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Importance of coordination in ensuring HIV/AIDS commodity security. Afolakemi Bolanle, SCMS Logistics Advisor 16 th International Conference on AIDS and STIs Addis Ababa, Ethiopia December 7, 2011.
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Importance of coordination in ensuring HIV/AIDS commodity security Afolakemi Bolanle, SCMS Logistics Advisor 16th International Conference on AIDS and STIs Addis Ababa, Ethiopia December 7, 2011
HIV/AIDS Commodity SecurityEnsuring that patients and services providers can obtain and use HIV/AIDS commodities when and where they need them
Background HIV/AIDS was first reported in 1986 and National AIDS/STI Control Programme (NASCP) started in 1987. NASCP relies heavily on donor funding. Sources include: • PEPFAR/USG • Global Fund, • CHAI/UNITAID • UNITAID/UNICEF
Nigeria Health Supply Chain Challenges • Absence of strategic leadership and co-ordination within the national program. • Vertical supply chains across funding streams led to waste and many inefficiencies. • Unnecessary emergency procurement due to lack of information on commodity availability.
SCMS implementation approach • Designed and implemented an LMIS tool to improve visibility into ARV drug availability within the country • LMIS data is aggregated, analyzed and shared at quarterly PEPFAR PSM Technical Working Group meetings for informed decision making. • Manages centralized ARV and OI drug procurement for 11 PEPFAR IPs. • Provide logistics training to strengthen supply chain management within the National Programme
Results • Partners now collaborate to improve commodity availability for patients. • This has led to USD $2.7 million worth of ARVs and OI drugs being exchanged since Jan. 2010, which would otherwise have expired. • USD $40million saved against original budgets through COP10 pooled procurement. • Zero emergency ARV orders in the last two years • NASCP is now taking on a strategic role in leading and coordinating donor efforts.
Recommendations • Strengthen a National Procurement & Supply Chain Management Technical Working Group. Task the group with the responsibility of solving fundamental supply chain issues. • Build the capacity of personnel working within supply chain systems. • Set key performance indicators. Collect & analyze only useful data, make prompt decisions, monitor and track progress or impact.
Acknowledgement • Adamu Sambo • Innocent Ibegbunam • Michael Egharevba • Dayo Adedayo • Bernard Fabre • Peter Hauslohner • Samantha Salcedo • Abu Ugbede – Ojo (USAID) • Kelly Badiane (USAID)
Thank you Questions?