJPO EFNBOETSBQJENPWFNFOUPGMBSHFWPMVNFTPGWBDDJOFTBOEPUIFSTVQQMJFTBMPOHBDPMEDIBJO *UBMTPFOUBJMTEFUBJMFENJDSPQMBOOJOH USBJOJOHPGWBDDJOBUJPOUFBNTBTXFMMBTNBOBHFNFOUPG IFBMUIDBSFXBTUF5IFVSHFODZBOENBHOJUVEFPGUIFTFBDUJWJUJFTSFRVJSFBQQSPQSJBUFMPHJTUJD QSFQBSFEOFTTBOEBEFRVBUFDBQBDJUZUPJNQMFNFOU3FTQPOTFUPDIPMFSBPVUCSFBLTXJUIJO UIF3FHJPOJTSBUIFSSFBDUJWF-PHJTUJDDIBMMFOHFTJODMVEFSBQJEMZNPWJOHMBSHFRVBOUJUJFTPG JOUSBWFOPVT øVJET BOE MBCPSBUPSZ FRVJQNFOU 5IF QSPQPTFE VTF PG FYJTUJOH QSFRVBMJö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öFME"QBSUGSPNUIFUFDIOJDBMDPNQMFYJUZPGDPOUBJONFOUPGEJTFBTFTTVDIBT 7)'T UIFJSDPOUSPMBMTPSFRVJSFTUIFDPOTUSVDUJPOPGJTPMBUJPOGBDJMJUJFT 3BQJESFTQPOTFUFBNTSFRVJSFCBTJDMBCPSBUPSZBOESFTQPOTFTVQQMJFTGPSBDUJWFEFQMPZNFOU %FMBZFEEFMJWFSZPGTVQQMJFTBUUIFOBUJPOBMBOETVCOBUJPOBMMFWFMT SFNBJOTBNBKPSDPOTUSBJOU UPFòFDUJWFSFTQPOTF$POTUSBJOUT TVDIBTUIFMBUUFS BSFBHHSBWBUFECZUIFMJNJUFEJOWPMWFNFOU PGMPHJTUJDJBOTEVSJOHQMBOOJOHBOEEFWFMPQNFOUPGOBUJPOBMSFTQPOTFQSPHSBNNFT
1.4
Scope of RLSP – RO and Outbreaks
5IF3-41BUUFNQUTUPVTFEBUBBOEDVSSFOUö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
Emergency response supplies in Mali during the humanitarian crises, 2012
2.1
Logistic Challenges for the Most Common Outbreaks
%FTQJUFQSPHSFTTNBEFJOQSPWJEJOHMPHJTUJDTVQQPSUEVSJOHSFTQPOTFUPPVUCSFBLTBOE PUIFS QVCMJD IFBMUI FNFSHFODJFT JO UIF 3FHJPO B OVNCFS PG DIBMMFOHFT QFSTJTU UIFTF JODMVEF MBDL PG SJTL BTTFTTNFOU GPS NPTU PG UIF DPNNPO FQJEFNJD EJTFBTFT JO NPTU DPVOUSJFTJOUIF3FHJPO HFOFSBMFNFSHFODZSBUIFSUIBOEJTFBTFTQFDJöDQSFQBSFEOFTT QMBOT BOE MJNJUFE GPDVT BOE MPX SFTPVSDF BMMPDBUJPO UP FNFSHFODZ QSFQBSFEOFTT BOE SFTQPOTFCZIFBMUITZTUFNT#FTJEFTUIFTFDIBMMFOHFT IFBMUIGBDJMJUJFTBOEDPNNVOJUZ CBTFEIFBMUITZTUFNTJOUIF3FHJPOBSFJOBEFRVBUFMZFRVJQQFEUPSFTQPOEUPPVUCSFBLT SFRVJSJOHTVSHFDBQBDJUZ 6TVBMMZ SFTPVSDF DPOTUSBJOUT IJOEFS TUSBUFHJD QSFQPTJUJPOJOH PG CBTJD TVQQMJFT MFBEJOH UP EFMBZFE EFMJWFSZ PG TVQQMJFT UP UIF öFME EVSJOH SFTQPOTF -JNJUFE DSPTTCPSEFS DPMMBCPSBUJPO BOE SFTUSJDUJPO JO UIF NPWFNFOU PG HPPET BOE QFPQMF MJNJU TIBSJOH PG TVQQMJFTBOESFTPVSDFTBNPOHDPVOUSJFT BOEGVSUIFSBòFDUUJNFMZBWBJMBCJMJUZPGTVQQMJFT JOUIFöFMEGPSFòFDUJWFSFTQPOTF %FQMPZNFOUPGCVOEMFEWBDDJOFTGPSSFBDUJWFBOEQSFWFOUJWF4*"TGPSEJTFBTFTTVDIBT ZFMMPX GFWFS BOE NFOJOHJUJT QPTFT DIBMMFOHFT7BDDJOFT BSF VTVBMMZ BJSGSFJHIUFE XIJMF UIFBDDPNQBOZJOHEFWJDFTBSFUPPCVMLZGPSDPTUFòFDUJWFBJSTIJQNFOU.PTUFQJEFNJD QSPOFDPVOUSJFTBSFMBOEMPDLFE XIJDIGVSUIFSJODSFBTFTUIFUJNFOFFEFEUPHFUTVQQMJFT JO QMBDF XJUI TIJQNFOU CZ TFB %BUBCBTFE GPSFDBTUJOH BOE MPHJDBM QSFQPTJUJPOJOH PG EFWJDFT JGOPUWBDDJOFT XJMMFOIBODFSFTQPOTFUPPVUCSFBLT
2.2
Rationale for RLSP
