TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Discussions tagged EVM

Immunization Supply Chain Action Plan

Dear TechNet Members, Bhutan is going to develop Immunization Supply Chain Action Plan as a recommendation of the Regional ISC review meeting 2017. Appreciate if members could kindly share the sample of similar action plan for us to have an idea.  Thanks, Chandralal 

WHO-UNICEF cIP Guidance Note launch and review process

Dear immunization and health supply chain professionals,

The Effective Vaccine Management (EVM) initiative has evolved significantly from being solely associated with an assessment tool. It has been transformed to help national programmes make major health systems strengthening investments work as intended – to address the underlying systemic bottlenecks to immunization supply chain performance.

In this context, I am pleased to share with you the WHO and UNICEF continuous Improvement Plan (cIP) guidance note – published here in English (and soon to be available also in French):
https://www.technet-21.org/en/library/main/4911-how-to-develop-a-continuous-improvement-plan-cip

--> This document provides detailed guidance on how to plan for continuous ISC improvement: a practical tool for countries to develop improvement strategies, integrate EVM in existing national planning processes, and thus build a robust investment case for immunization supply chains.

The guidance note became possible thanks to cIP champions in a number of countries, who inspired us with their brave efforts and lessons learned. There will be more innovations and lessons as each country works to develop its own cIP. The Guidance note will therefore not remain static but will evolve with these new experiences.

In the coming months, we will launch an interactive process on the TechNet-21 web platform, through moderated discussions on EVM and cIP topics and a country champions group. Please consult the cIP resource page for more information:
https://www.technet-21.org/iscstrengthening/index.php/en/improvement-plans-about

We look forward to your engagement, and in the meantime, I would like to wish you, on behalf of the WHO and UNICEF teams, a good reading.

Warm regard,

Ousmane Dia

EVM questionnaire for research purpose

Good day...i'm planning to use EVM as one of my tools to acess the vaccine management in my country in few selected primary health care centers in remote areas. Clearly my country is not using this model....is it advisable for personal research use? Im quite attracted to the scopes that the survey covers, its comprehensive. 

Launched today: Special Edition of Vaccine “Building Next Generation Immunization Supply Chains"

PATH is pleased to present “Building Next Generation Immunization Supply Chains” a special edition of Vaccine journal which brings together evidence from global experts in 31 articles representing decades of work by country governments, implementing partners, and donors to improve immunization supply chains (iSC). The articles address the impact of iSC on vaccine coverage, current challenges, and successful pilots, promising ideas and innovations, and upstream solutions that can all help mitigate these challenges. Guest editors of the journal include Benjamin Schreiber (UNICEF), Bruce Lee (Johns Hopkins Bloomberg School of Public Health), and Raja Rao (Bill & Melinda Gates Foundation). Compiled in this way for the first time, the evidence presented in the special edition will serve as a ready reference for supply chain practitioners, underscore the importance of iSC performance for all partners in vaccine discovery and delivery, and help elevate performance improvements onto the priority agendas of global, regional, and country level stakeholders. To support the special edition and to tell the story of how strong immunization supply chains help vaccinate more kids and save more lives, PATH developed an accompanying digital feature: Connecting the Dots: How to get vaccines to more kids. The feature is designed with animated illustrations and social media friendly content to help build awareness for this important aspect of immunization programs. We invite you to check it out and share it with your networks using the social media toolkit below. What can you do? Learn More · Visit Connecting the Dots: How to get vaccines to more kids · Read Building Next Generation Immunization Supply Chains Share with your networks · Easy retweet: https://twitter.com/PATHtweets/status/847508916422496256 · Share on Facebook: https://www.facebook.com/PATHglobalhealth/posts/10154185969685059 · Social Media Toolkit: http://pathisc.nptoolkit.org/

EVM Assessment

Dear All Please help solving this problem in EVM assessment tool. I am unable to use tick box options in electronic version of assessment tool. Please help. Sincerely, Sarad

New Statement on Strengthening the Immunization Supply Chain through comprehensive EVM

