Global Health Areas

HIV/AIDS

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Laboratory reagent
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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.

Malaria

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Mother & Child with Malaria Netting in Tanzania
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Photo Credit: Maggie Hallahan
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Over the past 15 years, the global health community has achieved the remarkable feat of reducing the rate of malaria deaths by 57 percent. In sub-Saharan Africa, malaria no longer is the leading cause of mortality in children under the age of 5. Yet this disease still claims the lives of nearly 500,000 children every year (WHO 2015 Malaria Report).

The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project strives to reduce the burden of malaria in keeping with the President’s Malaria Initiative (PMI) and USAID’s maternal and child health and infectious disease goals. Strong malaria supply chains ensure that the global community can respond to changing on-the-ground health needs and evolving care guidelines.

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Core Activities
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Building on a decade of work by PMI, USAID, and implementing partners to strengthen local capacity in malaria supply chains, GHSC-PSM works with local partners to provide new approaches to strategic planning, logistics, data visibility and analytics, and capacity building, along with technical leadership to strengthen the global supply, demand, financing, and introduction of existing and future malaria commodities.

The project supports local partners to forecast and quantify their needs in all health areas, and to strengthen their logistics management and distribution systems, including warehousing, transport, and distribution systems.

Currently, USAID missions in 16 countries have requested a mix of technical assistance and commodity procurement support from the project. Current country presence includes: Angola, Burkina Faso, Burma, Burundi, Cambodia, Ghana, Liberia, Madagascar, Malawi, Mozambique, Nigeria, Regional Development Mission for Asia, Rwanda, South Sudan, Zambia, and Zimbabwe.

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Key Commodities
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Key commodities include:
 

  • Artemisinin-based combination therapies (ACTs)
  • Rapid Diagnostic Tests (RDTs)
  • Suphadoxine-pyrimethamine
  • Severe Malaria medicines
  • Other pharmaceutical products
  • Long lasting insecticidal nets (LLINs)
  • All other non-pharmaceuticals
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Global Goals
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GHSC-PSM supports PMI's and USAID’s implementation of malaria programs through the procurement, management, and delivery of high-quality, safe, and effective malaria commodities. When it was launched in 2005, the PMI goal was to reduce malaria-related mortality by 50 percent across 15 high-burden countries in sub-Saharan Africa through a rapid scale-up of four proven and highly effective malaria prevention and treatment measures: insecticide-treated mosquito nets; indoor residual spraying; accurate diagnosis and prompt treatment with artemisinin-based combination therapies; and intermittent preventive treatment of pregnant women.

Given the program’s success, in 2011 four new countries in sub-Saharan Africa and one regional program in the Greater Mekong Subregion of Southeast Asia were added. PMI subsequently developed a 2015-2020 strategy, which aims to work with PMI-supported countries and partners to further reduce malaria deaths and substantially decrease malaria morbidity toward the long-term goal of elimination.

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Strategic Partnerships
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USAID is committed to sharing data, information, knowledge, and supply chain best practices through GHSC-PSM. The project leads data collection for the Procurement Planning and Monitoring Report for malaria (PPMRm) to address potential supply challenges and reduce stockouts.

To further strengthen malaria supply chains, the project engages with key partners like the Global Fund to Fight AIDS, Tuberculosis, and Malaria; the Roll Back Malaria Partnership; the World Health Organization; the Clinton Health Access Initiative; and the Bill & Melinda Gates Foundation. The project’s market dynamics efforts aim to further shape and strengthen the market for LLINs, RDTs, ACTs, and other key commodities. Based on needs identified through market dynamics analysis, GHSC-PSM advocates for changes in policy and practice.

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Tools & Additional Resources
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Maternal and Child Health

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Mother and child health services in Pakistan
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The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project helps the U.S. government and partners reach goals around improved maternal, newborn, and child health outcomes by strengthening supply systems and ensuring commodity security.

We’re dedicated to working with partners worldwide to strengthen the systems that ensure that commodities for mothers, newborns, and children are available when and where they are needed. Strong supply chains and systems also enable countries to better manage emerging threats to mothers and newborns, such as the recent Zika outbreak.

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Core Activities
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GHSC-PSM supports availability of quality maternal and child health and Zika prevention products in public and private services by:
 

  • Creating Global Connections
    • Technical leadership to strengthen global demand and financing
    • Improving the provision of health commodities through global commodity procurement and logistics
    • Facilitating global collaboration to engage strategically to improve long-term global supply of health commodities
  • Country Systems Strengthening
    • Strengthening supply systems and supportive environments for health commodity security
    • Technical assistance to strengthen country supply chain systems

 

Current activities focus on 11 countries in Africa, South Asia, and Latin America and the Caribbean, and include a mix of technical assistance and commodity procurement support. Current country presence includes: Ethiopia, Guatemala, Haiti, Liberia, Madagascar, Malawi, Mozambique, Nepal, Nigeria, Rwanda, and Zambia.

