GHSCPSM Say1q2 Final
GHSCPSM Say1q2 Final
GHSCPSM Say1q2 Final
Recommended citation: USAID Global Health Supply Chain – Procurement and Supply
Management Single Award IDIQ. 2016. USAID GHSC-PSM Semi-Annual/Quarterly Report
Year 1 Quarter 2. Washington, D.C.: Chemonics International Inc.
Chemonics Contact:
Anthony Savelli
Procurement and Supply Management Project Director
251 18th Street South, Suite 1200
Arlington, VA 22202
P 202-955-3487 | M 202-684-1479
asavelli@GHSC-PSM.org
DISCLAIMER
The authors’ views expressed in this publication do not necessarily reflect the views of the
United States Agency for International Development or of the United States government.
CONTENTS
ACRONYMS...................................................................................................................................... 1
This report also closes out the project’s Transition Plan and notes where activities have moved
to routine operations. The project is pleased to report that we have exceeded our transition
milestone by preparing to begin operations on July 1 in 12 countries; the remaining country
offices will become operational on a rolling basis.
Warehousing Transition
While implementing project start-up activities, teams also began to establish service provider
contracts and agreements to replace incumbent services as part of the project transition.
In March, the project established initial regional distribution center (RDC) capability. Contracts
were put in place to transition incumbent RDCs to the project, including Imperial Health
Sciences (IHS) warehouses in Ghana, Kenya, and South Africa, and United Parcel Service (UPS)
warehouses in the Netherlands and Singapore.
In April, after a detailed RDC network optimization analysis, the team released
a global RFP for warehouse services to
establish a new RDC network in 2017. The
team released a request for proposal (RFP)
for air and ocean freight forwarding services
as well, competing 1,500 lanes.
By June, the project began to engage in regular operations activities and experienced many firsts
such as our first:
• Commodity purchase order, a $1 million order for Panther specialty condoms from
Malaysia to Zimbabwe
• Shipment, of female condoms from Malaysia to the Democratic Republic of the Congo,
scheduled for delivery in July
• Product quality control testing, using FHI360 to test samples of long-lasting insecticidal
nets (LLIN)
The shift from project transition mode to full operations perhaps is best illustrated by the
effective preparation to launch 12 country offices on July 1. With the exception of Mozambique,
scoping trips first began in March, providing three months to fulfill the necessary staffing,
systems building, planning, and collaboration needed to establish country programs in Ghana,
Haiti, Lesotho, Liberia, Madagascar, Malawi, Mozambique, Nigeria, Pakistan, Rwanda, Zambia,
and Zimbabwe.
To launch these required country operations and platforms, the Country Programs team
benefitted greatly from close collaboration and communications with USAID teams and the
incumbents while leveraging the expertise of other teams within the project, including the
Program Operations team; the Global Supply Chain team; the Supply Chain Solutions’ Security
Management unit and others – putting in action the spirit of the project’s one-team approach.
For example, Program Operations ensured installation of Office 365 equipment on all field office
computers for staff upon their arrival. This set up the project for unified and coordinated
communication and information organization. The country teams were thus able to access
Chemonics’ Global Quality Management System (QMS) as well as the standard operating
procedures (SOPs) developed in coordination by the Global Supply Chain and Systems
Strengthening teams for Day One operations.
Critically, the team also secured the all-risk marine and storage insurance to cover project
commodities, with an effective date of July. The project’s global commodity insurance coverage
was in place on June 30.
Ultimately, the system will allow users to process orders for all health commodities. The product
e-catalog also will support a multitude of product attributes based on international standards, such
as GSI, United Nations Standard Products and Services Code (UNSPSC) and Global Data
Synchronization (GDSN) (see related story), which all vendors will be expected to adopt. The
platform further allows the project to centrally manage all orders, including capturing and assessing
complete order history information.
This semi-annual period prioritized the transition and establishment of procurement and country
technical assistance activities, with USAID concurrence, which placed Global Collaboration as the
last project objective to begin startup, transition, and operational activities. The team fully staffed
up in May and June, at which point activities began to take shape.
As of the end of June, the project had established collaborative relationships with:
• U.S. Centers for Disease Control and Prevention (CDC) and USAID: The project
participated in discussions with seven viral load manufacturers
• Global Fund: The Fund expressed interested in the project’s 4PL, Command Center,
Commodity Councils, and new RDC model
• International Association of Public Health Logisticians (IAPHL): The project participated in
discussions on the future structure of this group
• People that Deliver: The project attended the 2016 bi-annual board meeting
• United Nations Population Fund (UNFPA): UNFPA will participate in the project’s
Commodity Councils
• World Health Organization (WHO): The project will share HIV (and possibly malaria)
data with the Global Price Reporting Mechanism and will likely host the Global
Forecasting Technical Working Group for HIV
The Global Collaboration team also assumed the additional responsibility of overseeing and
maintaining the Procurement Planning and Monitoring report (PPMR), which collects data from 34
countries and 54 programs. A number of partners in the Coordinated Assistance for Reproductive
Health Supplies Group use this data to make informed program decisions, including UNFPA,
FP2020, the Bill & Melinda Gates Foundation, and the U.K. Department for International
Development (DFID).
