Beira. Mozambique. Provincial Distribution Warehouse (Beira)- Photographs and videos from here are of supplies sitting in the warehouse and getting loaded on a truck; there is an interview of the warehouse manager as he shows us around the warehouse and talks about problems. Supply Chain Issues are a BIG problem. The supply chain is broken and there is political pressure to fix it. NGOÍs are supported by the ministry of health/government and they want local systems used to distribute but the local system cannot properly support the system and keep up so actual distribution is difficult. There are both vertical and horizontal supply chains and on average an item is touched 13 times before it reaches its destination (if it gets there at all): Everything flows from central, to provinces, to districts. There is not effective communication between the different levels so some things sit in the warehouse until they expire even though people need them. There is no information on the volume of meds being consumed; what information is gathered does not reach the central level. The distribution process: receive and store goods> receive dispatch order> distribute goods. Fragmented Supply Chain- this process is broken in multiple places; ex. A nurse might take some drugs or tests home to do them at home because they make more money and it is more private and thus attractive to patients; ex. Mosquito nets sit in the warehouse because there is no money to get trucks to deliver them to the areas in need, the trucks may be allocated by someone else for other purposes.