Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 9266
Country/Region: Malawi
Year: 2010
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0

Budget Summary PFIP Year 1 Funding - $429,000 PFIP Year 2 Funding - $0

Summary The activities proposed within this area are aimed at overall capacity-building and support for the Central Medical Stores (CMS) system to better procure, supply, and manage the distribution of HIV/AIDS-related commodities such as HIV test kits, drugs for Opportunistic Infections (OI's) and ultimately antiretrovirals (ARV's) to points of service. The DELIVER Project will second Regional Logistics Officers (RLO) to provide support to the District and Service Delivery Points (SDP) levels; and support targeted minor improvements to commodity facilities when needed. In addition to the activities focused on CMS, the project also proposes to develop a supply chain logistics Pre-Service Training Curriculum with local partners, including a component for handling of HIV/AIDS-related commodities.

Background

The role of CMS is the procurement, storage, and distribution of public medical supplies. Under the health Sector Wide Approach (SWAp), the Ministry of Health and its collaborating partners recognize the need for efficient reforms of the drug and supply system to improve access to drugs and are committed to, among other things, improving stock management controls and strengthening accountability mechanisms at CMS and RMS. The USG through the DELIVER Project has been supporting supply chain system strengthening since 2000 with special focus on the lower levels of the distribution system using reproductive health funding. This is a wrap-around project that combines EP funding with PMI and reproductive health resources to build an integrated supply chain management system within the MoH.

Under the DELIVER Project, USG funds were used to computerize processing of MoH logistics data from 400+ service delivery points at 26 district-level facilities using Supply Chain Manager, which was in turn used to order electronically contraceptives, sexually transmitted infection (STI) products, EHP drugs, and other products from the RMS's. Use of the computerized system resulted in improved availability of contraceptives and information for decision making for other essential drugs at the SDPs. In the first year of the DELIVER Project, the USG funds had been used to assist the MOH including CMS to use effectively the available information to guide their forecasting and quantification exercise for selected drugs and medical supplies.

With FY 2009 EP funding, the DELIVER Project will provide assistance at the national and regional levels to strengthen the capacity of CMS to manage and distribute HIV related commodities like HIV Test kits, OI's and eventually the system will have the capacity to support management of ARV's which until now

are managed through a parallel system. The activities will also contribute to ensuring continuous, uninterrupted and adequate supply of approved quality and affordable HIV/AIDS commodities. Finally, DELIVER will complete the rapid test kit pilot, evaluate it, and then roll it out as well as complete the ARV supply chain strengthening strategy and its implementation plan.

Key Issues Identified in Mechanism
Malaria
Family Planning