The Global Collaboration team also began working with USAID to lead planning for the
project’s first supplier summit, tentatively scheduled for early 2017
Global Health Supply Chain-Procurement and Supply Management
SEMI-ANNUAL & QUARTERLY REPORT YEAR 1 QUARTER 2 | 9
KEY PROJECT MILESTONES AT 6-MONTH MARK
First procurement
requests processed
__________
MIS blueprinting and
hosting build out
began
In each section, we highlight significant achievements; describe progress against each activity and
milestone scheduled for the reporting period; and discuss challenges and lessons learned.
1. HIGHLIGHTS
The HIV/AIDS Task Order team (TO1) has contributed to project efforts to establish needed
systems and crucial staffing and expertise in the countries that currently have bought in to the
USAID Global Health Supply Chain program, 21 of which specifically requested HIV
programming. These countries and regions include: Botswana, Burma, Burundi, Cambodia,
Cameroon, Central America, Ethiopia, Ghana, Guyana, Haiti, Lesotho, Malawi, Mozambique,
Namibia, Nigeria, Rwanda, South Sudan, Uganda, Vietnam, Zambia, and Zimbabwe.
The team also worked closely with USAID, external partners, and the project’s internal teams
to think through the supply chain implications of meeting the 90-90-90 testing and treatment
targets, such as viral load scale up, while ensuring that local sourcing and procurement provides
the best value to USAID and its partners.
Supply chain. The HIV/AIDS Task Order team led a series of integrated supply chain meetings
with the incumbent project and USAID. These meetings resulted in contributions to several
technical direction memorandums (TDMs) regarding ordering and warehousing, which have
smoothed the way for the project to take over a high volume of requisition orders from the
Supply Chain Management System (SCMS) project for antiretroviral (ARV) medicines and
laboratory products, including reagents for early infant diagnosis and viral load monitoring.
Laboratory procurement. The team planned and led weekly meetings with the USAID team
that oversees the project’s laboratory work. The project will assume the ForLab and LabEquip
contracts. ForLab is an important tool for quantifying laboratory needs and tracking instrument
utilization and quality issues, and a meeting with its developer will help shape the project’s new
contract with them. The team met with Llamasoft regarding follow-on work with LabEquip.
By the end of June, the project had received more than 70 requests for HIV products, including
orders transitioned from SCMS in accordance with USAID’s TDM. Country offices will procure
approximately half of the order requests.
Commodity Councils. The team held the second Commodity Council meeting for
Commodity Council 1 covering HIV-related pharmaceuticals, primarily ARVs; and Commodity
Council 2 for laboratory equipment and medical supplies, including voluntary medical male
circumcision (VMMC) kits and related commodities. The meetings highlighted key sourcing
strategies and next steps for each. The strategies have guided the project’s sourcing activities,
MOU with Remote Medical International (RMI) for Rapid Test Kit procurement.
The team held two meetings with USAID and RMI to articulate the respective roles of each in
ensuring the forecasting, supply, and distribution of rapid test kits to countries in which the
project has an operating office, where a multi-award contractor provides technical assistance,
or where there is no USAID contractor country presence. Both parties detailed their respective
roles in the memorandum of understanding (MOU), which was expected to be signed in July.
Plan. The Plan team received the ARV supply plans from 12 countries, via the incumbent, and
completed the first round of the demand supply inventory planning (DSIP) process. Modeled
after the commercial best practice of sales and operations planning (S&OP), DSIP entails a
thorough review and validation of the project’s anticipated ARV demand-and-supply plan,
to inform an approved ARV restocking order.
Exhibit 1 lists the HIV/AIDS Task Order activities and milestones planned for this quarter,
summarizes progress, and indicates the status of planned activities.
Review weekly open order updates from SCMS. As per TDM PSM
#2016-01-01, SCMS converted requests from USAID country missions to
PDF requests. SCMS and the project have established an ongoing line of Ongoing
communication about the orders.
SCMS has issued large purchase orders to serve the clients who had to
• April 26: Process and timing for SCMS to transfer orders; Ongoing
discussion led to a TDM
• May 3: Non-field offices and at-risk countries discussed with SCMS
• June 21: Consignment of Tenofovir, Lamivudine and Efavirenz
(TLE) restocking orders
90-90-90 Challenges
An important insight gained this quarter is the degree of complexity around demands for
laboratory support as well as the need to fully support viral load scale-up as a component of
90-90-90.
The team’s participation in key Technical Working Groups also proved essential in managing the
technical complexity. The HIV/AIDS Task Order Director and corresponding Systems
Strengthening Director participated in the USAID VMMC Partners’ Technical Working Group
meeting. The HIV/AIDS Task Order Director also was invited to serve on the Technical
Advisory Group of Project SOAR, a USAID project conducting research on VMMC. This type of
project team participation aims to improve our ability to provide more accurate forecasts for
VMMC needs by regularly gathering data from implementing partners through their country
studies, databases, and other sources.
The TDM instructed SCMS to transfer orders to the project. The complexity of orders that
were delayed in fulfillment and that require local procurement has proven challenging in terms
of meeting short lead times from the time of notification to delivery. The project is also
assuming responsibility for fulfilling some local tenders, which is more complex than doing
international procurement. Despite the challenge, having our project manage these
procurements allowed the incumbents to more quickly complete their closeout activities.
Finding available laboratory experts who have worked on aspects of a laboratory supply chain
for HIV also has been a significant challenge. Through networks, our team has succeeded in
identifying lab team managers, including lab experts who are experienced with viral load
instrumentation, quantification, and national strategies for harmonization and optimization
of lab instrumentation.
