Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 17089
Country/Region: Uganda
Year: 2013
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $2,000,000

This is a continuing mechanism from FY12. The USAID | DELIVER PROJECT, is a centrally managed mechanism implemented by the prime partner John Snow, Inc. Task Order 5 is for procurement and delivery of condoms and contraceptives to USAID-supported programs worldwide. PEPFAR Uganda, through USAID field support funds, has bought into this task order for direct procurement and shipping of male condoms to support the national HIV prevention program.

In COP 2013, USAID/Uganda will obligate $2 million into the DELIVER II Task Order 5 mechanism for the procurement of male condoms to be distributed for free in public and private sector health facilities and community based outreach activities implemented by PEPFAR implementing partners and other partners. A portion of the male condoms will also be provided to the new USAID Social Marketing Program to supply the condoms at a subsidized price through private sector outlets. The supply of quality male condoms will provide dual protection to discordant couples and HIV/AIDS vulnerable groups.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,000,000

Increasing the availability and use of condoms is a key pivot for the prevention program. The MOH estimated the national demand for free and subsidized condoms to be approximately 350 million a year. The requested $2 million will contribute about 38 million condoms to the national supply chain, supplementing supplies also coming from the GFATM, UNFPA and other organizations. The GoU does not currently procure condoms for the country. The major outlets of the condoms include public and private not for profit health facilities, large and small nongovernmental organizations, and PEPFAR-supported implementing partners who use direct distribution methods to reach communities. In addition to promoting condom use among the general population, condom distribution will be focused on reaching key populations including fisher folk, truckers, commercial sex workers (CSW) and their partners, out of school youth, discordant couples and MSM.

Pipeline funds already with DELIVER will be used to procure additional male condoms as needed. There is a limit on the volume of condoms that be handled at any one time because of the current MOH policy, implemented by the National Drug Authority, of mandatory post shipment testing of 100% of all batches imported into the country irrespective of the manufacturer or procurement agent (and their pre-shipment testing policies and procedures). The NDA can only test and release between 4-7 million condoms a month; the condoms remain in warehouses under quarantine until release. PEPFAR and others such as UNFPA have provided recommendations and will provide technical support that would enable the MOH to revise its testing policy so that it is more efficient but also so that it remains effective at maintaining the highest quality condoms.