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AIDS Campaign Team for Africa (ACTafrica) The World Bank

ARV and related drugs Supply Chain Management. AIDS Campaign Team for Africa (ACTafrica) The World Bank. Africa Region HIV/AIDS Consultation Addis Ababa, December 14-18 2004. Presentation Outline. Key steps of Supply Chain Management/Logistics What causes delays at each step

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AIDS Campaign Team for Africa (ACTafrica) The World Bank

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  1. ARV and related drugs Supply Chain Management AIDS Campaign Team for Africa (ACTafrica) The World Bank Africa Region HIV/AIDS Consultation Addis Ababa, December 14-18 2004

  2. Presentation Outline • Key steps of Supply Chain Management/Logistics • What causes delays at each step • What can we do • Management weaknesses • Financing • The way forward

  3. Revisiting key steps

  4. What cause delays?

  5. What causes delays?

  6. What causes delays? Lack of procedures for re-supply Lack of sufficient budget allocations (capacity strengthening)

  7. What can we do?

  8. What can we do?

  9. What can we do?

  10. Management Weaknesses

  11. Management Weaknesses Creating an effective and efficient Team Work among • Ministry of Health • National HIV/AIDS Councils and/or CCMs • Drug Regulatory Authority / National Laboratory • Ministries of Trade/Commerce and justice/legal • National Tender Boards • NGOs and Civil Society Organizations • Donors and various agencies Harmonized procedures and coordinated planning

  12. Management Weaknesses Lack of: • Dedicated fulltime staff. • Qualifications to plan and manage logistics. • Need for a Logistics champion. • Clear job descriptions. • Necessary tools. • Clearer Procedure Manuals. • Encouragement and empowering staff. • Performance measures for various functions. • Monitoring and strengthening. • Supervision (follow-up).

  13. Financing

  14. Financing Estimated US $2.7 billioncommitted for HIV/AIDS to Sub-Saharan Africa by the World Bank and the Global Fund. (Commitment = Agreement signed with the governments)

  15. Financing • Coordinate the available financing from all sources (GFATM, MAP, Bilateral, Others). • Establish policies to maintain funding for commodities as well as for logistics management functions. • Adjust program targets if the financing is not available for the commodities or the supply chain functions. • Ensure that the logistic costs are funded as part of the program. • Start establishing a long-term plan for future financing of the programs.(Advance donor commitment should not be a pre-requisite in estimating future requirements).

  16. Financing • Available financing for PSMP Faculty, materials, rollout expenses • Bank-Netherlands Partnership Program (BNPP) • Canadian International Development Agency (CIDA) • UNAIDS Budgeted Workplan (UBW) • World Bank Training Budget (for Africa region) • Nearly $1.0million raised Country participants • Multi-Country HIV/AIDS Program (MAP) funds at the country level • Global Fund financing • Bilateral donors and development partners

  17. The Way Forward

  18. The way forward Facts ~6,000 deaths per day in Sub-Saharan Africa due to AIDS ~8,000 new infections every day Challenge Shall we continue to do the business as usual? A Bureaucrat or a Warrior mentality against AIDS? Approach Use “exceptional” measures No time for conventional approach

  19. The way forward • Keep the objectives of the Three Ones in focus • One National framework • One Institution • One M&E system • Use exceptional measures • They are expensive, but what is our priority? • Contract out routine and mechanical tasks • Learn by doing and adapt quickly (flexible MAP design)

  20. The way forward • Need for a coordinated effort • One national plan agreed by all partners • Harmonized procedures and reporting • Regional knowledge sharing • Resources sharing • Joint reviews and follow-ups

  21. The way forward • A comprehensive capacity building program on ARV & Related Supplies Procurement and Supply Chain Management Program (PSMP) • Addis Ababa (Francophone) - Feb 2005 • Tanzania (Anglophone), Nigeria - Apr, May 2005 • …and so on during 2005 • PSMP Phase 1: Training of Trainers (TOT) in all countries • PSMP Phase 2: In-Country rollout by a national institution or a consortium of institutions and local partners (including refresher courses).

  22. The way forward • PSMPs will be Global training events financed by The Bank, Dutch, Canadians, WHO (TA), UNAIDS (for 2005) • Will improve country’s overall planning and management capacity • Country level Core Team • Technical Guidelines and Training modules available • A coordinated effort by development partners – (less confusion for country teams)

  23. The way forward • TOT to target: • Ministry of Health • Ministry of Trade/Commerce • Law/justice/Patent • National Pharmacist • National HIV/AIDS Council/Commission/Secretariat • Principal Recipient

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