HIV/AIDS

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Photo Credit: Vanessa Vick/IAVI
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The global HIV community has made tremendous progress in turning the tide of the HIV pandemic, reducing incidence and prevalence in many countries and reaching millions of people with testing and treatment. Stronger public health supply chains have played a key role in this progress by increasing access to HIV commodities.

The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project provides two key services to support countries in reaching their 90-90-90 HIV testing, treatment, and viral load suppression targets: (1) provision of a secure supply of commodities, and (2) systems strengthening technical assistance.

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Core Activities
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GHSC-PSM provides assistance that is targeted to support countries in meeting their unique procurement and supply chain challenges and, in some cases, to cut the cost of doing so. We work with suppliers of pharmaceuticals (antiretrovirals [ARVs] and essential medicines), male circumcision commodities, and laboratory instruments and commodities to reach this goal. The project collaborates with the Global Health Supply Chain-Rapid Test Kits (GHSC-RTK) project by providing country quantifications of demand for test kits. GHSC-PSM also works with Global Health Supply Chain-Quality Assurance (GHSC-QA) to ensure the quality of all HIV-related commodities.

Led by PEPFAR, UNAIDS, WHO, and others global stakeholders, many HIV/AIDS programs are transitioning to a new antiretroviral drug regimen, TLD (tenofovir, lamivudine, dolutegravir). GHSC-PSM is playing a vital role in supporting HIV/AIDS programs in managing their transition to TLD.

Our project teams work in 24 countries, providing a mix of technical assistance and/or commodity procurement support to strengthen local capacity in HIV supply chains. Building on a decade of work by USAID, PEPFAR, and implementing partners, our teams work with local partners to provide new approaches to strategic planning, logistics, data visibility and analytics, and capacity building.

Current country and regional presence includes: Angola, Botswana, Burundi, Cambodia, Cameroon, Caribbean, Central America, Ethiopia, Ghana, Guyana, Haiti, Indonesia, Lesotho, Malawi, Mozambique, Namibia, Nigeria, Rwanda, South Sudan, Uganda, Vietnam, Zambia, and Zimbabwe.

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Key Commodities
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Key commodities include:
 

  • First line adult antiretroviral medicines (ARVs)
  • Second line Adult antiretroviral medicines (ARVs)
  • First line pediatricantiretroviral medicines (ARVs)
  • All laboratory commodities
  • Ready-to-Use Therapeutic Foods (RUTFs)
  • Condoms
  • Voluntary medical male circumcision
  • Other related commodities
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Global Goals
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GHSC-PSM supports bold targets set by the U.S. government in 2015 for PEPFAR to support 12.9 million people with life-saving antiretroviral treatment and 13 million men with male circumcision by the end of 2017.

Specifically, our project advances PEPFAR’s work to support partner countries to rapidly adopt and implement World Health Organization (WHO) guidelines for “Test and Start” as well as more efficient service delivery models. These WHO guidelines are designed to prevent new HIV infections, save more lives, and accelerate progress toward the UNAIDS 90-90-90 goals for 2020:
 

  • 90 percent of people with HIV diagnosed
  • 90 percent of those diagnosed on antiretroviral treatment (ART)
  • 90 percent of those on ART virally suppressed


GHSC-PSM contributes to each of the 90-90-90 targets through procurement and technical assistance. We collaborate closely with the Global Fund to Fight AIDS, Tuberculosis and Malaria and U.S. Centers for Disease Control and Prevention through USAID to harmonize approaches, such as procurement of viral load instruments.

We also work with our country programs to ensure that the most recent information about new ARVs and the most effective ARV regimens is informing their work with ministries of health. 

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Strategic Partnerships
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GHSC-PSM works to build and maintain strategic partnerships and to support USAID’s leadership among key stakeholders in the global community. Most notable in the HIV/AIDS arena are partnerships with The Global Fund, the World Health Organization, the African Society for Laboratory Medicine, and consortia such as the Antiretroviral Procurement Working Group and initiatives such as the UNITAID-funded Point of Care Early Infant Diagnosis Partner Consortium.

The project’s market dynamics efforts aim to further shape and strengthen the market for ARVs, HIV rapid test kits, viral load laboratory equipment and supplies, and other key commodities. Based on needs identified by market dynamics analysis, GHSC-PSM also advocates for changes in policy and practice.

News & Highlights

Innovations
March 22, 2017
Working with GLOBHE, the project team recently completed an in-depth landscape analysis of the various actors, objectives, and lessons learned from use of unmanned aerial vehicles (UAVs) in the development context. The analysis included six key case studies of UAVs used in health supply chains in…
News Article
November 20, 2017
LUSAKA, Zambia — At a colorful handover ceremony on Nov. 7 attended by United States and Zambian leaders, Zambian Minister of Health Chitalu Chilufya received, on behalf of the Zambian government, 12 trucks donated by USAID and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR)…
News Article
December 1, 2017
Serena had been taking her antiretroviral drugs religiously for just over a year. She had fewer infections, gained weight and was feeling quite well. Then she visited the health clinic near her home and her physician sent her to the lab. Two weeks later, her community health worker brought her a…

Success Stories

July 17, 2018
When Mwile Simbeye began work as a pharmacist at Andara District Hospital in Namibia, there was no one to orient him to his new post. The previous pharmacy staff left a few months before he started and, consequently, Simbeye did not have the training to take advantage of the facility electronic…
May 9, 2018
During the past 18 years, Guatemala’s Ministry of Health (MOH) has had varying degrees of success in designing and implementing a system to track stock levels, distribution and consumption patterns of medicines — critical information that is used to identify risks of overstock, expiry and stockouts…
January 30, 2018
People living with HIV/AIDS rely on regular access to antiretroviral (ARV) medications to suppress the amount of human immunodeficiency virus in their blood — or their “viral load.” A low viral load signifies that a person’s immune system is working to keep their HIV in check and limiting…