This activity has two components: support for the Home Based Care(HBC) Kit logistics systems and

procurement and replenishment of HBC kits for PEPFAR funded faith based organizations (FBOs), NGOs

and community-based organizations (CBOs). The main focus is to continue to provide support to the

Primary Health Care Directorate of the Ministry of Health and Social Services (MoHSS-PHC) to ensure that

HBC Kits are in sufficient supply, and moving through a supply chain that ensures that the kits are available

in the right quantities, at the right places, at the right time. HBC Kit contents include both consumable and

non-consumable supplies to provide basic nursing and personal hygiene care, wound care, gloves to

ensure universal precautions, multi micronutrient tablets and Step I analgesics (panadol) for chronic and

terminally ill people living with HIV/AIDS (PLWHA) who are visited at home by community and home-based

care (CHBC) providers. It is anticipated that supportive and clinical supervision of providers will be

strengthened as the supply chain of HBC kit improves (related to HBHC PACT and MoHSS)

In COP 2007, the Supply Chain Management System (SCMS) supported the MOHSS-PHC Directorate by

conducting an assessment of the distribution and logistics information management system for HBC kits in

Namibia, whose public sector HBC Kits are funded by the Global Fund. SCMS also provided support to

facilitate the distribution of about 6,500 HBC kits to partners across the country, leveraging the Global Fund

funding.

In COP 2008, SCMS will continue support to the MOHSS-PHC with technical assistance for procurement

and distribution of HBC Kits. SCMS will also support the development of reporting and monitoring systems

for this commodity and strengthened logistics training of the MOHSS PHC Directorate with the goal

improving the MoHSS supply chain management for HBC Kits. SCMS will also work with the MOHSS-PHC

Directorate to create a system of HBC kit replenishment for consumable portions of the kit (gloves,

bandages, panadol, multi micronutrient tablest, etc) which is currently non-existent. Proposed activities will

ensure that there is an uninterrupted supply of HBC kits to support the scale-up of palliative care services

within home-based care settings in Namibia. HBC Kits are procured mainly with funding from the Global

Fund. SCMS in COP2008 will leverage this funding and provide support for the distribution of an estimated

8,000 HBC Kits throughout Namibia.

Additionally, the USG through SCMS, will also support the replenishment and distribution of 1,500 kits for

PEPFAR-funded FBOs and NGOs in collaboration with PACT subgrantees. This includes technical

assistance and support for development of reporting and monitoring systems for HBC Kits by PACT

grantees and a system of HBC kit replenishment for consumable items such as gloves for universal

precautions, bandages for wound care, etc. The goal of this activity is to develop an uninterrupted supply of

HBC kit consumables for USG-supported home-based care sites.

To ensure long-term sustainability of interventions, SCMS will assist in improving national capacity through

training and skills transfer to MoHSS-PHC staff, and will ensure that the interventions are consistent with

the vision and capacity of the MoHSS-PHC. This component will provide support to one MoHSS division,

and training for about 10 personnel.

The main emphasis area for the activity is logistics with commodity procurement, local organization capacity

building, and training as minor emphasis areas. The target population is mainly policy makers and other

MoHSS staff.

This is an ongoing activity from COP2007. The main focus of this activity is to maintain a comprehensive

supply chain management system to support the counseling and testing activities of USG-supported

counseling and testing sites. This includes support to 17 USG-supported Intrahealth sites as well as

support to the Namibian Ministry of Defense. Program successes in COP2007 include setting up a direct

delivery system for rapid test kits and supplies to supported sites, and designed and implemented inventory

control and logistics management information systems in all supported sites. Plans in COP2008 include: 1)

continued support for the implementation of the logistics system for rapid test kits, and 2) procurement and

distribution of required rapid test kits and related commodities. Support will also continue to ensure that

sites implement and operate the system appropriately through continued training and supportive supervision

activities.

