Dagu 2.

0 Health Commodity Management Information System

Module 1: Introduction

Slide 1 Digital
Health
Activity
Welcome to the first of six modules covering Dagu
DAGU 2.0: Health Commodity
Management Information System 2.0, the health commodity management
MODULE 1
Introduction
information system that is used to manage daily
transactions at service delivery points – any facility
that serves clients directly and where clients receive
supplies.
All photographs are the property of
John Snow, Inc. unless otherwise noted.

Slide 2 Navigation
Before we begin, let’s go over how to navigate the
modules.

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Now let’s learn about Dagu 2.0!

Slide 3 Dagu 2.0 learning modules
Here is a list of the short modules of the course.
They cover the main features and will prepare you
1. Introduction
2. System navigation to use Dagu 2.0. You will have the opportunity to
3. Managing routine transactions
4. Managing non-routine transactions practice using the Dagu 2.0 system while you learn
5. Creating and using reports
6. Administration about its features, so you will need access to the
internet and a computer to complete the course.
3

You may not need to complete all the modules, but

all modules will be available for future reference
when you use Dagu 2.0.

Slide 4 Module 1 learning objectives

Module 1 provides an introduction to Dagu 2.0. By
the end of the module, you will be able to:
By the end of this module, you will be able to:
• Describe how the Ethiopian Pharmaceutical Supply
Agency (EPSA) manages information
• Identify the record-keeping functions of Dagu 2.0 Describe how the Ethiopian Pharmaceutical Supply
• Identify roles and responsibilities of various parties for
using and maintaining the Dagu 2.0 system Agency, or EPSA, manages information,
Identify the record-keeping functions of Dagu 2.0,
and
Identify roles and responsibilities of various parties
for using and maintaining the Dagu 2.0 system.

Slide 5 Purpose of a logistics system

The purpose of a logistics system can be
summarized by the rule of the Six Rights.
The Six Rights
at the
is to get the
RIGHT TIME
RIGHT QUANTITIES
in the
It is to get the right quantities of the right goods to
of the
RIGHT GOODS
RIGHT CONDITION
at the
the right places at the right time in the right
to the
RIGHT PLACES
RIGHT COST condition at the right cost.

In our country EPSA runs the logistics system,

providing pharmaceuticals, laboratory reagents,
medical equipment and supplies to the Ethiopian
people. Over 12,000 unique items flow through
Ethiopia’s health commodity supply chain under the
management of EPSA supplying the nearly 20,000
service delivery points (including hospitals, health
centers, and health posts).

Slide 6 EPSA’s Integrated Pharmaceutical EPSA uses the Integrated Pharmaceuticals Logistics
Logistics System (IPLS)
System, or IPLS, as the primary mechanism through
which all public health facilities obtain essential and
vital pharmaceuticals. EPSA receives products from
local and international suppliers, distributes them to
its hubs, which then distribute them to health
facilities who can then serve their customers.
 For EPSA to seamlessly deliver products when and
where they are needed, accurate and timely supply
chain information is crucial.

Slide 7 Introduction: Different levels of supply chain

information are needed at different levels of the
system and EPSA has a suite of software
Properties
Show interaction in menu as: Single Item installations that link the parts of the public sector
Allow user to leave interaction: At any time
Prev/Next player buttons go to: Slide in the presentation
supply chain together.

Edit in Engage Edit Properties

Click on the (+) signs to learn more about the
components of the information system. Click Next
when you have checked out all of the components.

eRIS: The electronic regulatory information system

facilitates the registration and import permit
process for all items entering the health commodity
supply chain.

Vitas: – A warehouse and inventory management

information system that directs supply operations at
the warehouse level, capturing real-time
commodity movements across the warehouse
network, as well as expiries, losses, and
adjustments. It provides EPSA with information on
the location and levels of commodities in order to
forecast, procure, and distribute with confidence.

mBrana: A mobile stock management tool for

vaccines at the Woreda Level and zones.

Dagu 2.0: An inventory management system

designed to manage daily transactions at service
delivery points. It provides a systematic
recordkeeping system for managing health
commodities and facilitates the use of standard
operating logistics procedures including: issue and
receipts, ‘first to expire, first out’ (FEFO), and
batch/expiry tracking. It also helps store and
generate timely stock reports for decision-making.
Dagu 2.0 is the online version of Dagu.

