Table 4

Summary of conclusions and recommendations

RecommendationSuggested implementation stepsPriority
1. Standardize and update SOPs for emergency supply chains
  • Review and revise existing SOPs to incorporate lessons learned from previous disasters

  • Include flexibility for rapid adaptation in emergencies and ensure SOPs address coordination, communication and procurement

  • Disseminate updated SOPs across facilities and conduct regular training

  • Evaluate adherence and update SOPs after simulation exercises and actual responses

Urgent
2. Develop crisis-proof communication systems
  • Establish redundant communication networks (satellite-based systems, emergency radio, and offline-capable apps)

  • Identify communication focal points in each facility and maintain an emergency contact network

  • Conduct regular drills simulating communication blackouts

  • Integrate communication continuity plans into national preparedness and coordination systems

Critical
3. Strengthen coordination and role clarity
  • Establish a unified coordination mechanism including MoH, the Health Cluster, NGOs and donors

  • Define clear roles, responsibilities, and reporting lines to avoid duplication and resource gaps

  • Create a shared logistics dashboard for real-time visibility of supply movements

  • Conduct annual multiagency coordination exercises to test and refine procedures

Urgent
4. Expand and optimize prepositioned supplies
  • Identify secure and geographically distributed warehouse sites across Syria

  • Maintain and rotate prepositioned stocks based on Interagency Emergency Health Kit (IEHK) standards

  • Pair stockpiling with scenario-based training to ensure efficient deployment during crises

  • Regularly assess risk and update contingency stock levels accordingly

Very-urgent
5. Improve procurement flexibility and supply continuity
  • Introduce emergency procurement mechanisms allowing temporary waivers of donor restrictions during crises

  • Develop preapproved vendor lists, both domestic and international, to reduce dependence on cross-border routes

  • Simplify donor procedures for rapid fund disbursement and procurement

  • Strengthen partnerships with international and local suppliers to diversify sourcing

Urgent
6. Enhance forecasting methodology
  • Replace short-term, consumption-based forecasting with dynamic, scenario-based models incorporating demographic and epidemiological data

  • Integrate forecasting tools into the eLMIS to align forecasting, procurement and stockpiling

  • Conduct regular forecasting reviews and training sessions

  • Use forecasting outputs to guide procurement and prepositioning decisions

Urgent
7. Address shortages of critical medicines
  • Establish minimum stock thresholds for essential and life-saving medicines at all secondary facilities

  • Coordinate in-kind donations to match real facility needs based on standardized emergency lists

  • Strengthen interfacility redistribution mechanisms to respond to sudden shortages

  • Ensure forecasting and procurement processes prioritize analgesics, antibiotics and IV fluids

Very-urgent
8. Establish a centralized national eLMIS
  • Develop a unified electronic logistics management information system integrating all humanitarian and public health supply chain actors

  • Enable real-time visibility of inventory, stock levels and expiry dates

  • Ensure interoperability with existing data systems and provide training for logistics staff

  • Incorporate backup systems and offline modes to maintain operability during infrastructure disruption

Critical
9. Enhance human resource capacity
  • Develop structured training programs in emergency logistics, procurement and inventory management

  • Integrate supply chain management modules into national health workforce plans

  • Long-term capacity building and staff retention initiatives

Urgent

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