5IFTIPSUSFBDUJPOUJNFSFRVJSFEGPSPVUCSFBLTEPFTOPUBMMPXGPSFòFDUJWFNPCJMJ[BUJPO PGSFTPVSDFT&TTFOUJBMNBUFSJBMTPGUFOBSSJWFMBUFBOEBSFJOIJCJUFECZJODPVOUSZMPHJTUJDBM DIBMMFOHFT 5IF JOEVTUSJBM CBTF JO NBOZ DPVOUSJFT JO UIF 3FHJPO JT TUJMM JOTVóDJFOU UP TVQQPSU QSPEVDUJPO PG FTTFOUJBM TVQQMJFT GPS FNFSHFODZ SFTQPOTF 3FHJPOBM USBOTQPSUBUJPO OFUXPSLTBOEWBSJFEJNQPSUFYQPSUSFHJNFTQPTFDIBMMFOHFTUPNPWFNFOUPGHPPET 8FBL OBUJPOBM TVQQMZ OFUXPSLT BOE MJNJUFE IFBMUI TZTUFN öOBODJOH EP OPU QSPWJEF BEFRVBUFBOESFHVMBSTVQQPSUUPQFSJQIFSBMTFSWJDFT JOUFSNTPGFTTFOUJBMTVQQMJFTGPS WJBCMFTFOUJOFMTVSWFJMMBODFJONPTUDPVOUSJFT4FDUPSXJEFSFGPSNQSPHSBNNFTJONBOZ
4*56"5*0/"/"-:4*40'-0(*45*$4*/5)&3&(*0/
2. siTuATiON ANALysis OF LOGisTics iN THE rEGiON
DPVOUSJFTIBWFTFQBSBUFEUIFTVQQMZDIBJONBOBHFNFOUTZTUFNGSPNUIFNBJOCPEZPGIFBMUI NJOJTUSZBENJOJTUSBUJPO#BTJDNFEJDBMTVQQMJFT XIFSFBWBJMBCMF BSFEFMJWFSFEPOUIFCBTJT PGBDDFTTUPGVOEJOH4USFOHUIFOJOHTVDIOBUJPOBMTVSWFJMMBODFTZTUFNTXJMMSFRVJSFQSPWJTJPO BOESFQMFOJTINFOUPGTQFDJBMJ[FEMBCPSBUPSZBOESFTQPOTFTVQQMJFT %FQMPZJOH 335T JT UIF öSTU MJOF PG EFGFODF JO PVUCSFBL SFTQPOTF -PHJTUJDT QSPWJEF CBTJD FRVJQNFOU USBOTQPSU BOE QSPUFDU FRVJQNFOU BOE DPNNVOJDBUJPO TZTUFNT UP FOTVSF GVODUJPOBMJUZ BOE TBGFUZ PG UIF UFBNT 4FFE TVQQMJFT GPS SBQJE DPOUBJONFOU BMTP SFEVDF NPSCJEJUZBOENPSUBMJUZ0OTQFDJBMPDDBTJPOT UFDIOJDBMMPHJTUJDTTUBòJTEFQMPZFEUPTVQQPSU öFMEPQFSBUJPOT TFUVQöFMEPó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
3. GOAL AND OBJEcTivEs OF FivE-yEAr rLsP 3.1 General Objective
5IFHPBMPG3-41JTUPSFEVDFNPSCJEJUZBOENPSUBMJUZEVFUPFQJEFNJDBOEQBOEFNJD UISFBUTBOEPUIFSQVCMJDIFBMUIFNFSHFODJFTCZCVJMEJOHSFHJPOBMBOEOBUJPOBMPVUCSFBL MPHJTUJDTSFTQPOTFDBQBDJUZ VTJOHBOBMMIB[BSEBQQSPBDI
3.2
Specific Objectives
5IFNBJOPCKFDUJWFJTUPFTUBCMJTIBTZTUFNPGMPHJTUJDTBOETVQQMZOFUXPSLBOEDBQBDJUZ UIBUXJMMTVQQPSU.FNCFS4UBUFTUPSFTQPOEUPQVCMJDIFBMUIFNFSHFODJFTJOUIF3FHJPO
Ebola PPE training in Kailahun, Sierra Leone, July 2014
7
(0"-"/%0#+&$5*7&40''*7&:&"33-41
4. sPEciFic OBJEcTivEs AND KEy sTrATEGiEs 5IF3-41IBTTJYTQFDJöDPCKFDUJWFT OBNFMZ t t t t t t 5PEFWFMPQ4UBOEBSE0QFSBUJPOBM1SPUPDPMGPSPVUCSFBLMPHJTUJDT 5PTUSFOHUIFOMPHJTUJDTIVNBOSFTPVSDFDBQBDJUZGPSPVUCSFBLSFTQPOTF 5PQSPDVSFBOETUSBUFHJDBMMZQSFQPTJUJPOTUBOEBSEJ[FEPVUCSFBLTVQQMJFT BOEFRVJQNFOUUPFOTVSFSFHJPOBMSBQJESFTQPOTFDBQBDJUZ 5P EFWFMPQ B 8)0"'30 HVJEF PO USBOTQPSUBUJPO BOE TIJQNFOU PG TQFDJNFOTBOETVQQMJFT 5PFTUBCMJTIBOPQFSBUJPOBM&BTU"GSJDBO3FTQPOTF6OJU 5P TUSFOHUIFO NBOBHFNFOU PG PVUCSFBL TVQQMJFT XJUIJO UIF 3FHJPO UISPVHI JOTUBMMBUJPO BOE FòFDUJWF VTF PG UIF 4UPDL .BOBHFNFOU BOE *OWFOUPSZ4ZTUFN 4*.4
5IF 3-41 BJNT UP DPNQSFIFOTJWFMZ BEESFTT UIF GPMMPXJOH LFZ TUSBUFHJFT UP CF JNQMFNFOUFEPWFSBQFSJPEPGöWFZFBST
4.1
Specific objective 1: Develop Standard Operational Protocol for Outbreak Logistics
Activity i: Develop Standard Operating Procedures (SOP) for outbreak logistics %VSJOHUIF3FHJPOBM-PHJTUJDT4USBUFHJD1MBOJNQMFNFOUBUJPOQSPDFTT TUBOEBSEPQFSBUJOH QSPDFEVSFT 401T GPSPVUCSFBLMPHJTUJDTXJMMCFEFWFMPQFE5IF401XJMMCFDPNFUIF TUBOEBSE HVJEF GPS PVUCSFBL BOE FNFSHFODZ SFTQPOTF MPHJTUJDT QSFQBSBUJPO SFTQPOTF BOEDPPSEJOBUJPOJOUIF3FHJPO
