INTEGRATED ACTIVITY FLAG: This activity is linked to Activity IDs 11057.08, 18849.08, 10353.08 and

4350.08.

This activity also relates to PFSCM's Activity Narratives for commodity procurement under Laboratory

Infrastructure and to HIV/AIDS Treatment: ARV Drugs.

SUMMARY:

Activities are carried out to guarantee the availability of Opportunistic Infections Drugs and other

commodities needed for the care and support of PLWHAs enrolled in care, including those on ARVs and

around 5% of children. The list of drugs include (i) prophylaxis drugs such as INH and Vitamin B6,

Cotrimoxazole and multivitamins, (ii) other antibiotics, antifungal and anti-parasitic drugs for treatment of the

most common infections in HIV/AIDS patients, (iii) supportive drugs for symptoms such as fever, cough,

diarrhea, headache, and pain. The primary emphasis areas for these activities are commodity procurement

and logistics. Specific target populations include People Living with HIV/AIDS, HIV positive pregnant

women, HIV positive infants and children. The activities will be carried out at all PEPFAR partner sites

across the country in all ten geographical departments.

BACKGROUND:

This activity is part of an ongoing PEPFAR initiative started in FY 2006 by the PFSCM and now working in

over twenty countries including the fifteen PEPFAR focus countries and also working with other non-

PEPFAR and collaborating partners. Haiti is the one country to have a fully established PFSCM office that

offers all services and activities related to the supply chain management of all HIV/AIDS commodities from

forecasting to procurement, storage and distribution with a strong technical assistance component. The

activities are keyed to assist the Haitian MOH in reaching the national objectives of care and support to all

HIV positive patients. The aim is to provide an uninterrupted supply of the required OI and STI drugs for the

sites that are ART and Palliative Care designated sites according to the national norms and guidelines.

PFSCM will train key personnel in the management of those commodities.

A more comprehensive list of drugs, made available in FY2007 through this funding to respond to the

growing needs of palliative care of the HIV positive patients, will be updated on a regular basis through the

HIV/AIDS Drugs Technical Working Group (TWG) established by the USG PEPFAR team in 2007.

ACTIVITES AND EXPECTED RESULTS:

We will carry out five activities in this Program Area:

ACTIVITY 1: Since 2004, PEPFAR and Global Fund have been providing palliative drugs and supplies for

PLWHAs. Through intensive efforts and scale up, a larger number is having access to care and support.

With improved tools for forecasting and need assessment, more persons will benefit from this activity and

more drugs addressing a continuously updated standard list of health problems will be available. We will

also include INH for prophylaxis of tuberculosis for up to 60,000 by September 2009.

ACTIVITY 2: Because the health problems addressed by these drugs are also pathologies seen in non-HIV

patients, the procurement planning and inventory tracking and utilization monitoring are rendered more

complex. SCMS will take every step possible to ensure the adherence to the PEPFAR principles in making

the purchased products available to those intended in the program. Also, we will coordinate with our Global

Fund counterparts in terms of timing of orders and quantities of purchase. The continuing activity will aim to

provide palliative care and OI drugs, taking into account Global Fund stocks, for 125,000 patients by

September 2009.

ACTIVITY 3: Within this activity, SCMS will operate a single coordinated commodity procurement and

management plan with the other stakeholders involved in OI drugs procurement, mainly the Global Fund, in

support of a national system that the MOH is attempting to put in place. Sharing of complete patient data on

each individual treatment site, along with drug budgets and procurement plan will improve the quality of

available information and the management of the supply chain. SCMS will provide technical assistance and

periodic formal training in logistics and stock management with emphasis on HIV commodities. We will also

continue to conduct continuous on site training, assistance follow up to training and supervision of stock

activities. These activities will encompass MOH-managed public sites and NGO-operated sites.

SCMS will provide computerized reports of commodity needs projections for each site, and for the national

level, including all commodity sources. This activity will contribute to improved palliative care and treatment

services throughout all PEPFAR partners supported sites.