1. HIGHLIGHTS
The Malaria Task Order team (TO2) assumed responsibility for all malaria commodity
procurement requests, beginning in February, which helped lay the foundation for the project’s
overall order processes and systems. This task order also was the first to meet the project’s
contract and delivery milestones.
Of the 26 countries that have bought in to the USAID Global Health Supply Chain-Procurement
and Supply Management project, 14 have specifically bought in to the Malaria Task Order:
Burkina Faso, Burma, Burundi, Cambodia, Ghana, Liberia, Madagascar, Malawi, Mozambique,
Nigeria, Rwanda, South Sudan, Zambia, and Zimbabwe.
Requisition orders: The team received approximately 100 requisition orders for malaria
commodities from country missions, which are at various stages of the procurement sourcing
process. By the end of June, the team had issued 34 requests for quotations (RFQs) for all main
commodities under the President’s Malaria Initiative (PMI).
The team also began routine preparation and submission of weekly Task Order Malaria tables to
USAID, which provide updates on the status of all orders submitted for malaria commodities.
Highlights include:
• The project is finalizing our long-lasting insecticidal nets (LLIN) request for expressions
of interest (REOI) for supplier preselection. All submissions have been received and
related products tested. The team is awaiting non-objection from PMI.
• The Malaria team began submitting Restricted Commodities Approval requests to
USAID, which build in additional approvals. The first two packages were Sulfadoxine
Pyrimethamine for Guinea and Artesunate/Amodiaquine (AS/AQ) for Angola.
Staffing. The Malaria Quality Assurance (QA) team was fully staffed. QA team hired the PMI
QA/Quality Control (QC) Manager and PMI QA/QC Liaison, who join the core team of
QA/QC resources based in SGS Holland. The Malaria Source team continued to operate under
a staff moratorium requested by USAID.
Emergency orders. The project team received a request for urgent items to Angola, including
rapid diagnostic tests (RDTs), artemisinin-based combination therapy (ACT), arthemeter
injectables, and artesunate injectables to be delivered by the end of September. The project has
worked to procure these commodities, prioritizing delivery of RDTs and ACTs. Athemeter and
Artesunate will take a bit longer due to production lead times.
Quality assurance. The team is finalizing development of a QA plan for the Malaria Task
Order and the project quality management system (QMS). The QA plan will ensure the task
order QA deliverable is met and will be used as the foundation for the project’s QMS for ISO
9001 certification. PMI approved this approach to the QA plan.
Finally, the team drafted the first RFP (to be disseminated in July) to select a pre-qualified pool
of quality control laboratories, which will perform third-party analysis of pharmaceuticals and
LLINs procured under this task order.
Operational Milestones. The project processed its first paid invoice, which went to FHI360
to provide quality control analysis of samples of LLINs. This analysis will inform the project’s
broader efforts to select a pool of LLIN manufacturers that the Malaria Source team will tender
over the next year.
As part of the project’s first delivery, the team picked up 247 pallets of AS/AQ valued at $1.4
million from the manufacturer in France and delivered them to the regional distribution
warehouse in the Netherlands, where they are being stored for final import authorization
and delivery to the Democratic Republic of the Congo.
Exhibit 2 lists the Malaria Task Order activities and milestones planned for this quarter,
summarizes progress, and indicates the status of planned activities.
Warehousing
In setting up the United Parcel Service (UPS) Netherlands warehouse, the project learned that
the warehouse had not received RDTs, specifically the warehouse had no records for the
product, either as a registered product in the UPS system or the customs database, which
caused initial delivery efforts to be rejected. To help resolve the issue, our team provided
Power of Attorney privileges to UPS to act on our behalf and register the project into the
customs system. The product is expected to be registered in July.
1. HIGHLIGHTS
The Population and Reproductive Health Task Order team (TO3) helped lead the way to
achieving several project firsts, notably a first shipment (of condoms) and first bid (for female
condoms) as well as the first transfer of commodities from the USAID | DELIVER PROJECT at
the Singapore and Netherlands warehouses. (Commodities for the other task orders will begin
their transfers in the next quarter.)
The team also continued to build and clarify processes, systems, and standards, with
implementation of the inventory transfer technical direction memorandum (TDM) playing a key
role in facilitating final transition responsibilities and accountability between the project and the
incumbent.
In addition to Central America, 12 countries have bought into this task order: Ethiopia, Ghana,
Haiti, Liberia, Madagascar, Malawi, Mozambique, Nepal, Nigeria, Pakistan, Rwanda, and Zambia.
Commodity Councils. The Commodity Councils (CC) for reproductive health commodities,
which launched in February 2016, held their first quarterly meetings in May 2016. The mandate
of these councils – reproductive health pharmaceuticals and devices under CC5 and condoms
and lubricants under CC6 – includes the development of project charters that include
harmonizing procurement with the United Nations Population (UNFPA), defining a registration
management strategy, exploring expansion of the supply base, and leveraging vendor-managed
inventory services. CCs are working to leverage the potential opportunities from the market
and draw from the analysis and thinking of the Market Dynamics team to offer the best value for
the money to our client.
