Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 7522
Country/Region: Ghana
Year: 2014
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0 Additional Pipeline Funding: $450,000

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The commodity management system is a weak link in the Ghanaian health sector, resulting in stock-outs or wastage of critical drugs that impedes performance of key programs including malaria, HIV/AIDs, and family planning. Building the capacity and performance of the Ghanaian Ministry of Health is a key priority within the Ghana Global Health Initiative Strategy and also one of the goals of Ghana's Partnership Framework which is to increase anti-retroviral treatment (ART) coverage from 30% to 60%. The USG is a major advocate for procurement and supply chain streamlining. The GOG and other development partners recognize and appreciate the USG role in this effort. There is new interest of the GOG in making major changes in its system to improve performance, so the USG will continue to engage strongly in this effort, including using lessons from the private sector to encourage the implementation of a national plan to reform the structures and modalities of the procurement and supply system.

Through DELIVER, the USG provides long term, in-country technical assistance to the different agencies in supply chain management, with specific components funded by PEPFAR leveraging other investments from population, malaria and nutrition funding streams. The TA is designed to strengthen national capacity in forecasting, managing, monitoring and reporting on use of program commodities. Beyond these key functions, the USG-provided TA also is a trusted GOG partner in advocacy, strategic planning and coordination efforts across the different agencies involved in the system. DELIVER embarks on quarterly commodity stock monitoring to ensure product availability and update supply plans (pipeline databases) for key health commodities to partners.

Mechanism Allocation by Budget Code for Selected Year
Health Systems Strengthening (OHSS) $0
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
SC_STOCK Commodity: ARV drugs 2015 6
SC_STOCK Commodity: Condoms 2015 6
SC_STOCK Commodity: OI drugs 2015 6
SC_STOCK Commodity: Rapid test kits 2015 6
SC_STOCK Number of stock status observations for one or more tracer commodities that are between the designed minimum and maximum quantities/months of stock from storage sites within at a given level (Central, Regional, etc.) of the system 2015 52
SC_STOCK System Level: Central Medical Stores 2015 12
SC_STOCK System Level: Regional Medical Stores 2015 40
SC_STOCK Total number of stock status observations for one or more tracer commodities from storage sites within at a given level (Central, Regional, etc.) of the system 2015 52
SC_TRAIN By: Individuals trained in a nationally- or internationally-recognized pre-service training program 2015 6,210
SC_TRAIN By: Individuals who passed a competency-based training to conduct supply chain activities 2015 13
SC_TRAIN By: Individuals who passed a competency-based training to perform quantification 2015 15
SC_TRAIN Number of individuals who conduct or support supply chain, inventory management, supportive supervision or distribution activities 2015 6,238
SC_TRAIN Number of individuals who received competency-based, certificate or higher-level training to conduct or support supply chain, inventory management, supportive supervision or distribution activities 2015 6,238
SITE_SUPP Number of unique sites supported by PEPFAR 2015 12
Key Issues Identified in Mechanism
Family Planning