Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 12559
Country/Region: Eswatini
Year: 2012
Main Partner: Partnership for Supply Chain Management
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $0

SCMS will support the following objectives in support of the national Voluntary Medical MaleCircumcision program in swaziland: product selection of all approved commodities related to malecircumcision, quantification and procurement of MC commodities, MC supplies inventory Management(Storage & Distribution) and Health Care Waste Management (HCWM). Coverage for theafore-mentioned activities will cover all four regions of Swaziland, to sites that have been predeterminedby the site operations team composed of representatives from SCMS, PSI, Futures Group and JHPIEGO.SCMS aims to keep stock levels at desired levels through better tracking consumption, adjusting targets

and regularly updating the forecast and supply plan. This will minimize overstocking, prevent expiries andallow for use of more economic modes of transport (e.g: by sea, road versus by air). Additionally, byputting a country team in Swaziland, SCMS hopes to improve management and control on the ground,thereby resulting in improved subsequent planning and procurement of MC commodities. SCMS will focuson continuing the provision of health care waste management component of the MC program inSwaziland. SCMS will also assist the Government of the Kingdom of Swaziland to develop HCWMguidelines and standards. SCMS will establish regular monitoring and evaluation of the integrated HCWMto ensure practices are properly maintained to minimize risk, damage and disease

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $0

SCMS will procure, store and distribute MC-related commodities, including HIV rapid test kits, MC kits, OIdrugs, medical SCMS will procure, store and distribute MC-related commodities, including HIV rapid testkits, MC kits, OI drugs, medical equipment, general equipment, hospital furniture, laboratory commoditiesand consumables. In addition to the 72,100 HIV rapid test kits that SCMS has already procured, SCMSwill procure another 28,000 of HIV rapid test kits to support the USG and MoH efforts to expand MCfacility-based HIV counseling and testing activities and increase testing uptake. The current testingalgorithm uses Determine as a screening test and Unigold as a confirmatory test. Service delivery pointsfor current MC interventions are a combination of integrated fixed sites (health centers and clinics) andmobile/outreach. SCMS will continue to establish and strengthen the health care waste managementcomponent of the MC program at the national level. SCMS is procuring and outfitting 4 incinerators forthe country's main hospitals and engaging in infrastructural upgrades to ensure appropriate housing forthese incinerators. Additionally, the MoH will be supported with finalizing the Swaziland NationalGuidelines on HCWM and developing national SOPs and standardized training materials on HCWM. Thispolicy (SNGHCWM) will include the key steps of waste management: minimization, separation,identification, handling, treatment and waste disposal. SCMS will also be developing national SOPs onHCWM, standardized training materials, and monitoring and evaluation tools.

Strategic Area Budget Code Planned Amount

Funding for Treatment: ARV Drugs (HTXD): $0

USG partnered with the government through the PEPFAR Emergency Commodity Fund (ECF) toreplenish Swaziland's ‘buffer' stock of ARVs. USG shared the costs of the Swazi government's ECFrequest by reprioritizing budgetary ‘pipeline'. The primary goal of the ECF donation was to help theMOH safeguard the more than 70,000 Swazis currently on ARVs and to avoid interruption in the uptakeof HIV testing and counseling and linkage into care and treatment programs. Just as important was thesecondary goal of assisting the Swazi government in meeting its commitment to fully manage andfinance the national ARV supply chain. This is no easy task, due in large part, paradoxically, to thetremendous success of the national ART program. As the Swazi government faces increasingly difficultbudget decisions, Embassy Mbabane judged that it was a smart investment to endorse and cost sharethe Government's ECF request, and is optimistic that it will assist the Swazi Cabinet in maintainingfunding for lifesaving health programs. This activity concluded in 2012.

Subpartners Total: $0
New Partner: NA
Key Issues Identified in Mechanism
Increasing women's access to income and productive resources