OVERVIEWSCMS will continue pooled procurement and SCMS will implement several big changes in the supply and delivery of commodities with COP 2012 resources. SCMS will unify PEPFAR supply chains in the next two years and plan the transition of PEPFAR procured commodities to the GON supply system in the next five years.

ONGOING ACTIVITIESSCMS will continue to pool the procurement of ARV drugs, rapid test kits, cotrimoxazole and will begin to pool CD4 reagents under COP 2012. Savings from previous procurements have been reflected in SCMSs budget. SCMS will continue to provide technical assistance to the GON on nearly every aspect of the supply chain, and SCMS will continue to assist other PEPFAR partners in re-supplying commodities.

NEW ACTIVITIESUnder the 2012 COP, the USG will consolidate over a dozen supply chains into one unified HIV/AIDS supply chain. SCMS will pilot the unified supply chain with the primary focus on making the unified supply system more manageable. Increases in efficiency and a reduction in waste are also expected. The unification will increase the likelihood that the work can be handed to the Government of Nigeria (GON) within five years.

The USG is taking an innovative approach to increasing the amount of quality warehousing in Nigeria. Currently, there is a shortage of warehouse space that meets donor standards. In the COP 2012 period, the SCMS project will work with the GON to engage the private sector in improving existing infrastructure for all public health programs. Funds have been designated for improving existing infrastructure and leveraging private sector funding for new warehouse infrastructure.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHTXD NACA 1502741 strengthen PSM and in country supply chain for GF commoditiesOHSS NACA and Federal Ministry of Health 1790168 strengthen HSS - Coordination, harmonising LMIS & distribution, training in Warehousing & Quantification,

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit care and support programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of commodities including: Cotrimoxazole and CD4 reagents.

Please note, for the first time, SCMS will be pooling CD4 reagent procurement (starting with half of the required CD4 commodities). It is expected that the pooled procurement will harness the economies of scale offered by purchasing and shipping the goods in bulk, and will improve the overall supply of CD4 reagents in Nigeria.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit TB programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of commodities including: Cotrimoxazole and HIV rapid test kits.

SCMS will supply one hundred percent of the forecasted HIV test kit need for HVTB programs, due to the challenges of depending on the GONs supply of test kits. Should the PEPFAR program successfully leverage HIV test kits from other sources, the kits supplied by SCMS will be reduced and the leftover funding will be factored into subsequent COP budget requests.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit pediatric care and support programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of commodities including: Cotrimoxazole and CD4 reagents.

Please note, for the first time, SCMS will be pooling CD4 reagent procurement (starting with half of the required CD4 commodities). It is expected that the pooled procurement will harness the economies of scale offered by purchasing and shipping the goods in bulk, and will improve the overall supply of CD4 reagents in Nigeria.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. This year SCMS will supply laboratory commodies for the DOD-WRP and other Nigeria programs.

In FY 2012, supply chain strengthening through SCMS will be one of the most expansive health systems strengthening efforts by PEPFAR in Nigeria. Until now, the PEPFAR program did not use or invest in the GON supply system because it lacks capacity to safely and reliably store and distribute drugs, and the basic infrastructure and governance challenges seemed insurmountable. Recent changes within GON boosted USG's confidence in GON's ability to handle some supply chain operations being currently fully funded by PEPFAR; with USG adopting the goal of merging PEPFAR and GON supply chains within a 3 to 5 year time frame. GONs supply chain management capability will be built at the federal and state levels to achieve concrete Partnership Framework goals.

In 2011, PEPFAR partners began maintaining stocks within set limits, to reduce overall cost of inventory in the supply chains. Savings from this measure are reflected in this COP. SCMS will continue to build the capacity of PEPFAR IPs, the GoN and other stakeholders to : resupply commodities, forecast drug needs, create supply plans, procure commodities using international standards, etc.

Major COP-PFIP 2012 activities will include:A) Unify the 12 implementing partner supply chains into a single PEPFAR supported supply chain, beginning with a pilot. This will also improve performance and reduce overall costs.B) Visit, monitor and supervise sites jointly with the GON and supporting IP, to provide feedback on supply chain activities and improve site performance.C) Build on the paper-based Logistics Management Information System by developing and piloting an electronic LMIS.D) Improve GON ability to manage HIV/AIDS commodities by partnering with the private sector to construct, operate and maintain a new central medical store for the national program. The PFIP funding embedded in this budget code will go towards the new warehouse PPP.E) Rennovate the existing central medical store in Lagos as the GON meets specific milestones. The PFIP funding embedded in this budget code will also go towards this activitiy.F) Standardize supply chain training and offer it nationally to include lab, pharmacy and HCT staff.

