Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4181
Country/Region: Nigeria
Year: 2007
Main Partner: Partnership for Supply Chain Management
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $19,015,316

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $2,154,202

ACTIVITY DESCRIPTION: This activity is also related to activities in ART, Basic Care and Support, TB/HIV, OVC, PMTCT and HCT for the provision of HIV/AIDS related commodities needed in those services. The present budget for PMTCT under this activity is broken out as follows: Procurement of HIV Rapid Test Kits and other Supplies to support PMTCT not allocated to a specific partner = $1,900,000; Supplies for the University of Maryland PMTCT Program (ID #6768) = $54,202, and supplies for the DoD PMTCT Program (ID#6801)= $70,000.

SCMS will procure HIV/AIDS prevention related supplies including ARV prophylaxis, drugs to treat Opportunistic Infections (OIs) & Sexually Transmitted Infections (STIs), test kits, laboratory equipment and consumables and other supplies for PEPFAR Implementing Partners (IPs) in Nigeria including DOD. Other partners include the University of Maryland, Institute of Human Virology (IHV)/ACTION, Family Health International(FHI)/GHAIN, Columbia University (CU)/ICAP, Harvard University School of Public Health (HSPH)/APIN+ and other new partners. The request will be coordinated by CDC acting on behalf of the IPs and managed by SCMS. . The commodities will be procured in accordance with the Federal Government of Nigeria's (FGON) national treatment and testing program protocols, FGON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centers (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodity product selection based on Standard Treatment Guidelines, testing protocols and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total required commodities for the IPs and undertake the procurement on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary, emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting.

SCMS will aggregate the total required commodities for the IPs and undertake the procurement on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary, emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting.

SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to

unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments. SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible. SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS.

SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDS related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities for prevention programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), PMTCT (3.3.01), HCT (3.3.09) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Biomedical Prevention: Blood Safety (HMBL): $0

This activity was suspended at the direction of the OGAC Prevention TWG.

ACTIVITY DESCRIPTION This activity is also related to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (#6742) and PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure laboratory supplies, test kits and other safe blood related commodities for on behalf of various PEPFAR Implementing Partners (IPs) in Nigeria including the U.S Department of Defense (DoD), University of Maryland, Institute of Human Virology (IHV)/ACTION, Family Health International (FHI)/GHAIN, Columbia University (CU)/ICAP, Harvard University School of Public Health (HSPH)/APIN+, Safe Blood for Africa foundation (SFBAF), Columbia University (CU -ICAP), and Catholic Relief Services/AIDSRelief. The request will be coordinated by the USG acting on behalf of the IPs and managed by SCMS. The commodities will be procured in accordance with the Government of Nigeria (GON) national treatment and testing program protocols, GON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centers (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodity product selection based on Standard Treatment Guidelines, testing protocols and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total required commodities for the IPs and undertake the procurement on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. When necessary, emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate, SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja and elsewhere, as required in Nigeria. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where

in-country supply chains will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team. SCMS will establish a field office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09) and PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Biomedical Prevention: Injection Safety (HMIN): $3,000

ACTIVITY DESCRIPTION: This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (#6742), Medical transmission/blood safety (3.3.03) PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure supplies for the Safe Injection Program on behalf of various Implementing partners. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centers (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodities selection based on national guidelines and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for the commodities for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will provide support to establish and manage the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing . All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team. SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors

and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs. CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to HIV infected adults and children for the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09) , Medical transmission/blood safety (3.3.03) PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $8,000

ACTIVITY DESCRIPTION This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (#6742), Medical transmission/blood safety (3.3.03) PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure supplies for other prevention activities on behalf of UMD, funding at $8,000 in COP07 (activity (ID# 9210) and DoD (ID# 6804) in Nigeria. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodities selection based on national guidelines and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for the commodities for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting.

SCMS will provide support to establish and manage the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and

administrative service in respect of coordinating and managing the procurements undertaken by SCMS.

SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (#6742), Medical transmission/blood safety (3.3.03) PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Care: Adult Care and Support (HBHC): $156,469

ACTIVITY DESCRIPTION: This activity is also related to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03), PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure prophylaxis, OIs, STIs, home based care kits, bednets and other supplies for adult basic care programs for various PEPFAR Implementing Partners (IPs) in Nigeria. The commodities will be procured in accordance with the Federal Government of Nigeria's (FGON) national treatment and testing program protocols, FGON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodities selection based on national guidelines and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for the commodities for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing and distribution. Where required however SCMS will arrange local warehousing and distribution direct to points of service delivery. Where in country distribution is required, SCMS will utilize the services of existing logistics providers including for example CHANPHARM. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the

USG Team. SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03), PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Care: TB/HIV (HVTB): $512,600

ACTIVITY DESCRIPTION: This activity is also related to activities in ART (#9894), Palliative Care (#9842), OVC (#9883), VCT (#6742) and PMTCT (#9748) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure laboratory equipment, consumables, test kits and other supplies for the TB HIV program on behalf of various PEPFAR Implementing Partners (IPs) in Nigeria including the U.S Department of Defense (DoD), University of Maryland, Institute of Human Virology (IHV)/ACTION, Family Health International(FHI)/GHAIN, Columbia University (CU)/ICAP, Harvard University School of Public Health (HSPH)/APIN+, Society for Family Health (SFH) and Catholic Relief Services/AIDSRelief.. The request will be coordinated by CDC acting on behalf of the IPs and managed by SCMS. The commodities will be procured in accordance with the Government of Nigeria's (GON) national treatment and testing program protocols, GON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centers (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodity product selection based on Standard Treatment Guidelines, testing protocols and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total required commodities for the IPs and undertake the procurement on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the

USG Team. SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity is also related to activities in ART (#9894), Palliative Care (#9842), OVC (#9883), VCT (#6742) and PMTCT (#9748) for the provision of HIV/AIDS related commodities needed in those services

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding in this activity is allocated as follows: UMD-IHV =$78,600, CU-ICAP = $30,000, RTKs = $404,000.

Funding for Care: Orphans and Vulnerable Children (HKID): $9,810

ACTIVITY DESCRIPTION This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), VCT (3.3.09) and PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

SCMS will procure HIV/AIDS related supplies including, drugs to treat Opportunistic Infections (OIs) & Sexually Transmitted Infections (STIs), laboratory equipment and consumables and other supplies for Orphans and Vulnerable Children Programs on behalf of UMD and various PEPFAR Implementing Partners (IPs) in Nigeria. The commodities will be procured in accordance with the Federal Government of Nigeria's (FGON) national treatment and testing program protocols, FGON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in commodity product selection based on Standard Treatment Guidelines, testing protocols and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria.

SCMS will aggregate the total required commodities for the IPs and undertake the procurement on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting.

SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to central level facilities in Abuja and/or Lagos from where in-country supply chains will take over the local warehousing and distribution. Where required however SCMS will arrange local warehousing and distribution direct to points of service delivery. Where in country distribution is required, SCMS will utilize the services of existing logistics providers including for example CHANPHARM.

All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS.

SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), VCT (#6742) and PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Testing: HIV Testing and Counseling (HVCT): $4,792,450

ACTIVITY DESCRIPTION This activity is linked to DoD (#6796), Columbia/ICAP (#6695), FHI/GHAIN (#6702), SFH (#6736), Harvard/APIN+ (#6721), UMD/ACTION (#6772), CRS/AIDSRelief (#6681) and Africare (#6673) Voluntary Counseling and testing programs.

SCMS will procure HIV/AIDS Rapid Test Kits for VCT programs on behalf of all the the U.S Department of Defense (DoD) and seven other PEPFAR Implementing Partners (IPs) in Nigeria. IPs in the area of VCT include, University of Maryland, Institute of Human Virology (IHV)/ACTION, Family Health International (FHI)/GHAIN,, Columbia University (CU)/ICAP, Harvard University School of Public Health (HSPH)/APIN+, Society for Family Health (SFH), Africare and Catholic Relief Services/AIDSRelief. The requirement will be coordinated by CDC acting on behalf of the IPs and managed by SCMS. The Test Kits will be procured in accordance with the Government of Nigeria's (GON) national HIV testing algorithm, GON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in Test Kits selection based on national HIV testing algorithm and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for Test Kits for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. When necessary emergency or ad hoc purchases will be made, but it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting.

