Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 4924
Country/Region: Kenya
Year: 2009
Main Partner: Partnership for Supply Chain Management
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $19,048,855

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $416,855

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to SCMS activities in other program areas: Laboratory Infrastructure, HIV/AIDS

Treatment: ARV Services, Counseling and Testing, HIV/AIDS Treatment: ARV Drugs and Palliative Care:

TB/HIV.

2. ACTIVITY DESCRIPTION

The Partnership for Supply Chain Management Systems, SCMS, will support all of PEPFAR Kenya's

service delivery activities through provision of an uninterrupted supply of HIV/AIDS- related commodities.

Commodities will come through a regional warehouse established in Kenya (Regional Distribution Center-

RDC), significantly decreasing the lead time in procurement. From the regional warehouse, supplies will

enter into existing supply chain management systems, including the national distribution system, run by

KEMSA, and in some cases, "buffer" stocks to ensure that PEPFAR sites have adequate commodities when

there is national shortage. The project will receive forecasting and quantification information from existing in

-country partners. This activity will also liaise and strengthen local procurement and distribution partners

such as MEDS and KEMSA, by working transparently and collaboratively with them. SCMS will be asked to

procure commodities with a focus on results - ensuring not only that the product is delivered, but that there

are the required maintenance, inputs and upgrades so that the target number of tests are achieved. 2009

funds will be used to procure reagents and consumables for Early Infant Diagnosis (EID) worth $416,865.

This will help address any gaps experienced in improving services for children identified through provider

initiated counseling and testing in MCH clinics, pediatric wards and pediatric out-patient clinics to increase

the number of children on care and follow up. Infants identified as HIV positive through early infant

diagnosis will also require more laboratory work up to put them on care and treatment.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to counseling and testing of pregnant women at PMTCT facilities by ensuring

adequate supply of rapid test kits and identification of infants requiring early treatment within the program.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities offering counseling and testing to pregnant women and

EID through PCR, as well as the RPM+/MSH activity in logistics information management, distribution

support, and forecasting and quantification, in ARV Drugs; KEMSA logistics and information management

and distribution systems; and SCMC procurements in HVCT, HLAB, and HTXS. It also links to the SCMS

activity in Palliative Care: TB/HIV.

5. POPULATIONS BEING TARGETED

The target populations for this activity are pregnant women in the general population for HIV/AIDS testing. It

will also target families of the HIV-positive pregnant women.

6. KEY LEGISLATIVE ISSUES

Through the SCMS, procured commodities will be utilized to help address gender equity in HIV

programming and improve service delivery to pregnant women, their infants and spouses.

7. EMPHASIS AREAS

The major area of emphasis for this activity is commodity procurement.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14950

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14950 8757.08 U.S. Agency for Partnership for 6985 4924.08 $454,417

International Supply Chain

Development Management

8757 8757.07 U.S. Agency for Partnership for 4924 4924.07 $800,233

International Supply Chain

Development Management

Table 3.3.01:

Funding for Biomedical Prevention: Blood Safety (HMBL): $600,000

ACTIVITY UNCHANGED FROM 2008

1. ACTIVITY DESCRIPTION

The Partnership for Supply Chain Management (SCMS) will support all of PEPFAR Kenya's service delivery

activities through provision of an uninterrupted supply of HIV/AIDS- related commodities. Under Blood

Safety SCMS will procure equipment necessary for safe storage of blood and blood products at hospitals.

The National Blood transfusion service (NBTS) has recently trained personnel in several hospitals to form

hospital transfusion committees which serve to enforce appropriate blood use. These committees will be

guided by the recently released Standards for Transfusion services in Kenya and the Guidelines for

Appropriate Blood Use. This activity will support the NBTS to procure equipment to support provision of

safe blood and blood products for the Kenya National Blood Transfusion Service for the production of blood

and blood products. To improve hospital transfusion practice SCMS will procure essential blood banking

equipment such as platelet mixers, hospital blood bank fridges and freezers for storage of blood

components.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will contribute to prevention of HIV through blood transfusion. Kenya aims to collect 140,000

units of blood from low risk volunteer blood donors. All the blood will be tested for HIV, hepatitis B, Hepatitis

C and syphilis. This activity will facilitate blood component preparation through procurement of equipment.

