For people with HIV/AIDS in developing countries, cost-effective, reliable, secure and sustainable supply chains can save millions of lives. For more than ten years, the Supply Chain Management System (SCMS) has been saving lives through stronger supply chains.
SCMS is managed by the Partnership for Supply Chain Management, which also holds the contract for the Global Fund's Pooled Procurement Mechanism (PPM), previously known as Voluntary Pooled Procurement (VPP).
The National Supply Chain Assessment Toolkit: Use this comprehensive toolkit to assess the capability and performance at all levels of a health supply chain. The results of the assessment help supply chain managers and implementing partners develop their strategic and operational plans and monitor whether activities are achieving their expected outcomes. Access Toolkit.
Health Care Waste Management: Learn how SCMS builds technical and operational capacity and infrastructure to support sound management of hazardous waste. Our helpful resources include Health Care Waste Management Visual Aids and the SCMS Voluntary Medical Male Circumcision Health Care Waste Management Toolkit. More Info
“10 Years of Supporting PEPFAR through Stronger Public Health Supply Chains: A Report on SCMS Contributions to PEPFAR Results” SCMS is proud to release its report, “10 Years of
Supporting PEPFAR through Stronger Public Health Supply Chains: A Report
on SCMS Contributions to PEPFAR Results.” As SCMS marks a decade of
operating the largest public health supply chain in the world on behalf
of the US Government, the project looks back at how it helped to move
the global community closer to reaching our collective goal: achieving
an AIDS-free generation. You can find the report in English and French.
New success story from Botswana In Botswana in 2014, SCMS learned of an opportunity to help further build supply chain management capacity and ensure sustainability of capacity building beyond the project’s presence by leveraging Peace Corps volunteers. Peace Corps Botswana had 27 volunteers assigned to the Ministry of Health to assist with the HIV response. SCMS proposed including supply chain activities as part of the Peace Corps’ support to the health districts and facilities where Peace Corps volunteers were attached.
Read our latest success story to learn more about how this capacity building collaboration developed and expanded, and continues to operate today through the Peace Corps.
Extended periods for delivery of ritonavir containing ARVs: SCMS is experiencing a significant increase in lead time for antiretrovir products containing ritonavir, specifically: Lopinavir/Ritonavir 200/50mg, 100/25mg and 80/20mg/ml, as well as Atazanavir/Ritonavir 300/100mg, tablets, 30 Tabs.
New paper reports success of cooperation in procurement of pediatric ARVs A new paper from the Global Fund and UNITAID describes how the challenging market for paediatric anti-retroviral medicines has been transformed.
The Paediatric ARV Procurement Working Group (PAPWG) was established in 2011 to address procurement and access challenges in the small and highly fragile paediatric ARV market. The Working Group was established as a global collaboration and coordination effort - with members including major financiers and procurers of ARVs, as well as technical bodies - that through procurement promoted optimal products and regimens. Bringing these partners together enabled greater visibility into this fragile market than any one partner could achieve alone. The PAPWG’s leadership and successful management of the paediatric ARV market has ensured an uninterrupted supply and treatment for children living with HIV. PFSCM and SCMS were founding members of the PAPWG. PFSCM and SCMS were founding members of the PAPWG.
The approach taken by the Working Group is now being applied to other commodities and health interventions with similar market conditions. In early 2016, the PAPWG expanded its mandate to include specialist adult ARVs facing similar market challenges, and to support the scale-up of new optimal regimens and formulations.
Update to the IATT Paediatric ARV Formulary and Limited-Use List The 2016 update to the IATT Paediatric ARV Formulary and Limited-Use List has now been officially endorsed by both WHO and UNICEF and is available online.
The first IATT optimal paediatric ARV formulary was created in 2011 by the Child Survival Working Group and the Supply Chain Management Working Group of the Interagency Task Team (IATT) on the Prevention and Treatment of HIV Infection in Pregnant Women, Mothers, and Children. Since then, the group has convened in conjunction with the ARV Procurement Working Group (APWG) every six months, and following any updates from the WHO Consolidated ARV Guidelines, to update the existing optimal paediatric ARV formulary. This edition reflects the 2016 WHO Consolidated Guidelines and takes account of changes in the markets.
The list continues to serve as guidance for national programs, procurement agencies, funders, and manufacturers to select products that closely align to the criteria describing optimal paediatric dosage forms.
A new pediatric formulation — ABC/3TC (120/60 mg) tablet — offers key benefits for treatment of children and is available for PEPFAR procurement The new, scored, fixed-dose combination (FDC) tablet containing 120 mg of Abacavir (ABC) and 60 mg of Lamivudine (3TC) is available for procurement through Mylan.
This formulation can significantly decrease pill burden in children by at least 50% compared to existing formulations of ABC, particularly when used as a once-daily regimen. The reduced pill burden may improve patient adherence and simplify the supply chain at no additional cost to national HIV programs. Furthermore, this formulation may prevent sub-optimal dosing that occurs when adult formulation tablets are cut for use by children.
For further background and a dosing chart for quantification of ABC/3TC (120/60 mg) requirements by weight band, please see the information briefs available in English, French, and Spanish.
