Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 7324
Country/Region: Côte d'Ivoire
Year: 2007
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $50,000

Funding for Health Systems Strengthening (OHSS): $50,000

Though the EP program and the Global Fund have worked to establish a complementary and coordinated national program in Cote d'Ivoire, chronic performance and communication issues have necessitated emergency actions by PEPFAR partners to avoid major stock-outs of ARVs and other materials, and have hampered effective scale-up of quality services. Other program management and accountability challenges have prompted the desire for collaborative reinforcement of basic monitoring, supply chain, and overall program leadership functions.

The UNDP is the principal recipient (PR) of Global Fund HIV/AIDS funds in Cote d'Ivoire, and is responsible for implementing and accountability for the Global Fund HIV/AIDS program in the country. In coordination with the MOH and National AIDS Control Program, UNDP and EP have established a complementary and mutually-dependent supply chain relationship. In this arrangement, UNDP purchases all first-line ARVs for all accredited treatment sites nationwide, and EP procures all second-line and pediatric formulations for the same sites. The major parties developed a joint national procurement plan, but had not yet completed a detailed mapping of specific needs and scale-up planning for each site in the country. There has been a tendency to label service delivery sites as "belonging" to one donor or the other, rather than formalizing the combined and complementary support from all sources at each site. This has led to confusion concerning the most appropriate distribution plan for commodities when they arrived in country, as well as difficulties in clear accounting for results supported by each donor. There is a need for strengthened and more pro-active leadership and program oversight at the level of the Country Coordination Mechanism (CCM) to ensure all available resources are optimally programmed, and avoid duplication or overlap.

The USG will provide TA and training for capacity building to the primary partners in Global Fund HIV/AIDS activities in Cote d'Ivoire. This assistance will focus on three main program areas; 1) monitoring and evaluation (M&E), procurement and commodities management (including needs forecasting, procurement planning, inventory control and distribution of HIV-related commodities), and 3) strengthening leadership and oversight of the CCM and key National counterparts. The Cote d'Ivoire EP program will partner with USAID/West Africa's modest resources, using CI COP07 funds, to program a series of targeted technical assistance and capacity building interventions to strengthen the performance and coordination of Global Fund activities in the country. These interventions will draw from lessons learned in other countries and through the larger regional coordination effort.