Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4250
Country/Region: Kenya
Year: 2007
Main Partner: Kenya Medical Supplies Agency
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: USAID
Total Funding: $1,300,000

Funding for Treatment: ARV Drugs (HTXD): $600,000

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Other/Policy and System Strengthening (#8401)Laboratory Infrastructure (#6990, #8763), HIV/TB (#8713), MTCT (#8757) and HVCT (#8783).

2. ACTIVITY DESCRIPTION This activity aims to improve the capacity of the Kenya Medical Supplies Agency (KEMSA) in the procurement, warehousing, distribution, management and reporting of public sector anti-retroviral drugs, as well as other medical and pharmaceutical commodities related to HIV/AIDS. KEMSA is the government of Kenya public sector health commodities supply agent involved in ensuring the delivery of all health commodities including ARVs to public sector health institutions. In the fall of 2006, USAID supported an independent evaluation of KEMSA, and supported an MOH assessment of the MOH procurement system; both were to help inform the Ministry of Health (MOH) develop a new procurement policy. This new policy will decide the role of KEMSA relative to other arms of the Ministry of Health in procurement. This activity will assist KEMSA continue to develop its role in procurement, warehousing, distribution, and information management in line with the new MOH policy. The nature of this assistance is in short and medium-term consultancies to implement their business plan, and strengthen identified weak areas. One of the major areas for improvement is in information management, and in monitoring and evaluation of distribution at the "last mile" to make sure that reports are returned to the district warehouse in order to fully implement a "pull" commodity system. Another challenge is managing the increasingly complex distribution schedule which includes increased numbers of commodities related to HIV/AIDS, and a mandate to deliver to points of service rather than district warehouses for some commodities. As a result, the warehouse is often overflowing, as trucks cannot make distributions fast enough.

In 2007 the SCMS contract will start to procure commodities on a large scale for the PEPFAR program, and will distribute most of them through the KEMSA system. This support will ensure that these commodities are tracked and distributed in a timely manner and with the required reporting. This support will go directly to KEMSA to hire short and medium-term logistics consultants or staff experts in areas of greatest need. It may also contribute to minor renovations and computer equipment as necessary.

3. CONTRIBUTION TO OVERALL PROGRAM AREA This activity will contribute to improving the public sector medical and pharmaceutical supply chain system for ARVs and other HIV/AIDS-related commodities.

4. LINKS TO OTHER ACTIVITIES This activity links to other KEMSA support in Other/Policy and System Strengthening (#8401), MSH/RPM+ activities in Laboratory Infrastructure, and HIV/TB, and SCMS activities in Laboratory Infrastructure (#8763), HIV/TB (#8713), MTCT (#8757) and HVCT (#8783).

5. POPULATIONS BEING TARGETED General population, people living with HIV/AIDS, and KEMSA managers.

6. EMPHASIS AREAS The major area of emphasis is Logistics, and the minor emphasis areas are Local Organization Capacity Development and QA/QI/SS.

Funding for Health Systems Strengthening (OHSS): $700,000

1. LIST OF RELATED ACTIVITIES This activity relates to activities in ARV Drugs [#6969 and #6989] Laboratory Infrastructure [#6990 and #8763], HIV/TB [#8713], MTCT [#8757] and Counselling and Testing [#8783].

2. ACTIVITY DESCRIPTION This activity seeks to improve the capacity of the Kenya Medical Supplies Agency (KEMSA) in the procurement, warehousing, distribution, management, and reporting of public sector anti-retroviral drugs, as well as other medical and pharmaceutical commodities related to HIV/AIDS. KEMSA is the Government of Kenya public sector health commodities supply agent involved in ensuring the delivery of all health commodities including anti-retroviral drugs (ARVs) to public sector health institutions. In the fall of 2006, USAID supported an independent evaluation of KEMSA and a Ministry of Health (MOH) assessment of the MOH procurement system; both were to help inform the MOH in developing a new procurement policy. This new policy will decide the role of KEMSA relative to other arms of the MOH in procurement. This activity will assist KEMSA continue to develop its roe in procurement, warehousing, distribution, and information management in line with the new MOH policy. The nature of this assistance is in short and medium-term consultancies to implement their business plan, and strengthen identified weak areas. One of the major areas for improvement is in information management, and in monitoring and evaluation of distribution at the "last mile" to make sure that reports are returned to the district warehouse in order to fully implement a "pull" commodity system. Another challenge is managing the increasingly complex distribution schedule which includes increased numbers of commodities related to HIV/AIDS, and a mandate to deliver to points of service rather than district warehouses for some commodities. As a result, the warehouse is often overflowing, as trucks cannot make distributions fast enough. In FY 2007, the SCMS contract will begin to procure commodities on a large scale for the Emergency Plan, and will distribute most of them through the KEMSA system. This support will ensure that these commodities are tracked and distributed in a timely manner and with the required reporting. This support will go directly to KEMSA to hire short and medium-term logistics consultants or staff experts in areas of greatest need. It may also contribute to minor renovations and computer equipment as necessary.

3. CONTRIBUTION TO OVERALL PROGRAM AREA This activity will contribute to improving the public sector medical and pharmaceutical supply chain system for ARVs and other HIV/AIDS-related commodities.

4. LINKS TO OTHER ACTIVITIES This activity links to other KEMSA support in ARV Drugs [#6969 and #6989] Laboratory Infrastructure [#6990 and #8763], HIV/TB [#8713], MTCT [#8757] and Counselling and Testing [#8783].

5. POPULATIONS BEING TARGETED KEMSA managers.

6. EMPHASIS AREAS The major area of emphasis is Logistics, and the minor emphasis areas are Local Organization Capacity Development and Strategic Information as it relates to maintaining and upgrading KEMSA's information and reporting system.

A new partner will assist KEMSA with plus-up funds to upgrade their Logistics Management Information System (LMIS), using one system that will integrate inventory, procurement, distribution, reporting, and pipeline of commodities.These funds will be leveraged with those of other donors following an assessment of the LM Unit. This activity will also complement MCA activities in Kenya.