Dear TechNet Community,
WHO and UNICEF are pleased to announce the release of a new Joint Statement on Achieving immunization targets with the comprehensive effective vaccine management (EVM) framework.
This statement uncovers the cornerstone to the WHO-UNICEF immunization supply chain strategy to support countries strengthen supply chains by 2020. Supply chains are a fundamental system component to achieve vaccination coverage and equity targets set by the Global Vaccine Action Plan (GVAP). To this end, the statement describes the comprehensive framework for continuous immunization supply chain improvement, optimization and innovation. The 4 step strategy proposed builds on the success of the first phase of the EVM initiative launched in 2010 to help countries evaluate the performance of their immunization supply chains, and benchmark this performance against best-practice standards.
Over the past 6 years, WHO and UNICEF have provided support to conduct EVM assessments in more than 80 countries. These assessments have brought to light important shortcomings in the performance of many countries’ immunization supply chains. Yet, how to help address these has required a complete rethink of how WHO and UNICEF, together with the global immunization community, can more effectively catalyse immunization supply chain improvements in countries.
The new framework expands the scope of WHO and UNICEF joint efforts in countries beyond EVM assessments towards:• Improving countries ability to analyse root causes of supply chain bottlenecks identified in EVM assessments.• Supporting countries develop a vision, strategy, and multi-year roadmap to supply chain improvements and innovation.• Monitoring improvements using data for management and operationalizing national logistics working groups to oversee implementation of game-changing solutions
During 2015, the new framework was tested in several countries like Bangladesh, DR Congo, Haiti, Nepal, and Pakistan. While each country has tailored the framework to its own country context, it has shown results in pushing countries out of their comfort zone, away from “business as usual” and fragmented approaches to supply chain strengthening.
As the comprehensive EVM framework gets implemented in countries, all stakeholders and partners engaged in the immunization supply chain can expect ongoing communication from WHO and UNICEF to share progress and lessons learned on TechNet.
Very best,Patrick
On behalf of the WHO-UNICEF Immunization Supply Chain Hub

Why Conduct Effective Vaccine Management (EVM) Assessment?

Abstract from an article written by our EPI Ghana team. Comments are welcome!
For the full article please go to: http://www.sciforschenonline.org/journals/vaccines/article-data/IJVI-1-104/IJVI-1-104.pdf
Background: WHO and UNICEF supported Ghana to conduct Effective Vaccine Management (EVM) assessments in September 2010 and October 2014 respectively with the view to strengthening vaccine and logistics management for immunization at all levels in the country. In both assessments, temperature monitoring, which is a critical indicator for vaccine potency and immunization programme effectiveness, got very low scores of 50% (2010) and 67% (2014) respectively at the national level and even lower at the regional level. The low scores of temperature monitoring at the national and regional levels in both assessments generated concern and interest for review of the results of the two assessments to determine some of the contributing factors considering Ghana’s advancement in immunization with support of the Gavi Alliance and also with twelve antigens in the routine immunization programme. Objective: The main objective of the review was to determine causes of the poor performance of the temperature monitoring and to devise strategies to improve on it. Methods: Desk review of relevant documents including 2010 and 2014 EVM assessment reports, the report of the 2012 comprehensive EPI Review and the status of implementation of recommendations of the 2010 EVM assessment and the 2012 EPI Review was conducted. Results: The documents review revealed that the 2010 EVM assessment and the 2012 EPI Review recommended installation of continuous electronic temperature monitoring devices in the national and regional vaccine stores but it has not been implemented. The same recommendation has again been made from the 2014 EVM assessment. Conclusions: There was no significant improvement in the scores of temperature monitoring between the 2010 (50%) and 2014 (67%) assessment because of the failure of the Immunization Programme to implement the recommendations of the previous assessment (2010) and the EPI Review (2012) which called for installation of the continuous electronic temperature monitoring devices in the national and regional vaccine stores. Not until the continuous electronic temperature monitoring devices are installed, the scores of temperature monitoring will forever remain low in any future assessment. The question is why use limited resources to conduct EVM assessment if the recommendations to address key challenges of the immunization programme are not to be implemented? Countries conducting EVM in future should make plans to implement the recommendations from the outcome. This is the only way there can be improvement in the immunization programme. Periodic EVM assessment is essential to keep the supply chain system at the required standard. Keywords: Effective Vaccine Management (EVM); EPI; Temperature monitoring; Ghana