ACTIVITY 4: PFSCM will implement and operate a single data collection tool for patient and drug

consumption management. Since FY 2006 and in the first part of FY 2007, SCMS/Haiti staff in

collaboration with the software developers and managers at MSH/CPM in Arlington has updated the ADT

software (SIMPLE) to be able to integrate Opportunistic infections Drugs and patient data. It will be

implemented at all new sites during FY 2008. It will allow for accurate and current data on type, frequency

and most frequently used treatments for opportunistic Infections, thus contributing to a better management

of drugs and their availability at all times.

TARGETS: By September 2009

Purchase OI drugs for up to 125,000 people,

Purchase INH prophylaxis for up to 60,000 people,

Train 100 persons in logistics management,

Provide quarterly commodity consumption data report.

INTEGRATED ACTIVITY FLAG: This activity is linked to Activity IDs 5471.08, 18849.08, 10353.08 and

11057.08.

This activity also relates to PFSCM's Activity Narratives for commodity procurement under Laboratory

Infrastructure and to Palliative care: Basic health care and support.

SUMMARY:

Activities are carried out to provide best quality ARV drugs and other HIV commodities through assessment

of needs, forecasting, purchasing, shipping, warehousing and distribution of the commodities. Infrastructure,

technical assistance and capacity building of clinics in logistics management complete the scope of

activities. The primary emphasis areas for these activities are commodity procurement, logistics and

infrastructure. Specific target populations include People living with HIV/AIDS, HIV positive pregnant

women, HIV positive infants and children, public and NGO health workers, pharmacists and nurses. The

activities will be carried out at selected sites across the country in all ten geographical departments.

BACKGROUND:

This project is part of an ongoing PEPFAR initiative started in FY 2006 and now working in over twenty

countries including the fifteen focus countries and other non-PEPFAR and collaborating partners. Haiti is

the one country to have a fully established PFSCM office and to offer all services and activities related to

the supply chain management from forecasting to procurement, storage and distribution with a strong

technical assistance component. The activities are keyed to assist the Haitian MOH in reaching the national

objectives of care and support to HAART patients. The aim is to provide an uninterrupted supply of ARVs

and related HIV for all designated sites according to the national norms and guidelines. PFSCM will train

key personnel in the management of those commodities.

The need of drugs assessment process through quarterly quantification will be ongoing and a better

determination of the procurement of ARVs and its timing will be improved constantly. The implementation of

new sites will continue and will cover NGO and public clinics, part of the PEPFAR network.

ACTIVITES AND EXPECTED RESULTS:

We will carry out three separate activities in this Program Area.

ACTIVITY 1: Procurement of ARVs

PEPFAR has established itself as a major ARV supplier to Haiti's PLWHA along with the Global Fund. The

constant supply of most regimens ensured a better scale up rate and increased the chances of reaching the

nationally set objectives. Some partners are still using a large spectrum of regimens making procurement

planning and inventory tracking more complicated. SCMS will procure only those drugs included in the

national treatment guidelines, are registered in the country and are FDA approved or tentatively approved.

SCMS will make every effort to coordinate timing and quantities of ordering with the Global Fund

counterparts. The Global fund is still moving with its plans to centralize all ARV procurement away from its

sub-recipients to a single purchase and distribution system, using PROMESS, the MOH essential drug

procurement and warehousing program, as their purchasing agent. SCMS will continue to provide a unique,

national forecasting that is updated quarterly and will make every effort to work with the MOH and the

Global Fund systems to have one purchasing, planning and execution system for ARV drugs for the

country. This will facilitate planning, procurement and reduce double reporting on patients, thus decreasing

MOH and donor redundancy. SCMS will purchase ARVs also for pediatric and PMTCT patients using the

revised national norms for both these categories.

This funding will go specifically to support procurement of ARV drugs to adults, children and pregnant

women. This activity will build on PEPFAR's success in maintaining, since 2006, a stock of ARVS sufficient

for the needs of ART patients without interruption. The continuing activity will aim to provide ARVS, taking

into account Global Fund stocks, for 25,000 patients by September 2009.