Components will increase blood availability through appropriate use and also reduce the occurrence of

adverse transfusion events. Blood donors will be notified of their test results and given information to

promote healthy positive living so that negative donors become regular repeat blood donors. HIV positive

donors will be counseled and referred for evaluation care and treatment as appropriate. Appropriate blood

use will minimize unnecessary transfusions which may expose healthy individuals to HIV infection. The

World Health organization estimates that 10% of HIV may be attributed to transfusion with infected blood.

3. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities by SCMS which will enhance efficiency by maximizing on

economies of scale achieved through mass procurements and timely delivery of commodities. This activity

also links to Cooperative agreements with NBTS and American Association of Blood Banks (AABB) for the

provision of safe and adequate blood supplies.

4. POPULATIONS BEING TARGETED

This activity will benefit the general population by supporting the acquisition of blood free of HIV infection.

5. EMPHASIS AREAS

The major area of emphasis for this activity is commodity procurement.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16293

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16293 16293.08 U.S. Agency for Partnership for 6985 4924.08 $720,000

International Supply Chain

Development Management

Table 3.3.04:

Funding for Biomedical Prevention: Injection Safety (HMIN): $307,000

1. ACTIVITY DESCRIPTION AND EMPHASIS AREAS

This activity relates to the prevention of HIV transmission among health care workers, medical waste

handlers and the community. It is estimated that up to 5% of HIV infections arise from unsafe injections

given in health care facilities. Injection safety can be enhanced by rational injection use, improved injection

practices and proper disposal of medical sharps. Every year, close to five million blood draws and finger

pricks for blood collection are performed within the public health care sector in Kenya. The expansion of HIV

testing and care has resulted in a dramatic increase in blood collection for the purpose of HIV testing and

monitoring of those with HIV infection. In this activity Supply Chain Management Systems will procure

safety boxes for disposal of medical sharps, color coded waste disposal bins, bags and transfer trolleys,

safety lancets and safe lock needles. Blood and Intravenous fluid giving sets will also be procured. These

will facilitate safe injection practice, segregation of health care waste and its appropriate disposal. These

supplies will be distributed to health facilities through various partners in the Kenya Injection safety program.

Safe injections and sharps waste management will contribute towards reduction of HIV transmission. A

Policy for safe injection practice was launched by the Ministry of Health in 2007. The Ministry of Health has

committed to increase procurement of auto-disable injection devices and health care waste disposal

containers as well as increased guidance and supervision for injection safety and infection prevention and

control at health care facilities. These supplies will only serve to ensure that stock outs do not occur. John

Snow, Inc. - Making Medical injections Safer, (JSI-MMIS) partners with Academy for Educational

Development (AED) and Program for Appropriate Technology in Health (PATH) to implement the three-step

strategy recommended by the World Health Organization (WHO) and the Safe Injection Global Network

(SIGN) to implement the PEPFAR Injection Safety program in several countries including Kenya. The world

Health Organization (WHO) estimates of global burden of disease suggest that unsafe injections around the

world account for 5% of HIV infections. A 2004 survey in Kenya revealed that over 70% of respondents

received an average of 1.5 injections per year. Needle stick injuries within the previous six months were

reported by 58% of health care workers. These findings supported those of an earlier study by the

University of Nairobi among 214 nurses in Nairobi, which reported 61 % needle stick injuries in health care

workers over a three-month period. Needle recapping accounted for 46% of the injuries while 12% occurred

during disposal of sharps. A majority of health facilities surveyed reported having experienced a shortage of

disposable injection supplies in the 12 months prior to the survey, particularly in the curative sector. This

reflects a less than optimal logistics system for forecasting, procurement, distribution and stock monitoring

that may contribute to re-use of injections. Analysis of the status of injection logistics in the country revealed

that there was no data to support rational forecasting of injection requirements. Procurement was based on

previous consumptions. Appropriate product selection was poor due to lack of national standards for

injection devices, registered suppliers of injection equipment and an appropriate board to handle non-

pharmaceutical equipment. Injection safety activities in Kenya commenced in 2004 under PEPFAR. The

aim is to: • Improve training of health workers and managers on safe injection practices, infection control

and disposal procedures. • Institute an advocacy strategy to decrease demand for injections by the