SCMS will procure commodities needed for blood safety programs. Procurement support will include limited quantification assistance, ensuring program managers understand lead times for blood safety products that will be ordered by SCMS, ensuring program mangers understand the level of funds remaining in SCMS for new orders, and ensuring products are NAFDAC registered. Products will be stored and distributed as requested by the blood safety program.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit HIV counseling and testing programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of HIV rapid test kits. SCMS will ensure that that all procured HIV test kits pass the Nigerian post-market validation process; to ensure the quality of test kits used by PEFPAR clients.

Finally, SCMS will supply one hundred percent of the forecasted HIV test kit need for counseling and testing programs, due to the challenges of depending on the GONs supply of test kits. Should the PEPFAR program successfully leverage HIV test kits from other sources, the kits supplied by SCMS will be reduced and the leftover funding will be factored into subsequent COP budget requests.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving supply chains that are fully managed by PEPFAR implementing partners, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit PMTCT programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of commodities including: HIV/AIDS rapid test kits, Cotrimoxazole and CD4 reagents. ARV drugs for PMTCT programs will also be procured and distributed by SCMS; however, these drugs are budgeted for under the HTXD program area.

Please note, for the first time, SCMS will be pooling CD4 reagent procurement (starting with half of the required CD4 commodities). It is expected that the pooled procurement will harness the economies of scale offered by purchasing and shipping the goods in bulk, and will improve the overall supply of CD4 reagents in Nigeria. In addition, SCMS will supply one hundred percent of the forecasted HIV test kit need for PMTCT programs, due to the challenges of depending on the GONs supply of test kits. If the PEPFAR program succeeds in leveraging test kits from other sources, the funding will be factored into subsequent COP budget requests.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit treatment programs, please see the Health Systems Strengthening program area narrative.

This program area contains funding for ARV procurement as well as for the unification of multiple PEPFAR implementing partners storage and distribution systems.

PROCUREMENT

The COP 2012 will provide funding for 1st and 2nd line ARV drugs for adult and pediatric patients; as well as ARVs for PMTCT prophylaxis and PREP. The USG require SCMS to procure a greater range of ARVs if the USG must take up the former CHAI and UNITAID donations (pediatric, second line and PMTCT ARVs).

SUPPLY CHAIN UNIFICATION

The unification will be done in one pilot region, and lesson from this pilot will be used to unify all PEPFAR supply chains in the next two years. This endeavor will better prepare the USG to merge its supply of commodities with the GONs supply chain system. For more information, see the OHSS budget code. Of the budgeted amount of 44,472,319 in COP 12, $15,300,000 is additional funding granted by OGAC for treatment.

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit care and support programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of CD4 reagents. This year for the first time, SCMS will be pooling CD4 reagent procurement (starting with half of the required CD4 commodities). It is expected that the pooled procurement will harness the economies of scale offered by purchasing and shipping the goods in bulk, and will improve the overall supply of CD4 reagents in Nigeria. $2,263,052 was budgeted in COP 12, $4,000,000 was recieved from OGAC as additional funding for treatment

SCMS supports PEPFAR in Nigeria by providing increased access to quality HIV/AIDS commodities. SCMS is supporting the USG by improving PEPFAR implementing partners supply chains, and by improving the GONs procurement and supply management capabilities. For a full description of systems strengthening activities that benefit pediatric treatment programs, please see the Health Systems Strengthening program area narrative.

The budget for SCMS in this program area is for the procurement of commodities including: Cotrimoxazole and CD4 reagents. ARV drugs for pediatric treatment programs will also be procured and distributed by SCMS; however, these drugs are budgeted for under the HTXD program area.

Please note, for the first time, SCMS will be pooling CD4 reagent procurement (starting with half of the required CD4 commodities). It is expected that the pooled procurement will harness the economies of scale offered by purchasing and shipping the goods in bulk, and will improve the overall supply of CD4 reagents in Nigeria.