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This report provides an update on the progress of male circumcision (MC) kit development and supply chain management. It includes information on the selection of kits, procurement processes, kit options, and country updates. The report also highlights the role of SCMS in providing procurement and supply chain management services for MC programs.
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Male Circumcision Procurement and Supply Chain Management:Progress Report Country Update Meeting, Arusha, Tanzania June 8-10, 2010 Dr. Sameer Sakallah Senior Technical Advisor, SCMS
Kit Development Update • Kits provided by SCMS were not designed by SCMS • Kits, pharmaceuticals and supplementary supplies (Modules) have been selected and specified by consensus reached between many organisations: PEPFAR TWG (OGAC, USAID, CDC, NIH, DOD), WHO, UNAIDS, PSI, JHPIEGO, Gates Foundation, Clinton Foundation, FHI, MSI, ACHAP, EngenderHealth, C-Change, USAID HPI, JHUCCP, RHSP, OR, USCF
Kit Development Update … cont. • SCMS was asked to take the lead in MC kit development, procurement and supply chain management • Kit composition cannot be substituted or replaced: • SCMS did not design the kits • Any change will make the kit a new product • Standardization … better supply chain management … better pricing
Kit Development Update … cont. • Re-usable Kit Option 1 for forceps guided procedure • Re-usable Kit Option 2 for sleeve resection and dorsal slit procedures • Disposable Kit Option 3 for forceps guided procedure
Kit Development Update … cont. • Each kit contains all material needed to perform one MC operation • Pharmaceuticals (e.g. iodine, Paracetamol, Marcaine, etc.) cannot be included in these kits but are available in bulk separately
Additional Supplies • Module 1. Infection Prevention & Waste Management • Module 2. Equipment • Module 3. Emergency Supplies • Kits, Pharmaceuticals and Modules and all their components are detailed in SCMS online catalog (eCatalog).
Kit Development Process: Disposable Kit Option 3 for forceps guided procedure • STEP 1. Sourcing, Vendor Qualification, Price Quotation • Survey potential viable manufacturers • Vendor Qualifications: capability, financial stability, etc. • Price Quotation (based on an actual order)
Disposable Kit Option 3 …. Cont. • STEP 2. Multi Vendor Selection • Request complete usable samples • Documentation • Commodity Manufacturing Source • Sample kit production: 2 complete, usable kit
Disposable Kit Option 3 …. Cont. • STEP 3. Quality Check • Sterility Check • Component Quality • Site visits
Disposable Kit Option 3 …. Cont. • STEP 4. Vendor(s) Selection & Price negotiation • Price is based on actual order • No procurement history • Customized product (cannot be returned) • Pooled orders a future possibility
Disposable Kit Option 3 …. Cont. • STEP 5. Kit Manufacturing • Manufacturing Initial Lead Time is 3 months • Quality check: will perform sterility checks on each batch • Vendors under contract agree not to change suppliers without notice
Development of Kit Option 3: Results • Initial vendors identified: 8 • Vendors submitting bids: 5 • Vendors submitting sample kits: 5 • Vendors passing sterility test: 2 • Final vendor count: 1
SCMS Delivers BEST VALUE • Vendor physical and financial qualifications • Cannot always guarantee lowest price (although we try hard!!) • Specifications • Strict compliance with quality requirements • Manufacturing facility visits • Batch testing
Development of Kit Options 1 and 2(Re-usable Kits) • Will have to go through the same process • Must have an actual order to negotiate price • Will work with countries to help pool orders • Availability estimated around the end of this year.
Country Updates • Zimbabwe: 30,000 kits in manufacturing stage • Zambia: 10,000 kits ordered • Rwanda: first order of 5,000 kits being processed • Swaziland: order expected soon for first batch of 200,000 kits • Kenya: purchase of disposable kits currently under review
How can SCMS help? • One stop shop • Procurement and delivery • Logistics • Supply Chain Management • Forecasting / Quantification • Warehousing and distribution • Technical assistance • Global collaboration for long-term, local and international solutions
USAID Contacts • Mike Hope mhope@usaid.gov • Dr. Emmanuel Njeuhmeli enjeuhmeli@usaid.gov • Global Health Bureau • Office of HIV/AIDS • USAID • Washington, DC
SCMS Contacts • Program Related Inquiries • David Jamieson, Deputy Director djamieson@pfscm.org • Dr. Sameer Sakallah, Senior Technical Advisor ssakallah@pfscm.org • Aliza Pressman, Program Officer apressman@pfscm.org • Procurement Inquiries • Elisha Kitula, Procurement Specialist ekitula@pfscm.org • SCMS • 1616 Fort Myer Drive,12th Floor • Arlington, VA 22209, USA • Telephone 001-571-227-8600