Brenda Mubita prepares to conduct an antenatal exam on a pregnant woman, part of a health outreach programme at the Mano Basic School in Mano Village, Zambia, in 2009.   ©UNICEF/Nesbitt.



Strong, functional in-country public supply chains require commitment from leadership at every level of the health system. This requires that a country has effective strategies in place to govern supply chain functions at all levels, and leaders with the capacity and dedication to effectively and consistently implement these strategies.

What is the problem?

In-country supply chains suffer when there is a lack of commitment or capacity on the part of the leadership to improve supply chain management and to ensure that stocks of live-saving commodities are maintained. Supply chains with poor functionality often exist in systems that lack holistic, long-term planning, national policy guidelines on the utilization of specific products, and accountability  on supply chain performance at all levels. Ineffective governance in the context of supply chains is also characterized by a poor understanding of the business and management aspects of supply chain performance, as well as budget inefficiencies due to ineffective coordination mechanisms for commodity decision making across products and programs.

Indicators to Measure Progress in Governance

  • The recommended performance indicator for governance is the existence and implementation of a commodity security strategy(ies) for reproductive, maternal, newborn and child health.
  • Additional indicators are:

– Provision of the life-saving commodities by market sector(s). This is an indication of the government’s commitment to ensuring total market access to the life-saving commodities

Read the full Supply Chain Performance Indicators Guidance here.