Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 6706
Country/Region: Nigeria
Year: 2009
Main Partner: Partnership for Supply Chain Management
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,000,000

Funding for Biomedical Prevention: Blood Safety (HMBL): $1,000,000

Track 1 and 2 funds are combined for this activity.

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

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, 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 COP09, SCMS will procure, for the National Blood Transfusion Service (NBTS) 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, laboratory reagents, and testing diagnostic

kits for the detection of HIV, syphilis, and hepatitis B and C. 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.

The present budget will cover the cost of commodities as well as logistical and administrative services from

the field office for the coordination and management of the procurements undertaken by SCMS for the

support of all IPs active in blood/medical safety. In COP09, SCMS will procure blood safety commodities

and requested technical assistance (TA) for the National Blood Transfusion Service and DoD, each of which

has attributed specific funds to SCMS for these services: DoD, $10,000, and NBTS, $1,000,000. The

budget also supports the cost of TA and SS. SCMS will assist in quantification and forecasting of

requirements and will support the development of long term supply plans (considering in country stocks and

anticipated consumption rates) for stock management and delivery planning.

SCMS will support the NBTS and DoD in the following areas of the supply chain cycle: product selection in

accordance with the Nigerian National Blood Policy and Operational guidelines for blood transfusion

practices, Federal Government of Nigeria's (GON) HIV testing algorithm, marketing authorization status

(GON NAFDAC registration), and GON 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.

SCMS will identify suitable sources of supply both internationally and nationally. SCMS will work with

implementing partners (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. The SCMS procurement strategy is articulated around buying

generics whenever possible, pooling procurements 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 blood safety related commodities will be addressed to and coordinated with the SCMS field office directly

in line with explicit guidance from the Prevention Technical Working Group (TWG) and the USG PEPFAR

team to ensure complementarities with the priorities identified.

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 various duty exemption forms (CC1, CC2, CC3). 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.

Where appropriate, commodities procured and imported 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 ensures 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. Where possible and appropriate, SCMS will road

freight from the RDC in Ghana to Abuja; this mode of delivery will provide significant savings over airfreight.

Delivery arrangements will be negotiated with NBTS and DoD; SCMS will either deliver to a central location

or to points of service as needed. When local warehousing is needed, SCMS will continue to explore viable

options make use of its recently acquired cross-docking facility and the long term warehouse facility (which

will be acquired in COP09). For in-country distribution where necessary, SCMS will competitively source for

and utilize the service of an efficient and safe in-country courier services operator.

SCMS will also assist IPs to monitor/report on stock levels and usage through the deployment of pipeline

Activity Narrative: databases. Additionally SCMS will monitor product safety and tracking for recalls (pharmacovigilance).

SCMS provides TA and SS services in all areas of the supply chain including product selection,

quantification and forecasting, supply planning, procurement, warehousing, customs clearance and delivery.

In COP09, 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 the supply chain systems assessment

carried out in COP07.

SCMS will provide the USG team with regular reports on supplies and equipments as well as monthly

financial reports. In COP09, Supply Chain Support Teams (SCSTs) (to be made up of technical SCMS staff

and GoN or IP staff as appropriate) will be constituted by SCMS to work with the IPs in providing their

trained logisticians with the capacity to monitor and support the performance of the supply chains at various

levels. Using standardized indicators of logistics performance, the SCSTs will track performance of the

supply chains and together, act as an early warning system to identify impending or imminent supply chain

breakdowns and act to forestall these. By developing methodologies and tools for conducting these

activities, SCMS will work with GoN and IPs to establish and institutionalize this activity, thereby building the

capacity to identify these problems and resolve them before service delivery is compromised. 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.

Under this program area, SCMS does not have targets of its own, but supports NBTS and DoD to reach

their blood safety planned targets.

EMPHASIS AREA:

Human capacity development

New/Continuing Activity: Continuing Activity

Continuing Activity: 14085

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14085 14085.08 U.S. Agency for Partnership for 6706 6706.08 USAID Track $1,000,000

International Supply Chain 1.0 SCMS

Development Management

Table 3.3.04: