Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14092
Country/Region: Cameroon
Year: 2012
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $800,000

PEPFAR Cameroon has allocated $1.5M (COP FY 2011) to the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program to provide technical assistance (TA) to the Ministry of Public Health (MOH)s Directorate for Pharmacy and Medicines (DPM), and the National Essential Medicines and Medical Supplies Store (CENAME). SIAPS will also support regional delegations of MOH, regional pharmaceutical supply centers (CAPRs), and health facilities with a specific focus on PEPFAR target sites in Adamawa, East, North West and South West regions. The scope of this activity is based on an assessment conducted in August 2011 that identified several weaknesses in the pharmaceutical system, including poor quantification practices, weak procurement mechanisms, lack of inventory management skills and systems, and poor medicines use practices. Because of the renewed Global Fund (GF) Round 10 HIV Grant, SIAPS will also support the National AIDS Control Committee (Principal Recipient) and CENAME, to quantify HIV/AIDS medicines and related commodities needs. Under COP FY 2012, SIAPS will continue to work with MOH counterparts to strengthen institutional capacity in stock management and procurement and medicines use practices. It will also support improving the pharmaceutical management information systems to the health facility level. SIAPS will take a comprehensive health systems strengthening approach with activities that will benefit all Primary Health Care (PHC) programs. Similarly, SIAPS will support the monitoring of a range of PHC programs including HIV/AIDS activities that involve medicines management. Regular reports, including progress towards achieving indicators, will be developed and shared with the Cameroon PEPFAR team.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? No

Funding for Care: Adult Care and Support (HBHC): $0

Funding for Health Systems Strengthening (OHSS): $800,000

While PEPFAR is not yet engaged in direct and long-term commodities supply, PEPFAR support through SIAPS will ensure that there is a solid system in place to efficiently manage and increase availability of commodities. SIAPS capacity building activities target national, regional and health facility levels.

At central and regional levels, SIAPS will provide TA to the Directorate of Pharmacy and Medicines program (DPM) to strengthen the national pharmaceutical policy, help implement a pharmacovigilance system, and support the development and compilation of a National Standard Treatment Guideline document. SIAPS will provide TA to the National Disease Control Department at central level and MOH regional delegations and PEPFAR target sites to strengthen the management of medicines for NTDs, HIV/AIDS, Malaria, TB, RH and related programs. SIAPS will also support the national authorities to plan and provide trainings at all levels such training of prescribers on rational prescribing. SIAPS will provide TA for quality improvement through the development of terms of reference and SOPs for establishing and strengthening Drugs Therapeutic Committees (DTCs), and developing health facility level SOPs to support the identification and reporting of adverse drug reactions (ADR).

At the health facility level, SIAPS will build the capacity of health care workers to effectively manage and dispense medicines, including HIV/AIDS-related medicines. Illustrative activities will include training and support to health facilities in proper management/organization of medical stores and dispensing areas, development of a pharmaceutical management information system (PMIS) Manual/SOP for use at health facility level, support for the introduction of a uniform/standard system for inventory management and medication use at the health facility level, including use of standard prescription forms and their retention at facility level for monitoring rational medicine use (RMU) and minimizing unnecessary or inappropriate recycling of prescriptions. SIAPS will also continue strengthening the capacity of pharmacy professionals working in health facilities to expand their role to technical oversight of pharmacy services.

Funding for Prevention: HIV Testing and Counseling (HVCT): $0

Cross Cutting Budget Categories and Known Amounts Total: $350,000
Human Resources for Health $350,000
Key Issues Identified in Mechanism
enumerations.Impact/End-of-Program Evaluation
enumerations.Malaria (PMI)
Child Survival Activities
Tuberculosis
Family Planning