Interagency Pharmaceutical Coordination Group

Hitesh Hurkchand RMNCH Strategy and Coordination Team

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IPC, December 8 2016

Interagency Supply Chain Group Update to the Interagency Pharmaceutical

Coordination Group

• Overall Vision - The global development partners will collaborate in support of countries’ efforts to reach the goals of universal health coverage in part through sustainable access to quality essential health commodities and supplies at the right time, in the right place and at affordable cost for those who need them, through cost-effective and efficient procurement and supply systems.

• Partnership of 15 major actors involved in providing supply chain support to countries:

The Bill and Melinda Gates Foundation, DFID, Global Affairs Canada, the Global Drug Facility, KfW, the Global Fund, Gavi, NORAD, UNDP, UNFPA, UNICEF, USAID, World Bank, WFP and WHO.

• Informal Group - ISG Secretariat hosted by the RMNCH Trust Fund since 2014 through support from the Norwegian Government. Transitioning to WHO as of February 2017.

ISG comprising policy and funding bodies (1)

• GSC and ISG collaboration on track and trace for medicines and health products

• Global Financing Facility

• Supply Chain Improvement Approaches to SWEDD

• ISG Review

• Commodity Credit Facility

• Commodity Handling Fees

• Supply Chain Assessment Coordination

• Medicine Shortages

• ISG Secretariat

Update – Overview from October 2017 ISG (2)

• GSC and ISG collaboration on track and trace for medicines and health products

• Both the Global Interagency Supply Chain Group (ISG) and The Global Steering Committee for Quality Assurance of Health Products and Services (GSC) recognize the value for advocating for both effective and sustainable solutions to enable traceability and safe passage of medicines through national supply chains and have committed to strengthening this response accordingly.

• Collaborate to improve global donor procurement guidelines, including through the application of GS1 barcoding requirements at different packaging levels and coordinated with manufacturers on the implementation timeline

• Strengthen global and country advocacy for the adoption of global standards and traceability systems with member states, in collaboration with other relevant stakeholders.

• https://drive.google.com/open?id=0B3Gqbcf18P01MnM5U19jem15eFE

Update – IPC December (3)

• Track and trace for medicines and health products

• USAID Position Paper - Accelerating Pharmaceutical Track and Trace in Sub-

Saharan Africa. Investments for track and trace in 2017.

• USAID / Ethiopia

• Regulatory authorities of Nigeria and Ethiopia, recognizing the value in adopting traceability systems, have moved to adopting traceability systems within their health care industries.

• GSC Private Sector Advisory Council – potential for IFPMA support to the GSC / ISG priority areas for GS1 Track and Trace

• Wilton Park USA and the GSC: Assurance for safe medical products: protecting public health through unified global action workshop with Nigerian and West African Regulators in Jan 2017.

Update – IPC December (4)

• Global Financing Facility

• GFF Investors Group request to the Commodities Task Team was two-fold

• Global

• Develop a landscape of key activities and organizations involved in improving access to RMNCAH commodities

• This landscape helped identify areas where there are gaps and/or areas that require greater coordination

• Country

• Review country investment cases (that were final or close to final)

• identify commonalities in terms of critical bottlenecks and explore potential options for global/regional interventions to help countries address RMNCAH commodities access issues.

Update – IPC December (5)

• Global Financing Facility

• Action Points from Commodity discussion:

• Action 1: The IG agreed that the Chair ask the ISG to coordinate across agencies on efforts to improve access to RMNCAH commodities within the unified supply chain, specifically to improve in-country technical capacity in this area. The IG noted with appreciation that the WHO has agreed to host the ISG.

• Action 2: The Investors Group requested the GFF Secretariat to strengthen the current Investment Case guidelines to ensure stronger focus on commodity access. In addition, the IG instructed the Secretariat to strengthen its coordination capacity on access to commodities so that it can serve as an efficient interlocutor between the country commodity access needs and the key partners and resources in the commodities and supply chain space.

Update – IPC December (6)

• Supply Chain Improvement Approaches to SWEDD

• The Sahel Women’s Empowerment and Demographic Dividend (SWEDD) regional initiative is the result of a joint response by the United Nations and the World Bank Group, is a response to a call made by the presidents of the six Sahel countries, Burkina Faso, Chad, Côte d’Ivoire, Mali, Mauritania and Niger.

• The overall goal of the project is to accelerate the demographic transition, to spur the demographic dividend, and to reduce gender inequality in the Sahel region.

