Summary of conclusions and recommendations
| Recommendation | Suggested implementation steps | Priority |
|---|---|---|
| 1. Standardize and update SOPs for emergency supply chains |
| Urgent |
| 2. Develop crisis-proof communication systems |
| Critical |
| 3. Strengthen coordination and role clarity |
| Urgent |
| 4. Expand and optimize prepositioned supplies |
| Very-urgent |
| 5. Improve procurement flexibility and supply continuity |
| Urgent |
| 6. Enhance forecasting methodology |
| Urgent |
| 7. Address shortages of critical medicines |
| Very-urgent |
| 8. Establish a centralized national eLMIS |
| Critical |
| 9. Enhance human resource capacity |
| Urgent |
| Recommendation | Suggested implementation steps | Priority |
|---|---|---|
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 | |
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 | |
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 | |
Identify secure and geographically distributed warehouse sites across Syria Maintain and rotate prepositioned stocks based on Interagency Emergency Health Kit ( Pair stockpiling with scenario-based training to ensure efficient deployment during crises Regularly assess risk and update contingency stock levels accordingly | Very-urgent | |
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 | |
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 | |
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 | Very-urgent | |
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 | |
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 |