Transition. The transition of activities from the USAID | DELIVER PROJECT essentially had
been completed by quarter’s end. In May the incumbent and our team put together a Service
Level Agreement (SLA) for orders managed jointly (the incumbent procures and our team ships
the commodities). This SLA clarified agreed-upon roles and responsibilities between the two
parties. Both projects have been working collaboratively as instructed by the guidance. And both
parties have agreed to continue to meet biweekly to examine new orders, discuss changes to
standing orders, and inform USAID of any issues until the management information system
(MIS), which has a built-in capability to manage all orders from start to end, is up and running
(scheduled
for Aug. 29).
The planning of the warehouse transfers to Singapore and the Netherlands went well. Stock
counts were completed by the end of June and the documents were signed by both parties. On
June 30 the team was waiting for Contracting Officer (CO) consent to assume responsibility for
the inventory.
Core work plan. The team submitted the core work plan to the Contracting Officer’s
Representative (COR) on April 23. While the approval process is ongoing within USAID, the
COR instructed the project to proceed with some activities related to transitioning from the
incumbent including: the Procurement Planning and Monitoring Report (PPMR), Coordinated
Assistance for Reproductive Health Supplies (CARhs) group, Reproductive Health Interchange
(RHI), Coordinated Supply Planning Group, global engagement and leadership with People that
Deliver, and the International Association of Public Health Logisticians (IAPHL).
Exhibit 3 lists the Population and Reproductive Health (TO3) activities and milestones planned
for this quarter, summarizes progress, and indicates the status of planned activities.
Place the urgent, high priority Sayana Press order. The project
On track
awarded the request for quotation (RFQ) to Pfizer in June 2016 and is in
the process of negotiating the subcontract. As soon as the subcontract is
signed, the project will place the Sayana Press order.
The project has received urgent orders for lubricants and cycle beads for which we do not yet
have framework contracts. To respond to these requests and ensure no stockouts, the project
has established bridging contracts with suppliers. The project also is looking at ways to establish
long-term agreements to leverage savings and more efficiencies.
Registration
The project increasingly is involved in the Registration Task Force led by USAID. Our point of
contact attends the meetings and maintains a registration tracker by product and by country,
which helps the team to validate which countries do not require registration of certain
commodities, and ensure they will not require registration in the near future. Recently, the team
has been faced with countries scheduled to receive products for which registration does not
exist or are nearing expiration. When those cases arise, the project team either collaborates
with the mission and the supplier to seek a waiver, or waits until the registration is renewed.
FHI360 has advised on which countries historically are difficult to navigate to obtain a waiver
a registration. That information has helped our team in planning efforts.
1. HIGHLIGHTS
The Global Supply Chain team works as an integrated group of functional teams – Plan, Source,
Deliver/Return, and Quality Assurance (QA) – while also developing a project management
information system (MIS) to provide end-to-end visibility of global supply chain data. The
processes, procedures, and infrastructure created this quarter to support supply chain activities
across the project were vital to our successful transition of incumbent activities and initial
launch of independent operations, ranging from supply chain planning and requisition order
management to logistics infrastructure implementation.
Key achievements include the rapid ramp up of requisition orders, sourcing events, and
contracting. Requisition orders in process grew from 49 through March to 271 by the end of
June. The team conducted about 60 RFX events for product manufacturer framework
agreements and spot tenders across the three task orders.
The team worked collaboratively with USAID logistics points of contact to finalize an Optimized
Regional Distribution Center (RDC) Network Design, which provided the foundation for the
Global Warehousing request for proposal (RFP). The team also executed contracts with
incumbent RDC providers Imperial Health Sciences (IHS) and United Parcel Service (UPS),
achieving projected annual cost savings of $1 million from lower storage rates.
Moreover, our work with USAID to refine the Malaria Quality Assurance/Quality Control
(QA/QC) standard operating procedures (SOPs) puts processes and standards in place to
ensure the security and quality of these commodities while laying the groundwork for the
project’s ISO 9001 certification.
Quarter 2 highlights of cross-cutting supply chain support and final transition activities follow.
Supply Chain Planning. The Plan team completed May and June monthly central planning
process reviews (Demand/Supply reviews) for all Population and Reproductive Health (TO3)
commodities. As a result of the analysis, restocking orders were provided to the Source team
for IUDs and oral contraceptives to ensure that proper stocking levels are maintained within
the RDCs. The team also completed the June 2016 quarterly Country Supply Plan aggregation
process and developed restocking order recommendations for antiretroviral (ARV) medicines
to ensure proper stocking levels are maintained within the RDCs.
The Supply Chain Optimization sub-team presented a draft Optimized RDC Network Design
to USAID and received approval to move forward with a Global Warehouse RFP. The team
also conducted a brown bag session with USAID in June to address questions, and prepare for
a follow-up brown bag session in July. In support of the Global Freight Forwarding RFP effort,
the team developed a mathematical optimization model to do the optimal selection and
allocation of forwarding lanes to suppliers, and conducted numerous scenario analyses to
support final award decisions.