EVM Assessment Tool version 1.1.0 is released

The new WHO EVM Assessment Tool (version 1.1.0) is available for download from the EVM restricted access website: https://extranet.who.int/evm The attached release note briefly summarizes the changes made to the tool. Please download and install the new tool – important changes have been made. In particular, the tool has been upgraded to run on Windows 8.1. To install the new tool: Login to the restricted access website Click Get EVM Tools Download the Assessment Tool Installer (version 1.1.0) Unzip the file Double-click on the file EVMAssessmentTool.Setup.msi Follow the instructions (choose the default options) The EVM Assessment tool icon should appear on the Start menu, or in the World Health Organization folder in the All Programs menu. If you already have an older version of the tool installed, you DO NOT need to uninstall it. Existing assessments WILL NOT be deleted. Supporting documents and tools, including the NEW EVM Analysis & Recommendations tool, are also available for download from the EVM public access website: http://www.who.int/immunization/programmes_systems/supply_chain/evm

EVM Assessment

I am writing to the group in hopes to receive some insight into EVM Assessments. Are countries require to post their results online? Is there are repository of this results somewhere? Thank you for your help, -- Sincerely, Tatiana Viecco University of Cambridge Student Sidney Sussex College Mphil in Engineering for Sustainable Development Jack Kent Cooke Scholar

EVM Assessment Tool version 1.0.9 is released

The new WHO EVM Assessment Tool (version 1.0.9) is available for download from the EVM restricted access website: https://extranet.who.int/evm . To install the tool: • Login to the restricted access website • Click Get EVM Tools • Download the Assessment Tool Installer (version 1.0.9) • Unzip the file • Double-click on the file EVMAssessmentTool.Setup.msi • Follow the instructions (choose the default options) The EVM Assessment tool icon should appear on the Start menu, or in the World Health Organization folder in the All Programs menu. Click on the icon to open the tool. If you already have an older version of the tool installed, you DO NOT need to uninstall it. Existing assessments WILL NOT be deleted. Note that the new tool contains the new EVM Questionnaire package (version 2.1). The tool also contains the old questionnaire package (version 1.0) to allow older assessments to be reviewed using the tool. Updated supporting documents and tools will soon be made available for download from the EVM public access website: http://www.who.int/immunization_delivery/systems_policy/evm/en/ . All the best, Paul Colrain WHO

EVM assessment highlights supply chain improvements in Vietnam

by Nguyen Van Cuong, NEPI, and Vu Minh Huong, PATH

Earlier this year, Vietnam’s National Expanded Programme on Immunization (NEPI) conducted an Effective Vaccine Management (EVM) assessment to evaluate the country’s immunization logistics systems. The results reveal that key improvements have been made since the previous assessment was conducted in 2009.

The EVM assessment and planning tool was developed by the World Health Organization to provide countries with the means to systematically assess their vaccine management processes. This can enable them to identify areas that need to be improved and focus their resources accordingly. An EVM assessment uses a structured questionnaire to evaluate a country’s supply chain at different levels using specific criteria based on good storage and distribution practices. The EVM assessment is just the beginning of a continuous process of improvement, and the assessment tool can also be used as a supervisory aid to monitor and support individual facilities on a regular basis.

The 2009 EVM assessment in Vietnam, conducted by NEPI with the help of project Optimize, highlighted several areas for improvement in the country’s vaccine supply chain. These included recommendations to improve vaccine arrival procedures, prioritize and strengthen standard operating procedures (SOPs) for vaccine management, and put in place a preventive maintenance plan for refrigerators. Since then, NEPI has worked hard to strengthen these areas and the findings of the 2012 EVM assessment indicate that these efforts have paid off. They also demonstrate the effectiveness of the EVM assessment and planning tool as a means for countries to improve their vaccine management practices.



