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Improving Maternal Health by Addressing Stockouts

2021

This case traces the development of a series of initiatives to intended to reduce stockouts of family planning commodities in Senegal’s public health system and the eventual scale-up of the redesigned supply chain. After exploring early efforts to overhaul the supply chain, it describes how the Gates Foundation, along with others, supported the launch of the Informed Push Model with Third Party Logisticians (IPM-3PL), which proved to reduce stockouts dramatically. Despite significant initial support from both government ministries and international donor agencies, the program did not survive the transition to a fully government-run model and was eventually discontinued in 2019.

Learning Objectives: A productive class discussion will allow students to appreciate (1) the benefits and challenges of transitioning aspects of a public health supply chain between push and pull models, (2) the trade-offs of private sector integration in public health supply chains, (3)How the management and financing structure of a public health supply chain impacts its efficacy and scalability, and (4) the need for cross-sector and intragovernmental collaboration for effective supply chain management.

The Global Health Delivery (GHD) Project, an interdisciplinary collaboration between Harvard Business School, Harvard Medical School, and Brigham and Women’s Hospital, investigates the management decisions behind disease treatment and prevention globally. The Global Health Delivery (GHD) Case Collection is a set of teaching case studies that are available for all at no cost online through Harvard Business Publishing, GHDonline, and The Case Centre.

Source:

Rosenberg J, Ahmad I, Sharara N, Weintraub R. Improving Maternal Health by Addressing Stockouts: Integrating the Private Sector into the Public Health Supply Chain in Senegal. Global Health Delivery Project, Harvard Business Publishing 2021. https://www.globalhealthdelivery.org/publications/improving-maternal-health-addressing-stockouts-integrating-private-sector-public.