Sourcing and procurement. The Source team held regular meetings with USAID, Supply
Chain Management System (SCMS), and USAID | DELIVER PROJECT to ensure a smooth
transition of all procurement activities to the project through the review of orders submitted to
the incumbents. During these meetings, order decisions were made to: (1) keep some orders
under the control of the incumbent (either ordered or shipped), (2) have orders placed by the
incumbent and have our team pick them up for shipping, or (3) place and ship the orders by our
project. The result has led to the rapid increase in source activities. As of the end of June, the
team had received by task order:
The requisition orders covered the following 33 countries: Angola, Bangladesh, Benin, Burma,
Burundi, Cambodia, Cameroon, Democratic Republic of the Congo, Dominican Republic,
Ethiopia, Ghana, Guinea, Haiti, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Nigeria,
Rwanda, Senegal, South Africa, South Sudan, Swaziland, Tajikistan, Tanzania, Thailand, Togo,
Uganda, Vietnam, Zambia, and Zimbabwe.
Integrated logistics. Thanks in part to close collaboration with the incumbent and guidance
from USAID, the Deliver/Return team began to actively ship commodities for the Malaria and
Population and Reproductive Health task orders. These shipments included receiving
replenishment supplies from vendors into RDCs in the Netherlands and Singapore as well as
picking up shipments Ex Works to ship directly to receiving countries.
The Deliver/Return team signed contracts with existing RDCs used by the incumbents to
streamline transition of existing inventory. The contract with IHS includes warehouse facilities
in Ghana, Kenya, and South Africa that serve the region. The contracts with UPS include
warehouses in Singapore and Roermond, Netherlands. As soon as the contracts were signed,
the project began to expedite electronic data integration, which will facilitate transparency in
inventory management.
In late June, the Deliver/Return team participated in the first stages of inventory transfer for
the Population and Reproductive Health Task Order in Roermond and Venlo, Netherlands
and Singapore.
The contract for Freight Bill Payment & Audit (FBP&A) was awarded to TranzAct. As the new
quarter began, TranzAct was reviewing the contract.
The Deliver/Return team also conducted a RFP for Freight Forwarding, which went out to
eight potential bidders. As the quarter came to a close, the RFP process had selected the
Quality assurance. The Malaria Task Order QA team is now fully staffed. The PMI QA/QC
Manager and PMI QA/QC Liaison join the core team based in SGS Holland who have been part
of the team from the start of the project. The team is finalizing development of a QA plan for
malaria and the project quality management system (QMS), and developing macro-level SOPs
and commodity-specific processes. See the Malaria Task Order section for more information
and additional QA accomplishments.
MIS/data visibility. The MIS team continued to achieve the base version release targets this
quarter. The team is on track for the go-live date of Aug. 29, 2016 for Release 1.0 and remains
under budget.
The project MIS team finished blueprinting, began and completed micro design, and moved into
the build phase of the system. On May 18, the team held a signing ceremony with the project
and USAID, marking completion of the blueprinting phase and signing off on the finalized MIS
requirements. The team conducted multiple sessions with Chemonics and Kuehne+Nagel teams
to finalize integration requirements with the financial management information system (FMIS)
and logistics management system (LMIS). The development of interfaces between these systems
is crucial for automatic data exchange between the systems, with the FMIS processing invoices
to USAID and making payments to project suppliers, and the LMIS tracking project shipments as
well as providing an interface for the QA teams (SGS and FHI360) and suppliers.
The team also continued development of the product e-catalog for commodities, a cornerstone
of the MIS system and one of the primary interfaces for users who will access the requisition
order entry portal. Trainings for base version releases were completed in June and a robust
training program for the system is being created, which is scheduled to begin in August.
The MIS team continues to support the Country Programs team. This support includes an
ongoing technical assistance assignment for an electronic LMIS (eLMIS) assessment in Cambodia,
the stock and MACS system transfer in Haiti, and assisting in recruitment efforts for country
office MIS staff and consultants. The project has recruited an MIS Systems Strengthening
Director who is due to be on-boarded in July.
Exhibit 4 lists the planned activities and milestones scheduled this quarter for Global Supply
Chain activities, summarizing progress and indicating the status of planned activities in the
transition plan.
Place routine commodity orders. The Source team has begun placing
On target
purchase orders with manufacturers and distributors
Establish new RDCs (2017). The Global Warehousing RFP was released
On target
in June.
Contracts with labs to provide quality control. The Lab Services RFP
On target
will be released in July.
MIS Release 0.6 and 1.0 (Aug. 29, 2016). MIS development is on track. On target
Development of framework contracts and long-term agreements has been uneven across the
task order Source teams, largely due to the varying level of sourcing experience of personnel.
This has been addressed through training and hands-on involvement of the Global Supply Chain
Director and Procurement and Logistics managers.
1. HIGHLIGHTS
Country program activities this quarter focused on opening 12 country offices by July 1
in Ghana, Haiti, Liberia, Lesotho, Madagascar, Mozambique, Malawi, Nigeria, Pakistan,
Rwanda, Zambia, and Zimbabwe. Efforts ranged from registering country offices and securing
and/or transferring office space and equipment to recruiting local technical teams, among
other activities.
The team accomplished this ambitious feat with only three months of concentrated effort and
worldwide collaboration – the first scoping trips took place at the end of March, with the
exception of Mozambique in January. Moreover, the team did this while managing many other
program activities, including identifying and fostering additional country program interests.
Teams visited Burundi, Ethiopia, Guyana, Haiti, Liberia, Nepal, Nigeria, Pakistan, Rwanda,
Vietnam, and Zambia to scope activities and interest.
This period also saw the project establish the first communications with five additional
programs: Burkina Faso, Cameroon, the Greater Mekong Region, South Sudan, and Uganda.