Comparing results of the 2012 and 2009 assessments, we see that the national store has made significant improvements in establishing procedures for vaccine arrival, stock management, and distribution. The national store now meets the 80 percent target in all criteria, compared to just 18 percent in 2009. At the provincial level, results have been improved in most criteria, notably in vaccine management and storage capacity. Many of these improvements are due to the efforts that NEPI has made to strengthen and reinforce SOPs in various functions within the EPI. The EVM assessment has been a useful tool to identify these problems, enabling NEPI to prioritize and direct resources and training to resolve them.

Key recommendations of the 2012 EVM assessment include the following:
? Integrate the EVM assessment tool into regular EPI supervision at all levels, and urge managers to reinforce and regularly review areas identified in the assessment as needing strengthening.
? Improve temperature monitoring by upgrading the monitoring equipment for vaccine refrigerators, cold rooms, and refrigerated trucks at the national, regional, and provincial levels with devices capable of continuous temperature monitoring.
? Work to raise awareness of the importance of preventing vaccines from freezing, retrain staff to use the “shake test” to detect freeze-damaged vaccines, and provide freeze indicators for district-level refrigerators and for transport between province and district.
? At the district level, improve the time it takes to repair broken cold chain equipment.
? Disseminate SOPs widely to all levels so that staff are provided with specific and clear guidelines for vaccine management practices.

For more information, or to request a copy of NEPI’s 2012 EVM assessment report (available in English and Vietnamese), please contact Nguyen Dac Trung (dactrungn@gmail.com).

We encourage your questions or comments. Please click reply at the bottom of the page.

CCL Taskforce evaluates the EVM Assessment Tool

by Osman Mansoor and Kate Bai, UNICEF; Andrew Garnett, Consultant; and Solo Kone, WHO In December 2011, the United Nations Children’s Fund (UNICEF) hosted a workshop in New York for the Cold Chain and Logistics (CCL) Taskforce. The main focus of the workshop was to review the Effective Vaccine Management (EVM) Assessment Tool and methods. Participants also reviewed a guidance mapping effort for CCL tasks and discussed plans for increasing UNICEF support for CCL as part of a refocus on immunization supported by UNICEF’s new equity agenda. EVM review The EVM Tool, jointly launched by the World Health Organization (WHO) and UNICEF in Cairo, Egypt, in July 2010, provides a standard way to systematically assess the cold chain and logistics (CCL) system and address areas that need improvement. It builds on lessons learned from earlier assessment tools (Effective Vaccine Stores Management and Vaccine Management Assessment) to provide a more comprehensive assessment of the immunization supply chain. The EVM assessment and improvement plan are prerequisites for GAVI Alliance support, and with GAVI funds WHO and UNICEF have supported over 20 national EVM assessments in 2011. The partners aim to complete one in every GAVI-eligible country by 2015. The CCL workshop captured lessons learned and suggestions for improvement from the experience to date. Stakeholders submitted detailed input on the questionnaire, software bugs, language translation, and visual presentation of the tool. Their broader input related to the size and scope of the tool. In addition to the detailed review of the questionnaire, the workshop recommended a range of measures to improve the quality of the EVM assessment, starting with adequate preparations and composing the right team to do the assessment. These suggestions will be captured in a concept note to highlight recommended practices. The workshop also identified the need to improve templates for the EVM assessment and the ensuing improvement plan and to make sure the plan deals with the major issues identified in the review. Participants suggested that a model report based on the best aspects of improvement plans submitted to date would be helpful for countries and lead assessors. The EVM provides an assessment of performance over the past 12 months but can also be used to look forward strategically at how to best meet CCL needs over the next five to ten years. Instead of simply fixing problems in the current system, the EVM focus on CCL can also be used to develop a vision and plan for a future, optimized CCL system. Perhaps the most important discussion was on the need to have an EVM Secretariat support the field work, maintain the EVM database, carry out further data analysis from the EVM results, and update the EVM tools and methods based on feedback from the field. The data from the EVM tools are also a rich trove of data that offer the potential for broader use. CCL guidance mapping One of the tasks the CCL Taskforce has set for itself is to develop a mapping of guidance for each of the tasks the CCL System undertakes. The initial aim is to map existing WHO guidance for each task in a way that is accessible and user friendly, which will provide health workers with simple, clear, and concise guidance for each task. The initial mapping has now largely been completed, and the workshop provided an opportunity for experts to review the content. Based on the reviews received, the guidance will be updated and then tested by potential users before finalization by the CCL Taskforce. The guidance material will then be transferred to TechNet21 where it will continue to develop based on user feedback and new technical developments. UNICEF “scale-up” UNICEF shared its developing plans for scaling up immunization services with participants, with a focus on the CCL aspect of the plan. The workshop supported UNICEF’s proposed approach with its focus on establishing national systems that generate routine data. The initial focus is on systems for managing vaccine stocks, cold chain equipment, and temperature monitoring. UNICEF is building on the work of project Optimize to introduce innovative approaches and has adopted the vision developed by Optimize to “meet the changing needs of a changing world to enable the right vaccines to be in the right place, at the right time, in the right quantities, in the right condition, at the right cost” (“the six rights”). The three systems that generate routine data (stocks, equipment, temperature monitoring) can be relatively easily established, and the data they generate can be used not only to assess system performance but also managerial responses. UNICEF is now developing a paper on monitoring temperatures using 30-day temperature recorders to detect and prevent heat and freeze damage to vaccines. The CCL Taskforce, an interagency collaboration convened by UNICEF of agencies and experts involved in supporting national CCL systems in developing countries. (For more information, including previous meeting reports, see http://www.unicef.org/immunization/index_42071.html) Photo: UNICEF To comment, click reply.
Admin

