In the FY12 period, SCMS will scope, plan and implement an effective pooled procurement and distribution mechanism for quality ARVs to be delivered to select PEPFAR Implementing Partners (IPs). Efficiency, availability, quality management and reduced stock obsolescence for ARVs will be the key program components. SCMS will assist the IPs in developing a pooled procurement model which enables ARVs to be efficiently procured and distributed while complying with the regulations and governance requirements of both PEPFAR and the GSA. The program will provide assistance in strengthening the IPs capacity and capability to develop efficient, sustainable long term healthcare supply chains which are sustainable. SCMS will leverage partnerships and private sector capacity, driving supply chain efficiencies, executing appropriate commodity consolidation and/or rapid response to distribution of ARVs.IP collaboration will be essential in developing this procurement and distribution approach, with clearly defined roles and responsibilities to establish the expected outcomes, timelines and deliverables for all the stakeholders.SCMS will receive $6,000,000 of the one-time VMMC funding for RSA to do a pooled procurement of disposable MMC kits. Kits will be distributed to USAID, DOD, and CDC IPs. This will optimize bulk discounts and simplify kit procurement and distribution. SCMS provides procurement, forecasting, distribution, inventory management, and quality assurance on the kits. While the VMMC target for one-time funding is 260,000, additive kits are required to accommodate training, errors, and potential exceeding of performance targets. It is estimated that at a price of $16.5 - $17 per kit, this procurement should render 352,000 – 363,000 single-use kits.
SCMS will receive $6,000,000 of the one-time VMMC funding for South Africa to do a pooled procurement of disposable MMC kits. Kits will be distributed to USAID, DOD, and CDC implementing partners. This will optimize bulk discounts and simplify kit procurement and distribution. SCMS provides procurement, forecasting, distribution, inventory management, and quality assurance on the kits. While the VMMC target for one-time funding is 260,000, additive kits are required to accommodate training, errors, and potential exceeding of performance targets. It is estimated that at a price of $16.5 - $17 per kit, this procurement should render 352,000 – 363,000 single-use kits.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Treatment
HTXD
2,799,022
0
Narrative:
The initial technical support phase will design the ARV supply chain management system in conjunction with the IP’s and regulatory requirements. While the USG ARV Bridging Fund program experience will provide the foundation, there are some significant differences in the procurement and distribution under the IP program which will require consideration.
Key principles which require planning with the IPs include 1) implementing pooled procurement and distribution methods, to consolidate procurement orders and increasing volumes with which to negotiate lead times and freighting options to enable cost savings while supporting availability of ARVs, 2) developing well-planned quantification, procurement and distribution mechanisms to avert stock outs, overstocks, and emergency purchases through shared data, 3) developing an agreed IP’s ARV list to pool procurement optimizing cost benefits, supporting harmonization with current guidelines, patient clinical requirements and the ultimate transition of patients to mainstream public sector service facilities.
SCMS will provide technical assistance support, determine and obtain necessary regulation/governance approvals, completing an analysis with IPs to determine supply chain requirements, collating an approved or tentatively approved FDA and MCC list of ARVs, identifying the options to obtain SEP exemption, agreeing a pooled procurement consolidated distribution model to plan warehousing and ordering procedures, determining quality assurance procedures and establishing M&E systems.
Once the technical approach is agreed, the SCMS operational support team will manage the forecasting, procurement, logistical requirements and provide M&E tracking for the selected ARV’s from the regulated manufacturers to the IP healthcare facility sites. Aside from building supply chain management efficiencies for the ARVs shared SCMS expertise and knowledge across the partnerships will support the development of supply chain best practices for IP’s to implement across their practices.
