Last Mile Cordaid is working in the Jimma Zone, Oromia Regional State on improving the general performance of health facilities. As an international NGO, Cordaid has extensive experience in health system strengthening, with its main expertise in Performance Based Financing (PBF). In 2015, Cordaid introduced PBF , in the Borana zone (Oromia Region), while in 2019 a second PBF project started in the Jimma zone (also Oromia region). Both projects are now financed by the Embassy of the Kingdom of The Netherlands (EKN) covering 165 health centres, 11 hospitals and 737 health posts with a catchment population of 4.3 million people.
I+ solutions is a Dutch not-for-profit organization providing access to best-priced, internationally recognized, quality health products and supply chain management solutions to low- and middle- income countries. Its mission is to save and improve lives by creating well-functioning health supply chains. I+ solutions has extensive experience in designing and implementing eLMIS systems in low- and middle-income settings, including an eLMIS system as part of the NSCIP program in Nigeria (2017-2019), the national Ghana LMIS system together with Vitalliance (2018- 2019) and the LMIS system for UNICEF in Burundi (2020-2021). I+ solutions developed Medexis in 2018 to address the lack of a robust and affordable eLMIS, utilizing experience in optimizing global health supply chains.
Cordaid has been strengthening the health system through PBF with the aim of improving availability and accessibility of good quality healthcare at primary and secondary level in Jimma zone since October 2019. While implementing the project, among the main challenges at public health facilities are the unavailability of medicines and medical supplies, and inefficiencies in the pharmaceutical supply system and health information system. Since I+ solutions has rich experience in pharmaceutical supply chain management and eLMIS Cordaid will anchor with I+ solution to strengthen the existing project to mitigate the challenges.
Therefore, Cordaid and I+ solutions can successfully leverage their respective expertise in health system strengthening and innovative supply chain solutions to help health facilities in the Jimma zone in Oromia Region of Ethiopia improve availability of medicines and optimize the health supply chain. The overall goal of the project is to improve availability of Essential medicines in the health centres in Jimma Zone, Oromia Regional State, between March 2022 and March 2023.

Specific Objectives of the project are:

1.	Strengthen the use of paper based Logistics Management Information System (LMIS) among health centres (HCs) in Jimma Zone through providing regular supportive supervision and capacity building.
2.	Simplify the reporting of relevant supply chain data and ordering of medicines through the use of an electronic Logistics Management Information System (eLMIS) in 15 pilot health centres in Jimma Zone.
3.	Through an end of pilot evaluation, understand the factors associated with the success or failure of using last mile solutions. Total: 3,538,266 inhabitants from 121 health centres

15 health centres (492,513 inhabitants) will pilot an electronic logistics management information system (eLMIS). In the remaining 106 health centres (3,045,753) the   project will use a phased approach to strengthen the existing paper based supply chain system, starting with 15 health centres and gradually spread to all health centres in Jimma zone.