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JSI DELIVER
 * Our Story
 * Impact
 * Innovations
 * Reach


IMPROVING HEALTH
ACROSS THE GLOBE

Watch Our Video
Our Story
Derek Brown for USAID



GETTING PRODUCTS TO PEOPLE

Building a global supply chain to deliver
lifesaving health products to people.

Technical assistance to 65 countries

Medicines and health supplies shipped to 114 countries

Previous

SOUTH SUDAN

In-Country Overview
Malaria
Family Planning
Find out more

YEMEN

In-Country Overview
Family Planning
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ZIMBABWE

In-Country Overview
Malaria
Family Planning
Find out more

TANZANIA

In-Country Overview
Malaria
Family Planning
Find out more

ZAMBIA

In-Country Overview
Malaria
Family Planning
Find out more

ETHIOPIA

In-Country Overview
Malaria
Family Planning
Find out more

GHANA

In-Country Overview
Malaria
Family Planning
Find out more

GUATEMALA

In-Country Overview
Family Planning
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GUINEA

In-Country Overview
Malaria
Family Planning
Find out more

INDIA

In-Country Overview
Family Planning
Find out more

INDONESIA

In-Country Overview
Family Planning
Pandemic Threats
Find out more

LATIN AMERICA AND THE CARIBBEAN

In-Country Overview
Family Planning
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LIBERIA

In-Country Overview
Malaria
Family Planning
Find out more

MADAGASCAR

In-Country Overview
Malaria
Family Planning
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MALAWI

In-Country Overview
Malaria
Family Planning
Find out more

MOZAMBIQUE

In-Country Overview
Malaria
Family Planning
Find out more

NICARAGUA

In-Country Overview
Family Planning
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NIGERIA

In-Country Overview
Malaria
Family Planning
Find out more

PAKISTAN

In-Country Overview
Family Planning
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RWANDA

In-Country Overview
Malaria
Family Planning
Find out more

SOUTH SUDAN

In-Country Overview
Malaria
Family Planning
Find out more

YEMEN

In-Country Overview
Family Planning
Find out more

ZIMBABWE

In-Country Overview
Malaria
Family Planning
Find out more

TANZANIA

In-Country Overview
Malaria
Family Planning
Find out more

ZAMBIA

In-Country Overview
Malaria
Family Planning
Find out more

ETHIOPIA

In-Country Overview
Malaria
Family Planning
Find out more

GHANA

In-Country Overview
Malaria
Family Planning
Find out more

GUATEMALA

In-Country Overview
Family Planning
Find out more
Next


IMPROVING HEALTH OUTCOMES

Products shipped by the USAID | DELIVER PROJECT enabled countries to provide
family planning, protect against malaria, and limit the spread of pandemic
threats.


FAMILY PLANNING

More than 225 million girls and women in developing countries have unmet need
for family planning. The project shipped contraceptives to 75 countries,
enabling millions of women and families to make the best reproductive choices
for themselves.
Contraceptives shipped by the project potentially resulted in:
79
Million
Unintended pregnancies prevented
2.2
Million
Infant deaths averted
212
Thousand
Maternal deaths averted
$2.9
Billion
In direct health care spending saved


MALARIA

The USAID | DELIVER PROJECT supported the global goals to reduce malaria
morbidity and mortality around the world. The project shipped malaria
commodities to 28 countries, contributing significantly to the global decline of
malaria prevalence. Since 2000, malaria mortality rates have declined by 60%
across the globe.
The project procured commodities to support the reduction of malaria-related
morbidity and mortality, including:
188
Million
Long-lasting insecticide-treated bed nets to protect people from malaria
505
Million
Cases of malaria treated with artemisinin-based combination therapy
329
Million
Suspected malaria cases tested with rapid diagnostic tests
6.8
Billion
Sulfadoxine/ pyrimethamine tablets to prevent malaria in pregnancy


PANDEMIC THREATS

To help prevent outbreaks of infectious diseases, including avian influenza and
H1N1 influenza, the project shipped equipment and supplies to 103 countries,
preparing them for emergency response.

38.6
Million
Items shipped
103
Countries
Received help to prevent outbreaks


NO PRODUCT, NO PROGRAM

Delivering billions of products effectively.
 * From Product
 * Through Supply Chains
 * To Communities

From Product


FROM PRODUCT

Over 10 years, the USAID | DELIVER PROJECT bought and shipped more than 8.5
billion health products, supplying a large portion of developing countries’
contraceptive and malaria prevention and treatment commodity needs. By providing
vital medicines and health products, and strengthening the systems that get the
supplies into the hands of clients and patients, we contributed to better health
outcomes for millions of people.


