Examples of organizations with which we have ongoing relationships:
Collaborations between SCMS and key stakeholdersCollaboration takes many different forms, from sharing information and data to coordinating activities and plans to implementing common projects. Particularly important is work on new prevention initiatives, such as early infant diagnosis (EID), voluntary medical male circumcision, microbicides and "treatment as prevention." Below are some examples of past and ongoing collaborations between SCMS and key stakeholders.
Donor collaboration to improve procurement planning through the Coordinated Procurement Planning (CPP) Initiative
To ensure an uninterrupted supply of essential medicines and other health commodities, coordinated procurement planning by donors and governments is critical. Recognizing that more is achieved when organizations collaborate, the Coordinated Procurement Planning Initiative (the CPP) was launched in 2006 by the Global Fund, the World Bank and the USG. This global partnership of multilateral institutions, international donors, and implementing partners is dedicated to ensuring the uninterrupted flow of ARVs and other essential medicines for HIV/AIDS patients.
By sharing information and actively working together, members of the CPP have made progress in improving procurement coordination and supply planning. This collaboration has helped highlight potential risks to the HIV/AIDS supply chain in a number of countries and provided donors with approaches to address these risks. General direction of the CPP is guided by the Steering Committee, which is composed of the Global Fund, Office of The US Global AIDS Coordinator (OGAC), UNAIDS, UNITAID, USAID and WHO. The Steering Committee provides broad guidance and oversight and plays a key role in defining and monitoring the CPP’s strategic goals.
The CPP also has a Technical Working Group and is supported by a Technical Secretariat. The Technical Working Group is composed of CHAI, Ensemble pour une Solidarité Thérapeutique Hospitalière En Réseau (ESTHER), Solidarite Therapeutique et Initiatives Contre le Sida (SOLTHIS), SCMS, Systems for Improved Access to Pharmaceuticals and Services Program (SIAPS) and UNICEF. The Technical Secretariat is managed by SCMS.
AIDS Medicines and Diagnostic Services (AMDS) Network to support procurement and supply chain management of HIV commodities
SCMS is a member of the AMDS Network in the WHO AIDS Department. The network’s goal is to collate and provide information and tools that support the consistent supply of commodities for the prevention, treatment and care of HIV/AIDS patients. In addition to working closely with WHO to support the work of AMDS, SCMS provides procurement data for the WHO Global Price Reporting Mechanism and ARV registration status information for the WHO regulatory database. We also support other AMDS initiatives and activities, including the Procurement and Supply Management (PSM) toolbox, as well as development of key indicators for the monitoring and evaluation of PSM systems.
WHO/UNAIDS working group on ARV forecasting for global demand
SCMS is a member of this working group which develops ARV forecasts based on different methods and consolidates resulting forecasts of ARV demand from WHO and UNAIDS's Annual Survey of Demand, CHAI, and SCMS forecasts for PEPFAR. The working group’s objective is to prepare global forecasts of demand that can be shared with major manufacturers of innovator and generic ARVs, as well as active pharmaceutical ingredient (API) producers. These forecasts help suppliers estimate demand and plan investments, ensuring adequate manufacturing capacity is in place as programs scale up.
Collaboration with UN Inter-agency Technical Team (IATT)
The IATT on Children Affected by AIDS, led by UNICEF, provides a forum for supporting a coordinated, accelerated and expanded evidence-based response to protect and promote the rights of children affected by HIV and AIDS. SCMS works with the IATT to address the elimination of mother-to-child transmission (eMTCT) and has contributed to an eMTCT policy paper outlining recommendations for host government priorities in planning for eMTCT. This paper was presented at the mid-term review meeting of the Global Steering Group, which is jointly chaired by UNICEF and PEPFAR.
Public-private partnership to address treatment needs of children with HIV/AIDS
The needs and challenges for children with HIV/AIDS are different than those for adults. The Pediatric AIDS Public-Private Partnership, designed to address the unique treatment needs of children, was developed in response to a call for action by Laura Bush when she was First Lady. Under OGAC leadership, the partnership includes the US government, pharmaceutical companies, UNAIDS, UNICEF, WHO, the Elizabeth Glaser Pediatric AIDS Foundation and the Clinton Foundation. SCMS developed standardized procedures to generate a replicable forecast and prepared a selective forecast of pediatric ARV demand for 2007 and 2008 in 11 of the PEPFAR focus countries, plus Zimbabwe. Under an initiative known as the Pre-approval Access for HIV/AIDS Therapies (PATH), we are working to pilot new ways to speed up registration of new pediatric products by drug regulatory authorities in developing countries.
In East Africa, supporting a harmonized approach to medicines registrationSCMS's
country director for Tanzania represents SCMS in the East African
Community Medicines Registration Harmonization (EAC MRH) Project. Launched in
March 2012, this project is a partnership of many regional and global organizations,
including the New Partnership for Africa's Development (NEPAD), the East
African Community, WHO, the Bill and Melinda Gates Foundation, the World Bank,
DFID and CHAI. According to the project, “The EAC MRH Project will promote the
harmonization of medicines registration in the region, which is a key
contributor to public health and leads to rapid access to good quality, safe
and effective medicines for priority diseases. Partners hope that the
successful implementation of the EAC project will serve as a beacon for other
countries and regions to realize the benefits of harmonized regulations for
their populations.” For more information go to www.amrh.org and www.nepad.org
Collaboration with CHAI and USAID | DELIVER to develop a laboratory quantification tool
To support the growing number of patients on ARV treatment, the need for laboratory commodities has rapidly increased. However, inadequate laboratory supply chains and tools for forecasting laboratory equipment have led to inadequate data and challenges in planning and scale-up. In October 2007, SCMS and CHAI signed a memorandum of understanding to develop a new laboratory forecasting tool using Microsoft Excel. SCMS, USAID | DELIVER PROJECT and CHAI assessed various tools and agreed to develop a new tool.
Collaboration with the Delivery Working Group of the Bill and Melinda Gates Foundation supported an initiative to research the potential of pre-exposure prophylaxis (PrEP)
The Gates Foundation is providing substantial funding to support development of new prevention technologies, including PrEP—the use of ARV drugs by HIV-negative individuals in highly at-risk communities to prevent HIV transmission. Based on our experience developing the SCMS international supply chain, SCMS is assisting the PrEP project’s Delivery Working Group. Our goal is to address issues faced in making the new products readily available, should current research projects establish that PrEP is effective and should donors support the funding of a substantive international PrEP program.
Collaboration with Global Fund in procurement and forecastingIn Côte d’Ivoire and Ethiopia, SCMS has acted as a procurement agent for Global Fund Principal Recipients, helping to ensure the continuous availability of HIV/AIDS commodities at the national level. In Côte d’Ivoire, with the support of PEPFAR and USAID, we responded quickly to Global Fund needs in 2007 and 2008, preventing stockouts and managing the pipeline of orders to address the expansion of new patients into the treatment program. In Ethiopia, we supported the development of a six-year national forecast for all essential HIV/AIDS commodities, which has been used for Ethiopia’s Global Fund Round 7 application. Quantification results were also used to procure a one-year supply of HIV rapid test kits through SCMS with funding from the Global Fund.
At Harvard University, SCMS materials were used to support supply chain courseIn 2013, SCMS’s managing partner, JSI, led an eight-week course entitled “Supply Chain Management for Health Systems Improvement” at the Harvard School of Public Health (HSPH). The course used materials from SCMS and USAID | DELIVER PROJECT as part of the curriculum and drew on the experiences of guest lecturers from USAID, University of Michigan and the Humanitarian Logistics Program at the Massachusetts Institute of Technology.
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