4.2
Specific Objective 2 – Strengthen Human Resource Capacity to Manage Outbreak Logistics
-PHJTUJDJBOTXPSLJOHGPS8)0JOUIF3FHJPOXJMMCFJEFOUJöFEBOEUIFJSQSPöMFTEFWFMPQFE 5SBJOJOHXJMMCFQSPWJEFEUPFOIBODFUIFJSTLJMMTJOPVUCSFBLMPHJTUJDT
9
(0"-"/%0#+&$5*7&40''*7&:&"33-41
Activity ii: Develop profile of logistics human resources within the Region. .BQSFHJPOBM-PHJTUJDT)3DBQBDJUZBUBMMMFWFMT OBUJPOBMBOESFHJPOBM UIBUDPVMECFEFQMPZFE EVSJOHPVUCSFBLT Activity iii: Develop a network of health logisticians within the Region. %FWFMPQJOH TVCSFHJPOBM MPHJTUJD QBSUOFSTIJQT CFUXFFO 8$0 MPHJTUJDJBOT XJMM TUSFOHUIFO UIF SFTQPOTF DBQBDJUZ BWBJMBCMF XJUIJO UIF *45 GBDJMJUBUF TVCSFHJPOBM USBJOJOH JEFOUJGZ BOE EFWFMPQTVCSFHJPOBMBOE8$0TQFDJöDMPHJTUJDJOJUJBUJWFT Activity iv: Develop logistic training modules. $POEVDU BTTFTTNFOU PG USBJOJOH OFFET GPMMPXFE CZ EFWFMPQNFOU PG B DPNQSFIFOTJWF MPHJTUJDTUSBJOJOHQBDLBHF*OTFSWJDFUSBJOJOHXJMMCFDPOEVDUFE VTJOHUIFEFWFMPQFEUSBJOJOH NPEVMFT Activity v: Employ logisticians for each iST and selected priority countries. 5IFBWBJMBCJMJUZPGMPHJTUJDPóDFSTBUUIFUISFF*45TJTFTTFOUJBMUPUIFEFMJWFSZPGHPBMTBOE PCKFDUJWFTPGUIF3-415IJTXJMMTUSFOHUIFO8$0BOE*45DBQBDJUZBOEJODSFBTFUIFOVNCFS PG QSPGFTTJPOBM MPHJTUJD PóDFST BWBJMBCMF UP SFTQPOE UP PVUCSFBLT BOE FNFSHFODZ FWFOUT UISPVHIPVUUIF3FHJPO5IFTFPóDFSTXJMMCFSFDSVJUFEBOEEFQMPZFEUPFBDI*45BOETFMFDUFE QSJPSJUZDPVOUSJFT'VSUIFSNPSF FYJTUJOH8)0MPHJTUJDTDBQBDJUZXJMMCFFOIBODFEUPTVQQPSU PVUCSFBLT 5IF KPC EFTDSJQUJPO BOE GVODUJPOT PG &NFSHFODZ 3FTQPOTF -PHJTUJDT 0óDFST XJMM CF SFEFöOFE CBTFE PO DPSF MPHJTUJD BDUJWJUJFT FYQFDUFE UP CF BDDPNQMJTIFE EVSJOH PVUCSFBL BOEFNFSHFODZSFTQPOTF 5IFSPMFTBOEGVODUJPOTPGFYJTUJOH8)0"'30-PHJTUJDT0óDFSTFJUIFSBU*45PS8$0XJMMCF QSPöMFEUPTVQQPSUPVUCSFBLSFTQPOTFXJUIUIFDPOTFOUBOETVQQPSUPG8$0T"NJOJNVN PG-0TBU*45BOE8$0TUISPVHIPVUUIF3FHJPOXJMMCFUSBJOFEJOCBTJDPVUCSFBLMPHJTUJDT Activity vi: Develop bilateral neighbourhood country logistic networks in at least six countries with the highest occurrence of epidemics. 5IFOFJHICPVSIPPEMPHJTUJDOFUXPSLXJMMDSFBUFBGPSVNGPSSFHVMBSFYDIBOHFPGJOGPSNBUJPO BOE EBUB PO PVUCSFBLT BNPOH MPHJTUJDJBOT *U XJMM GBDJMJUBUF SFMBUJPOTIJQT CFUXFFO UXP OFJHICPVSJOHDPVOUSJFTBOEQSPWJEFTVQQPSUUPMPHJTUJDPQFSBUJPOTJOFJUIFSDPVOUSZ*UXJMM BMTPBMMPXGPSSBQJEEFQMPZNFOUPGTUBòBOETVQQMJFTBDSPTTCPSEFST
4.3
Specific Objective 3: Procure and Strategically Preposition Standardized Outbreak Supplies
