Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 12476
Country/Region: Uganda
Year: 2013
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $213,463

SUREs overall goal is to improve access to adequate quantities of high quality essential medicines and health supplies by improving the policy and regulatory framework and strengthening the capacity and performance of central and district level entities responsible for supply chain management functions. Interventions focus on all components and levels of the supply chain and covering HIV/AIDS commodities and other essential health commodities. Priority areas in FY2012 with HIV funding include: supporting the implementation of a district-level supervision, performance assessment and reporting system (SPARS) in 61 districts and providing technical support to USG and other donor partners to implement SPARS in the remaining 49 districts; funding 4 seconded staff at the MOH Pharmacy Division and AIDS Control Program (ACP) to build capacity in the Quantification and Procurement Planning Unit (QPPU) and monitor the web-based ARV logistics information system and HIV/AIDS supply chain rationalization process; strengthening the supply chains for anti-TB drugs and lab commodities and; strengthening and expanding the procurement, warehousing and distribution systems of PEPFAR service providers Joint Medical Store (JMS) and Medical Access Uganda Ltd (MAUL). For transition to the GOU, SURE focuses on building interventions that are integrated within existing platforms, human resources and frameworks wherever possible. The effectiveness of its interventions are measured through routine tracking and special studies; results are widely shared to generate greater awareness and further improvements to the national supply chain. To expand SPARS into 16 new districts, SURE needs to procure 43 motorcycles for the Medicines Management Supervisors.

Funding for Health Systems Strengthening (OHSS): $213,463

The MSH/SURE program has 50 staff in its Kampala office and five regional field offices overseeing activities in 45 districts. SUREs primary GoU partner is the MOH Pharmacy Division (PD) and SURE interventions are aligned with and support the Pharmaceutical Sector Strategic Plan for strengthening pharmaceutical supply chain management at central and district levels; the PD receives direct technical support with four seconded staff and operational support for the QPPU and field supervision. Technical support (training, seconded staff, other inputs) is also provided to other MOH units including the ACP, Resource Center, Central Public Health Laboratory and the National TB program to implement supply system strengthening activities. In the private sector, SURE is providing substantial technical assistance (TA), training and other resources to improve efficiency and expand operations of the private not-for-profit (PNFP) pharmaceutical supplier Joint Medical Store and PNFP health facilities to increase access to quality medicines throughout the country. In FY12, PEPFAR funds will support strengthening of the national supply chain through these priority activities:


Implementation of district-level supervision, performance assessment and reporting system (SPARS) in 61 districts to build the capacity of facility staff in health commodity management,


Development of SPARS training and supervision tools specifically for TB and Lab commodities,


Training and TA for the ACP, district personnel and Resource Center to support the national implementation of a web-based ARV ordering and reporting system, monitoring of ARV supply chain rationalization and analysis of facility logistics data for early warning and coordination of corrective actions,


Training and TA for the PD Quantification and Procurement Planning Unit (QPPU) to prepare national forecasts/quantifications and coordinate supply planning for HIV/AIDS and TB,


TA and training to the Central Public Health Lab and the National TB program to build central level management capacity and rationalize supply chain management to improve availability and efficiency,


TA and other resources to JMS to strengthen private not for profit sector procurement, warehousing and information systems and distribution and to MAUL to assess and strengthen warehouse and distribution business processes,


Introduction of a pharmaceutical management software package (RxSolution) in 10 PNFP large volume hospitals to improve product availability, efficiency and accountability in management of HIV/AIDS and other commodities,


Support for Makerere University to integrate modules of health commodity management and rational medicines use into the health worker pre-service curricula of key training institutions.

Subpartners Total: $0
Euro Health Group: NA
Fuel PHD: NA
Makerere University: NA
Key Issues Identified in Mechanism
End-of-Program Evaluation