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Outline
- About UNICEF
- About UNICEF supply
- About pneumonia …..
Malaria Consortium Consultation June 2014 Outline About UNICEF - - PowerPoint PPT Presentation
Malaria Consortium Consultation June 2014 Outline About UNICEF - - PowerPoint PPT Presentation
UNICEF Engagement in Pneumonia Malaria Consortium Consultation June 2014 Outline About UNICEF About UNICEF supply About pneumonia .. Realizing the rights of every child, especially the most disadvantaged SURVIVE TO THRIVE FROM
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Realizing the rights of every child, especially the most disadvantaged
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SURVIVE
FROM BIRTH
TO THRIVE
INTO ADULTHOOD
Realizing the Rights of Every Child
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Supply in the UNICEF structure
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UNICEF Supply Division, Copenhagen
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What we do
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Procurement, warehousing & logistics – UNICEF programmes & for procurement partners Market shaping – ensuring availability, quality, price and right formulations of essential commodities Ensuring local delivery of essential commodities to children and families Rapid emergency response Partnerships, policy & monitoring Innovation for children
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UNICEF’s supply function vision
Procurement Services Direct Delivery Direct Delivery Procurement Services
CD IV
Direct Delivery Procurement Services
IV & MI Capacity Development
Direct Delivery
Procurement Services
Capacity Development Innovation & Mrket Influence
2008 2010-11 2012-13 2020
Direct Delivery Procurement Services
2005
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Health HIV/AIDS WASH Nutrition Education Protection Inclusion Service Delivery Emergency Influencing Markets Innovation SD Supply Chain improvement initiatives Strengthening & Optimising Supply Chains with Governments Capacity Development Supply Community & Professional Development Monitoring:
(Performance Targets, Supply Outcome Targets, Results Matrix , PS)
Results-based management, reporting & project management Partnership
UNICEF Supply Strategies for 2014-2017
UNICEF Outcome Areas UNICEF Global Supply Strategies
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Looking at the supply chain
M & E Logistics & delivery Procurement Planning
Definition of need (i.e. timing/qty etc.) Budgeting & Planning Procurement Delivery & Clearance Inspection Warehousing, Distribution & Re-ordering
(national, provincial, district, community)
Utilisation by Beneficiary Monitoring & Evaluation
UPSTREAM DOWNSTREAM
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A look into pneumonia…
- pneumonia diagnosis -
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World Health Organization. Were, Qazi. June 2014
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It is not only about the technology….
….but about defining the functional requirements based on user needs
$1.23
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- WHO and Save The Children (STC) exchange mails on inadequacy
- f ARI timer for assessment by CHWs of fast breading.
- UNICEF PD & SD invited by WHO, STC and Philips Philanthropic
Design Initiative (PPDI) to participate in designing a new generation ARI timer.
- Progress with newly designed timer stalls on (i) open source
discussion with PPDI, (ii) no funds to make a prototype, and (iii) no funds for field testing.
- REoI to potential producers new ARI timer: 20 invited, 2 respond
(1 rejected, 1 current manufacturer Moneray). Monopoly PPDI / Moneray not acceptable.
- Work on newly designed ARI discontinued, refocus on needs of
end-users. Aug 2005 May 2007 March 2008 Nov 2008 Oct 2010
ARI Timer Time Line ….
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- RFI successfully scouts for potential technologies and
- rganizations working on a pneumonia diagnostic aid. All are
promising but very early initiatives.
- Evaluation of RFI selects most promising ones. During follow-up
all organizations request support, guidance and financial means.
- Field research with various concepts (by Innovation Unit ), creates
for the first time very good insight into ARI diagnostic requirements at community level.
- SD workshop with industry and academia, (i) creates personas, (ii)
common design denominators, (iii) need for short and long term TPP, and (iv) creates frequent progress exchange with BMGF.
- Parallel to the innovation track, in cooperation with supplier,
specifications of current S0845010 were updated. ARI timer, mark 2 is expected Q3 2014.
- TPP development starts
Dec 2011 Q1+Q2 2012 Q2+Q3 2012 Jan 2013 Q3 2013 Jan 2014
ARI Timer Time Line (2) ….