SCMS will provide support to establish and manage the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate, SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to the CDC warehouse in Abuja from where CDC will take over the local warehousing. All procurements and other supply chain activities will be carried out in a transparent and

accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will establish a field office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS.

SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of Test Kits to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11) , VCT (3.3.09) and PMTCT (3.3.01) and Medical transmission/blood safety (3.3.03) for the provision of Test Kits needed in those services.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Treatment: ARV Drugs (HTXD): $3,555,000

ACTIVITY DESCRIPTION: This activity is linked to DoD (#6797) and UMD/ACTION (#6773) ARV drugs programs

SCMS will procure adult and pediatric antiretroviral drugs (ARVs) for the US Department of Defense, the Institute of Human Virology (IHV)/ACTION and possible some other small PEPFAR partners in Nigeria. The commodities will be procured in accordance with the Government of Nigeria's (GON) national treatment guidelines, GON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required.

SCMS will support the IPs in ARVs selection based on national treatment guidelines, and USG procurement criteria including all appropriate quality standards. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will undertake the procurement of the required ARVs on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. When necessary emergency or ad hoc purchases will be made but it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will provide support to establish and manage the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate, SCMS will work with IPs and counterparts to identify suitable local sources of supply for ARVs in Nigeria, subject to meeting eligibility and quality criteria.

A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments.

SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible.

SCMS will deliver consignments to IPs' warehouse or directly to their point of services depending on each IP's need. It is anticipated that SCMS will deliver consignment to IHV/ACTION's warehouse while in the case of DOD, SCMS will warehouse commodities locally and deliver consignments direct to the 14 Nigeria Ministry of Defense (NMOD) sites. SCMS will utilize the services of existing logistics providers. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team.

SCMS will establish a field office staffed with two technical experts, finance and

administration and support staff. The field office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination between programs.

CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of ARVs to the PEPFAR prevention, care and treatment programs.

LINKS TO OTHER ACTIVITIES This activity also relates to activities in ARV services (3.3.11) for the provision of ARVs needed in those services. It is also linked to ARV drugs (3.3.10) as it contribute to some components of the supply chain.

POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service.

KEY LEGISLATIVE ISSUES BEING ADDRESSED None

EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding in this activity is as follows: CU-ICAP = $85,000; DoD = $3,470,000.

Funding for Treatment: Adult Treatment (HTXS): $2,013,785

ACTIVITY DESCRIPTION: Funding allocation by participating partners is as follows: UMD-IHV = $1,168,785; CU-ICAP = $85,000; DoD = $760,000. This activity also relates to activities in ART Drugs (#6741), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03), PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services. SCMS will procure adult and pediatric ARVs, OIs, STIs, Test Kits, laboratory equipment and consumables and other HIV/AIDS related supplies for the US Department of Defense and the University Of Maryland in Nigeria. The commodities will be procured in accordance with the Federal Government of Nigeria's (FGON) national treatment and testing program protocols, FGON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for the commodities for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments. SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible. SCMS will warehouse commodities locally and deliver consignments direct to points of service delivery including 445 Nigerian Airforce Hospital (Ikeja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo) and Defense Headquarters-Mogadishu Barracks (Abuja) and other sites as determined by DOD. SCMS will utilize the services of existing logistics providers including for example CHANPHARM. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team. SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination

between programs. CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs. LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03) , PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services. POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service. KEY LEGISLATIVE ISSUES BEING ADDRESSED None EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Funding for Laboratory Infrastructure (HLAB): $610,000

ACTIVITY DESCRIPTION: Funding allocation by participating partners is as follows: CU-ICAP = $410,000; DoD = $200,000. This activity also relates to activities in ART Drugs (#6741), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03), PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services. SCMS will procure adult and pediatric ARVs, OIs, STIs, Test Kits, laboratory equipment and consumables and other HIV/AIDS related supplies for the US Department of Defense and the University Of Maryland in Nigeria. The commodities will be procured in accordance with the Federal Government of Nigeria's (FGON) national treatment and testing program protocols, FGON registration and importation regulations and the USG rules and regulations. Procurement will be done through 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 across the PEPFAR focus countries. By creating a consolidated procurement mechanism and holding stocks of fast moving items in Regional Distribution Centres (RDCs), SCMS leverages economies of scale to provide best value, speed and flexibility of supply across programs/countries and increase efficiency. SCMS offers clients certainty of competitive prices, international quality standards, and fast delivery dates to central facility level or direct to service delivery point if required. SCMS will also assist in quantification and forecasting of requirements using the Quantimed forecasting and Pipeline supply planning tools. Technical Assistance and training in the use of these tools will be provided to IPs as required in order to develop the forecasting and supply plan capability within the various programs in Nigeria. SCMS will aggregate the total requirement for the commodities for the IPs and undertake the procurement of the required commodities on behalf of the IPs and under the authority of the USG Team in Nigeria. Wherever possible advantage will be taken of the global Indefinite Quantity Contracts (IQCs) that SCMS is letting on behalf of the USG in order to achieve best value. Where necessary emergency or ad hoc purchases will be made although it is anticipated that the need for such procurements will be obviated by regular and accurate forecasting. SCMS will take the lead in establishing and managing the local registration, waiver and other regulatory importation issues in Nigeria as well as the eligibility for supply under USG rules and regulations including source and origin waivers and approvals by the US FDA and other relevant stringent drug regulatory authorities. Where appropriate SCMS will work with IPs and counterparts to identify suitable local sources of supply for key commodities in Nigeria, subject to meeting eligibility and quality criteria. A key SCMS strategy is to support national supply chains and cushion them from the impact of the increased commodity volumes that PEPFAR and national targets contemplate. SCMS will do this by making larger, less-frequent international shipments to a Regional Distribution Facility (RDC) in Ghana where aggregated stocks can be held pending individual program needs and prior import approvals. When stocks are required and once the import approvals are in place SCMS will then make smaller and more frequent shipments from the RDC in Ghana to Abuja. The RDC essentially serves as a wide spot in the pipeline, where stock levels can rise and fall. The regional restocking and reissuing process serves as a buffer against fluctuations in demand further down the chain, allows much quicker response to unexpected demand, and allows SCMS to ensure that shipment quantities do not overwhelm their recipients. This approach will markedly reduce total program treatment costs by minimizing the need for high inventory levels in-country and reduce stock obsolescence and emergency replenishments. SCMS will take the lead on arranging importation and customs/port clearance of shipments into Nigeria reducing the administrative burden on the USG Team wherever possible. SCMS will warehouse commodities locally and deliver consignments direct to points of service delivery including 445 Nigerian Airforce Hospital (Ikeja), 44 Nigerian Army Reference Hospital (Kaduna), Navy Hospital (Ojo) and Defense Headquarters-Mogadishu Barracks (Abuja) and other sites as determined by DOD. SCMS will utilize the services of existing logistics providers including for example CHANPHARM. All procurements and other supply chain activities will be carried out in a transparent and accountable manner. Regular reports on commodities and funds will be provided to the USG Team. SCMS will establish a Field Office staffed with two technical experts, finance and administration and support staff. The Field Office will provide supply chain expertise and commodity security advice to Implementing Partners as well as providing a logistical and administrative service in respect of coordinating and managing the procurements undertaken by SCMS. SCMS will participate in, and where required, facilitate collaborative meetings with donors and cooperating partners that are involved in the supply of HIV/AIDs related commodities. SCMS will share information on national and global supply chain issues and help facilitate procurement coordination

