PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
ACTIVITY NARRATIVE:
The SCMS objective is to support PEPFAR programs in Nigeria by providing increased access to quality
HIV/AIDS related commodities. SCMS activity under this program area covers the procurement but also the
shipment, distribution and delivery of PMTCT commodities as well as other supply chain management
related activities. It also covers technical assistance (TA) and system strengthening (SS) activities provided
to PEPFAR Implementing Partners (IPs) and to the Department of Defense (DoD) to strengthen or build
their supply chain management capacity within their respective programs.
In COP08, SCMS will procure PMTCT related supplies and equipments including ARV prophylaxis for HIV-
infected pregnant women and newborns, test kits (TKs), laboratory supplies and equipments, as well as
other medical and non medical supplies used in PMTCT services, for IPs and DoD.
Through its continuous support to and strengthening of commodity security in PEPFAR PMTCT programs,
SCMS works towards ensuring uninterrupted availability of needed commodities to the target populations of
pregnant women and children under the age of 5.
The present budget will cover the cost of commodities as well as well as logistical and administrative
services from the field office for the coordination and management of the procurements undertaken by
SCMS. The budget also supports the cost of TA and SS. The budget also supports the cost of TA and SS.
The budget is broken out as follows: 1) Provision of HIV test Kits to all PEPFAR PMTCT programs
($2,200,000): DoD (#554.08); Columbia University (CU)/ICAP (#2768.08); Family Health International
(FHI)/GHAIN (#552.08); Harvard University School of Public Health (HSPH)/APIN+ (#544.08); University of
Maryland (UMD)/Institute of Human Virology (IHV)/ACTION (#632.08); Catholic Relief Services
(CRS)/AIDSRelief (#3688.08); Catholic Relief Services (CRS)/ 7 Dioceses (#3689); The International
Foundation for Education and Self-Help (IFESH) (#555.08); LMS (#7144.08); and CDC's RFA upon award
(#5230). 2) Provision of other PMTCT related supplies, equipment or technical assistance for for two IPs
and DoD, each of which has attributed specific funds to SCMS for these services: DoD (#554.08),
$200,000; ICAP(#2768.08), $200,000 and UMD/ACTION (#632.08), $900,000; and CDC's RFA (#5230)
upon award $75,000.
SCMS will support the IPs and DoD in the following areas of the supply chain cycle: product selection in
accordance with the Federal Government of Nigeria's (FGON) national treatment guidelines, HIV testing
algorithm, marketing authorization status (NAFDAC registration) and FGON importation regulation. SCMS
will also be responsible for ensuring that commodities procured meet eligibility criteria under the USG
acquisition rules and regulations including source and origin waivers and approvals or tentative approvals
by the US Food and Drug Administration or other relevant stringent drug regulatory authorities, depending
on the type supply or equipment.
SCMS will assist in quantification and forecasting of requirements and will support the development of long
term supply plans for stock management and delivery planning. It is anticipated that the national HIV testing
algorithm will change from a parallel to a serial testing algorithm in the next coming months. In addition to
procuring required test kits for both training and use, SCMS will support PEPFAR PMTCT programs to
transition from the old to the new algorithm by supporting the estimation of needs and development of a
supply plan based on in country stocks and anticipated consumption rates.
SCMS will identify suitable sources of supply both internationally and nationally. SCMS will work with IPs in
Nigeria to locally procure products that are either banned for importation or for which local procurement
represents a key advantage in terms of cost, delivery and/or associated services (i.e. maintenance service).
SCMS will coordinate with the USG team to ensure selected products are appropriately registered in
Nigeria. For products not yet registered by NAFDAC, SCMS will make suitable recommendations including
waiver applications where appropriate. SCMS will take the lead to communicate with manufacturers on
registration gaps in Nigeria.
SCMS procurement leverages global spend to provide best value and offers clients certainty of competitive
prices and international quality standards. SCMS procurement strategy is articulated around buying
generics whenever possible, pooling procurement for HIV/AIDS care, prevention and treatment programs
across PEPFAR focus countries and negotiating long term contracts with suppliers. With support from
SCMS field office, the USG Team will coordinate and aggregate HIV test kits requirements on behalf of
PEPFAR IPs and DoD. IPs' requests for commodities other than test kits will be addressed to and
coordinated with SCMS field office directly.
SCMS will be responsible for the shipment of procured commodities into Nigeria through Abuja or other
points of entry as required. SCMS will take the lead and further streamline the customs clearance process
as appropriate including management of the CC1 duty exemption form. SCMS will coordinate with the USG
team to fulfill importation requirements and provide needed documentation to allow customs clearance in an
efficient and timely manner.
Delivery arrangements will be different among IPs and supplies; HIV test kits for all IPs will be delivered to
the CDC warehouse in Abuja unless otherwise agreed upon. For other supplies and equipments SCMS will
either deliver to a central location or to point of services as needed. When local warehousing is needed
SCMS will continue to explore viable options including the continued use of an existing warehouse facility.
For in country distribution where necessary, SCMS will utilize the services of UPS one of the 16 SCMS
team member organizations, or will work with the individual IPs to ensure the distribution mechanism most
appropriate for their program needs.
SCMS will also assist IPs to monitor/report on stock levels and usage through the deployment of Pipeline
databases. Additionally SCMS will monitor product safety and tracking for recalls (pharmacovigilance) in
collaboration with appropriate GoN and USG entities.
SCMS provides TA and SS services in all areas of the supply chain including product selection,
quantification & forecasting, supply planning, procurement, warehousing, customs clearance and delivery.
In COP08, SCMS will provide TA and SS services to IPs including the training of individuals in the use of
the ProQ or Quantimed forecasting and Pipeline supply planning tools. SCMS will continue to provide TA
and SS services to DoD based on the recommendations that came out of a supply chain system's
Activity Narrative: assessment carried out in COP07. By providing training and supporting capacity building of local
organization, SCMS addresses the emphasis area of human capacity development.
SCMS will provide the USG team with regular reports on supplies and equipments as well as monthly
financial reports. In addition, an automated web based procurement tracking database will ensure that the
USG team and IPs have adequate visibility on SCMS procurement status by providing an easy access to
accurate and up to date information on procurement. Further procurement automation and harmonization
will also be facilitated through linkages with the Voxiva Logistics Management Information System
component.
Under this program area, SCMS does not have targets of its own but supports PEPFAR IPs and DoD
reaching their PMTCT planned targets.
CONTRIBUTIONS TO OVERALL PROGRAM AREA:
Overall, SCMS activity contributes to the PEPFAR goal to avert 7 million infections worldwide by procuring
and distributing high quality, low cost HIV/AIDS related supplies and equipments as well as providing TA
and SS to improve existing supply chains and build capacity where needed. SCMS' activities will contribute
to enable the scale up of PMTCT PEPFAR programs in Nigeria to reach national targets of preventing
1,145,545 new infections thus supporting PEPFAR efforts to reduce the impact of HIV/AIDS in Nigeria.
