ARC in Senegal serves governments in Francophone West Africa to support them in achieving their public health goals.
The last week of April was marked by an explosion in the number of COVID-19 cases diagnosed in sub-Saharan Africa. This may be explained by the implementation of screening strategies that has seen the amount of testing taking place increased.
However, the proportion of the infected population over the number of people tested still remains below 10 per cent with a fatality rate still very low compared to Europe.
Senegal has published preliminary results from clinical trials with Hydroxychloroquine and Azithromycin. Initial results appear to show a reduction in complications and in the length of hospital stay of the patients (four days less than without treatment).
Some countries are starting to ease restrictive measures aimed at breaking the chain of containment (South Africa, Nigeria, Burkina Faso), but these decisions are not unanimous and observers fear the worst in the weeks to come.
Looking back over more than four months of COVID-19 epidemic, several trends are emerging regarding the epidemiological profile and the responses to it. While some countries are considering lifting restrictive measures aimed at curbing the spread of the pandemic, such as lockdowns, which have proven effective in containing pressure on the health system, the African continent seems to only now be entering the epidemic curve with an increase of more than 40% in number of people infected.
When the supply chain breaks down globally, health products begin to experience inflation and we are inexorably headed towards stock-outs.
ARC has been providing guidance to the Ministry of Health and Social Action for the implementation of a pilot project. ARC assisted with partner alignment, and placed a supply chain coordinator in the ministry to smooth the transition to government ownership of the project.
ARC is providing technical assistance to the national medical store in partnership with Merck Sharp & Dohme (MSD), Pfizer, the Association for Supply Chain Management (APICS), the Kaizen Institute, the London Business School and Institut Africain de Management. These partnerships aim to impart good storage and pharmaceutical practices and lean management tools to build capacity among the medical store staff.
ARC is providing technical assistance to DPM in partnership with the private sector (MSD and Pfizer), for the improvement of standard operating procedures and the development of a quality management system. The technical assistance will help improve the accreditation process of medicine and suppliers, importation approval, and temperature monitoring and control.
ARC has successfully supported the initiation of a Supply Chain Management Master’s Degree in partnership with local private business school Institut Africain de Management and the University of Michigan’s William Davidson Institute. ARC takes part in a regular seminar series on various supply chain topics that allow discussion and debate between students, health professionals, government and other partners.
ARC is paving the way for the implementation of ASCM’s Rapid Improvement Project and has facilitated the recruitment of a supply chain manager in the country. The project is being done in partnership with the national medical store and will be a continuation of the fellowship programme activities, including the deployment of lean management tools.
ARC is providing technical assistance to the Togo Ministry of Health and Public Hygiene in the development of the country’s national supply chain strategy. ARC piloted the diagnostic phase, supported the set-up of the national taskforce and the alignment of technical and financial partners. ARC aims to facilitate the resource mobilisation process to finance the supply chain strategy.
ARC is providing technical assistance to CAMEG (the national medical store) in partnership with the private sector (MSD) in the development and implementation of a quality management system and lean management tools (APICS and the Kaizen Institute) for warehouse improvement. ARC is also providing technical assistance for the development of a logistics management information system.
ARC is providing technical assistance to the National Programme for the Development of Pharmaceutical Services. Set up by the Ministry of Health, it coordinates pharmaceutical activities in line with national pharmaceutical policy and provides assistance to pharmaceutical stakeholders. It also aims to consolidate the various supply chain diagnostics performed by partners The Global Fund and the United States Agency for International Development (USAID), as well as keeping the national supply chain strategy updated.
ARC initiated and facilitates the a Master’s Degree in Supply Chain Management at the Department of Pharmacy at the university. ARC has been working with the Kuehne Foundation and Institut Africain de Management to provide technical assistance for developing training content and identifying project requirements.
ARC provided technical assistance to the Ministry of Health on temperature monitoring and control guidelines through the MSD Fellowship Programme. ARC is in discussion with the Kaizen Institute and APICS to implement lean management tools for warehouse improvement.
ARC is providing technical assistance to the women’s empowerment initiative Sahel Women’s Empowerment and Demographic Dividend (SWEDD) for the development of a sustainable last mile delivery model. IntraHealth has been brought on board to share the experience of the Informed Push Model project. ARC also aligned with USAID and Chemonics in the technical process.
ARC is providing technical assistance for the development of the National Supply Chain Strategy in Emergency Situations in partnership with, among others, the World Health Organization, the United Nations Population Fund and USAID. The first draft is finalised, and the validation process is ongoing.
ARC initiated discussions for the strengthening of an existing logistics programme towards a broader supply chain management curriculum to align with international standards.