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Kelley Red

Indiana  University

Agenda Recommendations Capacity Distribution Rural Reach Rural Reach Benefits 2 .

 and prevention of  disease in rural areas. Centralize planning and distribution  centers in order to reduce inventory. education. and stock outs. lead  times.Issues and Recommendations Enlist volunteer physician network and  improve wages of current physicians in  Gombala. Capacity C i Distribution Reach Recommendations Capacity Distribution Rural Reach Benefits 3 . Implement mobile medical networks for  I l t bil di l t k f treatment.

Gombala must mobilize additional resources to meet increased healthcare demand demand. Q •Enlist Volunteer Organizations •Enlist Volunteer Organizations •Educate to Increase LT Supply •Incentivize to Increase Efficiency Long‐Term Added Demand Baseline Healthcare Demand Time Recommendations Capacity Distribution Rural Reach Benefits 4 .

2MM/Year New Demand Current Demand Quantity of Labor Increased Need Recommendations Capacity Distribution Rural Reach Benefits 5 . services Wage Rate Current Supply $600 $100 •Burundi and Sierra Leone  statistics support similar  statistics support similar wage increases •Increase commitment  from Europa Estimated $1.Gombala must raise medical staff wages in order to meet the increased demand for medical services.

times C S f G b l Distribution Current State of Gombalan Di ib i UNICEF Copenhagen C h Forecasts 4 months  in advance Ministry of  Mi i t f Health H H H H H H H H H Recommendations Capacity Distribution Rural Reach Benefits 6 .Create a centralized distribution center to reduce inventory and lead times.

Create a centralized distribution center to reduce inventory and lead times. times C S f G b l Distribution Current State of Gombalan Di ib i UNICEF Copenhagen C h Problems Increased  transportation  costs Pick and pack  to subregions g increases lead  time H H H H H H H H H Variability in individual hospital demand  Variability in individual hospital demand causes higher safety stock Recommendations Capacity Distribution Rural Reach Benefits 7 .

Create a centralized distribution center to reduce inventory and lead times. times Recommended G b l Di ib i R d d Gombalan Distribution UNICEF C h Copenhagen Benefits Lower inventory y Reduced lead  time Lower  transportation  costs 4 month lead  time Centralized  C t li d Distribution 1 week lead  time H H H H H H H H H Inventory levels supported by SMS text system Inventory levels supported by SMS text system Recommendations Capacity Distribution Rural Reach Benefits 8 .

areas Central Hub Sub‐Regional Care Center  Rural Village Recommendations Capacity •Rural healthcare access •Early childhood education & prevention •Flexibility in mobility & service Distribution Rural Reach Benefits 9 .Create mobile units to supplement regional hospitals to reach rural areas.

The process of beginning this change starts today. • Reach out to  Doctors Without  Borders • Increase Gombalan physician wages • Address short‐term  dd h influx of need Reorganize  Supply Chain • Work with Europa to quantify benefits  of shipping to  central distribution • Shorten lead times.  eliminate stock  eliminate stock outs. reduce costs • Use best practices  of Project Mobile  Clinic African to  Clinic African to begin reaching  rural areas • Mobile outreach  serves to alleviate  hospital overflow • Preventative care Begin Recruiting  Professionals Set up Mobile  Outreach Recommendations Capacity Distribution Rural Reach Benefits 10 .

system Benefits of Improved Health  • Early illness intervention Childhood • Healthy children are more likely to remain in school • Educated adults find stable employment lh d l l l l Adulthood • Healthy adults live longer lives • Each additional year of life adds 4% to country GDP GDP Recommendations Capacity Distribution Rural Reach Benefits 11 .These changes will effect long-term improvements in the Gombalan health care system.

Conclusion 12 12 .

Appendix pp 13 .

Health Volunteers Overseas .A nonprofit organization founded in Berkeley. and natural and man-made disasters. and to others who lack health care due to social or geographical isolation.Exhibit 1: Volunteer Physician Networks Catholic Medical Mission Board . Amazon-Africa Aid .com/articles/274/1/Medical‐Volunteering‐in‐Africa 14 14 .S.A U. California USA in 1994 which seeks to provide assistance to medical professionals in underserved places around the world. non-profit. Doctors Without Borders .-based Catholic-charity focusing exclusively on global healthcare. particularly the well-being of women and children. HVO is dedicated to improving the availability and quality of health care in developing countries through training and education. Doctor to Doctor . epidemics.Médecins Sans Frontières (also known as Doctors Without Borders or MSF) delivers emergency aid to victims of armed conflict.serveyourworld. Mission Doctors Association . Doctors of the World . physician.A private. and other medicial professionals the opportunity to work with local organizations in the Amazon and Africa. non-sectarian voluntary organization headquartered in the United States. http://www.Provides medical and humanitarian assistance to those in the greatest need in more than 20 nations.Offers dentists.Offering short term and long term medical volunteer opportunities in developing nations.

Risk and Mitigation High demand leads to  g long wait time Eligible patients obtain  Eligible patients obtain medication for ineligible  patients Unable to secure  additional funding from  Europa for hospitals p p Doctors still attempt to  charge a personal fee charge a personal fee Upscale mobile units Released medication only  for diagnosable disease Convert current donors  to less constraints and  cultivate new donors Patient hotline for  reporting 15 .