Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5074
Country/Region: Zambia
Year: 2007
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $4,800,000

Funding for Testing: HIV Testing and Counseling (HVCT): $1,800,000

This activity links with the Partnership for Supply Chain Management Systems' (SCMS) activities in HIV Test Kit procurement (#9523) and Policy Analysis/Systems Strengthening (#9525) as well as with the Government of the Republic of Zambia (GRZ), Center for Infectious Disease Research in Zambia (#9000), Catholic Relief Services/AIDS Relief (#8827), Zambia Prevention, Care and Treatment Partnership (#8885), University Teaching Hospital (9042), Churches Health Association of Zambia (#8992), Japanese Development Agency (JICA), the Global Fund for AIDS, Tuberculosis and Malaria (GFATM), and the Clinton Foundation.

The purpose of this activity is to expand assistance for ensuring that the HIV test kits procured by the US Government (USG), GFATM, JICA, GRZ, and other partners are in sufficient supply and provided to Zambians at service delivery sites through an efficient and accountable supply chain system. This activity was preceded by several key initiatives in FY 2005 and 2006 conducted by JSI/DELIVER. Their scope of work was to conduct a national assessment of the HIV test kit logistics supply chain and to coordinate and centralize the management of HIV test kits; examples include: centralizing the management of HIV test kit procurement information and planning, providing technical assistance to GFATM Principal Recipients in development of HIV test kit Procurement and Supply Management Plans, conducting the national HIV test kit supply chain design workshop, and training 800 laboratory technicians, CT counselors, nurses, and district and provincial supervisory personnel in the new standard operating procedures for the recently designed HIV test kit supply chain system.

USAID | DELIVER PROJECT is also installing a specially designed software program to manage the national HIV test kit inventory control and information system. This computer program is placed at the newly formed Ministry of Health (MOH) Logistics Management Unit (LMU) based at the MOH's central warehouse, Medical Stores Ltd. (MSL). This software will assist GRZ in collecting and analyzing national HIV test kit consumption data for the first time since the national HIV testing program began in 2000. In FY 2007, this software will be adapted for laboratory supplies management. In FY 2007, USAID | DELIVER PROJECT will expand efforts to strengthen the effectiveness, efficiency, and sustainability of the national HIV test kit logistics system. Activities include:

1. Coordinating HIV test kit forecasting and procurement planning capacity at the central level, with special focus on LMU; 2. Quantifying required HIV test kits consistent with resources and policies for rapidly scaling-up CT programs; 3. Standardizing HIV test kit inventory control procedures at central, provincial, district, and service delivery sites; 4. Developing software tools for CT sites to collect and use for ordering HIV test kits; 5. Improving HIV test kit logistics decision-making processes at the central level through the use of aggregated data from CT sites as provided through the national HIV test kit logistics management information system (LMIS); 6. Standardizing, documenting, and disseminating HIV test kit logistics policies and procedures; and 7. Monitoring and evaluating the HIV test kit supply chain and making improvements as needed.

To complete these activities, USAID | DELIVER PROJECT , in collaboration with MOH, MSL, and other partners, will train up to 500 additional key personnel (e.g., doctors, nurses, pharmacists, and laboratory staff from governmental and non-governmental organizations) in the new national HIV test kit logistics management system. Moreover, at the central level, the DELIVER project will coordinate multi-year national HIV test kit forecasts and procurement plans with all key partners, including GRZ and donors. USAID | DELIVER PROJECT will also be an active member on appropriate national technical working groups, such as the National HIV/AIDS/STI/TB Council's VCT and Home-Based Care Technical Working Group. Finally, USAID | DELIVER PROJECT will provide direct support to the GFATM Principal Recipients through participation in the Zambia GFATM Steering Committee and provision of assistance in developing proposals and Procurement and Supplies Management (PSM) Plans for GFATM/Geneva. The FY 2007 plus up funds will support the training of 450 additional Ministry of Health staff in the ever-increasing number of new CT sites.

Through the development of the national HIV test kit logistics system and skills transfer to governmental and non-governmental staff, it is anticipated that these activities will achieve sustainability following intensive PEPFAR support.

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

This activity relates with the Partnership for Supply Chain Management Systems' (SCMS) activities ARV Drug procurement (#9196) and Other Policy/Systems Strengthening (#9525), Government of the Republic of Zambia (GRZ), Center for Infectious Disease Research in Zambia (#9000), Catholic Relief Services/AIDS Relief (#8827), Churches Health Association of Zambia (CHAZ) (#8992), University Teaching Hospital (UTH) (#9042), Zambia Prevention, Care and Treatment Partnership (#8885), Global Fund for AIDS, Tuberculosis and Malaria (GFATM), and the Clinton Foundation.

The purpose of this activity is to expand assistance for ensuring that ARV drugs procured by the US Government (USG), GFATM, and other partners are in sufficient supply and provided to Zambians at service delivery sites through an efficient and accountable logistics supply chain system. This activity was preceded by several key initiatives in FY 2005 and 2006 conducted by JSI/DELIVER. Their scope of work was to conduct a national assessment of the ARV drug logistics supply chain and to coordinate and centralize the management of ARV drugs; examples include: centralizing the management of ARV procurement information and planning, providing technical assistance to GFATM Principal Recipients in development of ARV drug Procurement and Supply Management Plans, conducting the national ARV drug supply chain design workshop, and training more than 450 warehouse staff, pharmacists, and other key personnel in the management of ARV drug procurement and logistic systems.

JSI/DELIVER is also installing a specially designed software program to manage the national ARV drug inventory control and information system. This computer program is placed at the newly formed Ministry of Health (MOH) Logistics Management Unit (LMU) based at the MOH's central warehouse, Medical Stores Ltd. (MSL). This software will assist GRZ in collecting and analyzing national ARV drug consumption data for the first time since the national ART program began in 2002. In FY 2007, this software will be adapted for laboratory supplies management.

In FY 2007, Project TBD (to be awarded by USAID/Washington) will expand efforts to strengthen the effectiveness, efficiency, and sustainability of the national ARV drug logistics system. Activities include:

1. Coordinating ARV drug forecasting and procurement planning capacity at the central level, with special focus on LMU; 2. Quantifying required ARV drugs consistent with resources and policies for rapidly scaling-up ART programs; 3. Standardizing ARV drug inventory control procedures at central, provincial, district, and service delivery sites; 4. Developing software tools for ART sites to collect and use for ordering ARV drugs; 5. Improving ART logistics decision-making processes at the central level through use of aggregated data from ART sites as provided through the national ART logistics management information system (LMIS); 6. Standardizing, documenting, and disseminating ART logistics policies and procedures; and 7. Monitoring and evaluating the ART supply chain and making improvements as needed.

To complete these activities, Project TBD, in collaboration with MOH, MSL, and other partners, will train up to 100 additional key personnel (e.g., doctors, nurses, pharmacists, and laboratory staff from governmental and non-governmental organizations) in the new national ART logistics management system. Moreover, at the central level, Project TBD will coordinate multi-year national ARV drug forecasts and procurement plans with all key partners, including GRZ and donors. Project TBD will also be an active member on appropriate national technical working groups, such as VCT and Home-Based Care, Treatment, Care, and Support, and ART Implementation Committee. Finally, Project TBD will provide direct support to the GFATM Principal Recipients through participation in the Zambia GFATM Steering Committee and provision of assistance in developing proposals and Procurement and Supplies Management (PSM) Plans for GFATM/Geneva.

Through the development of the national ARV drug logistics system and skills transfer to governmental and non-governmental staff, it is anticipated that these activities will achieve sustainability following intensive PEPFAR support.