between programs. CONTRIBUTIONS TO OVERALL PROGRAM AREA In FY07, SCMS activities will support PEPFAR goals of ensuring continuous supply of HIV/AIDS related commodities to the PEPFAR prevention, care and treatment programs. LINKS TO OTHER ACTIVITIES This activity also relates to activities in ART (3.3.11), Palliative Care (3.3.06), OVC (3.3.08), VCT (3.3.09), Medical transmission/blood safety (3.3.03) , PMTCT (3.3.01) and TB/HIV (3.3.07) for the provision of HIV/AIDS related commodities needed in those services. POPULATIONS BEING TARGETED SCMS will support the other IPs in attaining their targets by providing a safe, secure, reliable and cost effective supply chain service. KEY LEGISLATIVE ISSUES BEING ADDRESSED None EMPHASIS AREAS The major emphasis area is in commodity procurement. Other emphasis areas include quality assurance and logistics.

Table 3.3.12:

Funding for Strategic Information (HVSI): $2,900,000

ACTIVITY DESCRIPTION: The Partnership for Supply Chain Management (SCMS) is being funded in the Strategic Information program area in FY06 for a Logistics and Health Program Management Information Platform (LHPMIP). This activity addresses weaknesses noted in the Nigeria portfolio's SI yellow-light team visit. Specifically, the FY06 SOW Tasks are to implement a technology platform that provides: (1) Indicator Reporting and Visualization; (2) Project Management Information; and (3) a Comprehensive Logistics Management Information System (LMIS) Needs Assessment. The end point of the needs assessment in Task 3 during FY06 will be recommendations and a proposal to: (a) Enhance and harmonize the national Logistics Management Information System for HIV/AIDS commodities, including integration as appropriate with existing LMIS system(s) and (b) Develop an implementation and training plan which will include capacity building of GoN (Federal, State and LGA), USG and partner staff. This FY07 SI activity will provide funding for the continued operation of the system implemented under Tasks 1 and 2 of the FY06 SOW as well as the implementation of the comprehensive LMIS that will be designed under the scope of Task 3. The scope of the integrated LMIS will be developed during the next several months with FY06 funding, and is expected to require $1.5M in COP07 funding for comprehensive LMIS implementation, based on SCMS projections. Additional funding was provided under the plus-up to support mapping and place emphasis on integrating TB/HIV activities to include all DOTS sites for monitoring drug delivery logistics. It is expected that LMIS implementation in Nigeria will support procurement planning, ordering and distribution and delivery of commodities to points of care in Nigeria, providing information for decision-makers in the Nigerian and US governments. The LMIS implementation will be 1) Tailored to the requirements of the country; 2) Built on and integrated with existing experience, tools and SCMS' tool kit; and 3) Designed to follow IT best practices to create an appropriate, scalable, extensible, standards-based solution. The scope and budget for these activities will be more precisely defined in the process of implementing of FY 06 activities.prevention programs, and encourage testing and targeted outreach to high-risk populations. The establishment of networks and referral systems from prevention efforts at the community level to PMTCT and HIV care and treatment will help facilitate the scale-up of the overall program. By continuing to support and build the overall capacity of VCT centers and provide linkages to treatment and care centers, these activities will be able to meet the increasing utilization of these services, expected to result from other prevention and outreach initiatives.

SCMS SI funding will also be used to procure laboratory supplies for the CDC lead surveillance and evaluation activities, $1,000,000 is included in this activity for that purpose. Another $400,000 is included for PHE.

