Mozambique

Local Name of Software: SELV (Sistema Electronica de Logistica de Vacinas)

Year Deployed: 2014

Implementing Partner: VillageReach

Deployment Coverage: Nationwide

Partners: DPS, MISAU, CMAM, VillageReach


Situation

Mozambique is a large country with numerous remote health facilities and highly-intermittent Internet access. For this type of environment, the ability for a software to operate offline is critical. As such, in 2014 VillageReach with support from the Mozambique Ministry of Health, selected the OpenLMIS platform to build a comprehensive vaccine supply chain system to support the Dedicated Logistics System (DLS) vaccine distribution program.

In Portuguese-speaking Mozambique, the customized implementation of OpenLMIS for vaccine management is called Sistema Electrónico de Logística de Vacinas, or SELV. Offline data entry is essential for Mozambique’s informed allocation (push) replenishment cycle, as many of the field coordinators collecting and then reporting data from remote health centers use workstations with intermittent Internet access. Consistent Internet connectivity in much of the country is a rarity, as fixed-line broadband service is prohibitively expensive and network infrastructure in rural areas is challenging. As such, the Mozambique health facilities use the more economical alternative: a cellular data modem that connects to GPRS service. This service can be intermittent and is typically slow, with high levels of latency and connection error rates.

However, because SELV allows for extended periods of offline data entry and then bursts of synchronization with the server when connected to the Internet, the use of 3G modems is an appropriate and scalable solution not just for SELV access via desktop but on tablets as well. By the end of 2014, SELV had been deployed to four provinces on desktop, laptop, and mobile devices, serving over 400 health centers and their combined 10 million patients. In 2016, an extended deployment to make SELV available to all regions began with a completion date in early 2017.

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Full Project Scope

Dates of deployment: 4 provinces in 2014; expanded to 11 provinces in 2016 – 2017 (except Nampula)

Provinces: 11

Health Centers: ≥ 1200

Program(s): Extended Program on Immunizations

Configuration: Push

Products: 20 (including 9 antigens, 5 syringes, diluents)


Integrations/Interoperability

Logisticians collect data on visits made, cold chain equipment, EPI Inventory, EPI use, coverage rates (both child and adult) directly into SELV as they make distributions to facilities on their route.

This data is then exported to Tableau where the Tableau reporting engine creates powerful visualizations to assist logisticians optimize their distributions and react to issues.

 

 


Key Performance Indicators


“The EPI data available via the paper forms at individual facilities matched perfectly with the aggregated data reported at the provincial level, reducing the time spent by district data managers correcting miscalculations. No other vertical program in the province had this level of data accuracy and quality.”

- Maputo Province Directorate of Health, Mozambique