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 pediatric antiretroviral medicines (ARVs)
  • All laboratory commodities
  • 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:

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

GHSC-PSM contributes to each of the 95-95-95 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

News Article
January 4, 2023
With an estimated 650,000 deaths globally, the AIDS pandemic took a life every minute in 2021 despite effective HIV treatment and tools to prevent, detect and treat opportunistic infections. Of this number, about 51,000 persons reportedly died from AIDS-related ailment in Nigeria, which has an…
News Article
December 23, 2022
Quick action by USAID and the GHSC-PSM network led to an emergency delivery of Nevirapine moved quickly from Cameroon to Ethiopia, ensuring HIV-exposed infants receive an uninterrupted supply of prophylaxis as we enter the new year. Placing medicine in the right place, where it is most urgently…
Events
November 30, 2022
Join many of GHSC-PSM’s specialists from around the globe Nov 30-Dec 2 at the 2022 Global Health Supply Chain Summit in Dakar, Senegal! Presentations: Mariya Saleh | GHSC-PSM in Nigeria. "The Drug Revolving Fund Scheme: A Catalytic Intervention for Improving Access to Medicines in Nigeria"…

Success Stories

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This is the third story in our series of World AIDS Day "sneak peaks" of soon-to-be-published updates to the A Network Approach to Scaling Up Laboratory Services guide. Since Diagnostic Network Optimization…
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A 2014 assessment of public health facilities in Malawi found that the vast majority had less than half of the pharmacy storage space needed to meet demand, a situation that would only get worse as the population grew.   Between 2016 and 2017, the U.S. President’s Emergency Plan for AIDS…
August 9, 2022
Zainab is a fifty-two-year-old grandmother and trader living with HIV since 2009. She lives in Lafiagi, a remote community in Kwara State, Nigeria, and has been facing extreme difficulties accessing laboratories providing viral load testing services. The closest laboratory to her village is 78…