Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016

Details for Mechanism ID: 14247
Country/Region: Ukraine
Year: 2013
Main Partner: Management Sciences for Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,500,000

USAID support to the follow on procurement supply management (PSM) project aims to increase the availability and use of quality-assured and effective HIV/AIDS and anti-TB medication. Strengthening pharmaceutical management systems includes assistance to the public sector to improve information systems for TB case management, especially for MDR-TB and for overall management of TB medication as well as information systems for HIV/AIDS programs. The program will improve governance of the pharmaceutical sector by strengthening policies, structures, systems, and help clarify roles and responsibilities and enhance accountability for the procurement and supply of drugs and related commodities. Activities cover all 27 regions of Ukraine targeting health care professionals providing TB and HIV/AIDS services and government officials responsible for decision-making and implementation of drug management policies. At the national level, SPS will continue to build the capacity of the National TB Center and UAC. The project will assist counterparts to assess resource gaps in capacity and implementation in each oblast and mobilize resources in collaboration with other partners to address them. The project focuses on systematically improving the skills of health facility and oblast level staff in managing TB medication. SPS will adapt existing training materials to facilitate development and adoption of standardized, efficient procedures to improve management of medication and other commodities. The programs strategy to become more cost efficient envisions oblast-level training to emphasize supply chain monitoring and supervision, use of standard operating procedures, and building sustainability and local capacity to implement best drug management practices with less donor support.

Funding for Strategic Information (HVSI): $500,000

The E-TB Manager system is designed for the effective management of medicines for TB and HIV/AIDS programs. The system provides timely, accurate information to guide selection, quantification, procurement, distribution, and use of those medicines and other commodities. When combined with a system for recording and reporting on patient case management, E-TB Manager provides an integrated approach to improving program and pharmaceutical management and to improving outcomes.

The program will work to expand implementation of the E-TB Manager to the oblast and facility levels to ensure adequate information related to TB case management and product availability. The follow on PSM project will continue with the adaptation and introduction of the E-TB Manager program in Ukraine and will work closely with the National TB Center and the National Committee on HIV/AIDS, TB, and Other Socially Dangerous Diseases to identify key oblast representatives and to obtain commitment from oblast authorities for its successful implementation. The project will monitor implementation of the E-TB Manager, and share this information with counterparts at oblast and national levels, and with USAID and other implementing partners. The project will provide technical assistance in data analysis and reporting, and use of pharmaceutical management information for decision-making.

The program will improve existing HIV/AIDS pharmaceutical management information resources and develop recommendations for strengthening information systems to support effective pharmaceutical management of HIV/AIDS. A well-functioning pharmaceutical management information system (PMIS) is critical to assuring medicine availability and for monitoring rational use, especially for TB and HIV/AIDS services where the interrupted supply of medicines and their irrational use can have major consequences, such as treatment failure and development of resistance. The program will strengthen the PMIS to capture dispensing data to track use of ART-related medicines, adverse drug reactions and other data and will work with partners to develop and implement a design and action plan for a comprehensive and integrated PMIS system.

Results of the existing HIV/AIDS pharmaceutical management information resources, and its potential for integration with other systems, will serve as a basis support for the Ukrainian AIDS Center and other key stakeholders assistance will help to develop approaches and interventions to strengthen data collection, analysis, interpretation and use that enables evidence-based decision making for managing ART services and ARV medicine management at all levels of health system.

Training and technical assistance will be provided to oblast-level target sites that regularly use the E-TB software tool to routinely collect and report pharmaceutical management information system data.

Funding for Health Systems Strengthening (OHSS): $1,000,000

In collaboration with WHO and the Global Fund, the follow on procurement and supply management (PSM) project will work with all relevant stakeholders and civil society to develop and implement interventions to address public sector pharmaceutical management policy and regulations related to HIV/AIDS and TB medicines selection, availability, quality and safety, and rational use. These efforts will be cross-cutting, with application to other essential medicines, including reproductive health commodities, or those required for maternal and child health.

The program will add to and complement the GOU and the Global Fund TB and HIV/AIDS programs to support Pharmaceutical Management Information System strengthening. The program will build local capacity of the TB and HIV/AIDS national programs to manage the quality, completeness and timeliness of data collection to improve TB and HIV/AIDS supply management, including supply planning, procurement and distribution. The project will develop recommendations to promote rational use of drugs and implement appropriate case management including prescribing and dispensing practices and monitoring of adherence to internationally accepted standards for treatment. In addition, the project will continue with the development of Ukraines pharmacovigilance system, including an indicator-based assessment tool (IPAT) thta will be used to conducte a diagnostic assessment of medicines safety systems and track Ukraine progress. The project will work with the MOH to ensure that the tool will support evidence-based options analysis and development of relevant and feasible recommendations reflecting Ukraine's realities, existing regulatory capacity and priorities, identified system gaps, and resource availability.

The project will provide technical assistance in developing of appropriate pharmaceutical management policies to help assure TB and HIV/AIDS medicines quality and safety, and will assist the GOU to establish a system for ongoing review and updating of standard treatment guidelines (STGs) for TB and HIV/AIDS. On-going support will be provided to PSM Working Group to identify and develop solutions to pharmaceutical management challenges in TB and HIV/AIDS. The program interventions will also include training on supply chain management for TB and HIV medicines and other health commodities, including TB and HIV/AIDS quantification and development of adequate distribution plans.

Cross Cutting Budget Categories and Known Amounts Total: $1,000,000
Human Resources for Health $1,000,000
Key Issues Identified in Mechanism