SCMS TA and SS activities will build supply chain management capacity as well as strengthen supply chain
systems and their operation within the various PEPFAR programs thus contributing to the sustainability of
the HIV/AIDS services in Nigeria.
LINKS TO OTHER ACTIVITIES:
Related SCMS activities in other program areas include: PMTCT (#9748.08), AB (#16919.08), Blood safety
(#14085.08, #9773.08), Injection safety (#9775.08), Condoms and other prevention activities (#9784.08),
Basic health care and support (#9842.08), TB/HIV (#9878.08), Orphans and vulnerable children (#9883.08),
Counseling and testing (#6643.08), ARV drugs (#6402.08) and Laboratory infrastructure (#9894.08).
Logistics system strengthening efforts will be linked with policy (#5300.08) and strategic information
(#6661.08) activities.
EMPHASIS AREA
Human capacity development.
HIV/AIDS related commodities. SCMS activity under this program area covers not only the procurement but
also the shipment, distribution and delivery of information, education and communication (IEC) and related
materials developed for the promotion of abstinence and fidelity promoting initiatives as well as other supply
chain management related activities. It also covers technical assistance (TA) and system strengthening
(SS) activities provided to PEPFAR partners to strengthen or build their supply chain management capacity
within their respective programs.
In COP08, SCMS will procure IEC and promotional materials for the Department of Defense (DOD).
Through its efforts in this program area, SCMS works towards ensuring uninterrupted availability of needed
commodities for AB interventions for the encouragement and promotion of safer sexual behaviors ultimately
targeting the general population.
SCMS. SCMS will support the DoD in the following areas of the supply chain cycle: product selection in
accordance with the minimum package of AB interventions for appropriate targeting of the military and
civilian populations reached through DOD's AB programming.
term supply plans for stock management and delivery planning.
represents a key advantage in terms of cost, delivery and/or associated services (i.e. translation into local
languages).
The DoD's requests for prevention IEC materials will be addressed to and coordinated with SCMS field
office directly.
efficient and timely manner. Delivery arrangements will be determined with the DoD; SCMS will either
deliver to a central location or to point of services as needed based on DOD's programmatic needs.
Under this program area, SCMS does not have targets of its own but supports DoD reaching their
prevention planned targets.
SCMS' activities will contribute to the scale up of HIV/AIDS prevention PEPFAR programs in Nigeria to
reach national targets of preventing 1,145,545 new infections thus supporting PEPFAR efforts to reduce the
impact of HIV/AIDS in Nigeria.
Related SCMS activities in other program areas include: PMTCT (#9748.08), Blood safety (#14085.08,
#9773.08), Injection safety (#9775.08), Condoms and other prevention activities (#9784.08), Basic health
care and support (#9842.08), TB/HIV (#9878.08), Orphans and vulnerable children (#9883.08), Counseling
and testing (#6643.08), ARV drugs (#6402.08) and Laboratory infrastructure (#9894.08). Logistics system
strengthening efforts will be linked with policy (#5300.08) and strategic information (#6661.08) activities.
POPULATION BEING TARGETED:
Youth and adolescent audiences, men and women in the military and supporting civilian populations.
Track 1 and 2 funds are combined for this activity.
shipment, distribution and delivery of blood safety related commodities as well as other supply chain
management related activities. It also covers technical assistance (TA) and system strengthening (SS)
activities provided to PEPFAR Implementing Partners (IPs) and to the Department of Defense (DoD) to
strengthen or build their supply chain management capacity within their respective programs.
In COP08, SCMS will procure, for IPs and DoD, safe blood related commodities needed for the collection,
testing, preparation and distribution of blood and blood components. Examples of such commodities are
blood bags, testing diagnostic kits for the detection of HIV, Syphilis, Hepatitis B and C and laboratory
reagents. SCMS will also procure commodities needed for the disposal of contaminated products.
Through its continuous support to and strengthening of commodity security in PEPFAR programs, SCMS
works towards ensuring uninterrupted availability of needed commodities to the target populations of blood
donors and blood or blood components' recipients in the general population.
SCMS for the support of all IPs active in blood/medical safety, particularly for the National Blood
Transfusion Service (3812.08). The budget also supports the cost of TA and SS. A portion of the budget,
$35,000, has been allocated to SCMS by the University of Maryland (UMD)/Institute of Human Virology
(IHV)/ACTION (#632.08), which will be used for their blood safety program.
accordance with the Nigerian National Blood Policy and Operational guidelines for blood transfusion
practices, Federal Government of Nigeria's (FGON), HIV testing algorithm, marketing authorization status
(NAFDAC registration) and FGON importation regulation. SCMS will also be responsible for ensuring that
commodities procured meet eligibility criteria under the USG acquisition rules and regulations including
source and origin waivers and approvals by the US Food and Drug Administration or other relevant
stringent drug regulatory authorities.
term supply plans for stock management and delivery planning. SCMS will identify suitable sources of
supply both internationally and nationally. SCMS will work with IPs in Nigeria to locally procure products that
are either banned for importation or for which local procurement represents a key advantage in terms of
cost, delivery and/or associated services (i.e. maintenance service). SCMS will coordinate with the USG
team to ensure selected products are appropriately registered in Nigeria. For products not yet registered by
NAFDAC, SCMS will make suitable recommendations including waiver applications where appropriate.
SCMS will take the lead to communicate with manufacturers on registration gaps in Nigeria.
across PEPFAR focus countries and negotiating long term contracts with suppliers. IPs and DoD's requests
for blood safety related commodities will be addressed to and coordinated with SCMS field office directly in
line with explicit guidance from the Prevention TWG and the USG PEPFAR Team to ensure
complementarities with the priorities identified.
Delivery arrangements will be different among IPs (including DoD); SCMS will either deliver to a central
location or to point of services as needed. When local warehousing is needed SCMS will continue to
explore viable options including the continued use of the services of an existing warehouse facility. For in
country distribution where necessary, SCMS will utilize the services of UPS, one of the 16 SCMS team
member organizations, or the distribution mechanism most appropriate for the program needs.
databases. Additionally SCMS will monitor product safety and tracking for recalls (pharmacovigilance).
In COP08, SCMS will provide TA and SS services to IPs including the training of staff in the use of the ProQ
or Quantimed forecasting and Pipeline supply planning tools. SCMS will continue to provide TA and SS
services to DoD based on the recommendations that came out of a supply chain system's assessment
carried out in COP07. By providing training and supporting capacity building of local organization, SCMS
addresses the emphasis area of human capacity development.
accurate and up to date information on procurement.
reaching their blood safety planned targets.