Activity vii: Develop at least three storage hubs within the Region for prepositioning outbreak preparedness and response equipment and supplies. 5IF DVSSFOU QSFQPTJUJPOJOH TUSBUFHZ XJMM CF SFWJFXFE UP EFUFSNJOF UIF NPTU FóDJFOU BOE DPTUFòFDUJWF NFUIPE5IJT NBZ JOWPMWF VTJOH UIJSE QBSUZ MPHJTUJDT QBSUOFST 1- FYUFSOBM TFSWJDFQSPWJEFST 7.* BOETIBSFENBOBHFEXBSFIPVTJOHXJUI6/QBSUOFST5IFQPTTJCJMJUZ PGDPOTPMJEBUJOHFYJTUJOH8)0BOEPUIFS6/GBDJMJUJFTXJUIJOUIF3FHJPODPVMECFBOPQUJPO Activity viii: Develop and implement a Warehouse and inventory Management system for all outbreak stores within the Region. 5P FOTVSF JOWFOUPSZ USBOTQBSFODZ PG BMM QSFQPTJUJPOFE FNFSHFODZ SFTQPOTF SFTPVSDFT TUBOEBSEXBSFIPVTFNBOBHFNFOUBOETUPDLDPOUSPMQSBDUJDFTXJMMCFBEPQUFEUPNBOBHF GBDJMJUJFT"MM8$0TXJMMBMTPBEPQUUIF4*.4GPSTUPDLDPOUSPMBOEJOWFOUPSZNBOBHFNFOUPG FNFSHFODZSFTQPOTFFRVJQNFOU HFOFSBUJOHXFFLMZNPOUIMZTUPDLSFQPSUTUPUIF3FHJPOBM 4USBUFHJD*OGPSNBUJPO4ZTUFN S4*4 BU"'30 Activity ix: Determine countries for development of first-level response capacity based on risk of outbreaks. $SJUFSJBXJMMCFFTUBCMJTIFE BOEUIFQSPöMFPGDPVOUSJFTNPTUQSPOFUPPVUCSFBLTEFWFMPQFE $PVOUSJFTTFMFDUFEBOEBQQSPWFEXJMMCFTVQQPSUFEUPQSFQPTJUJPOBNJOJNVNRVBOUJUZPG BHSFFEFNFSHFODZTVQQMJFTBOEFRVJQNFOU5IFTFTVQQMJFTXJMMCFNBOBHFECZUIF/BUJPOBM &NFSHFODZ5BTL 'PSDF BOE UIF 8$05IJT XJMM FOBCMF TVDI QSJPSJUZ DPVOUSJFT UP IBWF öSTU SFTQPOTFDBQBCJMJUZ CBTFEPOUIFSFDPNNFOEBUJPOTPGUIF&3' GPSFTUBCMJTIJOHiBMMIB[BSETw SFTQPOTFDBQBDJUZBUDPVOUSZMFWFM Activity x: Develop equipment specifications for regional rapid-response team operations. $VSSFOU PVUCSFBL SFTQPOTF FRVJQNFOU XJUIJO UIF 3FHJPO XJMM CF SFWJFXFE BOE SFDPNNFOEBUJPOTNBEFPOUIFBQQSPQSJBUFFRVJQNFOUUPQVSDIBTFBOEQSFQPTJUJPO 4QFDJöDBUJPO PG UIFiBMM IB[BSETw EVBM VTF PG FRVJQNFOU BOE NJOJNVN FTUBCMJTINFOU PG TQFDJBMJTUSFTQPOTFFRVJQNFOU #4-TVJUT 4$#" 1"13 %FDPOUBN $IFN#JP%FUFDUJPO XJMM CFVOEFSUBLFOXJUIUIFSFMFWBOUTQFDJBMJTUQBSUOFST $%$ *"&" 01$8 6/4$&"3
Activity xi: Develop and adapt standard kits for rapid field deployment 4UBOEBSEJ[FE 0VUCSFBL 3FTQPOTF 1FSTPOOFM %FQMPZNFOU ,JUT XJMM CF FTUBCMJTIFE BOE NBJOUBJOFEGPSJNNFEJBUFJTTVFUPTUBòHPJOHUPTVQQPSUöFMEPQFSBUJPOT "'30 FNFSHFODZ EFQMPZNFOU USBWFM QSPDFTTFT XJMM CF EFUBJMFE BOE JODMVEFE JO UIF 4)0$ BDUJWBUJPO 401 BOE 0VUCSFBL 3FTQPOTF HVJEFMJOFT "MM MPHJTUJDT PóDFST XJUIJO UIF 3FHJPO XJMMDPNQMFUFUIFQSFEFQMPZNFOUEPDVNFOUBUJPOSFRVJSFNFOUTPG(0"3/ BOE UIF"'30 3BQJE3FTQPOTF1SFQBSFEOFTT'SBNFXPSL BOEVOEFSHPUIFPVUCSFBLFNFSHFODZSFTQPOTF USBJOJOHBTBQSFSFRVJTJUFGPSJODMVTJPOJOUIF335SPTUFST Activity xii: Develop a proposal for regional courier and shipment services. 5PTVQQPSUUSBOTQPSUBUJPOPGNFEJDBMTBNQMFTGSPNUIFöFMEUPSFGFSFODFMBCPSBUPSJFT 8$0T XJMM QSFFTUBCMJTI DVTUPNFS BDDPVOUT XJUI TFMFDUFE DPVSJFS TFSWJDFT &BDI8$0 XJMM DSFBUF DPVOUSZMFWFMBDDPVOUTPSVTFBTUBOEBSE"'30BDDPVOUNPOJUPSFEBU305IJTXJMMGBDJMJUBUF UIF SBQJE USBOTQPSUJOH BOE TIJQNFOU PG TBNQMFT UP OBUJPOBM BOE JOUFSOBUJPOBM SFGFSFODF MBCPSBUPSJFT
4.4
Specific Objective 4: - Develop a WHO/AFRO Guide on Transportation and Shipment of Specimens and Supplies.