CCL Taskforce Meeting to review the EVM: Seeking your inputs

The Effective Vaccine Management (EVM) assessment tool, jointly launched by WHO and UNICEF at the first global Effective Vaccine Management Assessors’ training in Cairo, July 2010, captures the best features of earlier tools (EVSM and VMA). The EVM provides a standard way to systematically assess the cold chain and logistics (CCL) system and to identify areas that need improvement, that is captured in an EVM Improvement Plan. WHO and UNICEF have, with GAVI funds, supported 21 national EVM assessments to date, and aim to have one undertaken in every GAVI-eligible country by 2015. (The EVM assessment and Improvement Plan are now prerequisites for GAVI support.) To build on the lessons learned to date, the CCL Taskforce will hold a workshop in late 2011 or beginning of 2012 to review and update the EVM tool and methods. We welcome any feedback on the EVM tool and methodologies, suggestions for its improvement, as well as expressions of interest for agenda items for this workshop, both on the EVM and other CCL issues.
Admin

The first global training on effective vaccine management

The first global training on effective vaccine management by Hailu Makonnen Kenea, Souleymane Kone, and Modibo Dicko from WHO; and Andrew Garnett, consultant. On July 29, 2010, after ten days of intensive and interactive training, 29 global, regional, country, and independent cold chain and logistics individuals completed the first training course on effective vaccine management (EVM) (http://technet21.org/forumV3/ viewtopic.php?t=1446) assessment in Cairo, Egypt. The participants of the first EVM training course will now be able to conduct systematic reviews of in-country immunization supply chains and develop the necessary improvement plans to meet current and future program needs. The training course, jointly sponsored by the Department of Immunization Vaccines and Biologicals (IVB) (http://www.who.int/ immunization/en/) at the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) (http://www.unicef.org/immunization/ index.html), and project Optimize (WHO-PATH), comes at a time when vaccine supply chains are facing new challenges resulting from the introduction of new and costlier vaccines with bulkier presentations and novel characteristics. The EVM tool is designed to help logisticians prepare for and manage these challenges successfully. Staff from WHO and UNICEF regional offices, John Snow Inc. (http:// http://www.jsi.com/JSIInternet/index.cfm), the GAVI Alliance (http:// http://www.gavialliance.org/), Ministries of Health representatives, and private logistics consultants participated in the training course, which was provided in both English and French. Course content The first part of the training course focused on the quality management principles behind EVM and introduced participants to the use of the software and guidance materials. Participants then took part in a series of scenario-based training exercises designed to explore the scope of the package and to familiarize attendees with the EVM questionnaire.Participants had an opportunity to apply this course-based knowledge by carrying out a rapid assessment of six facilities within Cairo, covering three levels of the Egyptian immunization supply chain. The outcome of the field visits was then synthesized into a report and a draft improvement plan. The latter part of the training course reviewed the outcomes and lessons learned during the Vietnam, Senegal and Tunisia assessments and also reviewed other related developments designed to improve the immunization supply chain. Next steps The EVM software tool has been field-tested in Ethiopia and Pakistan and was subsequently