Activity Narrative: and SS to improve existing supply chains and build capacity where needed. SCMS' activities will contribute
to enable the scale up of HIV/AIDS prevention PEPFAR programs in Nigeria to reach national targets of
preventing 1,145,545 new infections thus supporting PEPFAR efforts to reduce the impact of HIV/AIDS in
Nigeria. SCMS TA and SS activities will build supply chain management capacity as well as strengthen
supply chain systems and their operation within the various PEPFAR programs thus contributing to the
sustainability of the HIV/AIDS services in Nigeria.
Related SCMS activities in other program areas include: PMTCT (#9748.08), AB (#16919.08), BLOOD
SAFETY (#14085.08), INJECTION SAFETY (#9775.08), CONDOMS AND OTHER PREVENTION
ACTIVITIES (#9784.08), BASIC HEALTH CARE AND SUPPORT (#9842.08), TB/HIV (#9878.08),
ORPHANS AND VULNERABLE CHILDREN (#9883.08), COUNSELING AND TESTING (#6643.08), ARV
DRUGS (#6402.08) AND LABORATORY INFRASTRUCTURE (#9894.08). LOGISTICS SYSTEM
STRENGTHENING EFFORTS WILL BE LINKED WITH POLICY (#5300.08) AND STRATEGIC
INFORMATION (#6661.08) ACTIVITIES.
EMPHASIS AREA:
Human capacity development
also the shipment, distribution and delivery of injection safety related commodities as well as other supply
In COP08, SCMS will procure safe injection equipments such as injection devices and safety boxes as well
as health care waste management equipments such as personal protective gear for the Department of
Defense (DOD). Through its continuous support to and strengthening of commodity security in PEPFAR
programs, SCMS works towards ensuring uninterrupted availability of needed commodities for safe injection
practices and adequate disposal of medical wastes to avoid the medical transmission of HIV to health
workers and patients working in or attending health care facilities providing HIV/AIDS services, thus
ultimately targeting the general population.
accordance with the Federal Government of Nigeria's (FGON) national injection safety and healthcare
waste management guidelines, marketing authorization status (NAFDAC registration) and FGON
importation regulation. SCMS will also be responsible for ensuring that commodities procured meet
eligibility criteria under the USG acquisition rules and regulations including source and origin waivers and
approvals by the US Food and Drug Administration or other relevant stringent drug regulatory authorities.
across PEPFAR focus countries and negotiating long term contracts with suppliers. The DoD's requests for
injection safety related commodities will be addressed to and coordinated with SCMS field office directly.
Delivery arrangements will be determined with the DoD; SCMS will either deliver to a central location or to
point of services as needed based on DOD's programmatic needs.
SCMS will also assist in the monitoring of stock levels and usage through the deployment of Pipeline
databases.
USG team and DOD have adequate visibility on SCMS procurement status by providing an easy access to
and distributing high quality, low cost as well as providing TA and SS to improve existing supply chains and
build capacity where needed. SCMS' activities will contribute to enable the scale up of HIV/AIDS prevention
PEPFAR programs in Nigeria to reach national targets of preventing 1,145,545 new infections thus
supporting PEPFAR efforts to reduce the impact of HIV/AIDS in Nigeria. SCMS TA and SS activities will
build supply chain management capacity as well as strengthen supply chain systems and their operation
within the various PEPFAR programs thus contributing to the sustainability of the HIV/AIDS services in
Nigeria.
(#14085.08, #9773.08), Condoms and other prevention activities (#9784.08), Basic health care and support
(#9842.08), TB/HIV (#9878.08), Orphans and vulnerable children (#9883.08), Counseling and testing
(#6643.08), ARV drugs (#6402.08) and Laboratory infrastructure (#9894.08). Logistics system
ACTIVITY DESCRIPTION:
shipment, distribution and delivery of prevention related commodities as well as other supply chain
activities provided to the Department of Defense (DoD) (#554.08) to strengthen or build their supply chain
management capacity within their prevention programs.
In COP08, SCMS will procure commodities used in prevention programs (except condoms) including
medical supplies such as products for the management of sexually transmitted infections (STIs) as well as
non medical supplies such as promotional materials, for DoD. Through its continuous support to and
strengthening of commodity security in PEPFAR prevention programs, SCMS works towards ensuring
uninterrupted availability of needed commodities to populations targeted by these programs including
adolescents and adults in the general population as well as most at risk populations.
SCMS. The budget also supports the cost of TA and SS. DOD has allocated $250,000 for these activities to
SCMS.
SCMS will support DoD in the following areas of the supply chain cycle: product selection in accordance
with the Federal Government of Nigeria's (FGON) national treatment guidelines, marketing authorization
status (NAFDAC registration) and FGON importation regulation. SCMS will also be responsible for ensuring
that commodities procured meet eligibility criteria under the USG acquisition rules and regulations including
cost, delivery and/or associated services (i.e. maintenance service).
across PEPFAR focus countries and negotiating long term contracts with suppliers. DoD's requests for
prevention related commodities will be addressed to and coordinated with SCMS field office directly.
Delivery arrangements will negotiated with DoD; SCMS will either deliver to a central location or to point of
services as needed. When local warehousing is needed SCMS will continue to explore viable options
including the continued use of the services of an existing warehouse facility. For in country distribution
where necessary, SCMS will utilize the services of UPS, one of the 16 SCMS team member organizations,
or the distribution mechanism most appropriate for the program needs. SCMS will also assist in the
monitoring of stock levels and usage through the deployment of Pipeline databases.
SCMS will continue to provide TA and SS services to DoD based on the recommendations that came out of
a supply chain system's assessment carried out in COP07. By providing training and supporting capacity
building of local organization, SCMS addresses the emphasis area of human capacity development.
CONTRIBUTIONS TO OVERALL PROGRAM AREA
LINKS TO OTHER ACTIVITIES
(#14085.08, #9773.08), Injection safety (#9775.08), Basic health care and support (#9842.08), TB/HIV
(#9878.08), Orphans and vulnerable children (#9883.08), Counseling and testing (#6643.08), ARV drugs
(#6402.08) and Laboratory infrastructure (#9894.08). Logistics system strengthening efforts will be linked
with policy (#5300.08) and strategic information (#6661.08) activities.
Activity Narrative:
POPULATION BEING TARGETED
Men and women in the military and supporting civilian populations, most at risk populations.
shipment, distribution and delivery of basic health care and support related commodities as well as other
supply chain management related activities. It also covers technical assistance (TA) and system
strengthening (SS) activities provided to PEPFAR Implementing Partners (IPs) and to the Department of
Defense (DoD) to strengthen or build their supply chain management capacity within their respective
programs.