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About the products
Diagnostics (respiratory rate timers) Amoxicilin DT Pneumonia Pulse Oximetry Oxygen concentration, Accessories Oximetry Also consider dispersible paracetamol for fever management
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Pneumonia Diagnostics
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Current timing tool(s) for pneumonia diagnosis: Basic supply for community health
ARI Timer Watch
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Different Pneumonia Diagnostic Aids
Device Name Description ARI Counting Beads
Counting beads designed as a simple, cheap and effective way to improve a CHW’s ability to keep track and count a patient’s breathing rate. To be used in conjunction with the ARI Timer. The beads are colour-coded to ease diagnosis.
Respiratory Rate Application
A mobile phone application that tracks a CHW’s count rate using an “any button” press function on the phone to count and then calculate a patient’s mean respiratory rate.
Solar and Cell Phone Pulse
A device powered by using old mobile phone batteries charged by solar cells measures the saturation level of a patient’s haemoglobin. It determines whether a patient is receiving sufficient oxygen through breathing, as well as the patient’s heart rate.
StethoCloud
A concept still in development which records the respiration rate through a stethoscope attached to a smart phone or a cloud device. The data is processed against an existing database used to diagnose pneumonia.
mPneumonia
An android prototype mobile phone application in development which uses the IMCI pneumonia protocol, paired with a respiratory rate counter and pulse oximetre to guide and inform diagnosis.
The Nossal ‘Smart Cable’ Project
A device that transforms a simple mobile phone into capturing data from three sensing devices: oximetre, respiratory rate counter and thermometer.
The Phone Oximetre for Sepsis
An oximetre device and application that attaches to a smart phone and measures respiratory rate, peripheral blood flow and heart rate, facilitating diagnosis.
Ongoing developments
Ref: Pneumonia Diagnostics: Current outlook and perspectives : UNICEF Supply Division - May 2013
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Pneumonia Treatment
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Amoxicillin 250mg DT
Cost: Amox 125mg/5ml suspension (100ml) Versus Amox 250mg DT UNICEF Catalogue Product FCA lowest Price (US$) Treatment cost < 1 year olds Treatment cost 1-5 years
S1505046 Amox 125mg/5ml Suspension
0.40 0.40 0.80
S1505043 Amox 250mg DT 10 X10 Pack
1.70 0.17 0.34
S1505044 Amox 250mg DT 10 X 2 Pack
0.37 N/A 0.37
S1505045 Amox 250mg DT 10 X 1 Pack
0.24 0.24 N/A Amox 250mg DT: UNICEF Procurement Activities
Suppliers Country
Microlabs India Medopharm India Medreich India Sandoz Austria Remedica Cyprus
Pneumonia: Treatment with Amoxi 250mg DT
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Fever Management
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UNICEF Product (material description) Unit price Cost of treatment
S1555990 Paracetamol 125mg/5ml or.sol/BTL-60ml 0.43 USD 0.43 USD S1555965 Paracetamol 500mg tabs/PAC-1000 5.48 USD N/A S1555978 Paracetamol 100mg tabs/PAC-1000 3.65 USD N/A S1555979 Paracetamol 100mg disp. Tabs 10X10 pack 0.75 USD 0.075 USD S1555979 Paracetamol 250mg disp. Tabs 10X10 pack 0.81 USD 0.081 USD
Use of Paracetamol DT significantly reduces the cost of fever treatment compared to the use of Paracetamol oral suspension
Fever: Treatment with Paracetamol DT
Introduction of 100mg & 250mg Paracetamol dispersible tablets for the treatment of fever in under fives
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Pulse Oximetry
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UNICEF Product (material description) ( Prices are indicative ) Unit price
S0002036 Pulse oximeter,spot-check,w/access, 300 USD S0002033 Pulseoximeter,portable,w/access, 3,435 USD S0002031 Monitor,patient,all vitals signs,portable,w/access 2,025 USD S0002047 Oxygen concentrator/SET 880 USD S0370100 Prongs,nasal,Oxygen,adult,s.u 0.21 USD S0370110 Prongs,nasal,Oxygen,child,s.u 0.22 USD S0370120 Prongs,nasal,Oxygen,neonate,s.u 0.21 USD
Pulse Oximetry
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