In COP2007, SCMS conducted an evaluation of the storage infrastructure of counseling and testing sites

and significant gaps in equipment, infrastructure and data management were found. SCMS developed and

is currently piloting a system for managing data for inventory control and management of Logistics

Management Information System (LMIS) for rapid test kits and related commodities at counseling and

testing sites. A customized system (including bar codes, logistics functions, etc) is currently being designed

with a local database development company. In COP2008, this system will be rolled out to all counseling

and testing sites and will include the procurement and installation of computers and related hardware and

software for the sites. The USG will also support SCMS to undertake selected renovations at select sites

(identified in the evaluation) and equipment (such as lockable cabinets) for optimal storage and handling of

supplies will be placed.

During COP2008, SCMS will continue to procure all the rapid test kit and related supplies according to

regulations and will deliver the supplies directly to the USG-supported sites as mentioned above. USG will

purchase three types of test kits for various testing procedures: screening (currently Determine),

confirmatory (currently Unigold) and tie breaker (currently Clear-View). All HIV test kits purchased will be in

accordance with MoHSS testing protocols and will be purchased from USG-approved vendors. All test kits

will go directly to the counseling and testing sites where it will be used in the USG funded program. It is

estimated that the USG procurement will provide the needed tests kits in COP 2008 to meet the target of

82,000 tests delivered from 29 VCT Centers.

The main emphasis area for the activity is logistics with commodity procurement, local organization capacity

building, human resources, infrastructure and training as minor emphasis areas. The target population is

mainly policy makers and other health care workers.

This continuing activity is an expansion from FY07 and relates to other activities in this area, including

MSH/RPM+ (7650), to ARV service activities, including those of Potentia (7374), the Ministry in Health and

Social Services (MoHSS) (7365), and Intrahealth (7361) and to PMTCT activities including those of MOHSS

(7365) and IntraHealth (7361).

This activity has four components and aims to strengthen the capacity of the MoHSS to procure, store and

distribute ARVs and related commodities, while assuring the right quality and also that the supply chain

management services are provided in a cost effective and timely fashion.

The first component is to provide continued technical assistance and support to the Central and Regional

Medical Stores of Namibia for the continued development and implementation of modern logistics practices

and technologies. In FY2007 USG through SCMS provided support to the MoHSS to continue the work

initiated by MSH/RPM Plus to strengthen supply chain management systems and procedures of the Central

and Regional Medical Stores of Namibia to enable it to efficiently carry out it's responsibility for procurement

and distribution of MoHSS, USG and GFATM funded HIV/AIDS related commodities. In FY2007, support

was provided to develop proposals for the reorganization of the distribution systems of the MoHSS, through

integrating the Regional and Central Medical Stores into one functional unit. A proposal for reorganization

was submitted to the MoHSS and USG, and funding will be provided under COP FY2008 to implement the

recommendations. Specifically, in FY2008, support will be provided to support the set up and operation of

the proposed Medical Stores Division within the Directorate of Tertiary HealthCare and Clinical Support

Services. This assistance will also include the integration of the inventory control management systems,

Syspro™ databases, of the Central Medical Stores (CMS) and the two Regional Medical Stores (RMS) into

a single database and begin the implementation of warehouse Management System (WMS) modules in the

3 warehouses and ensure proper integration of the functions of the medical store system. To facilitate the

effective implementation of the WMS, and to address the problem of space availability for ARVs and related

commodities, USG will support targeted renovations of the CMS and the two RMS; the provision of

warehouse, storage and handling equipment, including racks, pallets, shelving as may be required so as to

ensure optimum utilization of the storage space available and provide appropriate and adequate storage for

ARVs and related commodities. Comprehensive SOPs and Job Aids for the management of workflow

processes of the integrated Medical Stores System will be developed and training provided for all staff of

the CMS and RMSs. Previously, USG supported the review of the procurement policies and procedures of

the MoHSS and provided training in the revised procedures. In FY2008, support will be provided for the

development and implementation of a comprehensive computerized procurement management system,

including, tender management, contract documentation and supplier performance monitoring systems. This

will ensure that procurement and vendor management is carried out optimally, thus assuring the continued

availability of quality products. To further assure the security of ARVs in particular and other related

commodities, USG will support the installation of access control systems in the ART warehouses of the

central and regional medical stores. To promote retention of staff, and also to build capacity locally, support

will be continued to provide training for senior management and staff of the CMS and RMS to ensure that

modern logistics practices are always adhered to.