In COP08, SCMS will procure, for three IPs and DoD, commodities used to extend and optimize the quality
of life of HIV infected adults and their families. This encompasses commodities for the prevention,
management and clinical monitoring of opportunistic infections (OI), except tuberculosis (TB), other
HIV/AIDS related complications, including malaria, and for the management of sexually transmitted
infections (STIs). Example of such commodities are pharmaceuticals (OI drugs, pain killers, opioids),
insecticide treated nets, laboratory equipment and consumables, and therapeutic food. SCMS will also
procure other medical and non medical supplies used in basic health care and support services, including
home-based care.
Through its continuous support to and strengthening of commodity security in PEPFAR care programs,
people living with HIV/AIDS and the general population through their families.
In COP08, SCMS will procure palliative drugs, care and support commodities and provide requested
technical assistance for three IPs and DoD, each of which has allocated specific funds to SCMS for these
services: DOD (#554.08), $400,000; CRS AidsRelief (#3688.08), $147,245; Columbia University/ICAP
(#2768.08), $250,000; and University of Maryland (#632.08), $415,000. The budgets will cover the cost of
commodities as well as well as logistical and administrative services from the field office for the coordination
and management of the procurements undertaken by SCMS. The budget also supports the cost of TA and
SS.
accordance with the Federal Government of Nigeria's (FGON) national treatment guidelines, marketing
authorization status (NAFDAC registration) and FGON importation regulation. SCMS will also be
responsible for ensuring that commodities procured meet eligibility criteria under the USG acquisition rules
and regulations including source and origin waivers and approvals by the US Food and Drug Administration
or other relevant stringent drug regulatory authorities.
for basic health care and support related commodities will be addressed to and coordinated with SCMS field
Delivery arrangements will be negotiated with each IP (including DoD); SCMS will either deliver to a central
member organizations, or the distribution mechanism most appropriate for the program needs. SCMS will
also assist IPs to monitor/report on stock levels and usage through the deployment of Pipeline databases.
assessment carried out in COP07. By providing training and supporting capacity building of local
reaching their care planned targets.
Activity Narrative: Under this program area, SCMS does not have targets of its own but supports PEPFAR IPs and DoD
reaching their HVCT planned targets.
Overall, SCMS activity contributes to the PEPFAR goal provide care to 10 million individuals worldwide by
procuring and distributing high quality, low cost HIV/AIDS related supplies and equipments as well as
providing TA and SS to improve existing supply chains and build capacity where needed. SCMS' activities
will contribute to enable the scale up of HIV/AIDS prevention PEPFAR programs in Nigeria to reach national
targets of providing care and support to 1,750,000 HIV affected individuals, including 1,350,000 on palliative
care, thus supporting PEPFAR efforts to reduce the impact of HIV/AIDS in Nigeria. SCMS TA and SS
activities will build supply chain management capacity as well as strengthen supply chain systems and their
operation within the various PEPFAR programs thus contributing to the sustainability of the HIV/AIDS
services in Nigeria.
TB/HIV (#9878.08), Orphans and vulnerable children (#9883.08), Counseling and testing (#6643.08), ARV
drugs (#6402.08) and Laboratory infrastructure (#9894.08). Logistics system strengthening efforts will be
linked with policy (#5300.08) and strategic information (#6661.08) activities.
shipment, distribution and delivery of HIV/TB related commodities as well as other supply chain
In COP08, SCMS will procure commodities used for the diagnosis, clinical monitoring, and prevention of
tuberculosis (TB) for IPs and DoD. This encompasses laboratory equipment and consumables, and other
TB/HIV programs related medical supplies. In addition, SCMS will procure HIV test kits for HIV diagnosis in
USG supported TB/HIV sites.
Through its continuous support to and strengthening of commodity security in PEPFAR TB/HIV programs,
SCMS works towards ensuring uninterrupted availability of needed commodities to the target population of
patients from the general population receiving TB/HIV services through traditional TB clinics and hospitals
but also through home based care, HIV/AIDS clinics and general medical settings. Technical assistance on
the improved supply chain management for TB related commodities will be undertaken in partnership with
TBCAP (#12423.08), who will take the lead on this activity.
SCMS. The budget also supports the cost of TA and SS. The budget is broken out as follows: 1) Provision
of HIV test Kits to all PEPFAR TB/HIV programs providing HIV testing in a TB service delivery point (Total:
$1,200,000): Columbia University (CU)/ICAP (#6622.08); Family Health International (FHI)/GHAIN
(#3228.08); Harvard University School of Public Health (HSPH)/APIN+ (#3222.08); University of Maryland
(UMD)/Institute of Human Virology (IHV)/ACTION (#3254.08); Catholic Relief Services (CRS)/AIDSRelief
(#5399.08); The International Foundation for Education and Self-Help (IFESH) (#15665.08); Africare
(#9879.08); LMS (#15643.08); Excellence Community Education Welfare Scheme (ECEWS) (#15658.08);
USAID's APS (#15671.08); and CDC's RFA (#12971.08). 2) Provision of other TB/HIV related supplies,
equipment or technical assistance for for one IP and DoD, each of which has allocated specific funds to
SCMS for these services: DoD (#3240.08), $150,000, and UMD/ACTION (#3254.08), $128,000.
accordance with the Federal Government of Nigeria's (FGON) national TB diagnosis and treatment
guidelines, national HCT testing algorithm, marketing authorization status (NAFDAC registration) and
FGON importation regulation. SCMS will also be responsible for ensuring that commodities procured meet
represents a key advantage in terms of cost, delivery and/or associated services (i.e. maintenance services
for laboratory equipment). SCMS will coordinate with the USG team to ensure selected products are
appropriately registered in Nigeria. For products not yet registered by NAFDAC, SCMS will make suitable
recommendations including waiver applications where appropriate. SCMS will take the lead to communicate
with manufacturers on registration gaps in Nigeria.
for TB/HIV related commodities will be addressed to and coordinated with SCMS field office directly, in line
with guidance from the TB/HIV Technical Working Group.
Delivery arrangements will be different among IPs and types of supplies; HIV test kits for all IPs will be
delivered to the CDC warehouse in Abuja unless otherwise agreed upon. For other supplies and
equipments SCMS will either deliver to a central location or to point of services as needed. When local
warehousing is needed SCMS will continue to explore viable options including the continued use of the
services of an existing warehouse facility. For in country distribution where necessary, SCMS will utilize the
services of UPS one of the 16 SCMS team member organizations, or will work with the individual IPs to
ensure the distribution mechanism most appropriate for their program needs.
Activity Narrative: accurate and up to date information on procurement. Further procurement automation and harmonization
reaching their TB/HIV planned targets.
Overall, SCMS activity contributes to the PEPFAR goal provide care to 10 millions individuals worldwide by
will contribute to enable the scale up of PEPFAR care programs in Nigeria to reach national targets of
providing care and support to 1,750,000 HIV affected individuals, including 1,350,000 on palliative care.