Staffing. To meet the July 1 launch deadline, the team prioritized filling key positions for
the first 12 country offices, including country directors. Beginning with the initial scoping visit,
the team worked with missions and other key stakeholders to lay the groundwork to identify
needed staff as well as plan for a seamless transition of staff from the incumbent project
as appropriate.
The country director staffing process was managed in a central database to ensure no
duplication of effort and that the best candidates were being considered for the appropriate
countries. For all positions, the project used centralized job descriptions and a central database
to streamline the recruitment and hiring processes to identify the best candidates, eliminate
duplicate efforts, and ensure consistency.
Within three months, the project had hired more than 170 country office staff, including nine
country directors.
Operations and country platforms. In the spirit of a one-team approach, the Country
Programs team leveraged the expertise of the Program Operations team (including Finance and
Risk Management), the Global Supply Chain team, the Supply Chain Solutions’ Security
Management Unit, and others, to prepare for the July 1 launch. Activities ranged from setting
up local computer networks and management information systems to various contracting
mechanisms. See the Executive Summary for more detail.
Country quantification preparation. The team collaborated closely with SCMS to ensure
that the standard country antiretroviral (ARV) supply plans were available to the Plan team for
analyses and subsequent determination of the quantities that the Source team should procure to
See Exhibit 5 for details on the contractor or lessee, mechanism, stock count, and target stock
transfer for the nine countries with local distribution centers.
In June, the Systems Strengthening team within Country Programs initiated a number of task
forces envisioned to provide guidance and leadership in technical areas of the supply chain to
support country programs.
Forecasting and supply planning (FASP) task force: Ensures high-quality technical
support in forecasting and supply planning by applying a systematic approach to calibrate the
level of competency in the field. The approach entails defining a competency framework of
overarching FASP tasks, skills, and knowledge requirements, inventorying field staff with FASP
roles and responsibilities, and gaining a better understanding of current and needed capacity
to apply appropriate strategies to achieve high competency levels. The framework and compiled
survey results are being used to determine existing strengths, identify areas for improvement,
and develop and/or adapt relevant capacity building approaches from among those used in
public health and commercial supply chain sectors to standardize staff capacity levels across
the project.
Targeted local procurement (TLP) task force: Ensures the smooth transition of Supply
Chain Management System (SCMS) field office-managed procurements (FOMP) currently in-
process as part of the transition; that the project has uninterrupted HIV/AIDS Task Order
(TO1) local procurement capability in SCMS field offices scheduled to transition by July 1; and
develops and implements new a TLP policy, procedures, technical standards, quality assurance
regime, performance metrics (including economic and sustainability indicators), management and
governance procedures, and a clear communications protocol for TLP across task orders by
August 30, 2016. The TLP task force completed the following deliverables: interviewed identified
field offices to determine a baseline preparedness for TLP Day One and develop country-specific
FOMP to TLP transition plans and timeline; and developed process maps, SOPs, work
instructions, templates, and a field office guidance manual.
Exhibit 5 lists the Country Programs activities and milestones planned for this quarter,
summarizes progress, and indicates the status of planned activities.
Scoping Visits
Many countries promptly submitted their expressions of interest quickly following project
startup in January, which resulted in requests for initial scoping visits in rapid succession. The
team focused on meeting mission needs to mobilize quickly to the countries where the project
was initiating operational and technical start up, following the necessary approval process as
outlined by USAID. Being able to respond to multiple countries and fielding scoping teams
concurrently posed challenges in how to organize lean technical teams to accommodate a
A major factor that ensured the project’s success in addressing this challenge was the close
coordination and support from USAID staff on the Transition Working Group 9, which allowed
the Country Programs team to quickly access guidance and prioritize requests for assistance
from the field. The USAID team facilitated communication with USAID missions and tempered
expectations where needed. Also, through leveraging the matrixed makeup of the project team,
we were able to use the Systems Strengthening specialists as well as three task order Directors
to help lead scoping visits in addition to the regional managers.
Inventory/NXP Transfer
As 12 countries prepared to transition their operations, our team diligently worked to ensure
the transition of office equipment from the incumbent projects as applicable. This process was
greatly enhanced by a clearly articulated process of necessary approvals to officially transition
goods. The project field staff and headquarters Program Operations team worked closely with
the incumbents to evaluate and document the conditions of goods to be transferred, generally
accepting inventory that was labeled in good or acceptable condition, including IT equipment,
office furniture, and project vehicles.
Occasionally the project did not receive disposition lists from the incumbent in a timely manner,
which proved a challenge as the project could not turnaround our own NXP request until the
USAID-approved disposition list was received. The Technical Working Group 9 helped to
resolve this challenge as USAID counterparts were able to communicate with the incumbents
and identify process bottlenecks. Ultimately, the project was able to accept necessary inventory
in most cases according to the guidelines provided by USAID, and, where absolutely necessary,
procure crucial equipment such as laptops.
Staffing Transition
The tight transition period proved challenging to staffing up the country offices. The project and
incumbents sometimes experienced competing needs for local field staff who were needed on
both projects during the transition period as some contracts overlapped. To best resolve these
issues, our team focused on fulfilling only the most crucial positions to ensure that no supply
chain functions were interrupted. As key technical staffing positions were filled, our team was
able to negotiate with the incumbent to arrive at a mutually acceptable solution for other
conflicting staffing decisions. Together, we agreed that as technical functions transitioned to the
project, related staff would transition as well.