Activity xiii: Develop a proposal on shipping of outbreak supplies 5IFEFWFMPQNFOUPGUIF"'30&NFSHFODZ3FTQPOTF-PHJTUJDTHVJEFXJMMDMBSJGZUIFQSPDFTT GPS FNFSHFODZ TIJQQJOH PG PVUCSFBL SFTQPOTF TVQQMJFT CZ TQFDJGZJOH UIF UISFTIPMET GPS BDUJWBUJPOPGFNFSHFODZTIJQNFOUQSPDFTTFT5IJTXJMMPQFSBUFJOQBSBMMFMXJUIUIF&3'HSBEJOH PGIVNBOJUBSJBOFNFSHFODJFT
4.5
Specific Objective 5 – Establish an Operational East African Response Unit.
Activity xiv: Develop a proposal for the establishment of the East African logistic response unit. 5IJTXJMMFOTVSFUIFGFBTJCJMJUZPGFTUBCMJTIJOHBTFMGDPOUBJOFEPVUCSFBL-PHJTUJDT3FTQPOTF 6OJUGPS&BTU"GSJDB*UJTFOWJTBHFEUIBUUIF-36XJMMIBWFBSBOHFPGMPHJTUJDPQFSBUJPOTUP TVQQPSU&BTUFSO%3$ 3XBOEB #VSVOEJ 6HBOEB ,FOZB &UIJPQJBBOE4PVUI4VEBO 5IF"30(0"3/-PHJTUJDT3FTQPOTF6OJU %VCBJ XJMMQSPWJEFUIFNPEFMGPSUIFDPNQBSBCMF TUBOEBSETPGWFIJDMFTQFDJöDBUJPOTBOEBODJMMBSZFRVJQNFOUUPFOTVSFPQFSBUJPOBMDPNQMJBODF XJUI6/%441IBTFBOEBCPWFSFRVJSFNFOUT
4.6
Specific objective 6: Strengthen Management of Outbreak Supplies within the Region through Installation and Effective Use of the Stock Management and Inventory System (SIMS)
Activity xv: implement the Stock Management and inventory System in at least six countries and the RO. 5IF8)04UPDL*OWFOUPSZ.BOBHFNFOU4ZTUFN 4*.4 BOEUIF401GPSJOWFOUPSZNBOBHFNFOU IBWF CFFO EFWFMPQFE UP QSPWJEF DPNQSFIFOTJWF USBOTQBSFODZ PO PVUCSFBL SFTQPOTF FRVJQNFOUJOWFOUPSJFTBOEUIFJSUSBOTBDUJPOIJTUPSJFT5IJTTZTUFNQSPWJEFTBOJNNFEJBUFMZ BWBJMBCMFQMBUGPSNTVJUBCMFGPSUIF"'30)2 *45BOE$PVOUSZ0óDFNBOBHFNFOUPGPVUCSFBL BOE FNFSHFODZ SFTQPOTF MPHJTUJD TVQQMJFT " USBDLJOH DBQBCJMJUZ MJOLFE XJUI (4. JT CFJOH BEEFE 5IF4*.4TZTUFNXJMMQSPWJEFJOUFSGBDFUPUIF3FHJPOBM4USBUFHJD*OGPSNBUJPO4ZTUFN S4*4 GPSEFöOJOHUIFDVSSFOUTUBUVTPGPVUCSFBLSFTQPOTFFRVJQNFOUJOWFOUPSJFTUISPVHIPVUUIF 3FHJPO Pre-positioned emergency response supplies at UNHRD in Accra, Ghana: January 2015
5. iMPLEMENTATiON
5.1
Managing Implementation
5IF UISFF DSJUJDBM QPJOUT UP BEESFTT GPS FOTVSJOH TVDDFTTGVM TUSBUFHZ JNQMFNFOUBUJPO BSF t t 4FDVSJOH öOBODJBM TVQQPSU GPS BMM BDUJWJUJFT BOE GPS UIF FOUJSF öWFZFBS JNQMFNFOUBUJPOQFSJPE "DIJFWJOHDPOTFOTVTPOJNQMFNFOUBUJPOPGUIF&3'iBMMIB[BSETwMPHJTUJDT DPNQPOFOUGSPNLFZTUBLFIPMEFSTBUUIFSFHJPOBM *45 DPVOUSZMFWFM 83T 1SPHSBNNF%JSFDUPST BOE8)0)2CFGPSFJNQMFNFOUBUJPODPNNFODFT 3FDSVJUJOHRVBMJöFETFOJPSMPHJTUJDTQFSTPOOFMUPNBOBHFJNQMFNFOUBUJPO PGUIFBDUJWJUJFTXJUIJOUIFTUSBUFHZ
t
0OQSPKFDUBQQSPWBM UIF3-41BOE.41SPKFDUQMBOTIPVMECFSFBMJHOFECBTFEPOBHSFFE öOBODJBMMZTVQQPSUFEBDUJWJUJFT IVNBOSFTPVSDFBWBJMBCJMJUZBOEUIFBCJMJUZUPTVDDFTTGVMMZ JNQMFNFOUFBDIUBTLXJUIJOQMBOOFEUJNFGSBNFT
5.2
Project Schedule
5.3
Milestones
5BTLTUIBUNVTUCFBDIJFWFEUPFOTVSFDPNQMFUJPOPGUIFLFZDPNQPOFOUTPGUIFTUSBUFHZ XJMM CF EFöOFE JO UIF .4 QSPKFDU QMBO BT NJMFTUPOFT 5IF WBSJPVT TVCBDUJWJUJFT GPS BDIJFWJOHNJMFTUPOFTXJMMCFDPOTUBOUMZNPOJUPSFEUPFOTVSFUIF$IBOHF.BOBHFNFOU QSPDFTT JT BQQSPQSJBUFMZ SFDPSEFE BOE BMM BTTPDJBUFE EFQFOEFODJFT BOE BDUJWJUJFT BSF SFQSPHSBNNFEUPNBJOUBJOBMPHJDBMJNQMFNFOUBUJPOTFRVFODF