Related SCMS activities in other program areas include: PMTCT (#9748.08), Blood safety (#14085.08),
Injection safety (#9775.08), Condoms and other prevention activities (#9784.08), Basic health care and
support (#9842.08), Orphans and vulnerable children (#9883.08), ARV drugs (#6402.08), ARV services
(#9894.08) and Laboratory infrastructure (#12439.08). Logistics system strengthening efforts will be linked
with policy (#5300.08) and strategic information (#6661.08) activities. SCMS's TB/HIV activities will also be
linked to Columbia University (CU)/ICAP (#6622.08); Family Health International (FHI)/GHAIN (#3228.08);
Harvard University School of Public Health (HSPH)/APIN+ (#3222.08); University of Maryland
USAID's APS (#15671.08); CDC's RFA (#12971.08), DoD (#3240.08), and UMD/ACTION (#3254.08).
An emphasis will be placed on human capacity development.
shipment, distribution and delivery of commodities used in Orphans and Vulnerable Children (OVC)
services as well as other supply chain management related activities. It also covers technical assistance
(TA) and system strengthening (SS) activities provided to PEPFAR Implementing Partners (IPs) and to the
Department of Defense (DoD) to strengthen or build their supply chain management capacity within their
respective programs.
In COP08, SCMS will procure commodities used in health care services as well as food and nutrition
support provided by OVC programs for DoD. Examples of such commodities are pharmaceuticals including
drugs to treat Opportunistic Infections (OIs) & Sexually Transmitted Infections (STIs), laboratory equipment
and consumables, and therapeutic food. Through its continuous support to and strengthening of commodity
security in PEPFAR OVC programs, SCMS works towards ensuring uninterrupted availability of needed
commodities to the target population of orphans and other vulnerable children affected by HIV/AIDS.
DOD (#554.08) and the University of Maryland UMD/ACTION (#632.08) have allocated $60,000 and
$195,000 respectively to SCMS for support in this program area. This will cover logistical and administrative
services from the field office for the coordination and management of supply chain management activities
related to this area of work. The budget may also support the cost of TA and SS activities to support these
OVC services as requested by DOD and UMD.
SCMS will support the DoD and UMD in the following areas of the supply chain cycle: product selection in
authorization status (NAFDAC registration) and FGON importation regulation, as well as in line with the
protocols developed for OVC service and support. SCMS will also be responsible for ensuring that
across PEPFAR focus countries and negotiating long term contracts with suppliers. UMD and DoD's
requests for OVC related commodities will be addressed to and coordinated with SCMS field office directly.
Delivery arrangements will be negotiated with UMD and DOD; SCMS will either deliver to a central location
or to point of services as needed. When local warehousing is needed SCMS will continue to explore viable
options including the continued use of the services of an existing warehouse facility. For in country
distribution where necessary, SCMS will utilize the services of UPS, one of the 16 SCMS team member
organizations, or the distribution mechanism most appropriate for the program needs.
Under this program area, SCMS does not have targets of its own but supports UMD and DoD reaching their
OVC planned targets.
Overall, SCMS activity contributes to the PEPFAR goal to provide care to 10 millions individuals worldwide
by procuring and distributing high quality, low cost HIV/AIDS related supplies and equipments as well as
providing care and support to 1,750,000 HIV affected individuals, including 4000,000 Orphans and
Vulnerable Children thus supporting PEPFAR efforts to reduce the impact of HIV/AIDS in Nigeria. SCMS TA
and SS activities will build supply chain management capacity as well as strengthen supply chain systems
and their operation within the various PEPFAR programs thus contributing to the sustainability of the
Activity Narrative: HIV/AIDS services in Nigeria.
Basic health care and support (#9842.08), TB/HIV (#9878.08), Counseling and testing (#6643.08), ARV
Orphans and vulnerable children, particularly those under five, and their caregivers
shipment, distribution and delivery of counseling and testing (HVCT) related commodities as well as other
In COP08, SCMS will procure HVCT related supplies and equipments including medical supplies, such as
HIV test kits (TKs), and non medical supplies, such as vehicles for mobile HVCT, for IPs and DoD.
Through its continuous support to and strengthening of commodity security in PEPFAR HVCT programs,
SCMS works towards ensuring uninterrupted availability of needed commodities to populations targeted by
these programs including children, adolescents and adults in the general population as well as most at risk
populations.
of HIV test Kits to all PEPFAR HVCT programs: Total $3,500,000 to support DoD (#554.08); Columbia
University (CU)/ICAP (#2768.08); Family Health International (FHI)/GHAIN (#552.08); Harvard University
School of Public Health (HSPH)/APIN+ (#544.08); University of Maryland (UMD)/Institute of Human Virology
(IHV)/ACTION (#632.08); Catholic Relief Services (CRS)/AIDSRelief (#3688.08); Catholic Relief Services
(CRS)/ 7 Dioceses (#3689); The International Foundation for Education & Self-Help (IFESH) (#555.08);
Society for Family Health (SFH) (#3682); Africare (#4133); LMS (#7144); and Excellence Community
Education Welfare Scheme (ECEWS) (#3809); USAID's APS (#5236.08); and CDC's RFA (#5230). 2)
Provision of other HVCT related supplies, equipment or technical assistance for for one IP and DoD, each
of which has attributed specific funds to SCMS for these services: DoD (#554.08), $125,000, and
UMD/ACTION (#632.08), $100,000.
SCMS will support the IPs and DoD in the following areas of the supply chain cycle: Product Selection in
accordance with the Federal Government of Nigeria's (FGON) HIV testing algorithm, marketing
procuring required test kits for both training and use, SCMS will support PEPFAR HVCT programs to
SCMS field office, USG Nigeria team will coordinate and aggregate HIV test kits requirements on behalf of
SCMS will continue to explore viable options including the continued use of the services of an existing
warehouse facility. For in country distribution where necessary, SCMS will utilize the services of UPS one of
the 16 SCMS team member organizations, or will work with the individual IPs to ensure the distribution
mechanism most appropriate for their program needs.
Activity Narrative: organization, SCMS addresses the emphasis area of human capacity development.
Overall, SCMS activity contributes to the PEPFAR goal to put 2 million people on treatment, avert 7 million
infections and provide care to 10 million individuals worldwide by procuring and distributing high quality, low
cost HIV/AIDS related supplies and equipments as well as providing TA and SS to improve existing supply
chains and build capacity where needed. SCMS' activities contribute to the scale up of HIV/AIDS treatment
PEPFAR programs in Nigeria to reach national targets of providing treatment to 350,000 PLWHA (People
Living with HIV/AIDS), thus supporting PEPFAR efforts to reduce the impact of HIV/AIDS in Nigeria. SCMS
TA and SS activities will build supply chain management capacity as well as strengthen supply chain
ARV drugs (#6402.08) and Laboratory infrastructure (#9894.08). Logistics system strengthening efforts will
be linked with policy (#5300.08) and strategic information (#6661.08) activities.
shipment, distribution and delivery of antiretroviral (ARV) drugs as well as other supply chain management
their supply chain management capacity within their respective programs. Through its continuous support to
and strengthening of commodity security in PEPFAR treatment programs, SCMS works towards ensuring
uninterrupted availability of ARV drugs to the target population of people living with HIV/AIDS.