Through Supply Chains


THROUGH SUPPLY CHAINS

For ten years, the USAID | DELIVER PROJECT has been a global leader in
strengthening and integrating public health supply chains, as well as managing
an efficient central procurement and delivery operation. Working with suppliers,
freight forwarders, USAID Missions, and global and national stakeholders, the
project built and operated an agile and cost-effective global supply chain,
reducing the cost of products and freight, removing obstacles to timely delivery
of products, and strengthening the interconnections with in-country supply
chains. For condoms and contraceptives, the project improved on-time delivery
from 73 percent to 95 percent. These improvements contributed to increased stock
availability, improving health outcomes across the world.


To Communities


TO COMMUNITIES

The USAID | DELIVER PROJECT worked hand in hand with ministries of health and
other local partners to enable a sustainable flow of health products to their
populations. Where needed, the project also worked with local organizations and
private sector companies to deliver products directly to communities. The
project distributed bed nets for malaria prevention all the way to the
community, and engaged local NGOs to help install them in individual homes. In
countries—such as Malawi, South Sudan, Liberia, and Zimbabwe—where ministry of
health capacity needed to be augmented, the project established complementary
supply chain systems to ensure that essential medicines and other health
supplies could reach clients and patients.




SUPPLY CHAIN INNOVATIONS

Developing innovative solutions that help countries improve national health
supply chains.
Learn more


DEVELOPING INNOVATIVE SOLUTIONS THAT HELP COUNTRIES IMPROVE NATIONAL HEALTH
SUPPLY CHAINS.



To improve product availability, the project developed and adapted new and
innovative tools, techniques, and methodologies to strengthen national supply
chains. Using best practices, private-sector approaches, collaboration, and
strategic knowledge sharing, the USAID | DELIVER PROJECT spearheaded
improvements in supply chain performance in the countries where we worked.

To help identify the changes needed to improve product availability, the project
conducted in-depth supply chain system analysis and design activities in 30
countries. Using combinations of innovative interventions—such as geographic
information systems (GIS), supply chain modeling, and optimization
techniques—the project adapted interventions to the local environment to create
well-performing supply chains that in many places were scaled up nationally.

To ensure that decisionmakers had the information they needed, the project
helped 30 countries expand data visibility and build efficient and effective
logistics management information systems (LMIS) to help managers gain insights
to make the right supply decisions. In 12 countries, this included digital
logistics management systems and data visualization. Better LMISs helped
increase reporting rates and reduce stockouts.  

The project ensured that warehouses could properly store and distribute
supplies, maintaining inventory quality. Interventions ranged from training in
warehouse dejunking and management—which created additional storage space and
decreased wastage of health commodities—to implementation of sophisticated
warehouse inventory systems that included barcoding.

We worked with ministries of health and NGOs to improve distribution system and
deliver health supplies directly to the last mile of the supply chain, including
health facilities, schools, and individual homes.

The project provided thought leadership and introduced new solutions in health
supply chain management, which have been replicated by others. After ten years
of pioneering work, the USAID | DELIVER PROJECT leaves a legacy of stronger
supply chain systems around the globe. By strengthening the systems that get
medicines and health products into the hands of clients and patients, we
contributed to better health outcomes for millions of people in low- and
middle-income countries.



PRIVATE SECTOR SOLUTIONS

Adapting proven, private-sector supply chain practices to local environments.

IMPLEMENTING TO SCALE

Designing and building robust and responsive national supply chains.

DATA VISIBILITY

Building digital logistics management information systems and improving data for
decisionmaking.


BUILDING CAPACITY

Building local capacity that enables countries to improve in the future.
Learn more


BUILDING LOCAL CAPACITY THAT ENABLES COUNTRIES TO IMPROVE IN THE FUTURE.

An essential component of a robust health supply chain is the staff that
implements logistics tasks. To run effectively, public health supply chains
require motivated, trained, and skilled staff who are competent in the various
essential logistics functions and who are empowered to make decisions that
positively impact health supplies and supply chains.

The USAID | DELIVER PROJECT’s capacity-building activities strengthened human
resources (HR) in public health supply chain systems and professionalized the
supply chain management workforce. The project conducted national HR
assessments, spurred organizational change, and built human capacity at every
step of the supply chain, training 150,000 staff at all levels, as well as
creating sustainable training programs.

The project worked with countries to create logistics management units,
elevating the role of health supply chain management within ministries of health
and training key leaders in how to provide stewardship for the health supply
chain.

By setting up regional training institutes, the USAID | DELIVER PROJECT enabled
countries on three continents to offer supply chain management courses. In 11
countries, the project helped local institutions of higher learning to introduce
pre-service training programs in supply chain management of health commodities.

The project worked hand in hand with ministries of health and other local
institutions to make sure solutions were locally owned and locally led for
sustainability of the programs. To support professional development of public
health logisticians across the globe, the project established a community of
practice—the International Association for Public Health Logisticians.



SUSTAINABLE TRAINING PRACTICES

Integrating supply chain management training into higher education.

