Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016

Details for Mechanism ID: 7443
Country/Region: Namibia
Year: 2012
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,316,710

The Supply Chain Management System (SCMS) is implemented by Management Sciences for Health in Namibia and focuses on three objectives: 1) Strengthening the supply chain for HIV/AIDS commodities; 2) Enhancing existing systems to strengthen forecasting and improve efficiencies; and 3) Improving procurement management systems within governance and systems, prevention, care and treatment. SCMS contributes to four strategic areas of the Partnership Framework: governance, systems, prevention and care and treatment. SCMS works with the Ministry of Health and Social Services (MOHSS) to improve supply chain management of HIV/AIDS commodities in all regions of Namibia and targets all ART-users.

For cost effectiveness, SCMS will transition from direct commodity procurement services to the use of capacity building strategies, provision of technical assistance to the MOHSS and other partners, using in-country expertise. SCMS will reduce program delivery costs by sharing operational costs and leveraging synergies of other IMs managed by MSH.

To enable transition to local institutions, SCMS will continue capacity development and systems strengthening for its partners. SCMS will work with its partners to facilitate skills transfers through mentoring local supply chain staff to ensure program ownership and sustainability. This is in line with the GHI strategy that focuses on transition and increased access.

SCMS has developed measurable indicators to track the progress of the project. A comprehensive performance management plan has also been implemented. The project will document progress and project outcomes and disseminate lessons learned and case studies. An end-of-project evaluation will also be conducted.

No vehicle purchases envisaged.

Funding for Care: Adult Care and Support (HBHC): $165,000

This is a continuing activity through which Supply Chain Management Systems (SCMS) will continue to support the Ministry of Health and Social Services (MOHSS) Primary Health Care (PHC) Directorate in the design and implementation of a community home-based care (CHBC) kit system and the integration of this system into the existing pharmaceutical supply chain for sustainability.

Support will be provided to the PHC Directorate to monitor implementation and evaluate the performance of the integrated CHBC kit system. This will include strengthening the monitoring and evaluation tools and procedures (for example the daily activity register and reporting forms) used by CHBC providers that were developed, implemented and handed over to MOHSS in COP11. The enhanced monitoring and evaluation system will facilitate the entry, aggregation and analysis of CHBC data at all levels (district, regional and national) to generate information for evidence-based policy and managerial decision-making.

Support will also be provided to facilitate the integration of the therapeutic and supplementary foods supply chain activities into the existing MOHSS pharmaceutical supply chain thus ensuring harmonized procurement, warehousing, distribution and inventory control procedures at all levels of the health system. This will include developing a monitoring and evaluation tool that will enable data entry, aggregation and analysis of nutrition assessment counseling and support data at all levels (district, regional and national) to generate information for evidence-based policy and managerial decision-making. SCMS will provide technical assistance to the Project Management Unit of MOHSS to coordinate procurement of GFATM-funded therapeutic and supplementary food.

This activity focuses on strengthening the national-level system, which will have an impact on the delivery of CHBC kits and therapeutic and supplementary foods throughout the country.

This narrative is linked to activities under HVCT, CIRC, HBHC and PDCS.

Funding for Care: Pediatric Care and Support (PDCS): $33,000

This is a continuing activity through which Supply Chain Management System (SCMS) will continue to support the Primary Health Care (PHC) directorate of the Ministry of Health and Social Services (MOHSS) in the design and implementation of a logistics system for therapeutic and supplementary foods (TSF). This activity is linked to and compliments MOHSS activity in PDCS, PDTX related to support to food commodity logistics for Nutrition Assessment, Counseling and Support programsWith COP12 funding, SCMS will: 1) Facilitate the integration of the TSF supply chain activities into the existing MOHSS pharmaceutical supply chain, harmonizing quantification, procurement, warehousing, distribution and inventory control procedures to ensure availability of pediatric rations of TSF at all levels of the health system; and 2) Build capacity of the PEPFAR-supported commodity logistics officer within MOHSS to take over these tasks with time.This activity focuses on strengthening the national-level system, which will have an impact on the delivery of therapeutic and supplementary foods throughout the country.This narrative is linked to activities under HVCT, CIRC, HBHC and PDCS.

Funding for Health Systems Strengthening (OHSS): $925,737

This is a continuing activity through which Supply Chain Management System (SCMS) will focus on enhancing existing systems to promote supply chain information sharing and improve procurement and supply chain management systems.

SCMS will strengthen the capacity of the National Medicines Policy Coordination (NMPC) sub-division in the Division of Pharmaceutical Services at the Ministry of Health and Social Services (MOHSS) to provide overall supervision in the supply chain management aspects.

In addition, activities will be conducted to strengthen long-term quantification and budgeting of public-health program commodity needs including strengthening linkages between program commodity forecasts, supply planning and procurement actions and institutionalizing long-term forecasting and budgeting of commodity needs into the MoHSS systems to ensure commodity security. This is closely linked to supply chain and commodity logistics activities described in HBHC and PDCS addressing adult and pediatric care and support program commodity needs.

SCMS will also enhance capacity in Central Medical Stores (CMS) by strengthening warehousing operations, quality assurance and enhance CMS performance monitoring using the Pharmacy Management Information System (PMIS) and utilization of data from Syspro as well as the fleet management system.

Activities will strengthen inventory management of the two Multi-Regional Medical Depots and use of Syspro and PMIS data for decision-making. SMCS will also provide technical assistance for pharmaceutical waste disposal.

To strengthen human resources capacity for supply chain management SCMS will support local tertiary education institutions and networks to provide health-related supply chain management training.

This activity focuses on strengthening the national and regional level commodities system.This narrative is linked to activities under HVCT, CIRC, HBHC and PDCS.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $100,000

Under this budget code, Supply Chain Management System (SCMS) will utilize COP12 funding to provide supply chain-related technical assistance to the MOHSS to accelerate the roll-out of medical male circumcision (MMC) interventions.In 2011, the World Health Organization has undertaken the process of prequalification of a number of MC devices for adults.SMCS will provide technical assistance in product selection for medical male circumcision devices and related supplies by sharing experience from other SCMS countries and assisting in defining product specifications with the aim of achieving standardization. SCMS will also build capacity for forecasting and quantification of MMC commodity requirements and strengthen inventory management and systems for data collection and reporting on the use of MMC-related commodities.SCMS, in collaboration with other USG partners, will also undertake limited procurement of selected MC devices and supplies required for program roll-out at demonstration sites and share MC supplies market information and intelligence with the Central Medical Stores.This narrative is linked to activities under HVCT, OHSS, HBHC and PDCS.

Funding for Prevention: HIV Testing and Counseling (HVCT): $92,973

Under this budget code, Supply Chain Management System (SCMS) will utilize COP12 funding to strengthen the capacity of the Ministry of Health and Social Services (MOHSS) Directorate of Special Programs and Central Medical Stores (CMS) for long term forecasting, inventory control systems and budgeting for rapid test kits (RTK) and related supplies to ensure commodity security.Supply Chain Management System (SCMS) has been procuring RTK and related consumables needed for the HIV counseling and testing (HCT) services for USAID-supported standalone HCT sites. In COP12, SCMS will end procurement and will work to strengthen systems for data collection, validation, analysis and reporting of HCT-related commodities to generate information for evidence-based policy and managerial decision-making.

This narrative is linked to activities under OHSS, CIRC, HBHC and PDCS.

Cross Cutting Budget Categories and Known Amounts Total: $330,000
Human Resources for Health $330,000