ACTIVITY 2: Logistics

Within this activity, SCMS will operate a single coordinated commodity procurement and management plan

with the other stakeholders involved in ARV procurement, mainly the Global Fund. Sharing of complete

patient data on each individual treatment site, along with drug budgets and procurement plan will improve

the quality of available information and the management of the supply chain.

SCMS will provide technical assistance to the MOH at the National AIDS Control Program for ongoing

coordination of procurement planning and stock management. We will provide periodic formal training in

logistics and stock management with emphasis on HIV commodities. We will also continue to conduct

continuous on site training, assistance follow up to training and supervision of stock activities. These

activities will encompass public, MOH's, sites and NGO-operated sites with an objective of fifty sites across

the country.

SCMS will provide computerized reports of commodity needs projections for each site, and for the national

level, including all commodity sources. Quarterly, SCMS will update commodity needs forecasting based on

monthly stock and patient data. This activity will contribute to improved ARV supply chain and treatment

services throughout all treatment centers countrywide.

New technological solutions, developed by PFSCM, pilot tested during FY07 will be implemented on a

larger scale among partners and stakeholders to improve speed, accuracy of the reporting process and

better information sharing on patients and stocks.

One hundred employees- pharmacists, nurses, health workers- in the public and NGO sector will receive

formal training in HIV commodity management as well as training in a computerized inventory management

system.

ACTIVITY 3: Infrastructure

SCMS will continue to provide renovations to the selected sites across the country as well as the necessary

equipment and furniture to warehouses and dispensing areas. Specific activities and the appropriate

Activity Narrative: funding are listed under the activity narrative: infrastructure.

The central warehouse will be fully operational and will accommodate all ARV drugs for the national

PEPFAR program in accordance with the recommendations from the Fuel and Logistics Group. We will

operate a warehouse with a constant and reliable power supply, safe and controlled environment as well as

adequate cold chain equipment.

TARGETS:

Purchase ARVs for up to 25,000 people,

Train 100 persons in logistics management,

Improve the infrastructure of 20 sites across the country.

COVERAGE AREAS:

National

INTEGRATED ACTIVITY FLAG: This activity is linked to Activity IDs 5471.08, 18849.08, 11057.08 and

4350.08.

This activity also relates to PFSCM's Activity Narratives for procurement under Palliative care: Basic health

care and support and Medical Transmission / Blood Safety and encompasses the laboratory commodities of

other PEPFAR program areas such as HIV/AIDS Treatment: ARV Services, Palliative Care: TB/HIV,

Counseling and Testing, Prevention of Mother to Child Transmission (PMTCT).

SUMMARY:

Activities are carried out to guarantee the availability of laboratory equipment and commodities including

HIV and syphilis rapid tests, CD4 tests and controls, Hematology reagents and controls, Murex, Enzyme-

Linked ImmunoSorbent Assay (ELISA), Western Blot HIV tests, Polymerase Chain Reaction (PCR) tests as

well as the corresponding supplies needed throughout the above-mentioned integrated program areas. The

list of needed commodities relate to (i) tests, (ii) confirmatory testing, reagents and supplies for diagnosis

and enrollment of patients under the VCT, PMTCT, Pediatric diagnosis, laboratory support for HIV positive

patients enrolled in HAART as well as quality assurance (QA) and quality control (QC), (iii) basic items

needed for laboratory, dispensing and storing infrastructure improvements. Other than the medical

equipment and the HIV commodities, SCMS will provide shelving and storage cabinets as needed. The

primary emphasis area for these activities is commodity procurement including equipment, distribution as

well as managing a central warehouse. This activity targets the general population, those HIV patients

receiving care and treatment and laboratory workers at the Ministry of Health's National Public health

laboratories (NPHL) and individual laboratories and dispensing facilities at approximately eighty selected

United States Government supported sites.