Through this flexible approach that built on a commitment to job security, transparency and
continuous communication, SCMS and USAID | DELIVER PROJECT were positioned to
successfully complete their close-out activities and our project was positioned to execute a
successful startup.
TARGET
CONTRACTOR OR STOCK
COUNTRY MECHANISM STOCK
LESSOR COUNT
TRANSFER
6/29/2016-
Ghana IHS 3PL Subcontract 7/1/2016
6/30/2016
Lease
Fleuriot Warehouse
Haiti 6/25/2016 7/1/2016
PSM-Operated
3PL Subcontract
Axios Foundation,
Inc.
3PL Subcontract 6/14/2016 7/7/2016
Warehouse 1,
Monrovia
Liberia
Axios Foundation,
Inc.
3PL Subcontract 6/17/2016 7/7/2016
Warehouse 2,
Monrovia
Convention for
SALAMA N/A as stock is and will remain
Madagascar storage and
Parastatal Warehouse in MOH custody
distribution
Mahomed Hanif
5/28/2016-
Mozambique Mahomed Beira Lease 7/1/2016
6/20/2016
Warehouse
Regional Warehouse
TBD, Maputo Lease TBD 9/26/2016
Warehouse
Regional Warehouse
TBD, Lease TBD 9/1/2016
Beira Warehouse
IHS
Malawi 3PL Subcontract 6/30/2016 6/30/2016
Lilongwe Warehouse
Master Logistics
MDS Logistics Limited Services 6/20/2016 7/1/2016
Agreement
CHAN-MediPharm
3PL Subcontract 6/20/2016 7/1/2016
Ltd/Gte
Sustainable
Nigeria Healthcare 3PL Subcontract 6/20/2016 7/1/2016
International Ltd/Gte
Sustainable
Healthcare 3PL Subcontract 6/20/2016 7/1/2016
International Ltd/Gte
Axios Foundation,
3PL Subcontract 6/20/2016 7/1/2016
Inc.
Subcontract,
Medical Procurement
materials N/A as stock is and will remain
Rwanda and Production
handling fee in MOH custody
Division (MPPD)
schedule
1. HIGHLIGHTS
The Global Collaborations team has been the last to begin startup activities as overall project
efforts have focused on the successful transition of incumbent contracts and managing a severely
contracted launch period (three months) to open 12 project country offices. This quarter saw
the Global Collaboration team fully staff up, with the majority of the team coming on board in
May and June, which allowed activities to begin to take shape and move forward. That said,
transition-management mechanisms, such as the Global Collaboration Technical Working
Group, have yet to be launched. Progress was further hampered this period by the delay in
receiving USAID approval on the project naming convention and branding plan.
To ensure effective collaboration with USAID as the project engages with external partners,
USAID and the project established the following protocol: When contacted by or considering
reaching out to a new organization, the project will first contact the appropriate Contracting
Officer’s Representative (COR) team member(s) for consent and advice on how to proceed. If
new activities are then suggested through these existing relationships, the project will contact
the appropriate COR team member(s) for advice and consent on how to proceed with the new
activity.
Following this protocol, the project made significant progress in collaboration with the following
organizations:
• HIV: The Global Fund. USAID hosted introductory discussion with key Global Fund
and project staff to determine possible ways to collaborate. Global Fund staff expressed
particular interest in learning more about our fourth-party logistics (4PL) model, the
project’s Command Center once operational, understanding our new Network
Optimization Strategy once final, and participating in appropriate Commodity Councils.
USAID agreed to our team hosting The Global Fund on a tour of our new offices as a
way to continue discussions this fall.
• HIV: Viral load strategy. Seven viral load equipment and diagnostics manufacturers
met with U.S. Centers for Disease Control and Prevention (CDC), USAID, and project
staff to assess progress and think through challenges toward meeting global targets.
Suppliers shared detailed information on their equipment, services, and use of local
distributors/agents that could support increasing viral load testing in program countries.
Participants discussed in-depth, country-specific strategies to facilitate optimal
placement, performance, and maintenance of viral load instruments, and to improve
procurement processes.
• Supply Chain: People that Deliver. The Procurement and Supply Management
Director participated in the People that Deliver bi-annual board meeting. People that
Deliver is a global partnership that builds global and national capacity to implement
evidence-based approaches to plan, finance, develop, support, and retain the national
Market Dynamics
The Market Dynamics team fully staffed up in May and began initial assessment and strategy
development activities. Since staffing up, the team has actively engaged with all of the task order
teams and Commodity Councils to identify how best to communicate, share information and
support related activities.
In May and June, the team worked to refine and focus the scope of work (SOW) for a broad
market dynamics evaluation involving HIV, malaria, and reproductive health markets. The SOW
is in its final stages prior to submission to the USAID Contracts Office for approval.
Global Health Supply Chain-Procurement and Supply Management
SEMI-ANNUAL & QUARTERLY REPORT YEAR 1 QUARTER 2 | 36
Knowledge Management and Communications
The Knowledge Management and Communications manager joined the project in mid-May.
Meetings were quickly set up with USAID and incumbent communications points of contact to
review existing content, data, and other incumbent resources to be transferred to the project.
