20th International AIDS Conference - Melbourne, Australia


WEPE411 - Poster Exhibition

Ensuring anti-retroviral availability in a transitional phase: the Nigerian experience

A. Itiola1, M. Egharevba2, I. Ibegbunam1, D. Adedoyin1, E. Iyeme1, C. Obi1, S. Aguora1, A. Ibeme1, J. Raji1, B. Odelola3

1Supply Chain Management System (SCMS), Abuja, Nigeria, 2John Snow Incorporated, Arlington, United States, 3United States Agency for International Development (USAID), Abuja, Nigeria

Background: The Nigeria HIV/AIDS Supply Chain Unification Project implemented by SCMS provides a centrally coordinated mechanism for direct facility reporting and resupply to health facilities. This project is being implemented in phases to transition away from and replace the previously implementing partner-coordinated last mile distribution to health facilities. To ensure commodity availability for HIV/AIDS clients during this transition period, it was important to implement a system that effectively manages this change process and ensures service provision is not interrupted. To achieve this, SCMS is using a structured and responsive system that makes sure supplies to implementing partners (IPs) meet the requirements of facilities in yet-to-be-unified states while minimizing wastage and saving costs.
Description: Prior to unification, IPs received commodities quarterly from SCMS to resupply all their supported health facilities. As the Unification Project commenced and continues to progress during the transitional phase, quarterly commodities deliveries were made to IPs to resupply only the health facilities in yet-to-be -unified states as informed by facility-level logistics data. As expected, the quantities of commodities required and supplied to IPs decreased as Unification Project covered more states. IPs'' warehouse reports were reviewed on a bimonthly basis to inform resupply, redistribution and withdrawal decisions. To meet emergency and HIV/AIDS program scale up needs, SCMS also supplied commodities to partners as informed by requests placed via email.
Lessons learned:
  • Commodity availability was achieved among all IPs in this quarterly supply system with an order fill rate of 80% and above.
  • Alternative mechanisms (e-mail request and requests placed by IPs using service statistics projections) for filling IPs'' orders ensured that IPs'' commodity needs were met, while phone discussions with IPs guaranteed complete understanding of commodity allocation considerations.
  • Bimonthly reviews of IP warehouses reports minimized expiration of $190,847 worth of products between August and October 2013.

Conclusions/Next steps: The quarterly commodity supply by SCMS ensured commodity security in health facilities in yet-to-be-unified states while review of stock status minimized wastage. SCMS will continue to use this responsive system until all the health facilities in the country are covered by the Unification Project.

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