The 90 90 90 strategy to end the HIV Pandemic by 2030: Can the supply chain handle it? The UNAIDS “90-90-90” strategy calls for 90% of HIV-infected individuals to be diagnosed by 2020, 90% of whom will be on ARTs and 90% of whom will achieve sustained virologic suppression. Reaching these targets by 2020 will reduce the HIV epidemic to a low-level endemic disease by 2030. From a supply chain perspective, each of the “90’s” has possible complications and roadblocks towards realizing the promise envisioned by 90-90-90.
Successful closeout event held in Burundi On September 22, 2016, SCMS’s office in Burundi held an end-of-project event, which was attended by 95 representatives of the Ministry of Health, the Ministry of Foreign Affairs and International Cooperation, USAID Implementing Partners, UN agencies, other NGOs, and health centers. The ceremony was launched by the Inspector General of Health (on behalf of the Minister of Health) and the USAID Director (on behalf of the US Ambassadress). SCMS, CAMEBU (the central medical store), and the Department of Pharmacy, Medicines, and Laboratories (DPML) presented the status of the supply chain, key achievements, lessons learned, and recommendations.
For the SCMS/SIAPS end-of-project event in Burundi at the end of September, six new posters were developed to share with event attendees the accomplishments achieved through the two projects. Please find the posters and more pictures from the event below.
Festive closeout event held in Ethiopia to mark the SCMS successes over the past 10 years At the end of September, SCMS held a closeout event to recognize the hard work, dedication, and accomplishments of staff in Ethiopia over the last decade. The end-of-project event was attended by more than 150 partners and stakeholders.
Bethanne Moskov, Chief of the USAID Health Office, said in her keynote address how proud USAID was of the unprecedented achievements that have been witnessed through the work of SCMS in Ethiopia — specifically SCMS's contributions to supporting the national quantification process, increasing the number of health facilities sixfold in the last 10 years, training 16,000 health professionals, reaching 400,000 people living with HIV, and decreasing mother-to-child transmission.
Meskele Lera, Director General of the Pharmaceutical Fund and Supply Agency (PFSA), noted that when SCMS began in 2006, ARVs were unaffordable and access was very limited. “SCMS has helped us ensure uninterrupted supply not only for ARVs, but [also for] the whole of the supply chain system,” he said. Ethiopia has now ensured 98% availability of medicines and is working toward achieving 100%.
SCMS and USAID | DELIVER PROJECT Showcase a Decade of Interventions in Tanzania On June 1, 2016, Supply Chain Management System (SCMS) and the USAID | DELIVER PROJECT in Tanzania showcased a decade-long legacy of interventions at an event marking the end of the projects, attended by more than 200 people. The event was graced by the Permanent Secretary of the Ministry of Health, Community Development, Gender, Elderly, and Children (MOHCDGEC), Dr. Mpoki Ulisubisya, and the Principal Secretary of the Ministry of Health in Zanzibar, Dr. Juma Malik Akil, who both spoke to the collaborative relationship with the projects. The Acting Health Officer Director of the USAID Mission in Tanzania, Ms. Janean Davis, and the Chief Pharmacist of the MOHCDGEC, Mr. Henry Irunde, were also present and gave speeches.
At the event, the results of interventions implemented by the two projects were exhibited through booths highlighting the Logistics Management Unit, the electronic logistics management information system, warehousing and distribution, and quality assurance. Additionally, a marketplace discussion took place during which beneficiaries of our capacity building interventions—representatives from the Tanzania Food and Drugs Administration and Zonal Health Management Teams, as well as a graduate of the pre-service training course in supply chain management—shared their stories and lessons learned.
New video shows SCMS and USAID | DELIVER PROJECT achievements in Zambia throughout the last 10 years As the USAID | DELIVER PROJECT and the Supply Chain Management System (SCMS) come to a close in Zambia after 10 years, a new video compares supply chain challenges when the projects began and the achievements brought about through collaboration with the Ministry of Health, Medical Stores Limited (MSL), and other partners. The video also looks ahead at the future of the supply chain in Zambia, with recipient, implementer, and donor testimony.
Through the support of PEPFAR, the President’s Malaria Initiative (PMI), and USAID, the two projects contributed to strengthening Zambia’s public health supply chain for HIV/AIDS medicines, malaria medicines, essential medicines, and family planning products. The projects worked to build the capacity of the Government of Zambia (GRZ) to ensure the availability and security of vital health commodities at service-level sites by:
Strengthening logistics systems to avail critical data for informed supply chain decision making;
Increasing ownership to conduct coordinated, transparent quantification, procurement planning, and supply monitoring;
Reinforcing infrastructure for warehousing, distribution, and testing; and
Improving strategic management and planning for increased commodity security.
The two projects were delivered through a joint office managed by JSI. JSI implemented the USAID | DELIVER PROJECT and was a partner in the Partnership for Supply Chain Management (PFSCM), which implemented SCMS. This JSI office also implemented the Department of Defense HIV/AIDS Prevention Program (DHAPP).This video was funded by the USAID | DELIVER PROJECT, SCMS, and DHAPP.
“10 Years of Supporting PEPFAR through Stronger Public Health Supply Chains: A report on SCMS Contributions to PEPFAR results.”
SCMS is proud to release its report, “10 Years of Supporting PEPFAR through Stronger Public Health Supply Chains: A Report on SCMS Contributions to PEPFAR Results.” As SCMS marks a decade of operating the largest public health supply chain in the world on behalf of the US Government, the project looks back at how it helped to move the global community closer to reaching our collective goal: achieving an AIDS-free generation. Read now >>
For our francophone audiences, read the Ten Year Review in French