A full suite of templates and project branding guidelines were developed as a resource toolkit to
support the July 1 launch of 12 country offices. During the final review, USAID revisited the
naming convention for this project (and others under the Global Health Supply Chain program),
which put these resources on hold.
With agreement from USAID, the team decided to take a phased approach to website
development to accommodate the crucial unknown – how to resource and staff for a dynamic
website given current resource constraints. An interim site, scheduled for a fall release, will
establish an online portal for the product e-catalog and related resources and training. During
this time, additional visioning and strategic decisions will be made as part of the Fiscal Year 2017
work planning process to inform and shape an Online Engagement Strategy – to include website
development – and work plan that aligns with project resource realities. The fuller website
would be launched in early 2017.
The team began to issue regular news updates to the Global Health Supply Chain USAID and
mission contacts. These email updates highlight key project activities and results.
Working closely with Monitoring and Evaluation (M&E), Country Programs, and task order
teams, staff has begun to socialize the idea of establishing a project learning agenda to guide
reflective activities and products to further enculturate the USAID Collaboration, Learning and
Adaptation principles. This tool also could aid in better understanding harder-to-measure
project goals and objectives such as questions related to sustainability and value.
Exhibit 7 lists the Global Collaboration activities and milestones for this quarter, summarizes
progress, and indicates the status of planned activities.
USAID is revisiting naming conventions for this and the other projects under the Global Health
Supply Chain program. Due to this delay in establishing the project name, we are on-hold with
the Branding Implementation Plan, all project templates, social media accounts, and all other
communication products. In the meantime, we are providing case-by-case advice to field offices
who ask about business cards, letterhead, technical report templates, and other communication
products.
1. HIGHLIGHTS
The Project Management team proved crucial to the success of the project’s overall ability to
move quickly and efficiently to establish critical procurement and supply systems and processes
while undergirding the many efforts needed to prepare to launch the 12 country offices and
establish other country programs. Whether Finance, Contract Management, Training or
Monitoring and Evaluation (M&E), this team worked diligently with USAID, missions,
incumbents, and others to define the cross-cutting standards, responsibilities, and
communication flows that ensured the successful transition and maturity of project activities.
Finance
• Concluded the activities of the Finance Transition Working Group and clarified
expectations on budgeting and reporting against information specifications. Task Order
Finance managers and their USAID counterparts shifted to routine, task order-specific
meetings to address operational issues such as financial tracking and reporting.
• Developed and submitted country office budgets in accordance with information
specifications and task order funding allocations. Accommodated USAID request to
present budgets by activity, which required clarifying expectations with finance points
of contact around the presentation costs.
• Finalized cost recovery rates with task order Contracting Officer’s Representatives
(CORs), which have been communicated to missions.
Contract Management
• Continued biweekly calls with Contracting Officers (CO) to address questions and
issues in real time, and clarify internal USAID processes regarding approval requests.
This collaborative approach has developed trust and common understandings to rapidly
generate and process required approvals.
• Secured all-risk marine and storage insurance to cover project commodities, with an
effective date of July. Also secured global commodity insurance coverage, effective June
30.
• For the Malaria Task Force (TO2) in particular, we are learning the President’s Malaria
Initiative’s (PMI’s) requirements and preferences, and are refining and revising approval
requests in collaboration with the USAID Malaria Task Order (TO2) team.
• Created an approvals email address from which all approvals are sent to Task Order
CORs and the COs, to facilitate client's approval review and tracking. The project
also submits a weekly pending approvals summary to COs and CORs to facilitate
approval processes.
• The In-Country Transition Working Group has been instrumental in developing
standard operating procedures (SOPs) for approval processes, including streamlining
communication flows and concurrences needed from activity managers and country
Training/Orientation
• Supported preparations to launch 12 country offices by July 1, which included
establishing Microsoft’s cloud-based Office 365 software suite with webmail, SharePoint
and various business applications such as Word, Excel, and others. Each country office
now has a unique SharePoint site that includes access to a universal project folder
structure and links to Chemonics’ Global Quality Management System (QMS) portal,
which extends principles of quality management to country offices through the use of
standardized procedures, work instructions, guidance documents, and templates for
program operations.
Exhibit 8 lists the Quarter 2 project management and M&E activities and milestones scheduled
in the transition plan, summarizes progress, and indicates the status of planned activities.
The project transition has been a learning experience for all parties, which often required more
effort, more time, and more communications than anticipated. The management processes put
in place helped us to work closely with clients to clarify approval request process and other
systems, which helped with the clients’ internal coordination as well.
The In-Country Transition Working Group proved to be an effective forum for facilitating
communication with missions and streamlining USAID/Washington responses. This close
collaboration was vital for preparations leading to achieving the July 1 target of opening 12
country offices. The team will continue to build on the close coordination to ensure that the
next wave of countries will transition on time.
Collaborating within the M&E Transition Working Group also has been invaluable to setting
up project M&E processes, particularly in ensuring that the client’s expectations are well
incorporated into the M&E plan, tools and Quarterly Report format. This approach has afforded
the project regular communications with the client on M&E related issues, while ensuring the
pragmatic application of USAID guidelines and principles into the project’s M&E plan
development and implementation. We anticipate that continuous engagement with the M&E
Technical Working Group will ensure seamless implementation of the project’s M&E plan,
finalization of business rules/targets, and other concomitant M&E activities.