BACKGROUND:

In FY 2006, the University of Maryland was responsible for assessing the needs, quantifying, and procuring

lab commodities. Under a subcontract to PFSCM until September 2007, the International Training and

Education Center for HIV (I-TECH) has been responsible for distribution and providing technical assistance

for the laboratory departments within the health centers throughout the country for the USG Team. The

PFSCM activities are keyed to assist the USG, the MSPP and other PEPFAR partners to reach the

PEPFAR targets by provision of lab equipment, and commodities. The aim is to ensure continuous

availability of rapid tests, other tests, reagents and related essential laboratory commodities and functioning

equipment intended to the target population.

ACTIVITES AND EXPECTED RESULTS:

ACTIVITY 1: Procurement of laboratory commodities for the national public health laboratory and its

network as well as the NGO sites supported by the PEPFAR program in Haiti.

In close collaboration with CDC/Haiti and Haiti's National Public Health Laboratory (NPHL), PFSCM will

assess needs, quantify, procure and distribute HIV commodities and basic lab supplies; procure lab

equipment; provide technical assistance for the departmental laboratories and health centers across the

country in managing and rational utilization of their supplies; to train lab technicians across the PEPFAR

sites in HIV commodity management with emphasis on lab tests, reagents and supplies (how many? There

is no # of people who will be trained in the target. If you don't plan to train there is no need to put this

sentence in. But if you do, then add the number in this paragraph and in the target section. Thanks). The lab

commodities will be procured based on targets and program areas that include counseling and testing

(pregnant women, adults, and TB/HIV patients), palliative care for TB/HIV, pediatric care and treatment,

ARV services, and reinforcing the national laboratory infrastructure and systems.

Commodity needs for Counseling and testing for 360,000 individuals (120,000 under the PMTCT activity

and 240,000 under the VCT activity) include HIV and syphilis rapid tests, reagents for HIV and syphilis

QA/QC, general lab supplies, basic lab equipment, infrastructure, and shipment cost.

For pediatric diagnosis, the estimated number of babies to be tested by dried blood spot PCR or p24 is

6,000. PFSCM will procure PCR test kits, general PCR, and p24 lab equipment and supplies and DBS

collection supplies.

PFSCM will procure laboratory equipment to set up a TB culture and drug resistance testing laboratory at

the NPHL. We will also purchase PPD and AFB smear microscopy for the TB/HIV activity.

Palliative Care laboratory activities will include procurement of test kits and supplies to perform 120,000

tests including CD4 manual tests and controls; basic hematology testing; basic manual chemistry tests such

as SGOT, SGPT, Creatinine and the corresponding controls. 10 new palliative care sites will be fitted during

the period. Bacteriology equipment will be purchased for the national lab as well as three regional reference

labs.

At the ARV sites, which have level III labs, the PFSCM will procure reagents and controls to monitor

HIV/AIDS patients receiving ART, up to 25,000 by September 2009. The testing include CD4 (PointCare /

FacsCount), hematology (Sysmex), blood chemistry (Reflotron), AFB, PPD and other simple diagnostic

reagents for opportunistic infections. Five sets of automated lab equipment (PointCare, Sysmex, and

Reflotron) will be procured for new ARV sites.

For strengthening laboratory infrastructure and systems, PFSCM will procure reagents, test kits, 4 sets of

ARV equipment (for training and back up), 4 freezers (-70C), basic equipment for repair and back up and

lab supplies necessary for training 230 lab personnel and healthcare workers in lab-related subjects at the

national lab.

Activity Narrative: ACTIVITY 2: Managing a central warehouse for all PEPFAR HIV commodities and operating a distribution

network.

After securing and renovating a central warehouse, corresponding to the accepted standards for such

facility during the COP 2007, SCMS will continue to manage that facility ensuring quality and security for

HIV commodities purchased and stored by PFSCM and maintaining the chain of custody of the

commodities. PFSCM will coordinate and deliver all HIV commodities and basic lab items to USG-supported

laboratories.

ACTIVITY 3: Reporting

SCMS will carry all reporting activities on usage data for all commodities purchased within the SOW of this

program area and share the gathered information with the USG team and other key partners.

