Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 14072
Country/Region: Lesotho
Year: 2014
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $952,000 Additional Pipeline Funding: N/A

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 Government of Lesotho procures ARVs and other ART-related commodities with partial support from the GFATM. The National Drug Service Organization (NDSO) - is mandated to procure and distribute all medication for use at all levels of the health system and this needs strengthening. The overall weakness of the national Supply Chain Management (SCM) capacity, that is, from the MoH, DHMTs and to health facilities has subsequently resulted in poor commodity security and rampant RTK stock-outs in the public health sector, hence impacting negatively HTC, PMTCT, HIV care and treatment programs in the country. SIAPS will therefore work with the MoH and NDSO to strengthen the, quantification, forecasting, procurement and supply planning of these commodities. SIAPS will also work to address the weaknesses in the overall capacity, lack of quality assurance, weak SCM-TWG and the non-existence of SCM Unit at the MoH as were identified in the 2013 rapid National Supply Chain Management Assessment.

SIAPS will;

• Provide support to improve the human capacity by increasing the number of pre-service and in-service staff trained using a SCM competency based approach

• Support MOH to strengthen information for SCM strategic decision-making to implement a functional and robust logistics management information system (LMIS) for ART (RxSolution), laboratory and nutrition

• Support the strengthening of the SCM organizational design and improve the performance across all levels in Lesotho. That is, at central level MOH and NDSO, in order to improve quantification, forecasting, procurement, demand and supply

• Support the district and health facility levels through the Supportive Supervision and Mentorship program (SSM) in order to ensure uninterrupted availability of health commodities

Mechanism Allocation by Budget Code for Selected Year
Health Systems Strengthening (OHSS) $172,000
Treatment: Pediatric Treatment (PDTX) $780,000
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_TRAIN By: Individuals who passed a competency-based training to develop distribution plans 2015 20
SC_TRAIN By: Individuals who passed a competency-based training to perform inventory management 2015 20
SC_TRAIN By: Individuals who passed a competency-based training to perform quantification 2015 20
SC_TRAIN By: Individuals who passed a competency-based training to perform supportive supervision 2015 20
SC_TRAIN Number of individuals who conduct or support supply chain, inventory management, supportive supervision or distribution activities 2015 20
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 20
Cross Cutting Budget Categories and Known Amounts Total: $200,000
Human Resources for Health $200,000
Key Issues Identified in Mechanism
Child Survival Activities