The second component of this activity will be to continue support for strengthening quality assurance

systems for HIV/AIDS related commodities to ensure that the quality of ARVs and other HIV/AIDS related

commodities are assured throughout the supply chain. Specifically, technical assistance and support will be

provided for; 1) Procurement of selected equipment for the QSL to enhance the testing capacities of the

laboratory; and 2) Provision of training to personnel of the QSL to ensure that they are up to date with

regulations and new techniques to ensure sustainability and support capacity development in the principles

of quality assurance in supply chain management; 3) Continued support for the position of QSL Manager

seconded to the MoHSS.

The third component of this activity is to provide support to strengthen quantification, supply planning and

inventory management the medical store system to facilitate coordinated forecasting, quantification, and

procurement planning for MoHSS, USG and GFATM funded HIV/AIDS related commodities. In FY2008,

support will be provided to recruit and second to the MoHSS HIV/AIDS Logistics Management Unit (HLMU),

an ART Logistics Officer to support quantification, supply planning and inventory management for ARVs,

RTKs, medicines for opportunistic infections (OI) and other HIV/AIDS related commodities. The HLMU will

also be supported to develop and implement a system for collection and management of logistics

information to support quantification and supply planning for ARVs, RTKs and other HIV/AIDS related

commodities, and develop quarterly updates of quantification and supply plans for HIV/AIDS commodities

which will contribute to ensuring an uninterrupted supply of HIV/AIDS related commodities. All seconded

personnel will be recruited through a local HR firm at MoHSS levels to ensure that thy can be absorbed by

the MoHSS. Training will be provided to ensure that competencies in the use of SCMS selected tools such

as Quantimed®, PipeLine®, ProQ®, etc are enhanced and institutionalized in the MoHSS, to develop local

capacity for inventory management, forecasting and supply planning.

The main focus of the fourth component of this activity is to procure ARVs to treat HIV/AIDS in Namibia, and

to ensure sufficient supply and availability of quality ARVs to Namibians at treatment sites. These ARVs will

be procured in accordance with the Government of the Republic of Namibia's (GRN) national ART program

protocols, and USG rules and regulations. Procurement of ARVs will be done through a dual mechanism. 1)

The GRN will be provided funds under the CDC cooperative agreement with the GRN to procure ARVs, and

2) Procurement through the SCMS to leverage the benefits of the SCMS approach to procurement which is

based on aggregated purchasing on behalf of HIV/AIDS care and treatment programs. By creating a

consolidated international procurement mechanism, SCMS leverages economies of scale, provides the best

value and increases efficiency. SCMS will procure about US$1,000,000 of ARVs as part of the USG

contribution of ARVs to the GRN. These ARV drugs will go directly to the Central Medical Store and will be

accessed by all public sector ART programs. The USG contribution is estimated to cover approximately a

third of the national ARV procurement needs, which target ~55,000 patients on treatment by the end of the

program year 2008. The procurement process is closely linked with the development of a rigorous logistics

management information system and the use of software to monitor stock levels on a monthly basis. SCMS

will continue to make full use of its Regional Distribution Center (RDC) in South Africa and/or Botswana to

allow for speedy shipping of products on a more frequent basis which will diminish the storage capacity

needs of CMS.

This activity will provide support to 3 medical stores, 1 Quality Control Laboratory and also provide training

Activity Narrative: support for about 30 individuals in stores management and 6 individuals in procurement, and provide

support for the procurement and distribution of ARVs to about ~55,000 individuals on treatment, leveraging

resources provided by the GRN and GFATM.