In COP08, SCMS will procure for four IPs and DoD the range of adult and pediatric ARV drugs used in first
and second line treatment regimens as well as for salvage therapy for the treatment of HIV infected eligible
patients. SCMS will also procure ARV drugs for post exposure prophylaxis purpose. In COP08, SCMS will
procure ARV drugs and provide requested technical assistance for four IPs and DoD, each of which has
attributed specific funds to SCMS for these services: DOD (#554.08), $3,800,000; CRS AidsRelief
(#3688.08), $3,015,506; Columbia University/ICAP (#2768.08), $800,000; Harvard University School of
Public Health (HSPH)/APIN+ (#544.08), $3,500,000; and University of Maryland (#632.08), $10,684,000.
The budgets will cover the cost of commodities as well as well as logistical and administrative services from
the field office for the coordination and management of the procurements undertaken by SCMS. The budget
also supports the cost of TA and SS.
and regulations including source and origin waivers and approvals or tentative approvals by the US Food
and Drug Administration. SCMS will assist in quantification and forecasting of requirements and will support
the development of long term supply plans for stock management and delivery planning.
SCMS will identify suitable sources of supply and will coordinate with the USG team to ensure selected
ARV drugs are appropriately registered in Nigeria. For ARV drugs not yet registered by NAFDAC, SCMS
will make suitable recommendations including waiver applications where appropriate. SCMS will take the
lead to communicate with manufacturers on registration gaps in Nigeria.
for ARV drugs will be addressed to and coordinated with SCMS field office directly.
ARV drugs procured by SCMS will be supplied through the SCMS Regional Distribution Center (RDC) in
Ghana. The warehousing of commodities in the RDC is a critical component of the SCMS technical solution.
The use of the RDC will significantly reduce lead times and provide an important buffer between the supply
from manufacturers and demands from the PEPFAR programs in Nigeria. The RDC also ensure that
shipment quantities do not overwhelm their recipients in country, an increasing challenge in the context of
program scale up. The RDC concept also brings an increased flexibility in stock management thus reducing
risk of stock obsolescence or need for emergency replenishments, resulting in important savings. Finally,
the RDC approach serves regional and national sustainability, as the RDC is designed to be a commercially
viable entity, available to other health (and non-health) programs, whose benefit will last beyond SCMS.
SCMS will be responsible for the shipment of procured ARV drugs into Nigeria through Abuja or other points
of entry as required. SCMS will take the lead and further streamline the customs clearance process as
appropriate including management of the CC1 duty exemption form. SCMS will coordinate with the USG
location or to point of services as needed. When local warehousing is needed SCMS will utilize the services
existing warehouse facilities carefully assessed and selected by SCMS. For in country distribution, SCMS
will utilize the services of UPS, one of the 16 SCMS team member organizations, or will work with the
individual IPs to ensure the distribution mechanism most appropriate for their program needs.
SCMS will also assist IPs to monitor/report on stock levels and usage through the deployment of pipeline
In COP08, SCMS will provide TA and SS services to IPs through training in the use of the ProQ or
Quantimed forecasting and Pipeline supply planning tools, as is detailed in the system strengthening
narrative (3.3.14). SCMS will continue to provide TA and SS services to DoD based on the
recommendations that came out of a supply chain system's assessment carried out in COP07. The
establishment of a government owned, contractor operated warehouse, as part of SCMS strengthening of
the host government's ARV will bring a long term solution contributing to the sustainability of the military
HIV/AIDS programs in Nigeria, as is detailed in the ARV services narrative (3.3.11). By providing training
and supporting capacity building of local organizations, SCMS addresses the emphasis area of human
capacity development.
SCMS will provide the USG team with regular reports on ARV drugs as well as monthly financial reports. In
addition, an automated web based procurement tracking database will ensure that the USG team and IPs
have adequate visibility on SCMS procurement status by providing an easy access to accurate and up to
date information on procurement. Further procurement automation and harmonization will also be facilitated
through linkages with the Voxiva Logistics Management Information System component, as discussed in
SCMS's strategic information narrative (3.3.13).
Activity Narrative: reaching their treatment planned targets.
Overall, SCMS activity contributes to the PEPFAR goal to put 2 million people on treatment worldwide by
procuring and distributing high quality, low cost ARV drugs as well as providing TA and SS to improve
existing supply chains and build capacity where needed. SCMS' activities contribute to the scale up of
HIV/AIDS treatment PEPFAR programs in Nigeria to reach national targets of providing treatment to
350,000 PLWHA (People Living with HIV/AIDS), thus supporting PEPFAR efforts to reduce the impact of
HIV/AIDS in Nigeria. SCMS TA and SS activities will build supply chain management capacity as well as
strengthen supply chain systems and their operation within the various PEPFAR programs thus contributing
to the sustainability of the HIV/AIDS services in Nigeria.
Counseling and testing (#6643.08), and Laboratory infrastructure (#9894.08). Logistics system
HIV/AIDS related commodities. SCMS activity under this program area covers the procurement and the
shipment, distribution and delivery of ARV services related commodities as well as other supply chain
strengthen or build their supply chain management capacity within their respective programs. In COP08,
SCMS will procure medical supplies and equipments used in ARV services including consumables and non
medical supplies needed to run ARV services, for three IPs and DoD, each of which has attributed specific
funds to SCMS for these services: DOD (#554.08), $2,100,000; CRS AidsRelief (#3688.08), $315,000;
Columbia University/ICAP (#2768.08), $500,000; and University of Maryland (#632.08), $3,086,000.
Through its continuous support to and strengthening of commodity security in PEPFAR treatment programs,
people living with HIV/AIDS.
