Unpacking the impact of integrating the neglected tropical disease supply chain into the national supply chain system: illustrative evidence from Liberia

Kollie, Karsor K, Jenkins, Jack, Theobald, Sally ORCID: https://orcid.org/0000-0002-9053-211X, Nallo, Gartee, Kpadeh, Otis, Jones, Lent, Borbor, Darwosu, Phillip, Maneesh, Wickenden, Anna, Kollie, Jewel Tarpeh, Rogers, Emerson, Zaizay, Zeela, Stewart, Martyn ORCID: https://orcid.org/0000-0003-1037-7162 and Dean, Laura ORCID: https://orcid.org/0000-0002-4910-9707 (2023) 'Unpacking the impact of integrating the neglected tropical disease supply chain into the national supply chain system: illustrative evidence from Liberia'. Parasitology, Vol 150, Issue 11, pp. 1-11.

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Abstract

Effective supply chain management is a critical pillar of well-functioning health systems ensuring that medical commodities reach those in need. In Liberia, the national neglected tropical disease (NTD) programme supports health systems strengthening for case management of NTDs. Integration of NTD commodities into the national health system supply chain is central to the integrated approach; however, there is minimal evidence on enablers and barriers. Drawing on qualitative evaluation data, we illustrate that perceived benefits and strengths to integrating NTD commodities into the supply chain include leveraged storage and management capacities capitalized at lower system levels; the political will to integrate based on cost-saving and capacity strengthening potential and positive progress integrating paper-based reporting tools. Challenges remain, specifically the risk of reliance on donor funding; difficulty in accessing commodities due to bureaucratic bottlenecks; lack of inclusion of NTD commodities within electronic data tools and poor coordination leading to an inability to meet demand. Collectively, the negative consequences of ineffective integration of NTD commodities into the supply chain has a detrimental impact on health workers (including community health workers) unable to deliver the quality of care to patients. Trust between affected populations and the health system is compromised when treatments are unavailable.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 74 Medical economics. Health care costs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > International Public Health Department Education
Digital Object Identifer (DOI):	https://doi.org/10.1017/S0031182023000896
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	20 Nov 2023 14:54
Last Modified:	16 Feb 2024 14:38
URI:	https://archive.lstmed.ac.uk/id/eprint/23508

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