Funding for Health Systems Strengthening (OHSS): $1,200,000

ACTIVITY DESCRIPTION: The DELIVER Project and the SCMS Project have been unified into one project that covers systems strengthening, procurement, and strategic information components. For systems strengthening, the focus of the SCMS Project is to build the capacity of the Government of Nigeria (GoN) and the Implementing Partners (IPs) to manage a well-functioning HIV/AIDS program logistics system through the provision of technical logistics training, quantification, procurement monitoring and supervision, management skill development, and data analysis for logistics management decision-making. The project will raise capacity to plan procurements reducing the possibility of product stockouts and expiration. The project will focus on sustainability by improving the enabling environment for the national program. It will assist the GoN and IPs to establish appropriate coordinating bodies that will formulate harmonized logistics policies and support the implementation of common program targets and procurement, distribution, storage, and logistics management information practices. The project will not only carry out assessments in collaboration with the GoN and USG, but will also support the actual implementation of recommendations resulting from these assessments. Three major constraints to date have been a lack of product quantification and procurement planning, an absence of coordination among partners and a lack of systematic, quality site monitoring and supervision. These constraints will be addressed under COP07 by conducting quantifications with standardized methodologies; supporting coordination through steering and operational logistics committees, and undertaking regular joint site monitoring and supervision visits of the ART sites. In COP 07, the project will strengthen logistics management system in ART centers. Target populations include ARV drugs and HIV test kits logistics system operators at the central medical stores and at ART centers (physicians, pharmacists, and laboratory scientists). Project staff will 1) train and monitor the performance of logistics system operators, 2) increase the flow of information for stock management, forecasting, and procurement through the LMIS; 3) improve procurement planning, data analysis, and logistics management skills, and 4) strengthen the policy and planning environment to enhance long-term system sustainability. Outputs in this area will be 1) the number of facilities using the developed SOP's, 2) the number of facilities correctly maintaining their min/max level of inventory and 3) the number of facilities reporting to the central level. Monitoring and supervision visits will include assessments of storage practices at the Central Medical Stores and treatment sites and the development of good storage practice guidelines. Through SCMS's COP07 interventions, institutional capacity for logistics management will be strengthened in four government departments (NASCP, FDS, DPRS, and NACA) and among the IPs. Activities will include a distribution options study, monitoring (including storage assessment) in ART sites, training of logistics system operators in new ART sites, including refresher training to old sites if warranted, and ARV quantification and procurement planning exercises that will inform procurements and ARV supply levels nation-wide. Apart from the distribution options study, all activities are continuations of COP06 activities. An improved enabling environment for a well functioning logistics system will be another important outcome of SCMS's COP07 interventions. Specific activities include logistics coordination committee meetings, determining future logistics requirements based on the outcome of the quantification and procurement planning exercise; and HIV/AIDS logistics and procurement harmonization meetings to help formulate a national harmonization strategy. SCMS will assist the GoN and IPs taking a leading role for the transition to and implementation of a National Logistics system for use by all partners. SCMS will work actively with partners on issues related to procurement, distribution, storage, and LMIS. CONTRIBUTIONS TO THE OVERALL PROGRAM AREA SCMS supports the USG 5-Year Plan for AIDS Relief in Nigeria 2004-2008 vision of reducing the impact of HIV/AIDS and enhancing indigenous capacity to provide integrated (harmonized) HIV/AIDS services by 1) improving the capacity of the GoN and the IPs to ensure the continuous availability of ARV drugs to treatment sites through training, monitoring, and effective use of logistics management information; and 2) enhancing the national capacity to plan, coordinate, and resource logistics management through the support of harmonization policy development and coordination between government agencies (among themselves and with the IPs). Through its activities, SCMS addresses the supply chain strategic approach by strengthening 1: commodity requirement estimation; 2) procurement; 3) storage; and 4) distribution. SCMS also addresses Priority Response 4 of the National Health Sector Strategic Plan, 2005-2009, by "establishing an efficient and sustainable logistics system for improved access to health commodities for HIV and AIDS." It supports the four strategies in the plan: 1) establish a comprehensive LMIS; 2) ensure long term procurement; 3) establish a functional technical working group; and 4) provide training and support for

