Male Circumcision Procurement and Supply Chain Management:Progress Report

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

Dr. Sameer SakallahSenior Technical Advisor, SCMS

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Kit Development Process

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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

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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

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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

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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

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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).

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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)

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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

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Disposable Kit Option 3 …. Cont.

STEP 3. Quality Check

• Sterility Check

• Component Quality

• Site visits

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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

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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

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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

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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

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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.

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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

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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

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USAID Contacts

Mike Hope mhope@usaid.gov

Dr. Emmanuel Njeuhmelienjeuhmeli@usaid.gov

Global Health Bureau

Office of HIV/AIDS

USAID

Washington, DC

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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

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Thank You