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Procurement and Supply Management Technical Assistance. BACKGROUND. Funds available but scale up not accelerating Lacking technical capacity Lack of harmonisation Duplication and gaps Need for improved coordination.
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Procurement and Supply Management Technical Assistance
BACKGROUND • Funds available but scale up not accelerating • Lacking technical capacity • Lack of harmonisation • Duplication and gaps • Need for improved coordination
Global level joint problem solving and implementation team (GIST) has been established especially related to implementation of Global Fund grants • Formed by UNAIDS, WHO, UNICEF, UNDP, UNFPA, World Bank and Global Fund, with links to bi-lateral agencies • Facilitates rapid country driven process for identification of technical support needs with one of UN agencies as country lead
UN Consolidated Technical Support Plan for AIDS • Procurement and supply management (PSM) UN agencies to provide technical assistance are: • WHO, WB, UNDP, UNFPA, UNICEFthrough country presence • Other partners
UNICEF has been designated by UNAIDS/GTT as Lead Agency in procurement and supply management Main roles of the Lead Agency: • Single entry point for UN Technical Support (broker) • Co-ordination and facilitation of technical assistance • Establish global and regional support mechanisms • Liaison between providers of technical support, UN Theme Groups and global support mechanisms
PSM support has to be seen in the context of the inter-related steps of the complete supply chain cycle Demand Creation Monitoring Product Selection Effective Use Forecasting Receipt, Storage, Distribution Financing Product Procurement Quality Assurance Supplier Agreements
The supply chain comprises three distinct phases: product planning, product acquisition and product delivery Planning Delivery Demand Creation Monitoring Product Selection Effective Use Forecasting Receipt, Storage, Distribution Financing Acquisition Product Procurement Quality Assurance Supplier Agreements
UN Agencies combine field office capacities with HQ to cover the full supply chain cycle Planning Delivery Demand Creation Monitoring Product Selection Field Office Effective Use Forecasting Receipt, Storage, Distribution Financing Acquisition Product Procurement Quality Assurance HQ SD Supplier Agreements
UN Agencies so far have supported countries in strengthening planning and delivery systems in support of increased ARV access where it provides ARVs Planning Delivery Demand Creation Monitoring Product Selection Effective Use Forecasting Receipt, Storage, Distribution Financing
A set of preliminary interventions have been identified and a tentative budget determined for 2006-7
5 Priority areasMeeting 6-7 December 2005 • Health structures Multiple funding channels and coordination mechanisms • PSM plan Consensus and participative generation Commitment from top level Can be used as baseline for M&E • Selection of OI medicines • Quantification & Forecasting • Storage and Distribution Need for logistical expertise Transportation Organisation of health systems as whole,
Recommendations for country level • PSM Working Group • PSM problem analyses • GAP analyses • Division of labour • Existing assessments • Advocate for PSM • ART planning and monitoring WHO/AMDS prepared TOR for working group
Recommendations for country level BASELINE ASSESMENT • Existing assessments • Roles and responsibilities of partners • Map out completed TA and lessons learned • Map out ongoing/planned TA • Lessons learned • Coordination • Avoid duplication of efforts • Synergies amongst partners
Recommendations for country level PSM PLAN - LIVING DOCUMENT • ‘Three ones’ national PSM plan • Procurement and distribution plan • Scale up plan • Identification of bottle necks • Roles and responsibilities • Include TA and capacity building plan • Review regularly • Monitor progress • Update
Resources needed- consultants training in CPH January 2006 • Need to expand consultants roster for PSM • Training organised in by WHO and AMDS partners in SD to improve capacity in PSM • HIV/AIDS, malaria and TB -synergies • Brief on WHO’s normative guidance in treatment access • Share technical tools • Create a network of PSM professionals-potential consultants
PSM activities started: • Nepal • Niger (GIST) • Nigeria (GIST) • Russia • Somalia • Zimbabwe (GIST) • Bolivia • Ethiopia • Guinea Bissau (GIST) • India • Malawi • Mali