Paper on Better Healthcare Access in South Africa

How public and private sector collaboration improves access to
medication by applying best in class processes and technologies

At SAPICS 2019, Florian Menold, General Manager Projects & Engineering, DSV Healthcare, presented this paper. 

You can download the full paper here.

Extract from DSV's Paper on Better Access to Healthcare in South Africa

Centralised Chronic Medicines Dispensing & Distribution (CCMDD) supporting National Health Insurance (NHI) objectives to improve the supply of chronic medication to patients in the public sector

How public and private sector collaboration improves access to medication by applying best in class processes and technologies.


The public health system has faced significant challenges in the past decade to support access to medical care for patients living with HIV and AIDS, as well as other chronic conditions. The strain on available resources contributes to increased waiting times, overcrowding of the public health facilities and decreased quality of medical care.

This white paper will cover the journey, from a logistics service provider’s point of view, on the steps taken to set-up a world class solution for the public sector to dispense and distribute medication, and on how to support this process by using latest technology and adapting the solution to the change management requirements of the take-on of a new contractual agreement.

In South Africa, the healthcare system is driven through the public and the private health sector. The systems operate in parallel with each other, although most of the population uses the public sector services.
The public healthcare system is chronically understaffed and faces funding challenges. Besides those factors, the South African public health sector has experienced an unexpected growth in patients with chronic conditions which leads to the following key requirements

• Increased access to long term therapies
• Universal access to antiretroviral therapy
• Steady increase in the proportion of the population with non-communicable diseases
Contributing factors demanding a new solution to service the people of South Africa, amongst others, are:
• Changing epidemiological profile
• Over extension of public sector health care facilities
• Enormous strain on available resources
• Medicine shortages
• Challenges in the quality of care provided.

Taking the above into consideration, the Department of Health, with its supporting partners and funders such as USAID and PEPFAR, has developed the Centralized Chronic Medicines Dispensing and Distribution (CCMDD) programme.


 DSV’s history in chronic dispensing

DSV Healthcare has built up significant experience and expertise in the setup, management and running of CCMDD services.

DSV managed the Chronic Medicine Dispensary facility for the Western Cape which provides a CCMDD service for up to 380,000 prescriptions per month. This volume included the dispensing of anti-retroviral medication (ARVs) for 56,000 patients per month and up to 300,000 chronic prescriptions. This service was performed for all primary healthcare facilities across the entire Western Cape.
DSV Healthcare has developed unique dispensing methodologies which enable the dispensing of extremely high volumes of prescriptions and items without compromising quality, and more importantly, allow the most effective use of the required qualified professional Staff, a national scarce resource. Our operation has received recognition for this service and was awarded a Platinum Award at the 2014 Logistics Achievers Awards and was also nominated as a finalist in the 2015 Public Sector Innovation Awards.


You can download the full paper here.