Fanos: The main supply chain dashboard with

summary data and individual pages for each
commodity with data for all levels, making them
available for analysis and reporting in real time. It
 provides end-to-end visibility into the entire supply
chain, from forecasting to issue.

Slide 8 What did you just learn about Dagu 2.0? Review
each of the following statements to see if they are
true about the Dagu 2.0 inventory management
Properties
Show interaction in menu as: Single Item system.
• Dagu 2.0 manages daily transactions at
Allow user to leave interaction: At any time
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service delivery points.

• Dagu 2.0 provides information about stock
Edit in Engage Edit Properties

in regional warehouses.
• Dagu 2.0 stores and generates timely stock
reports for service delivery points.
• Dagu 2.0 facilitates the use of ‘first to expire,
first out’ and batch/expiry tracking.
Slide 9 Dagu 2.0
Before Dagu 2.0, data were compiled on paper
forms that required manual collation and
• Locally developed, open source software
• Supports e-transmission of requisitions transmission between levels of the supply chain
• Provides mechanisms for corrective action and advance
information for planning with many opportunities for human error and
• Full interoperability with the other supply chain system
delays.
Vitas at
Health Facility
Hub, Center

What are the major advantages of this

system? Dagu 2.0 is locally developed open source software
used to address EPSA’s supply chain operation
requirements and to increase visibility, reliability,
and data quality.

It enables electronic transmission of requisitions as

well as electronic validation, editing, approval or
rejection of these requests and it allows managers
to follow the status of requests.

Dagu 2.0 includes mechanisms that allow corrective

action for discrepancies and provides storage
requirements and details of shipments before
arrivals.

And Dagu 2.0 is fully interoperable, with the other

components of the logistics management
information system. This means that the
components can exchange and use data.

What major advantages can you see for using Dagu

2.0?

Click Next when you have your answers.

Slide Advantages of Dagu 2.0
There are many advantages to using Dagu 2.0. Here
10 are a few. You may have thought of others.
• Less time spent on record keeping and record transfer
• Less product waste due to expiry or improper storage
• Better data quality
• Increased availability of current data Now let’s look at Dagu 2.0’s recordkeeping
functions.

Slide Recordkeeping functions

With Dagu 2.0 a health facility can manage and
11 keep records of routine transactions. These include:
Receipt • Receiving verified quantity and quality of health
Issue
Non-routine commodities into a facility store and determining
transactions
the need for remedial action when necessary
Requisition • Next, issuing correct quantity and quality of
products to the right dispensing units (including
Health Posts) using the first expiry first out
(FEFO) principle
• And finally, ordering the right health
commodities and in the right quantity to
maintain optimal stock level and avoid stockout
and wastage
Dagu 2.0 is also used to record non-routine
transactions such as updating stock according to
annual inventories, loss and adjustments, and
internal transfers between virtual stores.

Now let’s look at who is responsible for the system

and using the data.

Slide Responsibilities at the health Let’s start at the source of most data – the health
facility level
12 Health Center
facility.
• Use the system for routine and non-routine transactions
• Transmit and receive data and reports to/from relevant
parties as scheduled or as needed
• Implement the process for electronic submission,
verification, and approval of requisitions by relevant parties
What decisions do you think health facilities
Health facilities are responsible for many tasks
• Assure thewill
quality
makeofusing
data on daily
data basis
from Dagu 2.0?
• Provide first level trouble shooting at facility level related to Dagu 2.0.
• Train staff to use the system
• Secure budget for necessary materials and equipment
including connectivity
• Use data for decision-making and system monitoring
First, each facility should:
• Use Dagu 2.0 to record the routine and non-
routine transactions we just described.
• Transmit and receive data and reports to and
from relevant parties as scheduled or as needed
• Implement the process for electronic submission,
verification, and approval of requisitions by
relevant parties.
• Assure the quality of data on daily basis
• Provide first level trouble shooting at facility level
 • Train staff to use the system and
• Secure budget for necessary materials and
equipment including connectivity.
• Finally, each facility should use data from Dagu
2.0 for decision-making and system monitoring.

What kind of decisions do you think health facilities

will make using data from Dagu 2.0?