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Key Commodities
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Key commodities include:
 

  • Medicines for pregnancy, labor and delivery, and complications of pregnancy
  • Medicines for essential newborn care, neonatal complications, and child health including for pneumonia and diarrhea
  • Medical equipment for newborn resuscitation, and basic facility and essential surgical equipment
  • Laboratory diagnostics (e.g., rapid test kits and point of care diagnostics)
  • Medical supplies (gloves, needles and syringes, etc.)
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Global Goals
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Working with country partners, NGOs, and international partners, the U.S. government plays an important role in the global effort to end preventable child and maternal deaths. Key targets include reducing child deaths to fewer than 25 per 1,000 live births in every country and maternal deaths to a global average of fewer than 70 per 100,000 live births by 2030. 

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Strategic Partnerships
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The project contributes to the U.S. government’s goal of ensuring access to medicines and supplies where and when women and children need them, established under the U.N. Commission on Life Saving Commodities for Women and Children (UNCoLSC). The project contributes to and participates in related technical discussions and working groups, such as the Maternal Health Supplies Caucus of the Reproductive Health Supplies Coalition.

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Tools & Additional Resources

Reproductive Health

USAID estimates 225 million women in developing countries want to postpone or stop childbearing, but lack access to modern methods of contraception. Under USAID’s Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project, the Reproductive Health activity strengthens supply chains to ensure that key reproductive health commodities are available for safe and reliable family planning.

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Core Activities
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Our project teams work in 15 priority countries committed to addressing policy, financing, delivery, and socio-economic barriers to accessing contraceptive commodities and information. Activities focus on the following three strategies to ensure equitable access to reproductive health commodities and advance contraceptive security:

 

  1. Leverage global commodity procurement and logistics to increase availability of health commodities
  2. Offer technical leadership to strengthen global demand and financing, and help ensure availability of existing and promising new reproductive health commodities
  3. Foster more stable, healthier markets by identifying areas in which USAID can improve supply security, affordability, and product appropriateness as well as influence global capacity investments

 

Current country presence includes: Angola, Burundi, Ethiopia, Ghana, Haiti, Liberia, Madagascar, Malawi, Mozambique, Nepal, Nigeria, Pakistan, Rwanda, South Sudan, and Zambia.

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Key Commodities
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Key commodities include:
 

  • Injectable contraceptives
  • Implantable contraceptives
  • Combined oral contraceptives
  • Copper-bearing intrauterine devices
  • Emergency oral contraceptives
  • Progestin only pills
  • Male condoms
  • Female condoms
  • Fertility-based awareness methods
  • Hormone-releasing intrauterine
  • Other related commodities
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Global Goals
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With the launch of Family Planning 2020 (FP2020) at the 2012 London Summit on Family Planning, the global community set a goal of enabling 120 million additional women and girls in the world’s 69 poorest countries to access and use contraception by 2020. Since then, nearly half of these target countries have made commitments to address the policy, financing, delivery, and sociocultural barriers to women accessing contraceptive information. The GHSC-PSM project is committed to supporting USAID’s goal of accelerating progress toward reaching 120 million new users through the project’s focus on commodity procurement and system strengthening.

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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 reproductive health arena is the Reproductive Health Supplies Coalition, where GHSC-PSM was elected to chair the Systems Strengthening Working Group and is committed to supporting the Coalition’s campaign to end contraceptive stockouts, Take Stock.

Regionally, GHSC-PSM anticipates supporting partnerships in West Africa, where contraceptive prevalence rates are the lowest in the world. The Ouagadougou Partnership, formed in 2011, is working to revitalize efforts toward its goal of reaching at least 2.2 million additional family planning methods users by 2020 in the nine Francophone Africa countries, while the West Africa Health Organization is likewise rising to prominence in the area. GHSC-PSM strives to leverage these collaborations to develop and implement innovations in commodity procurement and distribution.

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Tools & Additional Resources
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Zika & Emerging Issues

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Over recent decades, multiple epidemic events have underscored how highly vulnerable world populations are to viral threats. Our world is globally connected, and an emerging threat in one part of the world can pose a threat everywhere and to everyone.

The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project is dedicated to working with partners worldwide to strengthen systems that ensure that commodities are available when and where they are needed most.

Strong supply chains and systems are especially critical to best manage unexpected and emerging health threats such as the recent Zika and Ebola outbreaks.

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Zika-related Activities
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As part of broader maternal and child health programs, GHSC-PSM supports the availability of Zika prevention products in public and private services by:
 

  • Creating Global Connections
    • Technical leadership to strengthen global demand and financing
    • Improving the provision of health commodities through global commodity procurement and logistics
    • Facilitating global collaboration to engage strategically to improve long-term global supply of health commodities
  • Country Systems Strengthening
    • Strengthening supply systems and supportive environments for health commodity security
    • Technical assistance to strengthen in-country supply chain systems
       

Current activities focus on 7 countries which include: Dominican Republic, El Salvador, Guatemala, Haiti, Honduras, Jamaica, and Nicaragua.

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Ebola-related Activities
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West Africa was hard hit by the Ebola outbreak, especially Guinea, where unusable medical and pharmaceutical (UMPP) disposal procedures and capacity are not fully developed for the treatment and disposal of UMPP waste.

GHSC-PSM is working with the Ministry of Health in Guinea to develop a waste management and reverse logistics strategy for Ebola-related commodities.