Male Circumcision Procurement and Supply Chain Management Progress

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 Process PEPFAR Implementing Partner

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, Engender. Health, C-Change, USAID HPI, JHUCCP, RHSP, OR, USCF PEPFAR Implementing Partner

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: • • • PEPFAR Implementing Partner 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. 1. Re-usable Kit Option 1 forceps guided procedure 2. Re-usable Kit Option 2 for sleeve resection and dorsal slit procedures 3. Disposable Kit Option 3 forceps guided procedure PEPFAR Implementing Partner

Kit Development Update … cont. PEPFAR Implementing Partner • 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 1. Module 1. Infection Prevention & Waste Management 2. Module 2. Equipment 3. Module 3. Emergency Supplies Kits, Pharmaceuticals and Modules and all their components are detailed in SCMS online catalog (e. Catalog). PEPFAR Implementing Partner

Kit Development Process: Disposable Kit Option 3 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) PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

Disposable Kit Option 3 …. Cont. STEP 3. Quality Check • Sterility Check • Component Quality • Site visits PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

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. PEPFAR Implementing Partner

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 PEPFAR Implementing Partner

How can SCMS help? • • PEPFAR Implementing Partner 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 PEPFAR Implementing Partner

SCMS Contacts PEPFAR Implementing Partner • 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, 12 th Floor Arlington, VA 22209, USA Telephone 001 -571 -227 -8600

Thank You PEPFAR Implementing Partner