Funding Agency: U.S. Agency for International Development
Procurement Type: Cooperative Agreement
Prime Partner Name: FHI 360
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 1,500,000
Funding Source
Funding Amount
GHP-State
1,500,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
FHI 360 will support the USG-SAG Partnership Framework and the NSP through care, support and MTCT interventions. FHI 360 will continue to provide the following services through its Mobile Service Units (MSU): Integrated Community Palliative Care and Integrated Access to Care and Treatment (I-ACT) programs, linkages from HIV testing to care & testing and pre-ART and retention in care and treatment. FHI 360 is the lead partner (coordinating with DOH) for the I-ACT project in the Northern Cape. I-ACT is aimed at retaining newly diagnosed HIV positive patients, not yet eligible for ART, screening of opportunistic infections, and support for preventive therapy. In its coordination efforts under I –ACT, FHI 360 will work the NCDOH as well as other partners to ensure that systems are put in place at facilities to allow for structured and functional pre-ART programs. FHI 360 will address the unmet family planning needs of HIV positive and most at risk women. Through the regional training centres (RTCs), FHI360 will continue to participate in the NDoH led family planning (FP) and FP/HIV integration trainings/workshops for health care providers in selected provinces. FHI 360 in collaboration with NDOH and other partners will continue working on incorporating an FP/HIV integration module in the PMTCT, nurse-initiated management of ART (NIMART) and TB training manuals. FHI 360 will roll out the model of community based champions that is currently being piloted in an effort to improve FP uptake at district level. FHI 360 will focus on providing technical assistance in data collection, quality improvement, data management and reporting for NDOH.
Cross-Cutting Budget Attribution(s)
Gender: GBV
40,000
Human Resources for Health
60,000
TBD Details
(No data provided.)
Key Issues
End-of-Program Evaluation
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
9547
Prevention Technologies Agreement(PTA)
FHI 360
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HBHC
1,500,000
0
Narrative:
The South African government has adopted the WHO definition of palliative care stating that palliative care is an approach that improves the quality of life of clients and their families facing problems associated with life-limiting illnesses through early identification, assessment and management of pain and other distressing symptoms, and the relief of other physical, social, emotional and spiritual problems. FHI360 has adopted a palliative care and support model that uses a family-centered approach.
The model seeks to address physical, emotional, social, and spiritual needs associated with life-limiting illness. The intervention uses existing health system in conjunction with community care support – home based care, hospices, and support groups where available. The project integrates wellness support that includes primary health care facilities, ART sites, community health care workers groups, support groups, and the community. ICPC makes it possible to provide a full continuum of palliative care from diagnosis to wellness support to end of life care, including bereavement support. With FY 2012 funds, FHI will provide services in Limpopo, Gauteng, and Northern Cape in the following areas: training, mentorship and coaching; strengthening of referral systems; and provision of palliative care to people suffering from life limiting illnesses. In addition, FHI 360 will continue to support Mobile Service Units activities as well as involvement with the government with Integrated -Access to Care and Treatment activities.
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Prevention
MTCT
0
0
Narrative:
FHI 360 will continue to address the unmet family planning needs of HIV positive and at risk women, including expanding the pool of well skilled and competent staff through building capacity of service providers to effectively counsel, screen and provide a wide range of family planning methods including inter-uterine contraceptive devices (IUCDs). Through the regional training centres (RTCs), FHI360 will continue to participate in the NDoH led family planning (FP), FP/HIV integration trainings/workshops for health care providers in selected provinces. These trainings will also incorporate practical sessions in IUCD insertion and removal. FHI 360 in collaboration with NDOH and other partners will also work towards incorporating an FP/HIV integration module in the PMTCT, NIMART and TB training manuals. As a follow up to the trainings FHI 360 in collaboration with DoH will then provide mentoring and coaching to the trained staff. In addition, FHI 360 will continue to strengthen linkages between research and policy makers through sponsoring a series of quarterly discussion meetings on FP/HIV integration with policy makers, researchers and provincial champions. FHI 360 will rollout the model of community based champions that is currently being piloted in an effort to improve FP uptake at district level. Community health workers will be trained on family planning using low literacy material and in turn they will be expected to educate the community on FP. FHI 360 in collaboration with the district and community leaders will also identify influential people within the community to act as FP champions who will help with advocacy and community mobilization.
