Rich Owens World AIDS Day — December 1, 2016


heroeslogoADear friends,

This is PFSCM’s 11th year commemorating World AIDS Day. We have come a long way since 2005 in helping to ensure essential commodities are affordable and readily accessible to those who need them.

In 2005, an HIV diagnosis was still a death sentence for many people in developing countries. Now, around 55% of adults living with HIV have gained access to antiretroviral (ARV) medication. To reach the UNAIDS “90-90-90” targets by 2020 and reduce the HIV epidemic to a low-level endemic disease by 2030, the number of people living with HIV and on ARV treatment must rise from the current level to close to 30 million by 2020. Those who start treatment early are expected to live a normal lifespan.

2016 marked many accomplishments of the people, organizations, and countries engaged in the fight against AIDS. Consider these notable highlights:

  • AIDS-related deaths have fallen 45% since the peak in 2005.
  • New HIV infections among children have declined by 50% since 2010.
  • More than 18.2 million people are accessing ARV therapy. 9.2 million of them are receiving ARV treatment through Global Fund-supported programs, with steady increases each year.
  • PEPFAR is supporting lifesaving ARV treatment for more than 9.5 million men, women, and children worldwide. In 2015, SCMS procured 80 percent of all ARVs directly funded by PEPFAR.
  • PEPFAR has directly supported 8.9 million voluntary medical male circumcision procedures (VMMC) for HIV prevention, assisted in large part by SCMS deliveries of VMMC kits. By pooling procurement across many countries and buying in large volumes, SCMS negotiated a 30% reduction in VMMC kit prices since they were first procured.

We are tremendously proud of the work PFSCM has done to assist in the fight against AIDS — on behalf of the US Government through the Supply Chain Management System (SCMS); on behalf of the Global Fund to Fight AIDS, Tuberculosis, and Malaria thr0ugh its Pooled Procurement Mechanism (PPM); and on behalf of all our other clients and collaborators.

  • Through SCMS and PPM, PFSCM has procured $4.78 billion of lifesaving commodities — ARVs, essential medicines, laboratory commodities, and more.
  • PFSCM delivered these commodities to 91 countries, including some of the hardest-to-reach places in the world.
  • PFSCM has contributed to driving down ARV costs per patient from $1,500 in 2005 to as low as $80-$90 today.
  • We have also helped 41 countries build the capacity of their supply chains, working to make them sustainable and to increase local ownership.
  • Looking forward, today PFSCM launches a new web site focused on how we contribute to the ambitious targets for tackling HIV and AIDS and support other health supply chains through innovation and high-quality performance. You can see the new site here:

Today, on World AIDS Day, we celebrate the achievements of PFSCM’s supply chain heroes and the many, many individuals dedicated to the fight against AIDS. Tomorrow, we get back to work. There is no time to lose and much left to do if we are to meet the ambitious goals of the global community to turn the tide and defeat AIDS by 2030. Achieving an AIDS-free generation requires dedication, planning, daring, and innovation, continuing onward from today.

With our best wishes,

rich-signature                         gordon-signature

Richard C. Owens, Jr.                     Gordon Comstock
Director                                              Director, Global Supply Chain



Avatar President of MSH reflects on 10 years of progress


Jono Quick, President of Management Sciences for Health, one of the key partners, along with JSI, on the SCMS project, looks back on 10 years of work strengthening global health supply chains for people living with HIV/AIDS.  This video is part of a collection of reflections we are highlighting as we look back on the legacy of SCMS and what it has meant to its many stakeholders and beneficiaries.

djamieson Dare to Innovate – Meeting the Supply Chain Challenge of 90-90-90

PFSCM IAS luncheon flyer FINAL 2UNAIDS’ ‘‘90-90-90’’ strategy calls for 90% of people with HIV to be diagnosed, 90% of those diagnosed to be on anti-retroviral therapy (ART) and 90% of those on ART to achieve sustained virologic suppression. Additionally, growing numbers of countries are adopting the universal test and treat model, in which all people diagnosed with HIV receive ART regardless of CD4 level.  It is widely recognized that these strategies will challenge public health systems in resource-limited settings, including global and local supply chain systems.

For supply chains, each of the ‘‘90s’’ presents complications and challenges in getting to 90-90-90 by the 2020 target date. Ensuring that 90% of people with HIV know their status will require a large increase in access to HIV tests, often in unconventional settings. The number of people living with HIV and on treatment must rise from the current level of around 17 million to close to 30 million by 2020, a near doubling of the demand for anti-retroviral (ARV) drugs.  Similarly, monitoring those on treatment means an unprecedented scale-up of viral load testing.