population. • Establish reliable estimates of re-use prevention injection device equipment requirements,

minimum stock levels and effective supply and distribution systems for re-use prevention injection device

equipment. • Institute monitoring and supervision procedures to ensure adequate supplies at all levels and

correct practices by health workers. • Ensure safe disposal of used injection equipment through the

progressive introduction of appropriate incinerators. • Secure the required budget for injection safety and

infection control including safe disposal of used equipment. Significant reduction in prescription of injections

and regular use of sharps disposal containers has occurred in all health facilities that have benefited from

this intervention regions. This activity has a major emphasis on procurement.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will avert at least 5% of HIV transmission in Kenya. To date over 18,000 health care workers

(clinicians, logistical officers and medical waste handlers) have been trained in safe injection practices and

medical sharps waste management. Interventions have been implemented in six provinces (Central,

Nyanza, Western, Eastern (part), Coast and the Kenyatta National Hospital. In FY09 an additional 8,000

health care workers will be trained in Nairobi (City Council clinics and hospitals) and Eastern provinces.

3. POPULATIONS BEING TARGETED

• Health care workers • Community • Medical Waste handlers • Policy makers

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.05:

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $400,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ the activity description has been expanded to include specific information on activities.

COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in health systems strengthening

2. ACTIVITY DESCRIPTION

SCMS will procure voluntary medical male circumcision (VMMC) commodities and supplies. Kits will be

procured to support 500,000 VMMC procedures.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This SCMS project will contribute to the VMMC scale up as one of the HIV prevention strategies.

4. LINKS TO OTHER ACTIVITIES

This activity links to activities in systems strengthening and the interventions for comprehensive HIV

prevention, care and treatment.

5. POPULATIONS BEING TARGETED

This activity targets 18 to 30 year old men and their family members living in both rural and small urban

settings. It targets unmarried as well as married males, those who are HIV negative. It also targets women

to change their social norms and to support men during the healing period after undergoing VMMC.

6. KEY LEGISLATIVE ISSUES ADDRESSED

The activity will promote prevention by providing service providers with tools to conduct VMMC procedures.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14955

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14955 12504.08 U.S. Agency for Partnership for 6985 4924.08 $400,000

International Supply Chain

Development Management

12504 12504.07 U.S. Agency for Partnership for 4924 4924.07 $400,000

International Supply Chain

Development Management

Table 3.3.07:

Funding for Treatment: Adult Treatment (HTXS): $2,450,000

ACTIVITY UNCHANGED FROM COP 2008

1. LIST OF RELATED ACTIVITIES

This activity relates to SCMS activities in the following program areas: HLAB, PMTCT, HVTB, PDTX and

Blood Safety. It also supports all PEPFAR service-delivery activities.

2. ACTIVITY DESCRIPTION

Supplies Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities

through provision of an uninterrupted supply of HIV/AIDS- related laboratory commodities based on

procurement plan agreed upon between USG agencies and GOK counterparts. To facilitate this, SCMS will

conduct an assessment of the existing lab supply chain management system (KEMSA and MEDS) and

develop options for the comprehensive logistics system(s) capable of supporting the national HIV/AIDS

program. This will cascade into an assessment of the existing provincial and district level infrastructure and

HR capacity for lab supplies consumption, tracking and monitoring pipelines and provision of quality data for

quantification and supply planning. A stakeholder forum to select parameters and agree on the proposed

laboratory logistics systems will be required; SCMS will lead this activity to ensure arrival at a consensus at

country level. SCMS will also offer technical assistance in develop comprehensive logistics related SOPs for

the lab system, in addition to offering related training and implementation support on maintaining lab

logistics system. SCMS will also support the development of a transparent national laboratory procurement

planning process to support lab at the facility level to quantify lab commodity needs in support of ART.

