Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017

Details for Mechanism ID: 10260
Country/Region: Zambia
Year: 2010
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $6,400,000

The goal of the USAID | DELIVER PROJECT is to ensure an uninterrupted supply of commodities for HIV/AIDS prevention and treatment to government and non-governmental organizations (NGO) facilities and strengthening the existing nationwide logistic systems. In this light, the following interventions have been programmed:

Provide continuous technical assistance in forecasting, quantification and procurement planning of various health commodities (procurement of HIV/AIDS commodities is carried out by Supply Chain Manager Support (CMS). All USG-procured commodities will be placed in the Government of the Republic of Zambia's (GRZ) central warehouse, Medical Stores Limited (MSL), where all public sector and accredited Non Governmental Organizations (NGO)/Faith Base Organizations (FBO) /Community Base Organizations (CBO)/work-place/private sector HIV/AIDS programs will have access to these critical supplies.

Gather data, manage and continuously train counterparts in the use of the PipeLine Database, Supply Chain Manager, and provide continuous analysis of the national antiretrovirals (ARV), HIV tests, essential drugs, and contraceptive supply situations.

Continuously work with Ministry of Health (MOH) to strengthen logistics systems for ARVs for HIV/AIDS treatment and post-exposure prophylaxis (PEP) for victims of rape,, HIV tests, and essential drugs.

Continuously gather and share relevant information for decision making.

Continue to conduct detailed assessments of storage needs at Service Delivery Points (SDP) which include financial estimates.

Facilitate the development of the national commodity security strategies.

The project will collaborate and coordinate with other USAID cooperating agencies, international organizations and local counterparts as required to ensure maximum effectiveness and efficiency of its activities. These interventions are expected to achieve the following desired outcomes:

Increased commodity availability for key HIV/AIDS related commodities: ARVs including ARV drugs for PEP in victims of rape, HIV tests, opportunistic infection (OI) drugs, family planning products, and essential drugs.

More robust integrated supply chains to manage these commodities

Increased capacity of the MOH counterparts to effectively manage these supply chains

Successful implementation of these interventions will be measured/ assessed by tracking defined performance indicators using routinely collected data through the Logistics Management Unit, and data that are periodically collected using other USAID | DELIVER PROJECT developed monitoring tools including Procurement Planning and Monitoring Reports (PPRMs), Logistics Indicators Assessment Tool (LIAT), and monitoring and evaluation tools. Other data sources and data collection activities will also be used to track performance in specific areas using specific defined performance indicators.

We will leverage PEPFAR funds with Child Survival, Family Planning and Malaria (PMI) funding to support the improvement of the essential drugs supply chain, thereby improving access to vital HIV/AIDS related commodities.

Funding for Health Systems Strengthening (OHSS): $6,400,000

The purpose of this activity is to expand assistance for ensuring that ARV drugs, HIV tests, sexually transmitted infection (STI) drugs, and OI drugs procured by the USG, GRZ, Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM), and other partners are in sufficient supply and provided to Zambians at service delivery sites through efficient and accountable health commodities supply chain systems.

With FY 2010 funding, the USAID | DELIVER PROJECT will expand efforts to strengthen the effectiveness, efficiency, and sustainability of the national ARV, HIV tests and essential drug logistics systems. Activities will include:

1. Supporting the MOH in coordinating ARV drug including ARV drugs for PEP in victims of rape HIV test, and OI/STI drug forecasting and procurement planning capacity at the central level.

2. Quantifying required ARV drugs including ARV drugs for PEP in victims of rape, HIV tests, and OI drugs consistent with resources and policies.

3. Providing technical assistance to the MSL for their Logistics Management Unit (LMU) and in improving the accuracy of their stock information.

4. Reinforcing the standardization of ARV drug, HIV test kit and essential drug (including OI/STI drugs) inventory control procedures at central, district, and service delivery sites, including the documentation and dissemination of logistics policies and procedures.

5. Institutionalizing pre-service logistics management training within the appropriate schools of pharmacy, schools of nursing and medical schools in Zambia.

6. Continuing installation of the SmartCare software tool at ART and HIV testing sites to collect and use for ordering ARV drugs and HIV tests; significantly reducing the time and effort required for ordering and reporting.

7. Improving ARV drug, HIV test and ED logistics decision-making processes at the central level through use of aggregated data from health facilities as provided through the national logistics management information systems (LMIS).

8. Significantly increasing the frequency of monitoring and evaluation of the ARV drug, HIV test kit, and ED supply chains, and making improvements as needed, taking full advantage of the seven provincial offices; and,

9. Collaborating with the SCMS project and other partners and stakeholders to address the broader area of HIV/AIDS commodity security.

10. Continue to conduct detailed assessments of storage needs at SDP which include financial estimates.

Cross Cutting Budget Categories and Known Amounts Total: $1,352,376
Human Resources for Health $1,352,376
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Malaria
Child Survival Activities
Family Planning