Improving Malaria Commodity Management through EUV Process

  • Published Date: January 2017
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After conducting a situation analysis of the supply chain for the National Malaria Control Program (NMCP) in Côte d’Ivoire, USAID’s Leadership, Management, and Governance (LMG) Project found that it was still missing key information on malaria commodity management. By following up with an end-use verification (EUV) process in one region, the project was able to better understand both the flow of malaria products and the implementation of malaria case management policy in health facilities, ultimately making targeted recommendations to reinforce both.

When she began providing technical assistance to the NMCP in November 2015, LMG’s Senior Technical Advisor for Supply Chain Management made a supply chain situational analysis her first priority; however, getting at the specifics of malaria commodities proved to be difficult because available supervision reports did not distinguish them from other products. And, while supervision is conducted at peripheral levels, it is mostly focused on HIV programming, and results are rarely sent up the system hierarchy to the central level.

The Senior Technical Advisor suggested that more could be learned through an EUV process, using the tool developed by the President’s Malaria Initiative (PMI). The methodology includes both observation and data collection on commodity management. It was easily adaptable to Côte d’Ivoire’s “push system” of malaria commodity allocation and could accommodate the full range of products used by the NMCP.

Conducted in 25 health facilities in the Gbokle Nawa San Pedro region in June 2016, the EUV survey showed that lack of respect for established minimum and maximum stock levels had created wide variations in product availability across all facilities, and that only half of supervision visits around that time included malaria case management components.

The EUV results led to significant changes in the Gbokle Nawa San Pedro region: all supervision visits now include malaria data quality controls; district team meetings are held more regularly; the regional pharmacist has become more involved in monitoring and managing district stocks; and transfers of malaria commodities are regularly made from districts with surpluses to those facing shortages. The Interim Director of the NMCP’s Monitoring and Evaluation Unit believes the EUV process should be extended to other districts. He also recognizes the effect that the process has had on his unit, noting, “This activity has encouraged us in our mission to ensure quality control of data and evaluate the performance of indicators.”