1 SUPPLY DIVISION

Procurement and Supply Management

Technical Assistance

2 SUPPLY DIVISION

BACKGROUND

• Funds available but scale up not accelerating

• Lacking technical capacity• Lack of harmonisation• Duplication and gaps• Need for improved

coordination

3 SUPPLY DIVISION

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

4 SUPPLY DIVISION

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

5 SUPPLY DIVISION

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

6 SUPPLY DIVISION

PSM support has to be seen in the context of the inter-related steps of the complete supply chain cycle

DemandCreation

SupplierAgreements

FinancingReceipt, Storage,

Distribution

Forecasting

QualityAssurance

EffectiveUse

ProductProcurement

ProductSelection

Monitoring

7 SUPPLY DIVISION

The supply chain comprises three distinct phases: product planning, product acquisition and product delivery

DemandCreation

SupplierAgreements

FinancingReceipt, Storage,

Distribution

Forecasting

QualityAssurance

EffectiveUse

ProductProcurement

ProductSelection

Monitoring

Acquisition

PlanningDelivery

8 SUPPLY DIVISION

UN Agencies combine field office capacities with HQ to cover the full supply chain cycle

DemandCreation

SupplierAgreements

FinancingReceipt, Storage,

Distribution

Forecasting

QualityAssurance

EffectiveUse

ProductProcurement

ProductSelection

Monitoring

Acquisition

PlanningDelivery

FieldOffice

HQSD

9 SUPPLY DIVISION

UN Agencies so far have supported countries in strengthening planning and delivery systems in support of increased ARV access

where it provides ARVs

DemandCreation

FinancingReceipt, Storage,

Distribution

ForecastingEffective

Use

ProductSelection

Monitoring

PlanningDelivery

10 SUPPLY DIVISION

A set of preliminary interventions have been identified and a tentative budget determined for 2006-7

PSM Support Focus

Strengthening procurement + supply management planning and implementation

Strengthening warehousing management + distribution systems

Enhancing national medicines management information systems

Regional capacity building and training

11 SUPPLY DIVISION

5 Priority areas Meeting 6-7 December 2005

1. Health structures Multiple funding channels and coordination

mechanisms2. PSM plan

Consensus and participative generation Commitment from top level Can be used as baseline for M&E

3. Selection of OI medicines4. Quantification & Forecasting5. Storage and Distribution

Need for logistical expertise Transportation Organisation of health systems as whole,

12 SUPPLY DIVISION

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

13 SUPPLY DIVISION

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

14 SUPPLY DIVISION

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

15 SUPPLY DIVISION

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

16 SUPPLY DIVISION

THANK YOU

17 SUPPLY DIVISION

Supply

18 SUPPLY DIVISION

PSM activities started:

• Bolivia

• Ethiopia

• Guinea Bissau (GIST)

• India

• Malawi

• Mali

• Nepal

• Niger (GIST)

• Nigeria (GIST)

• Russia

• Somalia

• Zimbabwe (GIST)