Interagency Pharmaceutical Coordination Group

Hitesh HurkchandRMNCH Strategy and Coordination Team

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Geneva December 10, 2015

Overview

Interagency Supply Chain Group (ISG)

• Overall Vision - The global development partners will collaborate in support of countries’ efforts to reach the goals of universal health coverage in part through sustainable access to quality essential health commodities and supplies at the right time, in the right place and at affordable cost for those who need them, through cost-effective and efficient procurement and supply systems.

• Partnership of 13 major actors involved in providing supply chain support to countries:

The Global Fund, USAID, DFID, The World Bank, GAVI, UNICEF, UNFPA, WHO, The Bill and Melinda Gates Foundation, Norway, Canada, German Development Bank and World Food Program

• Informal Group - ISG Secretariat hosted by the RMNCH Trust Fund since 2014 through support from the Norwegian Government.

Interagency Supply-Chain Group comprising policy and funding bodies

UpdateInteragency Supply Chain Group Meeting

October 29-30 2015, New York

Update – ISG New York, October 29-30

• Global Affairs Canada (formerly Department of Foreign Affairs Trade and Investment)• MNCH remains a priority for the Canadian Government• Current investments • Gavi ($500M from 2015-20); introduction of new and

underused vaccines, HSS• GPEI ($250M / 6 years) procurement and delivery of polio

vaccines, legacy planning• UNICEF matching contribution.

Update – ISG New York, October 29-30

• Canada is a recent donor to supply chain as the backbone to effective vaccine delivery

• Current supply chain investments: • Global level support to develop the necessary framework to

strengthen national supply chains • Country level support to strengthen national supply chains

(CHAI grant)• Coordination with BMGF on program investments

Update – ISG New York, October 29-30

• Human Resources• Supply Chain Development Leadership Program (Gavi, UNICEF

and UPS)• HR strategy can be expanded to non immunization supply chains.• Impact evaluation results to be disseminated.• Implementation at country level – how will this be integrated?• Does not address need to capacitate junior to mid level

professionals and underlying development problem to address root capacity challenges.

Update – ISG New York, October 29-30

• Supply Chain Financing – Domestic financing for Health Commodity Procurement• SCT and USAID position paper on a commodity credit facility

(such as the VII and PAHO RF) to address access to FP and RMNCAH commodities. • More work to define the risks, insurance and re-insurance. • SCT and USAID to further work on developing the concept in

partnership with a selected group of agencies and donors.

Update – ISG New York, October 29-30

• Joint Strategic Planning for Country Supply Chains• Need to enhance agency collaboration in countries • Global fund – historic fund absorption < 70%• Need to revisit the 20 priority countries (Implementation

through Partnerships Project) together with other donors and establish formal and systematic approach to in-country partnerships.

Update – ISG New York, October 29-30

• Sustainability of HMIS / LMIS investments• USAID investments in LMIS have significantly reduced; need to

work with partners to develop a strategy for phasing out of current LMIS investments.• Current investments in LMIS are great with varying degrees of

coordination across countries. • Interoperability discussion with DHIS2 in Tanzania – RMNCH Trust

Fund initiative has not yet delivered an interoperable product given the challenges in mapping out data fields with RMNCH in the DHIS2 and other systems.• UNICEF LTA with University of Oslo to expand DHIS2 efforts at

country level.

Update – ISG New York, October 29-30

• Joint Country Supply Chain Assessments• Review of EVM and NSCA tools in 2015.• USAID NSCA developments on hold pending decision of GHSC

single award protest.• EVM evolution is ongoing.• Potential for agencies to support joint country assessments and

data sharing.

Update – ISG New York, October 29-30

• Key Performance Indicators• KPI Harmonization in 2015 resulting in 15 recommended KPIs by

the ISG for SCM implementation. • Agencies support the current process however there is a need to

formalize the KPI harmonization through a WHO guideline or policy process. • WHO guideline or policy process will take approximately 18-24

months at a cost of $750K – $1M. • Risks of guideline process were discussed i.e. KPI harmonization

outputs may be different from donor KPI harmonization. • Develop 2 pager for country dissemination with provision that a

formal guideline process will be undertaken by WHO, pending funding.

Update – ISG New York, October 29-30

• Last Mile Distribution• WFP partnership engagement with the Global Fund, UNFPA,

WHO, UNICEF and BMGF.• Contracting with UN agencies and third tier partners (SCMS).• WFP to create linkages with WHO for potential support on

emergency response programs. • UNICEF PD geo-mapping of communities for ICCM LMD.• Synthesis of LMD activities of the ISG.

Update – ISG New York, October 29-30

• African Resource Centre Logistics Hub (ARC)• Regional logistics hub to support rapid response of SCM TA to

West Africa. Expansion to other regions over time. • Supported by WDI and Mckinsey.• Business model to be defined (by end of 2015). • BMGF likely proceed with ARC activities through current

grantees in West Africa.• Integration with other regional hubs (WHO/UNICEF ISCL) to be

determined.

Update – ISG New York, October 29-30

• Country feedback (refer to Global Leaders Update)

• South Africa

• DRC

• UNFPA supporting end to end visibility in Kenya, Ethiopia and the Philippines• Global information standards (GS1).

Update – ISG New York, October 29-30

• ISG Secretariat

• Evaluation of ISG• Measure the effectiveness of collaborative relationships as

opposed to examining the level of collaboration.

• Decision to host the ISG secretariat in 2016.

Questions?