• The SWEDD initiative relies on partnerships between UNFPA, WAHO, CERPOD, WHO, and World bank (2016 and 2019)

Update – IPC December (7)

• Supply Chain Improvement Approaches to SWEDD

• Within SWEDD initiative, the 2.2. component focuses on supply chain transformation to improve RMNCHN products availability at the last mile • SWEDD Regional Secretariat, as a steering entity, with the local support of

in-country SWEDD representatives

• More than 27 M USD budget secured or supply chain action plans (+8 M USD on top of the initial SWEDD 2.2 budget, coming from other funds)

• 6 action plans have been finalized during workshops and validated at a high political level

Update – IPC December (8)

• RMNCH Supply Chain Coordination

• Ongoing coordination between three global initiatives • SWEDD

• USAID GHSC [USD 220M / 5 year; mission buy in]

• Global Financing Facility

Update – IPC December (9)

• ISG Global Collaboration Review

• Global health leaders meeting has had supply chain on their agenda for 1-1.5

year

• The SCT prepared a TOR for a review of level of collaboration at the ISG at country level. Country visits (Senegal, Nigeria, Tanzania, Zambia, and Ethiopia) done only in February

• The ISG should have a deliberate consideration of donor coordination at the ISG global level then decide on how to support country coordination.

• On learnings and take away from the review, the question is how to communicate recommendations to the countries

Update – IPC December (10)

• ISG Global Collaboration Review

• ISG two page brochure for country dissemination (IAHPL, Technet, UNCoLSC,

IPC, GSC, HDC, etc.).

• Engagement with BMGF ARC, UNICEF NLWG, GAVI proposed country coordination mechanisms to support country coordination platforms

• Potentially using GFF as entry point into some countries

• Full report and brochure available at

• https://drive.google.com/open?id=0B3Gqbcf18P01U1RFWndtUjdwZjQ

Update – IPC December (11)

• Commodity Credit facility

• Consultative efforts in Nigeria, Benin, Burkina Faso, Senegal and Cameroon.

Tanzania and Kenya to be completed in 2017.

• Main cause of financing delays leading to stock outs

• Reviewed financial track record of central medical stores

• Proposing tentative terms for CMS to access to credit line

• Consultations with IPAs – interest in developing multi country framework contracts

• Transaction unlikely to occur before Q1 of 2017

• SCT reviewing hosting options for the CCF in 2017

Update – IPC December (12)

• Commodity Handling Fee

• The range of fees span from managing, storing and distributing commodities. TGF for example, pay 5% handling fees in some countries. Government are also having to charge more to cover costs. One country review showed management fee to be 8% with 6.5% flat fee and a potential 1.5% extra when achieving agreed upon benchmarks.

• There are also separate agreements between donors and Government regarding who pays what. The issue on handling fees are relevant to the ISG because it seems that different financiers are having different approaches.

• Is there a path to a more coherent approach to this harmonizing the handling fees?

• Request for agency handling fee data UNICEF, USAID, WFP and UNDP. UNFPA, TGF and DFID requests at later stage

Update – IPC December (13)

• Commodity Handling Fee

• Do countries charge us a handling fee and do we pay it?

• We agreed on selecting between 5 countries for this exercise. (Ethiopia, Rwanda, Tanzania, Uganda, Zambia)

• In general, what are the major areas the fee supports (e.g. customs clearance/importation, warehousing, distribution, etc.)?

• Is there appetite towards supporting an evidence based approach to constructing these fees in-countries that agencies can collectively

• USAID, GAVI and UNICEF considering request to support capacity building efforts to strengthen CMS; CHF shared with the ISG and with country missions and potential for alignment

• https://drive.google.com/open?id=0B3Gqbcf18P01b0xaV1Zuand0UU0

Update – IPC December (14)

• Supply Chain Assessment

• EVM 2.0

• Partner consultation meeting in June 2016

• Adoption of ISG KPIs

• NSCA

• Partner consultation meeting in September 2016

• Adoption of ISG KPIs

• BMGF self assessment

• TBD

Update – IPC December (15)

• Global Response to Medicine Shortages

• ISG Secretariat

• Updated ToR for the ISG Secretariat circulated and approved by the ISG.

• ISG transition to the WHO in Feb 2017

• https://drive.google.com/open?id=0B3Gqbcf18P01STlDeFMwSWlmUk0

Update – IPC December (16)

Thank you ISG Shared Drive

https://drive.google.com/open?id=0B3Gqbcf18P01YmlNRG1RSnpkZHc