Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 10721
Country/Region: Côte d'Ivoire
Year: 2009
Main Partner: Central Contraceptive Procurement Project
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $375,000

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $375,000

This contract will provide male and female condoms for use in HVP prevention programs serving people

living with HIV and AIDS, commercial sex workers and their clients, military personnel, transportation

workers, and sexually active university students who are also targeted with messages on fidelity and risk

reduction. This stock will complement other international donor and national efforts to provide condoms for

use in a comprehensive reproductive health commodities strategy by the Ivoirian government. It is designed

to avoid a shortfall in condoms, which would impair the sustainability and effectiveness of HVP programs,

with consequences for populations at potentially elevated risk of HIV transmission, who also may serve as

transmission bridges to the general population.

PEPFAR works with the National Public Health Pharmacy (PSP), SCMS, and the National HIV/AIDS Care

and Treatment Program (PNPEC) to strengthen national capacity to quantify, manage, and distribute

commodities necessary to HIV prevention, care, and treatment services. Complementing SCMS

procurement of antiretroviral drugs and most other HIV/AIDS-related commodities, this procurement of

condoms is in alignment with partner needs to ensure stock levels respond to program reality at the local,

district, and national levels. It is imperative that PEPFAR program support a normalized pre-planned

schedule of condom purchases along with capacity reinforcement to help integrate these efforts to provide a

primary method of protection for sexually active HVP target groups.

Male and female condoms will be acquired through this procurement mechanism to support PEPFAR

partners' activities as part of a comprehensive cross-cutting "prevention for positives" program at all service

sites where HIV testing is provided (including all counseling and testing (CT), PMTCT, care, and treatment

sites) as well as in conjunction with peer outreach targeting highly vulnerable populations of PLWH/A, sex

workers, and the military. These activities will complement comprehensive risk-reduction counseling,

including within uniformed services and sex worker peer education programs. To address women's control

of their own protection, female condoms will be purchased, but in much lower numbers than male condoms.

Previous social-marketing efforts have led to interest in the female condom as an alternative method of

protection among commercial sex workers but have not produced a large-scale uptake, broad distribution

network, or reduction in price over time.

The USG country team's procurement focal point will provide overall supervision of the project and will

assure liaison with USAID project management staff and technical branch chiefs for prevention and care &

treatment. The focal point will liaise with GSO staff to manage the tax-exempt importation and customs

clearance processes. The recipient implementing partners are part of national distribution channels, in

collaboration with the National Public Health Pharmacy (PSP), and with technical assistance from SCMS

will manage storage and distribution. Partners will estimate their needs according to current and projected

client loads. Consumption will be monitored, and orders will be adjusted accordingly. PEPFAR

implementing partners who will have access to USG-procured condom supplies include ACONDA, EGPAF,

ICAP, FHI, PSI, Care International, IRC, RIP+, the Ministry of Education, EngenderHealth, and ANADER.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Military Populations

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03: