In many developing countries, poor infrastructure, late deliveries of life- saving commodities and cumbersome paper-based systems for reporting and logistics, make health systems unable to ensure availability and distribution of vaccines and other commodities to health facilities. Furthermore, decision making is slow and inefficient due to manual, error-prone reporting mechanisms.
In 2014, eHealth Africa (eHA) began building a suite of mobile and web applications, LoMIS Stock and LoMIS Deliver to address the supply chain challenges. Using LoMIS Stock, health care workers (HCWs) can bypass the traditional (slow) paper-based reporting system and submit reports instantly using an application on their mobile devices. LoMIS Stock enables supervisors to get near real-time visibility of stock level at health facilities for planning and decision making.
The data from LoMIS Stock can be used to plan and schedule product deliveries to restock health facilities. Built specially to aid drivers and health delivery officers during delivery to health facilities, LoMIS Deliver automates the process of the paper-based ledger entry, to record quantity delivered and stock at hand at health facilities.
eHA recently implemented a new feature to allow health workers to send their reports using USSD technology. This has significantly reduced the reliance on smartphones and internet data.
Together, eHA’s LoMIS Stock and LoMIS Deliver applications provide critical solutions to health commodity availability, vaccine management challenges and enable broader health system policy decisions at the state level and national level.
As part of LoMIS Suite, LoMIS Stock enables health-workers at the last mile health facility, their supervisors and other stakeholders get health commodity stock visibility in order to make informed decisions.
The solution comprises of:
Offline, SMS capable mobile applications installed on Android phones and tablets for health workers.
Web application dashboards that aggregate stock levels and utilization from the last mile facility.
Send stock-outs at customizable intervals
Send stock out alerts
Send waste count and reasons for waste
Send incoming and outgoing delivery information
Send stock utilization for fixed and outreach sessions
Update functional status of cold chain equipment
Real-time reporting on dashboard
Export Reports in CSV
Configuration / Access Control
Visualize historical data and identify trends
Governments using LoMIS Stock derive the following benefits amongst others;
Provides stock visibility at last mile health facility
Provides visibility on the status of cold chain equipment at last mile health facility
Reduced data collection errors associated with traditional paper-based reporting
Improves data-driven decision making which translates to
Improved stock availability
Reduced stock out rates
Improved health worker accountability
Reduces data turnaround time
LoMIS Deliver is a technology-based information system that enables logistics service providers to plan, schedule, manage and monitor their pick-up and delivery tasks in near-real-time.
The solution comprises of:
Web Dashboard application, from which supervisors plan and monitor deliveries and pick up tasks
Mobile application from which drivers report the status and details of the tasks assigned to them
Task List assigned to the User (Driver)
Item List and Quantities associated with Tasks
Status of Tasks
e-acknowledgement of task completion by customers
Users and user roles
Product and product groups
Customers' profile with contact details
Product (Item) allocation for each customer
(Pickup and/or delivery) Tasks assigned to drivers
Monitoring, Detailed analytics that provide historic and current patterns
Secure, role-based access to any / all relevant stakeholders
Near real-time visibility into distribution and goods-in-transit
Eliminate data collection errors associated to traditional paper-based reporting
Improved accountability due to visibility across distribution value chain
Reduce data turnaround time
Enhanced data-driven decision-making
e-acknowledgement & e-receipts of successfully completed tasks
Kano state healthcare system using its traditional paper-based reporting and logistics methods faced several challenges in ensuring the availability of life-saving commodities and meeting supply chain reliability goals, including substantial degrees of stockouts at last mile health facilities, manually aggregated reports which placed a heavy burden on staff and resulted in data collection errors and delays in providing timely information.
In 2014, LoMIS Stock was introduced to Kano State and currently, health workers in all 484 health facilities, 44 local government areas and 6 zones of Kano state send and review reports using the LoMIS stock application on their mobile phones. The web dashboard allows supervisors to review and validate reports, identify challenges such as minimum stock levels or cold chain equipment breakdowns and address them immediately. To solve the problem of low reporting rates in facilities with poor internet connections, eHA added a USSD feature that would allow health facility workers with inadequate or no data to send their weekly reports in a timely manner. The USSD platform was piloted with the Pharmaceutical Department of the Kano State Primary Health Care Management Board (KSPHCMB).
In 2014, eHA third-party logistics began to provide vaccine delivery service to Kano State in Nigeria and identified that the main challenges that the healthcare system in Nigeria experiences in ensuring the availability of life-saving commodities at the last-mile health facilities where they are needed, can be summarized as
Irregular and untimely delivery of vaccines to health facilities
Lack of accurate delivery data and no visibility of products in transit
No system in place to track the movement of commodities between facilities/supply channels & point-of-use
Pilfering of vaccines in transit that either go undetected or cannot be quantified
Substantial degrees of stockout at last-mile health facilities
Using LoMIS Deliver, eHA 3PL health delivery officers (HDOs) are enabled to report, in near-real-time on the
Status of the cold chain equipment (CCE) at the last-mile health facilities
Quantity of vaccines picked from State / LGA cold stores
On-hand vaccine quantities at the health facilities they deliver to
Quantity of vaccines delivered to the last-mile facilities
Quantity of vaccines returned to the State / LGA cold stores
This data aids visibility at all levels which results in efficient planning and quick, effective decision- making.