Implementing an Early Warning System for TB Medicines: Global Report. May 2017
(2017; 29 pages)

Goredema, Wonder, K. Sawyer, S. Mwatawala, and C. Owuna. 2017. Implementing an Early Warning System for TB Medicines: Global Report. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.


As part of its mission to improve the availability of TB medicines, the US Agency for International Development (USAID)-funded SIAPS Program, implemented by Management Sciences for Health, provided technical assistance to NTPs in 14 USAID-focus countries to improve TB procurement and supply management (PSM). This included the use of the QuanTB early warning system (EWS) to improve forecasting, supply planning, and monitoring of availability, stock-outs, and expiries. SIAPS in-country and regional technical advisors for TB assisted the NTPs to adopt, institutionalize, and implement the tool. To ensure country ownership and sustainability, SIAPS employed a systems strengthening approach that included obtaining the buy in of country NTPs, building their institutional and human resource capacity to improve data collection and quality and to regularly monitor stock status and supply chain risks using QuanTB, and strengthening the communication and coordination of NTP counterparts with local and global stakeholders in disseminating and using EWS information. Implementation of the tool was complemented by other SIAPS TB technical assistance activities, such as quantification capacity-building training and participation in country monitoring missions. Currently in its fourth version, QuanTB is available in English, Russian, French, Spanish, Portuguese, and Chinese.

SIAPS conducted a review of the impact of the QuanTB implementation and related TB PSM technical assistance in 12 countries—Bangladesh, DRC, Kenya, Myanmar, Nigeria, Philippines, South Sudan, Tajikistan, Tanzania, Uganda, Zambia, and Zimbabwe...

Key achievements of SIAPS technical assistance and the implementation of QuanTB included:

QuanTB was adopted and institutionalized in 10 countries.

  • Countries’ NTP institutional and staff capacity was enhanced for more frequent, effective, and efficient quantification coupled with vigilant stock management, which resulted in improved availability of medicines to meet the evolving needs of NTPs.
  • EWS data and dashboards on stock-outs of TB commodities helped improve forecasting and supply planning and inform timely, evidence-based decisions and corrective actions to close underlying PSM gaps, resulting in savings of limited resources.
  • The logistics management information systems (LMIS) and data quality and reporting were improved for better decision making. Overall supply chain systems were also strengthened.
  • Stock-out rates of TB medicines declined.
  • As of March 2017, QuanTB had been downloaded more than 2,000 times worldwide by 134 countries or almost 70% of all countries in the world, showing widespread interest in the tool.
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