logistics personnel. LINKS TO OTHER AREAS SCMS OHPS national activities link with the ENHANSE Project on the development of a harmonized national logistics policy. SCMS will actively work with the IPs to harmonize policies, guidelines, and standard operating procedures related to logistics. SCMS activities will lead to an improved environment in which ARV services can be provided and ARV drugs obtained. TARGET POPULATIONS The coverage area is equivalent to the population area reached by the National ART program. The logistics harmonization policy covers the three major partners in the national HIV/AIDS program: 1) GoN; 2) Global Fund; and 3) Emergency Plan. Coordination and harmonization policy development will include policymakers and senior managers in key government departments and the IPs. Training and monitoring will include procurement and supply managers in NACA, NASCP, DPRS, and FDS as well as physicians, pharmacists, and laboratory scientists in ART treatment facilities in FCT and all 36 states in the country. EMPHASIS AREAS Logistics is the major emphasis area, with policy, QA, QI, supportive supervision, training and local organization capacity development the minor areas. The objective of the project is to build the capacity of program policymakers, managers, and operators to effectively implement the National HIV/AIDS Program through intensive training, monitoring, and supportive supervision. This effort will be sustained through policy development formulation, planning, and coordination that will proceed by way of regular meetings by the government and the IPs and ultimately through the establishment of one harmonized National HIV/AIDS Program Logistics System.

Funding for Management and Operations (HVMS): $1,100,000

ACTIVITY DESCRIPTION: SCMS is a procurement mechanism to enable rapid supply of essential drugs and services. Present agency or embassy procurement mechanisms are too cumbersome and lack the timeliness required for rapidly expanding operations under the emergency plan. CDC has placed $1,100,000 in SCMS under M&S for equipment support including procurement of 5 Chevy Suburban Light Armored Vehicles, 2 Toyota Landcruisers (non armored), and other equipment and supplies essential for M&S operational support.

Table 5: Planned Data Collection

Is an AIDS indicator Survey(AIS) planned for fiscal year 2007?  Yes  No If yes, Will HIV testing be included?  Yes  No When will preliminary data be available? 12/31/2007

Is an Demographic and Health Survey(DHS) planned for fiscal year 2007?  Yes  No If yes, Will HIV testing be included?  Yes  No When will preliminary data be available? 10/31/2007

Is a Health Facility Survey planned for fiscal year 2007?  Yes  No When will preliminary data be available? 12/31/2007

Is an Anc Surveillance Study planned for fiscal year 2007?  Yes  No if yes, approximately how many service delivery sites will it cover? 160 When will preliminary data be available? 4/30/2007

Is an analysis or updating of information about the health care workforce or the  Yes  No workforce requirements corresponding to EP goals for your country planned for fiscal year 2007?

Other significant data collection activities

Name: IBBS Brief description of the data collection activity: ACTIVITY DESCRIPTION nUSG Nigeria is supporting the Nigeria's Federal Ministry of Health to conduct a combined behavioral and Sero-prevalence survey among Most-at-risk Populations (called Integrated Biological and Behavioral Survey, IBBS) in the country. The selected groups are Commercial Sex Workers, Men-Having-Sex with Men, Injecting Drug Users, transport workers, University students, Armed forces and the Nigeria Police. The aim of the study is to provide information on serological and behavioral data for program purposes as well as for monitoring trends of both the epidemic and the risk-behaviors among these high-risk groups. n nDATA COLLECTION nA total of 13000 respondents will be recruited among these high-risk groups in the 6 PEPFAR-supported states using appropriate sampling methodologies; respondent driven sampling RDS for MSM and IDU, TLS for Non-brothel based Sex workers and transport workers, and cluster sampling for brothel based sex workers, armed forces, police and university students . The target populations will be involved in the design and recruitment of study participants. nThe study involves administration of survey questionnaires to selected respondents containing standardized modules of HIV/AIDS awareness, knowledge, behavior and attitude of respondents to HIV/AIDS. Blood samples will also be obtained from willing respondents and tested for HIV and Syphilis. Informed consent will be obtained from all respondents for both questionnaire administration and blood draw. The survey will be anonymous to ensure strict confidentiality of participants. Free treatment for syphilis will be provided based on serology outcome and linkages provided as appropriate to USG PEPFAR care and treatment sites for respondents found to be HIV positive. The survey protocol is currently undergoing IRB review in Nigeria by the Nigeria Institute of Medical Research, NIMR and at CDC Atlanta. nQuality assurance activities covering selection of fieldworkers, training, supervision, data quality and Laboratory services have all been built in the survey. nData collection is expected to commence in November and preliminary results will be available in June 2007. n Preliminary data available: June 30, 2007