male circumcision procurement and supply chain management: progress report country update meeting,...

Male Circumcision Procurement and Supply Chain Management:Progress Report

Country Update Meeting, Arusha, TanzaniaJune 8-10, 2010

Dr. Sameer SakallahSenior Technical Advisor, SCMS

PEPFARImplementing

Partner

Kit Development Process

PEPFARImplementing

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, EngenderHealth, C-Change, USAID HPI, JHUCCP, RHSP, OR, USCF

PEPFARImplementing

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:• SCMS did not design the kits

• Any change will make the kit a new product

• Standardization … better supply chain management … better pricing

PEPFARImplementing

Partner

Kit Development Update … cont.

1. Re-usable Kit Option 1 for forceps guided procedure

2. Re-usable Kit Option 2 for sleeve resection and dorsal slit procedures

3. Disposable Kit Option 3 for forceps guided procedure

PEPFARImplementing

Partner

Kit Development Update … cont.

• 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

PEPFARImplementing

Partner

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 (eCatalog).

PEPFARImplementing

Partner

Kit Development Process: Disposable Kit Option 3 for 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)

PEPFARImplementing

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

PEPFARImplementing

Partner

Disposable Kit Option 3 …. Cont.

STEP 3. Quality Check

• Sterility Check

• Component Quality

• Site visits

PEPFARImplementing

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

PEPFARImplementing

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

PEPFARImplementing

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

PEPFARImplementing

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

PEPFARImplementing

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.

PEPFARImplementing

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

PEPFARImplementing

Partner

How can SCMS help?

• 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

PEPFARImplementing

Partner

USAID Contacts

Mike Hope mhope@usaid.gov

Dr. Emmanuel Njeuhmelienjeuhmeli@usaid.gov

Global Health Bureau

Office of HIV/AIDS

USAID

Washington, DC

PEPFARImplementing

Partner

SCMS Contacts

• Program Related Inquiries

David Jamieson, Deputy Director djamieson@pfscm.org

Dr. Sameer Sakallah, Senior Technical Advisorssakallah@pfscm.org

Aliza Pressman, Program Officerapressman@pfscm.org

• Procurement Inquiries

Elisha Kitula, Procurement Specialistekitula@pfscm.org

 SCMS

1616 Fort Myer Drive,12th Floor

Arlington, VA 22209, USA

Telephone 001-571-227-8600

PEPFARImplementing

Partner

Thank You