used to conduct formal assessments in Vietnam, Senegal, and Tunisia. The first official release of the EVM software package will be announced shortly. It is hoped that the EVM initiative, and the training and advocacy which support it, will provide a solid foundation for a continual cycle of assessment, follow-up, and reassessment, ensuring the quality of the supply chain remains satisfactory in all countries. We invite you to comment on or post a question relating to this article by clicking the “post reply” button on this page. You will have to log in or register; the process is very simple. ##text##
Admin

A New, Comprehensive, Effective Vaccine Management Tool

A New, Comprehensive, Effective Vaccine Management Tool by Osman David Mansoor, Senior Advisor EPI, UNICEF; Hailu Kenea, Technical Officer EPI, WHO; and Andrew Garnett, PATH Consultant Following a consultative meeting held at the World Health Organization (WHO) in Geneva on March 9 & 10, 2009, WHO and the United Nations Children’s Fund recently completed field testing for a new effective vaccine management (EVM) tool that addresses current and anticipated challenges in vaccine management. The latest challenges in vaccine management arise from the planned introduction of several newer vaccines into immunization programs in low- and middle-income countries. Although future presentations of pneumococcal and rotavirus vaccines should ease the problem, vaccine supply chains will need more physical space to accommodate these and other vaccines that are likely to be introduced in the coming years. At the same time, as the cost of vaccines rises, programs are under considerable pressure to avoid stock-outs, minimize wastage, and improve safe and efficient vaccine management. Although Effective Vaccine Stores Management (EVSM) and vaccine management assessment (VMA) tools are also used to meet these challenges, experience with these tools has demonstrated that neither provides a complete assessment of the vaccine supply chain. The EVSM tool focuses on the primary store where errors can result in catastrophic loss of vaccine, whereas the VMA tool focuses more on lower levels of the supply chain, where errors can result in delivery delays or in children being vaccinated with vaccine that is no longer potent. The new EVM tool combines the best of the EVSM and VMA tools and eliminates the redundancies and incompatibility of results between the two tools. This new tool is not only an assessment tool, but it also provides the framework for management, monitoring, supervision, and improvement of the immunization supply chain system. The EVM tool has been field-tested in Microsoft Excel format and will be field-tested again using a web-based platform. When the EVM tool is ready for wide spread implementation, it will be available for download. The web-based platform offers several advantages: it will allow countries to download the latest version of the assessment tool at any time, as well as electronically linked guidance materials in pdf format. Once an assessment is complete, the data can be uploaded to a central archive for analysis and safe keeping until the next assessment. The system will also have a multi-language capability. [justify]The new EVM web-based tool and the training materials will be available for download by the end of November 2009. [/justify] For further inquiry,please contact Hailu Kenea at [email=keneah@who.int]keneah@who.int[/email]. We invite you to comment on or post a question relating to this article by clicking the “post reply” button on this page. You will have to log in or register, but the process is very simple.To link back to the Optimize e-newsletter, click here. ##text##
  • Page :
  • 1