The Partnership for Supply Chain Management (PFSCM) will host a luncheon and panel discussion at the International AIDS Conference in Durban, South Africa to discuss the procurement, supply chain and logistics challenges in reaching each of the 90-90-90 targets (see below for event details).  Funding will obviously be key, and innovative solutions and reforms to the supply chain in developing countries will be essential, but we believe it can be done.

It is important that the fight against HIV continues to be led by governments, primarily through the Ministry of Health, but also include Ministries of Finance and Trade or similar institutions, to set policy and goals, although it is not necessary for the response to be solely from the public sector.  The private sector and voluntary and community groups also have much to offer.  This is especially true for supply chains.

The commercial private sector is already essential to combating HIV, whether by producing drugs, diagnostics and other health commodities or by transporting those products from the manufacturer to the countries heavily affected by the pandemic.  But there is much more that the private sector, for-profit, and not-for-profit organizations can do, especially in supporting and extending in-country supply chains to the so called “last mile,” before the drugs get to patients.  There are also many lessons we can learn from the commercial sector in creating and sustaining flexible, responsive supply chains that keep essential goods in constant supply.  We are confident that the supply chain can respond as needed, but it won’t be easy and will need dedication, planning, daring, and innovation.

The supply chain challenges and opportunities in treating all those living with HIV and reaching the 90-90-90 targets are further discussed in a new paper from PFSCM published in the Journal of the International AIDS Society entitled “The 90 90 90 strategy to end the HIV Pandemic by 2030: Can the supply chain handle it?”

If you are at the International AIDS Conference in Durban, please join us for lunch and the panel discussion on Wednesday, July 20, 12:45-14:00 at the Rainbow Terrace Restaurant of the Hilton Hotel.  We look forward to seeing you there!

PFSCM Lifesaving health supplies reach patients despite pre-electoral violence

Photo NIYONIZIGIYE Jean Claude

Pictured: Jean Claude Niyonizigiye, HIV supervisor in the sanitary district, south zone of Bujumbura, showcasing products that fight against HIV.

How can people living with HIV/AIDS continue to get the life-saving medical supplies they need in a country undergoing political unrest?  Thanks to the preparedness of the Supply Chain Management System (SCMS) and its partners in Burundi, operating under such unstable conditions barely affected the availability of and access to supplies for much-needed treatment.

Civil unrest erupted in Burundi on April 26, 2015, just before the elections, and political tensions continue to this day. Due to protests, as well as ambushes, assassinations, and a thwarted coup d’état, most parts of the city have been inaccessible.

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djamieson Adult ARV supply market for developing countries adapts to new WHO guidelines, but challenges remain

“Tenofivir and zidovudine-based products, including fixed-dose combinations, are in good supply, although there are some challenges with the zidovudine active pharmaceutical ingredient (API) market out of China. Demand for stavudine-based products is dropping fast and suppliers are exiting the market for these products.”

These were the conclusions from a recent visit to India and China by the PFSCM procurement strategy team. Continue reading

bimans SCMS helps ensure uninterrupted treatment to patients after a fire destroys the pharmacy of the regional hospital in Divo

On the night of December 17, 2014, a short circuit fire engulfed the pharmacy of the regional hospital in Divo, one of the hospitals that provide medical services to the more than 1 million inhabitants in the Loh-Djiboua region in Côte d’Ivoire. Despite the quick response and joint efforts of the neighboring population, $43,000 worth of general medicines and $54,000 worth of ARVs were destroyed. Though the laboratory equipment was recovered, it was deemed no longer functional due to fire damage.

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bimans U.S. Ambassador pledges continuous support for strengthening the public health supply chain in Côte d’Ivoire

“USAID’s Supply Chain Management System project is a crucial piece of the American Government’s efforts to serve patients living with HIV/AIDS in Côte d’Ivoire through the PEPFAR initiative,” said His Excellency Terence McCulley, the U.S. Ambassador to Côte d’Ivoire during his visit to Supply Chain Management System (SCMS) regional offices in the district of Man in the Tonkpi region in November 19, 2014. “Every aspect of PEPFAR’s response depends on a reliable, responsive and sustainable supply chain system.” Continue reading