Managing Commodity Stock Management & Replenishment in Mali community health centres through a DHIS2 and Medexis eLMIS integration

This abstract has been accepted at the 2024 DHIS2 Annual Conference

Managing Commodity Stock Management & Replenishment in Mali community health centres through a DHIS2 and Medexis eLMIS integration

BACKGROUND The replenishment mechanism of donor funded essential medicines in Mali is SDADME-PS, supported by the OSPSanté surveillance platform. Health centres inform this platform by submitting their consumption and stock information using the DHIS2 application on a monthly basis. Following the introduction of the DHIS2 application, however, data processing still required substantial resources and were prone to error, especially concerning forecasting and replenishment activities. Community health centres (CSComs) continued their administration using a paper-based system with no direct link between the digital data and product issuing, procurement, and management. This led to obstructions in the ordering and management system and resulted in considerable monitor-to-replenishment lead times. OBJECTIVE The eLMIS system, Medexis, was introduced for the electronic management of product movement between district dispatching depots (DRCs) and CSComs using the data retrieved from from DHIS2. The DHIS2-Medexis integration focuses on data synchronization and the calculation of stock replenishment in the regions of Mopti, Segou and Sikasso. This first phase of implementation aims to provide real time data and operational efficiencies to the donor provided essential medicines replenishment supply chain between the DRC and CSComs from Dec 2022 – April 2025. RESULTS Since its introduction, 21 out of 26 target districts (81%) have been trained on validating requisitions and submitting proof of deliveries via the DHIS2 interface. A total of 384/530 health facilities (72%) are using the solution for monthly requisitions and replenishment of donated essential medicines. The DRC administration is now able to manage donor product requisitions on a digital platform; provide a monthly overview of requisitions and stocks delivered to the community health centres; and generate informed push orders for the replenishment of community health centres. By using DHIS2 data, the implementation time was minimalized and existing knowledge and habits were leveraged. Between December 2022 to October 2023, the stockout rates of the tracer commodities Chlorhexidine and Magnesium Sulfate have shown a 78% and 50% decrease, respectively. FUTURE The project’s objective is to extend its existing operations to encompass all 680 health facilities across the three regions.

Primary Author: Kim Van Der Weijde

Interoperability; Data synchronisation; Stock Replenishment; Quantification; Stock optimisation