Slide Decision making at health Some of the key decisions that can be made at the
facilities
13 Health Center
health facility level, based on data reported in Dagu
2.0 will include:

• How much product to order

• When to remove expired stock
• When to place emergency orders
• How and when to prepare for deliveries

Slide Who performs Dagu 2.0 tasks Now let’s think about who conducts these tasks.
at the health facility?
14 Health Center

The answer will depend on the size of the facility

and the number of trained workers at each facility.
Pharmacist Store manager

A pharmacist manages all the products in the

pharmacy and does data collection and data entry.
The pharmacist may be responsible for reporting
logistics data and determining resupply quantities.
The pharmacist should also monitor stock levels and
place emergency orders or inform the person
responsible for placing emergency orders, if it is
needed.

The stores manager receives incoming shipments of

products, maintains the storeroom and stock cards,
and conducts physical inventories and monitors
product quality. The Stores manager can also
monitor stock status and place or inform someone
of the need to place emergency orders.

Smaller facilities will likely have many fewer staff, so

you might have a small team of 2 or 3 sharing
logistics tasks, or even just a single person who is
managing all supply chain related tasks for that
facility.
Slide At the EPSA center and EPSA hubs staff:
Responsibilities at EPSA
15 • Implement and maintain processes needed for
Role responsibilities related to Dagu 2.0:
• Implement and maintain processes needed for
electronic data transmission up and down
electronic data transmission up and down
• Support implementation and maintain the system
• Support implementation and maintain the Dagu
• Obtain and act on feedback from users 2.0 system
• Secure appropriate resources to maintain the system
nationally • Obtain and act on feedback from users
• Use data for decision-making and system monitoring.
What decisions do you think EPSA will make
using data from Dagu 2.0?
• Secure appropriate resources to maintain the
system nationally
• Use data for decision-making and system
monitoring.

What kind of decisions are made by EPSA personnel

using data from Dagu 2.0?

Slide Decision making at EPSA

Using data from Dagu 2.0, personnel at EPSA
16 centers and hubs can make decisions about:

How much product to order and when to order

Where to warehouse stock
When to place emergency orders
How and when to prepare for deliveries

Slide The Federal Ministry of Health (FMOH) and Regional

Responsibilities at FMOH/RHB
17 Health Bureaus (RHBs) are responsible for:
Roles and responsibilities related to Dagu 2.0:
• Develop appropriate service level agreements on
behalf of facilities and ensures implementation
• Oversee and monitor full implementation and
• Develop appropriate service level agreements on
sustainability
• Secure appropriate resources to maintain the system
behalf of facilities and ensures implementation
nationally
• Use data from Dagu 2.0 for decision-making and
• Oversee and monitor full implementation and
system monitoring How do the FMOH and RHBs use
data from Dagu 2.0?
sustainability
• Secure appropriate resources to maintain the
system nationally, and finally
• Use data from Dagu 2.0 for decision-making and
system monitoring

What kind of decisions are made by the FMOH and

RHBs using data from Dagu 2.0?

Click Next when you have your answers.

Slide Decision making at The FMOH and the RHBs can use data from Dagu
FMOH/RHB
18 2.0 to make decisions about:

Securing financial resources

Supporting data quality and use
Supporting scale up and full implementation
Facilitating technical support
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Slide Support
For all users, support is available through a Help
19 Desk which can be accessed through the Dagu 2.0
• Help desk
• Dagu 2.0 User’s Guide website.

The Dagu 2.0 User’s Manual is also an excellent

source for step-by-step instructions on how to use
the system. You can use this guide during this
course. You may download a copy from the
Resource tab.

Slide Module 1 Quiz

Please complete a short quiz to demonstrate that
20 you have mastered the objectives for Module 1.
Please complete a short quiz to demonstrate that
you have mastered the objectives for Module 1.

You must score at least 80% to pass the quiz. You must score at least 80% to pass the quiz.
When you have completed the quiz, click the
Finish button.

When you have completed the quiz, click the Finish

button.

Slide Module 1 quiz

21

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Slide Module 1 Completion

22
You have reached the end of Module 1: Dagu 2.0
Introduction.

If you passed the quiz you may proceed to Module 2.

If you did not pass the quiz, please review the module
and try again.