CLICK TO ADD TITLE [DATE][SPEAKERS NAMES] The 5th Global Health Supply Chain Summit November , 2012 Kigali, Rwanda Supply & Logistics Internal Control Evaluation (SLICE) Alan Fowler, CPA, CIA, CFE

Multiple partners and tools were involved in the development of SLICE SLICE  Deloitte Supply Chain Center of Excellence (CoE)  Deloitte Risk and Control Knowledge Database  Secure DISC (Deloitte Integrated Supply Chain) Toolkit  Deloitte Fraud Risk Assessments Deloitte  DELIVER Guidelines  DELIVER Assessment Tools  DELIVER Assessment Reports  USAID Assessment Reports  EUV Tools Government  WHO Assessment Instrument  WHO Good Procurement  WHO Good Storage  World Bank Toolkits Partner Organizations

Several supply chain points can be evaluated using SLICE Receiving Transportation Distribution Storage Port Clearing Control Environment STAR Reconciliations Monitoring & Evaluation People

STAR Tool Example By comparing shipping records from one facility to receiving records at the next level, the tool highlights: –Facilities with losses –Specific commodities which went missing –Supply chain levels and geographies with the greatest risk ClinicDistrictCentral ~917,000 Presentations Distributed 1/2010 – 5/2011 Depot 1 No Loss Health Post Loss Depot 2 No Loss Hospital 2 No Loss Clinic 1 No Loss Depot 3 Loss Clinic 2 Loss Depot 4 No Loss Mission No Loss

Data can be analyzed by geography and commodity in a variety of ways Unaccounted for Commodities by TypeGeographic Analysis of Inventory Loss

Improved transparency and metrics to support decision-making Inefficient warehouse and distribution operations Non-compliant financial management Lack of performance management Reduced process time by 24% in the warehouse receiving department Improved average on-time delivery by 16% Increased compliance of financial management processes against international standards Improved transportation reliability by 33% through carrier compliance initiatives ResultsRisks StrategyPeopleProcessTechnology