Informed Push Model

The Informed Push Model is a distribution project aiming to improve supply chains and stock management for contraceptives in Senegal.

Summary  

  • What: The Informed Push Model is part of the Merck for Mothers Initiative: it is a distribution model that adapts commercial distribution principles to improve supply chain and stock management.
  • Objective: The model aims to improve availability of contraceptives in Senegal.
  • Details: It involves dedicated logistics professionals bringing products from regional supply pharmacies to health centres, and collecting stock data to continuously inform the next delivery cycle.
  • Scope: The model was piloted in two districts in 2012, before being scaled up nationally over three years.

Informed Push Model: a health worker in Senegal checks stock and removes expired contraception.

Looking closer

As part of the Merck for Mothers Initiative, Merck & Co., Inc. continues to support the Informed Push Model, aiming to improve availability of contraceptives in Senegal. The Informed Push Model is a distribution model that adapts commercial distribution principles to improve last-mile contraceptive distribution and stock management (recognised as a best practice in the Access to Medicine Index 2014). It involves dedicated logistics professionals bringing products from regional supply pharmacies to health centres, and collecting stock data to continuously inform the next delivery cycle.

The model was piloted in two districts in 2012, in partnership with local and international stakeholders (including the Senegalese government, the Bill and Melinda Gates Foundation and IntraHealth). Following a positive evaluation, Merck & Co., Inc. committed to supporting a phased, national scale-up of the model over three years. The company is currently providing technical assistance to support the sustainable and long-term transition of the model’s management to the Pharmacie National d’Approvisionnement (the National Supply Pharmacy), an autonomous medicine purchasing agency affiliated with the Senegalese Ministry of Health and Social Affairs.

Merck & Co., Inc.‘s support of the Informed Push Model includes a number of positive practices that are often not implemented in a comprehensive way in similar capacity building initiatives: it explicitly aims to fill local capacity needs; it involves multiple partners, for whom roles, commitments and timeframes are clearly defined (including planning for local ownership); it has clear goals; and it includes monitoring and evaluation, the results of which have been published.

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