The analysis of RUTF supply chain used the SCOR framework because it is easily adaptable to the processes followed in the procurement and delivery of RUTF. It also focuses on efficiency in supply chain transactions, which was highlighted as an important objective of this analysis, and provided a useful frame for developing improvement recommendations and performance metrics. Using the SCOR framework, the RUTF supply chain was outlined as follows:
Plan: UNICEF and its implementing partners (non-governmental organizations, Ministries of Health and other aid organizations) develop estimates of RUTF need in their communities based on demographic information combined with the partners’ knowledge of their projects and catchment areas. A Ministry of Health or NGO partner identifies a specific need for RUTF among severely malnourished children in its area, and then assesses how much RUTF is required for treating these children. They relay this information to a UNICEF Country Office. Program Officers at the Country Office determine if the required amount of RUTF is within programmatic objectives and whether it has available funding. If there is insufficient funding, the Country and Regional Offices will work with donors to raise funds for the purchase and delivery of RUTF.
Procure: Once funds are raised, Country and Regional Offices submit a purchase requisition to UNICEF Supply Division. UNICEF Supply Division then works with the producer (Nutriset) and Country Offices to adjust the purchase requisition, if needed, for available RUTF supply and probability of meeting the requested delivery date. As there is a single supplier, supplier agreements are relatively simple to negotiate. In case of multiple suppliers, there would be an added step of coordinating quantities and delivery dates from each supplier.
Produce: If no further adjustments to the order are necessary, the producer will schedule production of RUTF in accordance with the target delivery date. In cases where a 1 / 2 RUTF Case Study: Selecting a Framework producer is operating at capacity, orders would be queued up and delivered based on a first-in, first-out basis, except in the cases when UNICEF specifically expedites an order due to urgency of demand.
Deliver: Once RUTF has been manufactured and packaged, it is delivered to the point of export at Paris or Le Havre (France). A global logistics supplier then moves the RUTF product from France to the region. In case of sea freight shipments marked for Kenya and Somalia, upon arrival at Mombasa, containers bound for Kenya are routed through and then transported by truck to the UNICEF Warehouse in Nairobi. From here on, the Ministry of Health works with NGO partners and UNICEF Country Office to release RUTF for distribution to the districts. The RUTF that is provided to partners in Somalia is held at a bonded in-transit warehouse in Mombasa until a local freight forwarder can move it, usually via sea, to Somalia. It is then either stored at a UNICEF Warehouse in Mogadishu or moved by truck to warehouses in districts throughout Somalia. Orders for RUTF can also be shipped via air freight, in which case they are sent directly from Paris to the destination country (e.g., to Nairobi or to Addis Ababa). The in-county distribution step is then the same as for the sea-shipped containers.