*.1-&.&/5"5*0/
0O BQQSPWBM PG UIF 3-41 BMM BDUJWJUJFT XJMM DPNNFODF BDDPSEJOH UP UIF QSPHSBNNF TDIFEVMFBOECFGVMMZDPNQMFUFEXJUIJOUIFUBTLEFTJHOBUFEQSPKFDUDZDMF5IFWBSJFUZBOE DPNQMFYJUZPGJNQMFNFOUJOHWBSJPVTBDUJWJUJFTXJUIJOUIFTUSBUFHJDQMBOXJMMSFTVMUJONBOZ BDUJWJUJFTSVOOJOHDPODVSSFOUMZ5JNFGSBNFTPGUIFEJòFSFOUBDUJWJUJFTXJMMCFSFøFDUFEJO UIF.4QSPKFDUQMBOCZEFöOJOHTQFDJöDUBTLT EFMJWFSBCMFTBOEUIFJSNJMFTUPOFT DMFBSMZ NBQQFEJOUPBMPHJDBMTFRVFODF
5.4
Deliverables
5IF3-41DPOUBJOTBOVNCFSPGIJHIFSMFWFMQSPKFDUFMFNFOUT BMMPGXIJDIJOWPMWFBDUJWJUJFT UIBUJOEJWJEVBMMZ PSJODPNCJOBUJPOXJUIPUIFSBDUJWJUJFT XJMMSFTVMUJOEFMJWFSBCMFTPGWBSZJOH TJHOJöDBODF UP NBJOUBJOJOH UIF DSJUJDBM QBUI BOE PWFSBMM TVDDFTT PG UIF TUSBUFHJD QMBO 4QFDJGZJOH LFZ EFMJWFSBCMFT JO DPODFSU XJUI BOBMZTJT PG DSPTTDVUUJOH JOJUJBUJWFT UIBU XJMM JNQBDUPOPUIFSQSPKFDUFMFNFOUTBOENJMFTUPOFT XJMMCFNBQQFEUISPVHIPVUUIFQSPKFDU DZDMF1SPKFDU$IBOHF.BOBHFNFOUXJMMSFRVJSFBMMSFQSPHSBNNJOHPGUBTLTUPCFBQQSPWFE CZ%1$BOESFDPSEFEXJUIJOUIF.41PS(4.QSPKFDUQMBOOJOHUPPM
5.5
Project coordination—Regional Outbreak Response Logistics Adviser
5P CF FòFDUJWFMZ JNQMFNFOUFE B TFOJPS PQFSBUJPOT BOE MPHJTUJDT PóDFS XJUI SFMFWBOU FYQFSJFODFJOJNQMFNFOUBUJPOPGiBMMIB[BSEw $#3/FBOEPVUCSFBLSFTQPOTFQSFQBSFEOFTT TIPVMECFSFDSVJUFEGPSUIFöWFZFBSJNQMFNFOUBUJPOQFSJPEPGUIFTUSBUFHZ5IF503TIPVME SFøFDUQSJNBSZSFTQPOTJCJMJUZGPSDPPSEJOBUJOHJNQMFNFOUBUJPOBDUJWJUJFTBOENBOBHJOHUIF .41PS(4.QMBOOJOHUPPM
5.6
AFRO Technical Logistics Working Group
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5.7
Existing Policy and Standards
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5.8
Regional Coordination
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WCO Coordination
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AFRO Regional Logistics Strategic Plan 2015-2018 Goal, objectives, implementation and indicators
Specific Objective
Strategy (i) Develop Standard Operating Procedures (SOP) for AFRO outbreak Logistics in the first 2 years of the project
Key Indicator (a) SOP for outbreak logistics tested, approved and shared with WCO
Activities (i) Develop the draft SOP. ii. Share with AFRO outbreak team and ARO Lo HQ. iii. AFRO LWG to review the draft. iv. Finalize and publish. Share with WCO
Implementation Implementation will be led by EPR/AFRO supported by RSU/AFRO
Time-line June-Sept 2016
1. To develop Standard Operational Protocol for outbreak logistics to provide guidance and support to Member States 2. Strengthen logistics human resource capacity within the Region by identifying, profiling, training and networking logisticians who can be deployed to support outbreak response