SUPPLY CHAIN LEADERSHIP

Improving strategic and operational management through organizational change.

COMMUNITY OF PRACTICE

Establishing the International Association for Public Health Logisticians.


GLOBAL AND LOCAL COLLABORATION

Making supply chain management of health commodities a global priority.
Learn more


BUILDING BRIDGES BETWEEN STAKEHOLDERS TO SOLVE SUPPLY CHAIN CHALLENGES AND AVERT
STOCKOUTS.

The USAID | DELIVER PROJECT worked with national and international partners to
expand the availability of contraceptives and essential health products around
the world. Occupying a global leadership role in supply chain
strengthening and commodity security (CS), the project served as the go-to
resource for global and regional partners and a catalyst for global discussions
on commodity security. These efforts helped ensure that CS and supply chains are
part of the global agenda for improving health outcomes.

Convening national stakeholders to gain consensus, the project supported
strategic activities, including development of reproductive health commodity
security strategies and operational plans. These activities targeted overall
planning, collaboration, and endorsement of supply chain management as a key
factor in successful health programs.

The project created online systems that allow donors and countries to share data
for planning and rapid responses. Over the past decade, the Procurement Planning
and Monitoring Reports for contraceptives and malaria commodities have become
key data sources for country-and global-level coordination and information
sharing. Stakeholders use these tools to monitor stock levels and make
procurement-related decisions.

The project taught countries how to forecast and quantify demand, so they could
determine what medicines and supplies they needed, how much, when, and where.
Using this and other information, the project helped countries mobilize funding
from both in-country and international donor sources. To encourage investment in
supply chains and health commodities, the project developed evidence-based
advocacy tools that are now used by other organizations.

To improve access to health supplies, the project pioneered work using a total
market approach by working with suppliers and financers from all three
sectors—public, nonprofit, and commercial—leveraging their various competencies.
To improve the environment for commodity security, the project developed
multiple strategies and guidance tools on topics such as financial tracking of
contraceptives, quantifying the costs of operating supply chains, and
contraceptive security indicators. The project made supply chain management of
health commodities a global priority and created a global movement.



COORDINATED SUPPLY PLANNING

Facilitating collaboration among donors and countries to avert stockouts of
health products.

TOTAL MARKET APPROACH

Bringing together all sectors in the market place to improve availability of
health commodities.

ADVOCACY FOR HEALTH SUPPLIES

Generating the evidence to advocate for commodities and supply chain operations.


LEADING THE CHANGE

Connecting practitioners worldwide to a body of knowledge that gets millions of
products to people every day.
 * Reach
 * Resources

Reach


REACH

Through comprehensive dissemination efforts, the project put its supply chain
tools and knowledge in the hands of global-, regional-, and national-level
partners; and in the hands of everyday health professionals, leading to a
greater impact and longer sustainability for the project’s work. The project
connected with followers and broadened the dissemination reach through platforms
that include Facebook, Tumblr, Twitter, Instagram, Vine, Vimeo, and YouTube; and
postings on a broad range of public health outlets, including various social
media channels, blogs, listservs, and forums. 

The project contributed 150 tools to the Procurement and Supply Management (PSM)
Toolbox website, which is an important resource for health logisticians.
Constituting approximately one-third of the tools available in the PSM Toolbox,
the project’s tools cover all the major topics of procurement and supply chain
management.



Resources


RESOURCES

The Logistics Handbook: A Practical Guide for the Supply Chain Management of
Health Commodities, available in six languages.

The USAID | DELIVER PROJECT developed hundreds of tools and guides that
organizations around the world now use to build and maintain high-performing
supply chains. By developing best practices and innovative approaches, and
sponsoring new research, we helped raise awareness about the important role of
supply chain management in securing a steady flow of life-saving health
commodities.

The project published standard operating procedures, assessments, supply chain
toolkits, manuals, journal articles, software, K4Health toolkits, and more, as
well as important advocacy tools: the Contraceptive Security Indicator
dashboards and the Contraceptive Security Index. Formats include infographics,
data visualizations, dashboards, online toolkits, and videos, as well as
traditional products—reports, posters, fact sheets, and slide presentations—with
added emphasis on visuals and accessible narratives.

To access resources from the USAID | DELIVER PROJECT, please visit the following
websites:

John Snow Inc.

USAID Development Experience Clearinghouse

PSM Toolbox

K4Health 


Find Out More:

The U.S. Agency for International Development (USAID) funded this website under
the terms of the USAID | DELIVER PROJECT contract no. GPO-I-00-06-00007-00. The
information provided on this website is not official U.S. Government information
and does not represent the views or positions of the U.S. Agency for
International Development or the U.S. Government. The USAID | DELIVER PROJECT
was managed by John Snow, Inc.
© 2021 John Snow, Inc.
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