Regular laboratory commodities quantification and supply plans review/sanitization workshops will be

conducted to ensure uninterrupted supply and minimal losses due to expiry of the lab commodities that are

characterized by a generally short shelf life. SCMS will also be required to conduct relevant training and

implementation of lab logistics system, as well as training stakeholders in forecasting and quantification for

lab reagents and supplies. SCMS will also regularly review and address the outcomes of the provincial and

district level assessment for the quantification data and supply planning system .This will culminate in

SCMS setting up a national system for quantification and pipeline monitoring. This activity will also liaise

and strengthen local procurement and distribution partner/central warehouse identified through the initial

assessment by SCMS. In this 12-month period, SCMS will procure CD4 reagents, hematology and

biochemistry reagents to support the treatment monitoring needs of 300,000 patients. The list and quantities

of required for the 12 month period, with a clear delivery schedule per quarter will be presented to SCMS at

the last quarter of COP 2008. Commodities will come directly through the central warehouse for distribution

to health facilities and/or network sites. Buffer stocks will be maintained in the central warehouse and a third

of this corresponding buffer at facility level to ensure uninterrupted supply. SCMS will be asked to procure

commodities with a focus on results - ensuring not only that the product is delivered, but that there are the

required equipment maintenance, inputs and upgrades so that the target number of tests are achieved.

Required record management for equipment service and maintenance, inputs and upgrades will be

maintained and updated by SCMS so that the target number of patients is served.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to provision of Adult HIV Treatment services by ensuring adequate supplies of

needed commodities.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities offering counseling and testing to all HIV positive

patients, as well as the SPS/MSH ARV Drugs activity in logistics information management, distribution

support, and forecasting and quantification, the USAID ARV procurement contract, KEMSA logistics and

information management and distribution systems and SCMS procurements in Laboratory Infrastructure

and PMTCT.

5. POPULATIONS BEING TARGETED

HIV positive populations

6. EMPHASIS AREAS

The area of emphasis for this activity is commodity procurement with minor emphasis on asset

management.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18815

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18815 18815.08 U.S. Agency for Partnership for 6985 4924.08 $2,450,000

International Supply Chain

Development Management

Table 3.3.09:

Funding for Treatment: Pediatric Treatment (PDTX): $1,000,000

ACTIVITY UNCHANGED FROM COP 08:

1. LIST OF RELATED ACTIVITIES

This activity relates to SCMS activities in the following program areas: HLAB, PMTCT, HVTB, HTXD and

Blood Safety. It also supports all PEPFAR service-delivery activities.

2. ACTIVITY DESCRIPTION

Supplies Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities

through provision of an uninterrupted supply of HIV/AIDS- related laboratory commodities based on

procurement plan agreed upon between USG agencies and GOK counterparts. To facilitate this, SCMS will

conduct an assessment of the existing lab supply chain management system (KEMSA and MEDS) and

develop options for the comprehensive logistics system(s) capable of supporting the national HIV/AIDS

program. This will cascade into an assessment of the existing provincial and district level infrastructure and

HR capacity for lab supplies consumption, tracking and monitoring pipelines and provision of quality data for

quantification and supply planning. A stakeholder forum to select parameters and agree on the proposed

laboratory logistics systems will be required; SCMS will lead this activity to ensure arrival at a consensus at

country level. SCMS will also offer technical assistance in develop comprehensive logistics related SOPs for

the lab system, in addition to offering related training and implementation support on maintaining lab

logistics system. SCMS will also support the development of a transparent national laboratory procurement

planning process to support lab at the facility level to quantify lab commodity needs in support of Early

Infant Diagnosis (EID) and pediatric ART. Regular laboratory commodities quantification and supply plans

review/sanitization workshops will be conducted to ensure uninterrupted supply and minimal losses due to

expiry of the lab commodities that are characterized by a generally short shelf life. SCMS will also be

required to conduct relevant training and implementation of lab logistics system, as well as training

stakeholders in forecasting and quantification for lab reagents and supplies. SCMS will also regularly review

and address the outcomes of the provincial and district level assessment for the quantification data and

supply planning system .This will culminate in SCMS setting up a national system for quantification and

pipeline monitoring. This activity will also liaise and strengthen local procurement and distribution

partner/central warehouse identified through the initial assessment by SCMS. In this 12-month period,

