1. 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

2. PEPFAR Implementing Partner Kit Development Process

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

4. 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: SCMS did not design the kits Any change will make the kit a new product Standardization … better supply chain management … better pricing

5. PEPFAR Implementing 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

6. PEPFAR Implementing 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

7. PEPFAR Implementing 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).

8. PEPFAR Implementing 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)

9. 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

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

11. 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

12. 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

13. 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

14. 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

15. 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.

16. 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

17. PEPFAR Implementing Partner How can SCMShelp? 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

18. PEPFAR Implementing Partner USAID Contacts Mike Hopemhope@usaid.govmhope@usaid.gov Dr. Emmanuel Njeuhmelienjeuhmeli@usaid.govenjeuhmeli@usaid.gov Global Health Bureau Office of HIV/AIDS USAID Washington, DC

19. PEPFAR Implementing Partner SCMS Contacts 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

20. PEPFAR Implementing Partner Thank You