Kénéya Sinsi Walé (KSW)

Duration: August 2020 – July 2025

Donor: USAID

Country: Mali

Prime contractor: Palladium

Sub-contractors: i+solutions, FHI 360, Groupe Pivot Santé Population

Objectives and background

The KSW project aims to strengthen health systems in the regions of Mopti, Ségou and Sikasso, which account for approximately half of Mali’s population. Despite significant improvements in healthcare in the past two decades in Mali, challenges remain in how to plan, manage, and finance high-quality healthcare at a decentralized level.

i+solutions’ role in this project is to provide innovative supply chain solutions to improve the information flow and distribution of essential medicines, vaccines and reproductive health commodities to health facilities. Medexis, i+solutions’ electronic Logistic Management Information System (eLMIS) operates behind the DHIS2 interface and supports the ordering and movement of products in 26 districts. This first phase implementation aims to provide real time data and operational efficiencies to the Malian free donor-funded products’ replenishment supply chain between district products dispatching depots (DRC) and health facilities (CSCOMs) in the mentioned regions. The i+solutions team in Mali is composed of 5 staff members: 2 in Bamako and 1 in each of the 3 regions.

Key activities

• Stock optimization via stock redeployment, coaching/supervision visits for tracers’ products (Chlorhexidine 7,1%, Magnesium Sulfate 10% & 50%, essential medicines)
• Stock redeployment: 7,1% redeployed to avoid expiry and improve stock availability at health facility level in 2023.
• 237 coaching/supervision visits conducted to improve stock management in 2023
• Introduced Medexis behind the DHIS2 interface at community level to support the ordering of free donor products and the electronic management of product movement between the DRC and CSCOMs. The DHIS2-Medexis integration focuses on data synchronization and the calculation of stock replenishment.
• Introduced and implemented in 21 out of 26 districts (81%)
• System used by 384/530 health facilities (72%).
• 1512 requisitions validated and 1427 packages delivered
• Introduced last mile active distribution based on local resources (local transportation jointly supported by the District DRC and ASACO (community health association)).
• Introduced and implemented in 24 out of 26 districts (92%)
• Introduced SOPs for last mile distribution adapted to conflict areas.
• The SOPs allow DRC and partners in the cluster to synergize and apply proposed alternative solutions for last mile distribution in conflict areas.

Results:

• stockouts of Chlorhexidine 7,1% reduced from 22,26% (base line) to 7,56% in 2023
• Stockouts of Magnesium Sulfate reduced from 35,33% (base line) to 8,38% in 2023