SCMS. The budget also supports the cost of TA and SS. SCMS will support the IPs and DoD in the
following areas of the supply chain cycle: product selection in accordance with the Federal Government of
Nigeria's (FGON) national treatment guidelines, marketing authorization status (NAFDAC registration) and
SCMS procurement leverages global spending to provide best value and offers clients certainty of
competitive prices and international quality standards. SCMS procurement strategy is articulated around
buying generics whenever possible, pooling procurement for HIV/AIDS care, prevention and treatment
programs across PEPFAR focus countries and negotiating long term contracts with suppliers. IPs and
DoD's requests for ARV services related commodities will be addressed to and coordinated with SCMS field
member organizations, or will work with the individual IPs to ensure the distribution mechanism most
In COP08, SCMS will provide TA and SS services to IPs, such as through the training of individuals in the
use of the ProQ or Quantimed forecasting and Pipeline supply planning tools. SCMS will continue to provide
TA and SS services to DoD based on the recommendations that came out of a supply chain system's
assessment carried out in COP07. In addition, in COP07, SCMS undertook, under DoD's request, a
feasibility study for a Government Owned Contractor operated (GOCO) warehousing facility to be used by
HIV/AIDS Nigerian military and DoD programs. In COP08, SCMS will support the Nigeria Ministry of
Defense (NMoD) setting up the GOCO by providing technical oversight of the construction and managing
the equipment of the facility. While the NMoD will finance the construction of the facility, DoD will finance the
equipment of the warehouse through COP allocations to SCMS in the range of $750,000. The defined
responsibility and management of the warehouse are currently in development, and the details will be
negotiated prior to COP08. The establishment of a GOCO, as part of SCMS system strengthening to the
host government's supply chain system, will bring a long term solution contributing to the sustainability of
the military HIV/AIDS programs in Nigeria. By providing training and supporting capacity building of local
USG team and IPs have adequate visibility of SCMS procurement status by providing an easy access to
reaching their treatment planned targets.
Activity Narrative: CONTRIBUTIONS TO OVERALL PROGRAM AREA:
procuring and distributing high quality, low cost ARV services related commodities as well as providing TA
and SS to improve existing supply chains and build capacity where needed. SCMS' activities contribute to
the scale up of HIV/AIDS treatment PEPFAR programs in Nigeria to reach national targets of providing
treatment to 350,000 PLWHA (People Living with HIV/AIDS), thus supporting PEPFAR efforts to reduce the
impact of HIV/AIDS in Nigeria. SCMS TA and SS activities will build supply chain management capacity as
well as strengthen supply chain systems and their operation within the various PEPFAR programs thus
contributing to the sustainability of the HIV/AIDS services in Nigeria.
shipment, distribution and delivery of laboratory commodities as well as other supply chain management
their supply chain management capacity within their respective programs. In COP08, SCMS will procure
laboratory supplies, equipment, reagents and other medical supplies and consumables needed in laboratory
facilities supporting HIV/AIDS related activities, for IPs and DoD.
Through its continuous support to and strengthening of commodity security in PEPFAR prevention, care
and treatment programs, SCMS works towards ensuring uninterrupted availability of needed commodities to
populations targeted by these programs including people living with HIV/AIDS, children, adolescents and
adults in the general population as well as most at risk populations.
The SCMS laboratory infrastructure budget will cover the cost of commodities as well as well as logistical
and administrative services from the field office for the coordination and management of the lab
procurements undertaken by SCMS. In COP08, SCMS will procure laboratory commodities and provide
requested technical assistance for two IPs and DoD, each of which has attributed specific funds to SCMS
for these services: DOD (#554.08), $700,000; Columbia University/ICAP (#2768.08), $400,000; and
University of Maryland (#632.08), $160,000.
accordance with the Federal Government of Nigeria's (FGON) national guidelines for the provision of
laboratory services for HIV/AIDS programs, marketing authorization status (NAFDAC registration) and
term supply plans for stock management and delivery planning, which is especially critical for specialized
laboratory equipment and supplies which may entail longer procurement lead times.
represents a key advantage in terms of cost, delivery and/or associated services. Local procurement for
laboratory equipment will be especially necessary in order to ensure maintenance contracts and rapid
availability of replacement parts and necessary reagents, and SCMS will develop the necessary supplier
contacts to facilitate this.
for laboratory commodities will be addressed to and coordinated with SCMS field office directly.
SCMS will be responsible for the shipment of procured commodities into Nigeria through Abuja, the capital
city or other points of entry as required. SCMS will take the lead and further streamline the customs
clearance process as appropriate including management of the CC1 duty exemption form. SCMS will
coordinate with the USG team to fulfill importation requirements and provide needed documentation to allow
customs clearance in an efficient and timely manner.
explore viable options including the continued use of an existing warehouse facility. For in country
organizations, or will work with the individual IPs to ensure the distribution mechanism most appropriate for
their program needs.
component, as discussed in SCMS's strategic information narrative (3.3.13).
infections and provide care to 10 millions individuals worldwide by procuring and distributing high quality,
low cost HIV/AIDS related supplies and equipments as well as providing TA and SS to improve existing
supply chains and build capacity where needed. SCMS' activities will contribute to enable the scale up of
HIV/AIDS prevention, care and treatment PEPFAR programs in Nigeria to reach national targets of
providing treatment to 350,000 PLWHA (People Living with HIV/AIDS), prevent 1,145,545 new infections
and provide care and support to 1,750,000 HIV affected individuals. SCMS TA and SS activities will build
supply chain management capacity as well as strengthen supply chain systems and their operation within
the various PEPFAR programs thus contributing to the sustainability of the HIV/AIDS services in Nigeria.
In COP06 and COP07, the Supply Chain Management System (SCMS) developed an in-country Logistics
and Health Program Management Information Platform (LHPMIP). LHPMIP is a Government of Nigeria
(GoN) system intended to help strengthen the logistics and management of Nigeria's HIV/AIDS program.
LHPMIP supports: 1) facility level reporting; 2) implementing partner (IP) performance reporting; and, 3)
logistics management and information tracking. The LHPMIP platform is a tool that allows for timely
collection and analysis of data from the field. This in turn provides HIV/AIDS program managers with the
data necessary to plan effectively and make informed decisions. Development and implementation of the
LHPMIP is jointly overseen by a GoN and United States Government (USG) Project Management Team
(PMT).
In COP08, SCMS will provide ongoing support to activities initiated under COP06 and COP07 and build on
system developments toward an integrated, robust geographic information system (GIS). Underlying the
LHPMIP tasks is a common infrastructure comprising servers, communications gateways, application
software, software maintenance (point releases that add new functionality to the standard platform and
patches which address bugs), application maintenance, which includes tasks such as back-ups and load
balancing, and ongoing monitoring and technical support from Voxiva's monitoring centers. The anticipated
COP08 cost for infrastructure maintenance is approximately $162,000.
LHPMIP implementation is through four discrete tasks. The first task has been the development and
implementation of the facility reporting module based on indicators in the Nigerian National Response
Information Management System (NNRIMS). By the end of COP07, the facility reporting module will be fully
developed, operational in a full production environment, with standard operating procedures (SOPs), user
guides and training materials in place, and it will have exited its pilot phase. In COP08, based on the
assessment of the pilot, SCMS will reserve a portion of the budget for minor system modifications requested
by end users. In addition, new features, such as a data completeness and a data quality dashboard will be
configured within the system to allow GoN administrators to monitor the accuracy of data originating from
both Government- and IP-supported facilities. A full roll out of the module will follow in a phased approach,
progressively scaling up from pilot sites to the current 160 and anticipated new ART sites across Nigeria.