(ii) Within the first six months of the project develop profile of Logistics Human Resources available within the Region that can be deployed to support outbreak response
(a) A RLA recruited and at post. b. An AFRO logistics working group established and held first meeting with shared minutes
(i) Confirm TOR of RLA and agree on funding period. ii. Recruit a RLA. iii. Deploy RLA and set up office. iv. Establish an AFRO Logistics working Group v. Confirm and contact all members of the working group vi. Agree on a modus operandi and TOR of the LWG. vii. Organize first meeting and agree on regularity of meeting (TC/VC options)
This will be led by the RLA supported by the LO
Sept-Dec 2016 after the RLA is at post
(iii) Develop in the first 18 months of the project an AFRO Network health logisticians within the Region
Data based on all Health logisticians within the Region established and used to support outbreak response
(i) Identify and collect CVs from all WCO logistics officers working in health sector in their countries. ii. Develop a data base, using the VSHOC and as part of the RRT of all health logisticians within the Region. iii. The data base to be available and used for redeployment of staff to support outbreak logistics. Develop a system of network based o the GOARN model of health logisticians within the Region
This will be led by the RLA supported by the LO
Jan-March 2016
AFRO Regional Logistics Strategic Plan 2015-2018 Goal, objectives, implementation and indicators Specific Objective Strategy Key Indicator Activities Implementation Time-line
2. Strengthen logistics human resource capacity within the Region by identifying, profiling, training and networking logisticians who can be deployed to support outbreak response
(iv) Within the first year of the project, develop logistics training modules that could be used to enhance the skills of regional and subregional logistics officers
Standard logistics training modules available
(i) Establish a group of resource people (HQ, AFRO and Others) to support the development of the modules. ii. Review past training formats and agree on the basic modules to be developed. iii. Develop a time line and resource requirement for the development of the modules. iv. Develop the modules. v. Pre-test the modules vi. Review/revise and print
This will be led by the working group with individuals’ assignment specific recommendations. RLA will provide the secretariat backup
Jan 2016 – Dec. 2018
(v) Support each IST and selected priority countries to have logistics officers to support outbreak response activities (vi) Support at least six countries with the highest occurrence of epidemics develop bilateral neighbour country logistics network (i) Six countries within the Region have bilateral neighbourhood logistic networks. ii. TWO IST have established subregional health logistics networks.