To ensure long-term sustainability of the work of the Namibia Institute of Pathology (NIP), the Partnership

for Supply Chain Management (SCMS) will assist in improving national capacity through assessment,

systems development and supporting policy development, training and skills transfer to NIP staff, ensuring

that the systems and policies are consistent with the vision and capacity of the NIP. The SCMS project will

place emphasis on developing the capacity of personnel at the national and local levels to implement an

efficient supply chain management system for laboratory supplies.

Superficially, the main focus of this activity by the Partnership for Supply Chain Management (SCMS) is to

support to the Namibia Institute of Pathology (NIP) to ensure that laboratory reagents and supplies are in

sufficient supply and moving through a supply chain that will support the scale-up of the ART program. The

NIP is a parastatal mandated to provide laboratory services in Namibia; it operates 34 laboratories across

the country.

In FY 2007, the SCMS facilitated the design of a Laboratory Logistics Management System for the NIP

through a consultative process. SCMS also provided support to redesign the layout of the central

warehouse of the NIP and assisted in reorganizing the contents, thus freeing up about 30% space without

adding additional infrastructure. During FY 2008, support provided to the NIP will ensure that Laboratory

Logistics Management System is operated optimally. For this task, SCMS will continue to support the

position of a Laboratory Logistics Advisor placed at NIP. SCMS will consultatively develop Standard

Operating Procedures (SOPs) and Job Aids and train staff on the system.

In FY 2007, SCMS provided support to review the materials management module of Meditech® and

inventory control parameters were adjusted accordingly. In FY 2008, support will continue through on the

job training and supportive supervision strategies to ensure that the system operates optimally and

necessary adjustments to the inventory control parameters are carried out periodically. Support will also be

provided for the development of systems for laboratory equipment management and tracking.

In FY 2007, SCMS provided support for an assessment of the storage infrastructure capacity of the NIP

central warehouse and laboratories. In FY 2008 the results will be applied to obtain required storage and

handling equipment and renovate. Training will also be provided to laboratory managers in modern storage

practices and standards. This will ensure optimal storage and handling of laboratory regents and supplies at

NIP sites. Support will also be provided to review and/or develop Disposal Policies to govern disposal of

obsolete and non-functional equipment and supplies. Following adoption of these policies, support will be

provided to implement them by developing SOPs and Job Aids and also physically removing and destroying

or otherwise disposing of accumulated equipment and stores in the various NIP warehouses and stores.

FY 2008, support will be provided to strengthen NIP's procurement management systems through a

targeted evaluation of current procurement polices, manuals and guidelines and the subsequent revision of

the Procurement Polices and Procedures Manual, along with training on that policy. Support will also be

provided to conduct standardization, forecasting and quantification of reagents and supplies and support the

institutionalization of a system for quarterly reviews.

These activities will ensure that the supply of laboratory supplies remains uninterrupted to support the scale

-up of ART services in Namibia.

The main focus of this activity is continued support to the HIV/AIDS Logistics Management Unit of the

MoHSS for the collection and management of HIV/AIDS related logistics information in support of the for the

Logistics Management Information System (LMIS) developed in COP07 to monitor national pipelines of

ARVs, Test Kits, Laboratory Supplies and other HIV/AIDS related commodities. The system provides

relevant data to support forecasting, quantification and procurement and supply planning. SCMS will

continue to support the position of Antiretroviral Commodity Tracking System Coordinator (ACTS) seconded

to the MoHSS.

In FY 2008, USG will support the systems the continued implementation of a monitoring and evaluation

system to ensure the generation and utilization of quality information to support HIV/AIDS supply chain

management activities. This will

To ensure sustainability, SCMS will build the capacity of staff of MoHSS, VCT Partners and NIP through

technical assistance, training, and skills transfer to effectively collect, process and share data required for to

forecast, procure, and deliver rapid test kits and other health commodities in a timely and efficient manner.