Examples of organizations with whom we have ongoing relationships including:
Collaborations between SCMS and key stakeholders.collaborations between SCMS and key stakeholders.Collaboration 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), 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 approaches to address these risks. General direction of the CPP is guided by the Steering Committee and is composed of the Global Fund to Fight HIV/AIDS, TB and Malaria, Office of The US Global AIDS Coordinator (PEPFAR), UNAIDS, UNITAID, USAID, and the World Health Organization (WHO). The Steering Committee provides broad guidance and oversight and plays a key role in defining and monitoring CPP’s strategic goals.
The CPP is also comprised of a Technical Working Group and is supported by a Technical Secretariat. The Technical Working Group is composed of the Clinton Health Access Initiative (CHAI), Ensemble pour une Solidarité Thérapeutique Hospitalière En Réseau (ESTHER), Solidarite Therapeutique & Initiatives Contre le Sida (SOLTHIS), Supply Chain Management System (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. 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 our own 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 that 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, provide 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 of adults. The Pediatric AIDS Public-Private Partnership, designed to address childrens’ unique treatment needs, was developed in response to a call for action by Mrs. Laura Bush when she was First Lady. Under the leadership of OGAC, 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 Pre-Approval Access to Therapies for HIV/AIDS (PaATH), 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 registration
SCMS's country director for Tanzania represents SCMS in the East African Community Medicines Registration Harmonization (EAC MRH) Project. Launched in March 2012, the EAC MRH project is a partnership of many regional and global partners, including the New Partnership for Africa's Development (NEPAD), the East African Community, WHO, the Bill & 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 in developing a laboratory quantification tool
To support the growing numbers of patients on ARV treatment, the need for laboratory commodities has rapidly increased. However, inadequate lab supply chains and tools for forecasting lab 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. Representatives from SCMS, USAID | DELIVER PROJECT and CHAI assessed various tools and agreed to develop a new tool with the following characteristics:
Collaboration with Delivery Working Group of Bill and Melinda Gates Foundation supported initiative to research potential of Pre-Exposure Prophylaxis
The Gates Foundation is providing substantial funding to support development of new prevention technologies, including pre-exposure prophylaxis (PrEP)—the use of ARV drugs by HIV-negative individuals in highly at risk communities to prevent HIV virus transmission. Based on our experience in developing the SCMS international supply chain, SCSM 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 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-related 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 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 the USAID |DELIVER PROJECT as part of the curriculum and drew on experiences from guest lecturers from USAID, University of Michigan, and the Humanitarian Logistics Program at the Massachusetts Institute of Technology.
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