(iii) Support focal points to initiate the neighbourhood links. iv. Organize short cross- border meetings. v. Identify the six priority countries with highest occurrence of epidemics within the Region. vi. Establish contact with selected country logistics focal points. vi. Identify focal points within each IST for logistics focal point to coordinate bilateral networks. Focal point can be at the IST or in a WCO. viii. Provide regular guidance and support to initiate and develop the network
This will be led by the IST Focal points supported by the RLA
Sept 2015 – Dec. 2016
AFRO Regional Logistics Strategic Plan 2015-2018 Goal, objectives, implementation and indicators Specific Objective Strategy Key Indicator Activities Implementation Time-line
3. To procure and strategically preposition standardized outbreak supplies and equipment to support a regional rapidresponse capacity
(vii) Develop at least three storage hubs within the Region for prepositioning outbreak prepared-ness and response equipment and supplies
Three regional hubs established with outbreak supplies prepositioned in them
(i) Review the existing structures being used by the UNHRD in Accra and how suitable that can be used for AFRO outbreak response prepositioning. ii. Select and agree on sites for hubs. iii. Develop standard list of materials for preposition-ing. iv. Negotiate with host countries for free port conditions. v. Procure the materials. vi. Install stock management and tracking systems. vii. Make hubs operational (i) Review and adopt the SIM for use for AFRO outbreak response supplies. ii. Incorporate inventory management and tracking tool into SIM. iii. Train selected WCO staff. iv. Install and use the SIM. v. Monitor regular use
This will be led by the WCO logistics focal points supported by the RLA
Sept 2016 Sept 2017
(viii) Develop and implement a Warehouse and Inventory Manage-ment system for all outbreak stores within the Region in the first year of project
All WCOs with outbreak supplies use warehouse and inventory management systems
This will be led by the RLA supported by LO/RO and WCOs
March 2016 – Dec. 2017
(ix) Assess and recommend to AFRO management within the first year of the project countries to be selected for the development of first-level response capacity
Criteria developed and countries selected and approved for a first-level response capacity
(i) In consultation with the AFRO outbreak response team develop a criteria and select countries for the development of firstlevel response capacity. ii. Develop a protocol and TOR for first-level response capacity. iii. Support the development of funding proposals for the establishment of firstlevel response capacity. iv. Initiate the implementation of the first-level response capacity
This will be led by the RLA supported by LO/RO and WCOs
Sep - Dec 2016
AFRO Regional Logistics Strategic Plan 2015-2018 Goal, objectives, implementation and indicators Specific Objective Strategy Key Indicator Activities Implementation Time-line
3. To procure and strategically preposition standardized outbreak supplies and equipment to support a regional rapidresponse capacity
(x) Develop within the first three years of the project specifications for AFRO rapid response equipment standards specifica-tions
Outbreak response equipment specification for AFRO response equipment developed and approved
(i) In consultation with AFRO outbreak team, develop a standard list of outbreak response equipment. ii. Develop technical specification for each equipment on the list. iii. Initial funding proposal for the procurement of the equipment. iv. Training outbreak response team in the use of the equipment
This will be led by the RLA
Jan - Dec 2016
(xi) Develop within the first two years of project specifications for logistics predeployment prepared-ness kits
List of the contents and specifications for Standard AFRO deployment kits submitted and approved
(i) In consultation with AFRO outbreak team, develop a list of the contents of AFRO Standard Response Kits for outbreak response. ii. Develop technical specification for each item on the list. iii. Initial funding proposal for the procurement of the materials and supplies. iv. Train outbreak response team in the use of the response kit.
This will be led by the RLA
June 2016 June 2017
(xii) Assess and recommend to AFRO manage-ment in the first 18 months of the project life, a proposal for regional courier and shipment services
Proposal submitted and approved by AFRO management on shipping arrangements for outbreak supplies.
(i) Review existing arrangements used by WHO HQ and AFRO as well as other UN agencies within the Region for use of courier services. ii. Develop a comparative cost-effective proposal. iii. Submit for approval. iv. Initiate implementation.
This will be led by the RLA supported by outbreak response team and WCO
Sept 2015 – Dec. 2016
AFRO Regional Logistics Strategic Plan 2015-2018 Goal, objectives, implementation and indicators Specific Objective Strategy Key Indicator Activities (i) Review existing arrangements used by WHO and other UN agencies within the Region for shipment of supplies. ii. Develop a comparative cost-effective proposal. iii. Submit for approval. iv. Initiate implementa-tion Implementation Time-line
4. To develop a WHO/AFRO adversary guide on transportation and shipment arrangements for specimens and outbreak supplies
(xiii) Assess and recommend to AFRO management in the first 18 months of the project life, a proposal for priority shipping arrangements for samples and outbreak supplies (xiv) Develop within the first six months proposal, including funding proposal for establishment of the AFRO East Africa logistic response unit
Proposal submitted and approved by AFRO management on courier and shipment services
This will be led by the RLA with input from LO and ARO Log HQ and supported by outbreak team AFRO
Jan 2016 – Dec. 2017
5. To establish an operational East African Response Unit
AFRO East Africa Logistics response Unit established
(i) Finalize the TOR for the EALRU. ii. Agree on the location of the unit with approval from WCO and host country. iii. Finalize the needs and requirements for the EALRU. iv. Develop funding proposal for approval by WCO and AFRO Management. v. Initiate discussion with donors. vi. Initiate the establishment of the EALRU
This will be led by RLA with support from EPR and LO and the WCO
Jan 2016 – Dec. 2017
6. To strengthen manage-ment of outbreak supplies within the Region through the installation and effective use of the Stock Manage-ment and Inventory System (SIMS)
(xv) Implement the Stock Management and Inventory System in at least six countries and the RO within the first years of the project
SIM operational and functional in six countries within the Region.
(i) Select the countries for training. ii. Administrative procedures for securing funding and approval for the training. iii. Develop format and schedule for the training. iv. Conduct the training. v. Ensure the SIM is installed in the offices that have received training. vi. Follow-up for implementation
This will be led by the RLA with input from LO and ARO Log HQ and supported by outbreak team AFRO
Jan 2016 – Dec. 2018