SCMS will procure reagents and supplies to perform early HIV infant diagnosis for 43,500 HIV exposed

infants in Kenya. The list of reagents and consumables required for the 12 month period, with a clear

delivery schedule per quarter will be presented to SCMS at the last quarter of COP 2008. Commodities will

come directly through the central warehouse for distribution to health facilities and/or network sites. Buffer

stocks will be maintained in the central warehouse and a third of this corresponding buffer at facility level to

ensure uninterrupted supply. SCMS will be asked to procure commodities with a focus on results - ensuring

not only that the product is delivered, but that there are the required equipment maintenance, inputs and

upgrades so that the target number of tests are achieved. Required record management for equipment

service and maintenance, inputs and upgrades will be maintained and updated by SCMS so that the target

number of patients is served.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to provision of pediatric HIV treatment services by ensuring adequate supplies

of EID commodities.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities of Early Infant Diagnosis services, as well as the

SPS/MSH ARV Drugs activity in logistics information management, distribution support, and forecasting and

quantification, the USAID drug distribution contract, KEMSA logistics and information management and

distribution systems and SCMS procurements in Laboratory Infrastructure and PMTCT.

5. POPULATIONS BEING TARGETED

HIV exposed infants and children in whom HIV diagnosis has been confirmed

6. EMPHASIS AREAS

The area of emphasis for this activity is commodity procurement with minor emphasis on asset

management.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18815

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

18815 18815.08 U.S. Agency for Partnership for 6985 4924.08 $2,450,000

International Supply Chain

Development Management

Table 3.3.11:

Funding for Care: TB/HIV (HVTB): $1,075,000

Updated April 2009 Reprogramming. Increased by $250,000. Partnership Framework: Supplies (ZN

reagents, sputum containers, slides, etc.)

ACTIVITY UNCHANGED FROM COP 2008

The only changes to the program since approval in the 2007 COP are:

+ Partnership for supply chain management will use the $400,000 allocated in 08 to procure TB culture test.

This will go along way in strengthening MDR/TB surveillance.

1. LIST OF RELATED ACTIVITIES

This activity relates to SCMS activities in the following program areas: Laboratory Infrastructure (#8763),

PMTCT (#8757), and Counseling and Testing (#8783). It also supports all PEPFAR service-delivery

activities.

2. ACTIVITY DESCRIPTION

SCMS will support all of PEPFAR Kenya's service delivery activities through provision of an uninterrupted

supply of laboratory test kits and other supplies for TB/HIV and other clinical settings. In this 12-month

period, SCMS will procure test kits and reagent supply that will cover 10 million HIV tests, 500,000 sputum

microscopy, 1.4 million syphilis tests, and 1.5 million HIV clinical diagnostic and monitoring tests. The list of

commodities required for the 12 month period, with a clear delivery schedule per quarter will be presented

to SCMS at the last quarter of COP 2008 to facilitate procurement planning by SCMS. Commodities will

come directly through the central warehouse for distribution to health facilities and/or network sites. Buffer

stocks will be maintained in the central warehouse and a third of this corresponding buffer at facility level to

ensure uninterrupted supply. Required asset management for equipment service and maintenance, inputs

and upgrades will be maintained and updated by SCMS so that equipment is optimally in good condition

and use to serve the target number of patients. SCMS will also support the development of a transparent

national laboratory procurement planning process to support labs at national and facility level to quantify lab

commodity needs in support of ART. Regular laboratory commodities quantification and supply plans,

sensitization and review workshops will be conducted to ensure uninterrupted supply and minimal losses

due to expiry of the lab commodities that are characterized by a generally short shelf life. SCMS will also

conduct relevant training and implementation of lab logistics system, as well as training stakeholders in

forecasting and quantification for lab reagents and supplies. SCMS will review and address the outcomes of

the provincial and district level assessment for quantification data and supply planning system .This will

culminate in SCMS setting up a national system for quantification and pipeline monitoring. This activity will

also liaise and strengthen local procurement and distribution partner/central warehouse identified through

the initial assessment by SCMS. Required record management for equipment service and maintenance,

inputs and upgrades will be maintained and updated by SCMS so that the target number of patients is

served.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to counseling and testing of HIV infected persons presenting for care in health

settings by ensuring adequate supply of rapid test kits and TB lab supplies.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities offering counseling and testing to TB/HIV patients and

pregnant women, as well as the MSH/SPS ARV Drugs activity in logistics information management,

distribution support, and forecasting and quantification (#6989), the mission competitive procurement

(#6997), KEMSA logistics and information management and distribution systems (#6969) and SCMS

procurements in Laboratory Infrastructure (#8763), PMTCT (#8757), and Counseling and Testing (#8783).

