CLICK TO ADD TITLE [DATE][SPEAKERS NAMES] The 5th Global Health Supply Chain Summit November , 2013 Addis Ababa, Ethiopia Country-level Coordinated Procurement Planning Dominique Zwinkels CPP Initiative Program Manager

CPP Initiative: Current members 2 Steering Committee Global Fund OGAC UNAIDS UNITAID USAID WHO Steering Committee Global Fund OGAC UNAIDS UNITAID USAID WHO Technical Working Group CHAI ESTHER SCMS SIAPS SOLTHIS UNDP UNICEF Technical Working Group CHAI ESTHER SCMS SIAPS SOLTHIS UNDP UNICEF Technical Secretariat SCMS Technical Secretariat SCMS

What is the purpose of the CPP? Established in 2006 by the Global Fund, OGAC and the World Bank Purpose: The overarching goal of the CPP Initiative is to assist countries, donors and implementing partners in improving procurement and supply management planning to support the continuous availability of ARVs and other essential medicines and medical commodities required by HIV/AIDS patients. 3

Three key activities 4 CollectingSharingAlerting Establishing a web- based dashboard for sharing country- specific information on donor funding for ARVs Bi-Monthly MeetingsDissemination of country-specific stockout alerts ARV Risk Assessment data collection Maintenance of the Country At Risk Schedule

Benefits Engages, in a coordinated way, key donors and international implementing partners Reinforces the interrelationship of donor funding in supply planning Provides an avenue for information exchange Provides an opportunity for members to highlight potential or upcoming gaps Acts as a catalyst for members to engage in further discussions and identify solutions 5

Information flow Encourage donors and governments to share key data Monitor data to identify demand Gain insight into stock & supply status, risks and challenges Encourage national coordination 6

In-country coordinated procurement planning mechanisms are critical to: –exchanging information for well-managed procurement and distribution plans, –identifying potential risks, –alerting responsible parties –and enabling solutions. Cultivating in-country commitment to establish sustainable mechanisms remains a significant challenge. Also despite continued investment in ART and systems strengthening efforts, stockouts of HIV/AIDS related commodities continue in many countries.

26 countries surveyed; mainly Sub Saharan Africa with a few outliers in Latin America and Asia

Functional committees for coordinated health commodity procurement planning in country 27 countries surveyed; mainly Sub Saharan Africa with a few outliers in Latin America and Asia 80% of countries surveyed have a committee that works on coordinated procurement planning of health commodities

Major funders and donor commitment

Committee membership and high level commitment

Human and financial resources Hours dedicated by staff to the committees

Next steps Best practices are needed; including: Guidance for developing regulatory frameworks, terms of references and examples of key issues to be discussed and addressed Establishing indicators to assess the effectiveness of these mechanisms