SCMS will collaborate with MEASURE Evaluation in a review of the pilot and the development and
implementation of the phased roll out plan. In COP07, MEASURE Evaluation, with technical input from
SCMS, will develop training curricula and materials, and train an anticipated 30 individuals from PEPFAR
IPs in the roll-out of the system to PEPFAR supported sites. Twenty-five master trainers will be identified
and selected from GoN and development partners, who will integrate this training into the NNRIMS training
being implemented nationally. SCMS will provide technical solutions, such as built-in data checks toward
data quality assurance. SCMS will make needed changes on reporting formats and dashboards in
consultation with MEASURE Evaluation and the USG SI to facilitate the use of data. MEASURE Evaluation
will provide leadership in capacity building, data quality assurance, and data demand and information use
while SCMS will provide continuous technical support to system users for ongoing access and use of the
module. Currently, the application is hosted on a server located in Voxiva's global hosting facility in the
United States. It is anticipated that the host server will move to Nigeria, after a thorough cost and
performance assessment of local hosting options undertaken with COP07 funding. If a local hosting option
is not indicated, Voxiva will continue to host and support the application from the US. Support for this task
will account for approximately $290,000 of the budget.
The second task corresponds to the development of the organization reporting module. Relevant indicators
populating the facility reporting module are aggregated for inclusion in organization reports, which will
provide input to program managers and policymakers toward meeting PEPFAR and GoN reporting
requirements as well as evidence-based decisions. By the end of COP07 this module will have been
deployed into a production environment. SOPs, a user guide and training materials will have been
generated and USG IPs and the GoN will have been provided access to the system and trained in its use.
Full deployment of the module will be undertaken in COP08 in close collaboration with MEASURE
Evaluation. SCMS will provide the same support as described in task one above. Support for task two will
account for approximately $170,000 of the budget.
The third task, carried out in COP07, focuses on a comprehensive LMIS needs assessment toward
recommendations and a proposal to (a) enhance and harmonize the national LMIS for HIV/AIDS
commodities, including integration as appropriate with existing LMIS and (b) develop an implementation and
training plan that will include capacity building of GoN (Federal, state and LGA), USG, and partner staff. In
COP08, based on the results of the assessment, SCMS will undertake the design and subsequent
configuration of an electronic LMIS. It is expected that an electronic LMIS will support procurement
planning, ordering, and commodity distribution and delivery to points of care. Once the design is finalized,
SCMS in collaboration with relevant stakeholders will develop a plan for implementation of the module, to
be initiated at the site level in COP08. The LMIS assessment report has not yet been finalized and therefore
a detailed budged has not yet been developed. $190,000 of COP08 funds have been reserved for the
development and configuration of this module.
A fourth task developed under COP07 focuses on the collection of facility profile data. The data gathered
under this task will enhance the GIS facility component established under task one. By the end of COP07,
SCMS will have modified the facility profile to capture more descriptive facility data, such as infrastructure
(e.g., number of beds and incinerators), managed the collection of data through IPs (estimated at
approximately 700 service delivery points), and begun the collection of data on an estimated 2,000
government facilities that will be providing TB/HIV-related services.
In COP08, SCMS will continue to collect information on GoN and PEPFAR facilities throughout the country.
While the process for data collection, roles, and responsibilities has yet to be defined, the goal is to have
2,000 facilities registered within the database by the end of COP08. MEASURE Evaluation, with technical
input from SCMS will provide further training to the 25 master trainers from GoN and development partners,
who will build on the integration of this platform with NNRIMS and promote improved utilization of data at
national and sub-national levels. TA in the use and application of the system will be provided to NACA,
NASCP, and MEASURE Evaluation, who will oversee step-down TA. In addition, a series of system
enhancements will be made to the GIS function. Specifically, SCMS will work closely with the USG SI team
in identifying a consultant to identify tasks and associated costs for the geo-coding of available data and
Activity Narrative: migration to a robust GIS, including costing of hardware and software. This represents a first phase of the
development of a fully populated GIS relational database for in-depth analysis of the nature and trends of
the epidemic in Nigeria. Support for task four of the budget will account for approximately $180,000 of the
budget.
IPs using LHPMIP as part of their SI activity in COP08 include: DoD (#3245.08), Columbia University
(CU)/ICAP (#15654.08), Family Health International (FHI)/GHAIN (#3232.08), Harvard University School of
Public Health (HSPH)/APIN+ (#3226.08), University of Maryland (UMD)/Institute of Human Virology
(IHV)/ACTION (#3253.08), Catholic Relief Services (CRS)/AIDSRelief (#9913.08) and LMS (#9915.08). As
a further support to individual IP's SI activities, two groups have placed additional funds into SCMS for
procurement of commodities such as laptops and other SI related equipment. DOD (#3246.08) has
allocated $80,000 and UMD (#16299.08) has allocated $40,000.
LHPMIP will inform HIV/AIDS programs and support their scale-up to reach national targets of providing
treatment to 350,000 People Living with HIV/AIDS, prevent 1,145,545 new infections, and provide care and
support to 1,750,000 HIV affected individuals.
SCMS activity supports coordination and integration of information systems by ensuring that all key
stakeholders are involved at all stages of the design, development and implementation, with oversight of
LHPMIP by both the GoN and USG. In addition, this participatory approach supports country ownership and
contributes to sustainability of the platform. To further support sustainability, SCMS will build GoN capacity
in use and administration of the platform.
EMPHASIS AREAS:
SCMS activities under this program area address several emphasis areas. First, by providing a tool that
facilitates collection of and timely access to data, it contributes to a strengthened Health Management
Information System (HMIS) in Nigeria and thus supports the availability of key indicators to inform service
delivery and programs and meet reporting requirements. It also supports gender equity in HIV/AIDS
program by providing data from HIV/AIDS services disaggregated by sex, thus increasing awareness of
gender inequity and providing grounds for decision making. Finally, it contributes to human capacity
development by supporting training on the use and administration of the platform.
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.
In COP08, the Supply Chain Management System (SCMS) will support PEPFAR implementing USG
agencies by procuring equipment and supplies needed for their operations.
CDC has placed $200,000 in SCMS under Management and Staffing (M&S) for equipment support
including the procurement of equipment and supplies essential for M&S operational support as directed by
CDC. As details of this activity on behalf of CDC become clearer specific requirements will be identified and
addressed.
DOD has also placed $320,000 in SCMS under M&S for the procurement of equipment and supplies as
needed for the successful operations of the DOD agency activities for the management of their PEPFAR
portfolio. The specific commodities required will be defined based on the needs of the program and staff,
but it is anticipated that about $120,000 will be expended on the procurement of an armored vehicle for
operational support of the PEPFAR team in Lagos.