5. POPULATIONS BEING TARGETED

The target populations for this activity are adults and children in the general population for HIV/AIDS and TB

testing, people living with HIV/AIDS for monitoring, and TB tests.

6. EMPHASIS AREAS

The major area of emphasis for this activity is commodity procurement with minor emphasis on asset

management.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14952

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14952 8754.08 U.S. Agency for Partnership for 6985 4924.08 $825,000

International Supply Chain

Development Management

8754 8754.07 U.S. Agency for Partnership for 4924 4924.07 $300,000

International Supply Chain

Development Management

Table 3.3.12:

Funding for Laboratory Infrastructure (HLAB): $12,800,000

Updated April 2009 Reprogramming. Increased by $600,000. Partnership Framework: Purchase EID Test

Equipment for Kisumu (Tachman); placement will be confirmed by MoH.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+ Provide TA towards a comprehensive lab logistics system(s) capable of supporting the national HIV/AIDS

program

+setting up a national system for quantification and pipeline monitoring for lab commodities

+asset management for EP procured equipment (service and maintenance, inputs and upgrades) to be

maintained and updated so that equipment is optimally in good condition and use to serve the target

number of patients.

COP 2008

+ Other (NON-SUBSTANTIVE) change will include the following:

SCMS will continue to procure HIV/AIDS test kits and reagents for hematology and chemistry that will be

provided to major labs. It is estimated that SCMS will procure test kits and reagent supply to cover 10

million HIV tests, 500,000 sputum microscopy, 1.4 million syphilis tests, and 1.5 million HIV clinical

diagnostic and monitoring tests

1. LIST OF RELATED ACTIVITIES

This activity relates to SCMS activities in other program areas: PMTCT , Treatment: ARV Services ,

Counseling and Testing , and TB/HIV . It also supports all PEPFAR service-delivery activities.

2. ACTIVITY DESCRIPTION

Supplies Chain Management System (SCMS) will support all of PEPFAR Kenya's service delivery activities

through provision of an uninterrupted supply of HIV/AIDS- related commodities. Commodities will come

through a regional warehouse established in Kenya, significantly decreasing the lead time in procurement.

From the regional warehouse, supplies will enter into existing supply chain management systems, including

the national distribution system, run by Kenya Medical Supplies Agency (KEMSA), and in some cases,

"buffer" stocks to ensure that PEPFAR sites have adequate commodities when there is national shortage.

The project will receive forecasting and quantification information from existing in-country partners. This

activity will also liaise and strengthen local procurement and distribution partners such as Mission for

essential drugs and Supplies (MEDS) and KEMSA, by working transparently and collaboratively with them.

SCMS will be asked to procure commodities with a focus on results - ensuring not only that the product is

delivered, but that there are the required maintenance, inputs and upgrades so that the target number of

tests are achieved.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This program will contribute to patient monitoring by ensuring the supply and maintenance of diagnostic

machines and reagents, test kits, TB cultures, and medical equipment for the use in laboratories of

government and mission hospitals providing HIV/AIDS treatment and care.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities, as well as the RPM+/MSH activity in logistics

information management, distribution support, forecasting and quantification, , MEDS, in ARV Drugs ;

KEMSA logistics and information management and distribution systems, and SCMC procurements in

HVCT , HLAB and HTXS.

5. POPULATIONS BEING TARGETED

The target populations for this activity are adults and children in the general population for HIV/AIDS and TB

testing, people living with HIV/AIDS for monitoring, and TB tests.

6. EMPHASIS AREAS

The major area of emphasis for this activity is commodity procurement

New/Continuing Activity: Continuing Activity

Continuing Activity: 14954

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14954 8763.08 U.S. Agency for Partnership for 6985 4924.08 $13,620,000

International Supply Chain

Development Management

8763 8763.07 U.S. Agency for Partnership for 4924 4924.07 $6,823,300

International Supply Chain

Development Management

Table 3.3.16:

Subpartners Total: $0
Fuel Logistics Group: NA
John Snow, Inc: NA
Management Sciences for Health: NA
Voxiva: NA
United Postal Service: NA
Crown Agents Consultancy, Inc: NA