TARGETS:

Procure:

1.HIV and Syphilis rapid test kits and lab commodities to test 360,000 individuals

2.Equipment, reagents and supplies to retest 5% of blood samples of the above target at VCT sites for

QA/QC purposes

3.Equipment, reagents and supplies to test 6000 babies born from HIV-positive mothers

4.Lab Equipment and supplies for TB culture and drug resistance testing

5.Lab commodities to monitor 25,000 HIV/AIDS patients receiving ARV

6.Lab commodities to provide basic health care for 125,000 PLWHA

7.Lab commodities to train 360 lab personnel at the NPHL and GHESKIO

8.Equipment items for 40 level 1 lab (VCT)

9.Equipment items for 10 level 2 labs (Palliative Care)

10.Equipment items for 5 level 3 labs (ART)

11.4 sets of ARV automated lab equipment for the national lab for training and back up replacement

Train XXX lab personnel in HIV commodities management

TARGET POPULATION:

General Population

PLWHA

Lab workers at PNHL and other Public and Partners' Labs

Other MOH Staff

COVERAGE AREAS:

National

This activity also relates to PFSCM's Activity Narratives for data management and reporting under

HIV/AIDS Treatment: ARV Drugs and to Palliative care: Basic health care and support. This activity is linked

to Activity IDs 5471.08, 11057.08, 10353.08 and 4350.08.

SUMMARY:

Activities are carried out to provide planning and strategic tool for the two major stakeholders in the

HIV/AIDS area: The US Government and the Global Fund through its principal recipient in Haiti, the

Sogebank Foundation.

During the 2006 Implementers Conference in Durban SA, members of USG Team (Haiti and Washington,

DC), Global Fund, Sogebank Foundation and SCMS/HQ met and discussed the need for a planning tool to

be used by both stakeholders for their strategic thinking and planning of HIV activities. After analysis of

various options, SCMS was asked to develop the tool.

The first version of the Project Management Information System (PMIS) tool is now available, was

presented to the stakeholders and is ready for use with PEPFAR's data and indicators.

Next steps will address the GF projects' indicators, training of users and decision makers, maintenance of

the tool as well as trouble shooting. Upgrades will be provided based on interaction with users and new

needs identified by the stakeholders.

BACKGROUND:

The PFSCM project is part of an ongoing PEPFAR initiative started in FY 2006 and now working in over

twenty countries including the fifteen focus countries and other non-PEPFAR and collaborating partners.

Haiti is the one country to have a fully established PFSCM office and to offer all services and activities

related to the supply chain management from forecasting to procurement, storage and distribution with a

strong technical assistance component as well as a program management information system. The

activities are keyed to assist the Haitian MOH and the major stakeholders in reaching the national

objectives of care and support to PLWHA. The aim is to provide an integrated Information System to serve

as a planning and strategic tool for the two major stakeholders in the HIV/AIDS area: The US Government

and the Global Fund through its principal recipient in Haiti, the Sogebank Foundation. PFSCM will train key

decision makers in the use of this tool as well as designated personnel at the corresponding organizations

and agencies in data entry and validation.

ACTIVITES AND EXPECTED RESULTS:

We will carry out three separate activities in this Program Area.

ACTIVITY 1: UPDATING OF THE PMIS TOOL

The IS Team at SCMS will interact with all users as they start getting familiar with the tool and inputting data

and using it for programmatic reasons. Updates and upgrades will be necessary during COP08 to include

GF/FSGB indicators; to add other stakeholders on request and to create the interface with MESI

ACTIVITY 2: MAINTAINING THE TOOL

The IS Team in DC and in Haiti will carry our maintenance activities such as testing the tool and its

responsiveness, trouble shooting, assisting users when facing functionality problems and installing the tool

at selected locations on demand.

ACTIVITY 3: TRAINING

SCMS/HQ and Haiti will jointly conduct training at two levels:

1.Users: all those that will be asked by their respective organizations to input data and create reports;

2.Decision makers: those who will use the data/ reports to analyze, discuss with other partners and make

strategic decisions.

TARGETS:

Key personnel in decision making positions at USAID, CDC, other collaborating agencies and the Sogebank

Foundation

Data management personnel at the same agencies: training 50 persons

Key personnel at the national HIV program (5)

COVERAGE:

National