Funding Agency: U.S. Department of Health and Human Services/Centers for Disease Control and Prevention
Procurement Type: Cooperative Agreement
Prime Partner Name: National Alliance of State and Territorial AIDS Directors
Agreement Start Date: Redacted
Agreement End Date: Redacted
TBD: No
New Mechanism: No
Global Fund / Multilateral Engagement: No
G2G: No
Managing Agency:
Total Funding: 1,200,000
Funding Source
Funding Amount
GHP-State
1,200,000
Sub Partner Name(s)
(No data provided.)
Overview Narrative
National Alliance of State and Territorial Directors (NASTAD) continues to work in partnership with the Free State and Mpumalanga Provincial Department of Health (PDOH) Offices to institutionalize and standardize the implementation of the Integrated Access to Care and Treatment (I ACT) Program in line with the South African Government and the National Department of Health priorities. The goal of I ACT is to promote early recruitment and retention of newly diagnosed PLHIV into care and support programs. I ACT strives to reduce the high rate of loss to follow-up from the time of HIV diagnosis to successful commencement of ART. NASTAD will continue to provide provincial and district level technical assistance with the coordination, implementation, and monitoring and evaluation of I ACT activities. NASTAD will continue to play a lead role in developing systems for referral networks and linkages, as well as strengthening the I ACT implementation model and ensure quality through focused mentorship, coaching and regular review meetings at district, provincial and national levels. Both at provincial and district levels, NASTAD will continue to ensure the strong involvement of PDOH, regional training centers and PEPFAR and community based partners in the planning, and implementation of the program to ensure integration, sustainability and smooth transition of the program in the future. NASTAD will continue to refine data collection tools and instruments and provide ongoing technical assistance and training to I ACT implementing NGOs, partners and DoHs staff. In general, the result of the I ACT program evaluation that will be conducted in Free State in FY 2011 is expected to provide direction with regard to the improved implementation and scale-up of the program at all levels
Cross-Cutting Budget Attribution(s)
Human Resources for Health
240,000
TBD Details
(No data provided.)
Key Issues
(No data provided.)
Budget Code Information
Mechanism ID:
Mechanism Name:
Prime Partner Name:
9562
National Alliance of State and Territorial AIDS Directors
National Alliance of State and Territorial AIDS Directors
Strategic Area
Budget Code
Planned Amount
On Hold Amount
Care
HBHC
1,200,000
0
Narrative:
In FY2012, NASTAD will continue to strengthen collaborative relationships among partners providing I ACT and other care and treatment services in Free State and Mpumalanga Provinces. NASTAD will ensure communication and information sharing among I ACT partners and stakeholders. NASTAD will continue to support provincial level I ACT quarterly stakeholder review meetings; actively participate and support provincial and district level I ACT working group meetings; conduct provincial level I ACT best practice documentation and evaluation dissemination meetings, and strengthen referral network and linkages between community based I ACT implementing partners(SGFs)and local health facilities. In FY 2012, NASTAD will continue to provide technical and financial support to community based NGOs including PLWHA networks engaged in the delivery of I ACT. Efforts will continue to be made to connect and engage PLWHA networks through support groups to ensure that members have the opportunity for continued peer support after they leave the group. In Free State, I ACT implementing NGOs are expected to support SGFs with the active recruitment of PLWHA from local health facilities and the community, establish and strengthen referral network and linkages between SGFs and local health facilities. NASTAD will also continue to support existing and trained care workers who will be redeployed to support the implementation of the I ACT program. In Mpumalanga, NASTAD will continue to support Regional Training Centers (RTC) with the training of already existing home based care givers based at health facilities and the community to implement the program. In FY 2012, NASTAD will continue to provide and coordinate periodic I ACT training sessions to new RTC trainers, SGFs, NGO implementing partners and health care providers from health facilities in both provinces in collaboration with other partners. RTCs in both provinces will take the lead in the facilitation and co-facilitation of I ACT training sessions to effectively transition the training responsibility. In FY 2012, NASTAD will support the training of 200 SGFs and plans to enroll 70,000 PLWHA into the program in both provinces.
