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Evaluation of the Zimbabwe assisted pull system: endline report

2016EnglishTask order 4 | Project title: USAID | DELIVER project Health deliveryCODE: 613; Zimbabwe

Metadata

Authors
Rosen, James E. | Bem, Julia
Contract/Code
AID-OAA-TO-10-00064 | AID-GPO-I-00-06-00007 | GPO-I-00-06-00007-00
Institution
5553 - John Snow, Inc. (JSI) 11262 USAID. Bur. for Global Health. Ofc. of Population and Reproductive Health
Keywords
Commodities | Distribution | Health facilities | Logistics | Operating costs | Supply chains | Trucks | Vehicles KF00 Health facilities (634.2) | Health care administration (408.8) | Roads and road transport (205.0)
ID
PA00KZC3
File size
1461 KB
Source
Open PDF

Abstract

This report provides results from the endline measurement for the evaluation of the Zimbabwe Assisted Pull System (ZAPS).  The ZAPS, which was piloted in Manicaland province, consolidates management of four existing health commodity distribution systems for the primary healthcare facility level: Delivery Team Topping Up (DTTU); Zimbabwe Informed Push/Primary Health Care Package (ZIP/PHCP); Zimbabwe ARV Distribution System (ZADS); and Essential Medicines Pull System (EMPS).  For the hospital level, the ZAPS consolidates the DTTU ZIP/PHCP, while the ZADS and EMPS continue operating as separate systems.  The evaluation compared the performance and costs of the ZAPS with these existing distribution systems.  The ZAPS pilot maintained supply chain performance and did so at a lower overall cost and more efficiently compared to the four existing supply chain systems.  With other factors, such as per-province start­up costs, the comparative sustainability of the ZAPS model, and how ZAPS is financed relative to the existing supply chain model, decisionmakers can use the results of the evaluation to make an informed decision on how to move forward with implementing ZAPS elsewhere in Zimbabwe.  (Author abstract)