PMID- 28364933
OWN - NLM
STAT- MEDLINE
DCOM- 20171215
LR  - 20180206
IS  - 1873-2518 (Electronic)
IS  - 0264-410X (Linking)
VI  - 35
IP  - 17
DP  - 2017 Apr 19
TI  - When technical achievements aren't enough: Lessons learned from efforts to 
      catalyze policy action on supply chain in Senegal.
PG  - 2209-2213
LID - S0264-410X(17)30075-0 [pii]
LID - 10.1016/j.vaccine.2016.11.106 [doi]
AB  - Before 2013, Senegal public health supply system was pull-based and fully 
      public-run. Lengthy and recurrent stockouts of essential health products (incl. 
      contraceptives) were the rule, not the exception as they used to strike more than 
      80% of public service delivery points (SDPs). Following a successful pilot in two 
      districts in 2012, the Senegalese Ministry of Health and Social Action (MSAS) 
      implemented the Informed Push Model (IPM) Project (2013-2016). In its first two 
      years, IPM bridged key gaps and expanded the distribution of contraceptives by 
      private third party logistics operators to all public SDPs in Senegal and nearly 
      eliminated stockouts. However, the MSAS was slow to take ownership of the 
      project. Understanding the roots of this reluctance, executing a range of 
      targeted communication and advocacy efforts and preparing a strong transition 
      plan are succeeding to push Government toward full ownership to enable the 
      National Supply Pharmacy to distribute all health products going to SDPs, 
      including vaccines, consistently with their Strategic Plan 2014-2018.
CI  - Copyright (c) 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.
FAU - Dicko, Modibo
AU  - Dicko M
AD  - Intrahealth International, Senegal Office, Dakar, Senegal. Electronic address: 
      mdicko@intrahealth.org.
FAU - Souare, Batouo
AU  - Souare B
AD  - Intrahealth International, Senegal Office, Dakar, Senegal.
FAU - Sarr, Lamine Cisse
AU  - Sarr LC
AD  - Intrahealth International, Senegal Office, Dakar, Senegal.
FAU - Gueye, Babacar
AU  - Gueye B
AD  - Intrahealth International, Senegal Office, Dakar, Senegal.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Vaccine
JT  - Vaccine
JID - 8406899
RN  - 0 (Pharmaceutical Preparations)
SB  - IM
MH  - *Health Policy
MH  - Humans
MH  - *Organization and Administration
MH  - Pharmaceutical Preparations/*supply & distribution
MH  - Senegal
OTO - NOTNLM
OT  - Advocacy
OT  - Funding mechanisms
OT  - Informed push model
OT  - Integration
OT  - Performance-based contracts
OT  - Private operators
OT  - Scale up
OT  - Stockouts
OT  - Supply system
OT  - Sustainability
EDAT- 2017/04/04 06:00
MHDA- 2017/12/16 06:00
CRDT- 2017/04/03 06:00
PHST- 2016/07/03 00:00 [received]
PHST- 2016/10/28 00:00 [revised]
PHST- 2016/11/03 00:00 [accepted]
PHST- 2017/04/03 06:00 [entrez]
PHST- 2017/04/04 06:00 [pubmed]
PHST- 2017/12/16 06:00 [medline]
AID - S0264-410X(17)30075-0 [pii]
AID - 10.1016/j.vaccine.2016.11.106 [doi]
PST - ppublish
SO  - Vaccine. 2017 Apr 19;35(17):2209-2213. doi: 10.1016/j.vaccine.2016.11.106.